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  • Deteksi Dini Penyakit Peripheral Arterial Disease (PAD) Dan Peripheral Venous Disease (PVD)

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    This document discusses the early detection of peripheral arterial disease (PAD) and peripheral venous disease (PVD). It outlines the risk factors, symptoms, differential diagnosis, and treatment options for various conditions including acute limb ischemia, chronic limb threatening ischemia, deep vein thrombosis, pulmonary embolism, chronic vein insufficiency, and aortic disease. Treatment may include medications, compression stockings, filters, thrombectomy, or endovascular procedures depending on the condition and severity. The document also discusses using pre-test probability to help determine the need for further testing or imaging.

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    This document discusses the early detection of peripheral arterial disease (PAD) and peripheral venous disease (PVD). It outlines the risk factors, symptoms, differential diagnosis, and treatment options for various conditions including acute limb ischemia, chronic limb threatening ischemia, deep vein thrombosis, pulmonary embolism, chronic vein insufficiency, and aortic disease. Treatment may include medications, compression stockings, filters, thrombectomy, or endovascular procedures depending on the condition and severity. The document also discusses using pre-test probability to help determine the need for further testing or imaging.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    5 views28 pages

    Deteksi Dini Penyakit Peripheral Arterial Disease (PAD) Dan Peripheral Venous Disease (PVD)

    Uploaded by

    kaiden budi
    This document discusses the early detection of peripheral arterial disease (PAD) and peripheral venous disease (PVD). It outlines the risk factors, symptoms, differential diagnosis, and treatment options for various conditions including acute limb ischemia, chronic limb threatening ischemia, deep vein thrombosis, pulmonary embolism, chronic vein insufficiency, and aortic disease. Treatment may include medications, compression stockings, filters, thrombectomy, or endovascular procedures depending on the condition and severity. The document also discusses using pre-test probability to help determine the need for further testing or imaging.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 28

    Deteksi dini penyakit

    Peripheral Arterial Disease


    (PAD) dan Peripheral Venous
    Disease (PVD)

    Dyah Ayu Ikeningrum


    KSM Jantung dan Pembuluh Darah RSUD Kanjuruhan
    Kab. Malang
    Risk
    Factors
    ACUTE LIMB ISCHEMIA (ALI)

    14
    DAYS
    CHRONIC LIMB THREATENING
    ISCHEMIA (CLTI)

    > 14
    DAYS
    DEEP VEIN THROMBOSIS
    (DVT)
    • SWELLING/OEDEMA
    • REDNESS
    • SYMPTOMS MAYBE VAGUE OR
    ABSENT
    • INCREASED CIRCUMFERENCE
    • PAIN BY PALPATION ALONG DEEP
    VEIN TRUNCUS
    • HOMAN & PRATT SIGN
    DIFFERENTIAL DIAGNOSIS
    • CVI
    • CELLULITIS
    • LYMPHEDEMA
    • THROMBOPHLEBITIS
    • OEDEMA dt HF
    TREATMENT OF DVT
    Non-pharmacological therapy
    • Bed rest and leg elevation
    • Graduated elastic compression stockings (GECS)
    • Inferior vena cava (IVC) filters (when appropriate)
    • Surgical thrombectomy

    Pharmacological therapy
    • Parenteral anticoagulants : low-molecular-weight heparin (LMWH), or unfractionated
    heparin (UFH), fondaparinux
    • Oral anticoagulants : Rivaroxaban, dabigatranWarfarin (VKAs),
    • Thrombolytic agents : Alteplase (rt-PA), Streptokinase or Urokinase (only in massive DVT)

    Invasive therapy : endovascular treatment


    Pulmonary Embolism (PE)
    Chronic Vein Insufficiency (CVI)
    AORTIC DISEASE
    Pre Test Probability

    1 1
    1

    Score : 0-1 = Low, 2-3 = High


    Flowchart For Decision Making Based On Pre Test Probability
    COMPLICATED
    • Organ malperfusion
    • Progressive dissection
    • Impending rupture
    • Intractable pain
    • Uncontrolled hypertension

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