AAA- Anatomy and clinical relevance
● risk factors
● What are the clinical features
● Describe the screening programme in the UK
● What other differentials should you consider (renal colic, IBD, IBS, GI bleed etc)
● What are the relevant investigations (USS, CT)
● Describe the relevant management, including the surgical options (open repair vs endovascular)
● What are the main complications
● Describe the identification and management of a ruptured AAA
PAD- Anatomy
● Recognise the pulse points in the lower limb
● Locate and describe the anatomical relationships of the great saphenous vein, fascia lata, iliotibial tract, femoral sheath and its contents, obturator nerve, sciatic nerve, femoral nerve, common peroneal nerve, tibial nerve, popliteal fossa and key vessels within and identify the main muscles and muscle groups that the nerves supply
● Identify and side the femur, tibia and fibula
● Recognise that the femoral artery is a branch of the external iliac which is a branch of the abdominal aorta
● Recognise the femoral artery as the main artery of the lower limb
● Describe the femoral triangle
● Recognise the other vessels in the thigh that supply the lower limb and describe their course
● Describe the course of the popliteal artery in the leg
● Describe the arterial supply of the foot
Clinical
● Describe the aetiology behind acute limb ischaemia
● clinical presentation of acute limb ischaemia
● What other differentials should you consider (eg DVT, nerve compression)
● What investigations are appropriate (bloods, ECG, doppler, CT angio)
● What’s the appropriate management- conservative vs surgical (embolectomy, bypass, angioplasty, amputation, palliation)
● What’s the appropriate long term management
● What are possible complications (mortality, compartment syndrome)