Imaging of Vascular Complications of Diabetes

30
Imaging of Vascular Complications of Diabetes By Dr Ashok MANRAJ Medical Update 13.12.06

description

Imaging of Vascular Complications of Diabetes. By Dr Ashok MANRAJ Medical Update 13.12.06. Complications of diabetes. Catch them young, else they spread like wildfire A Metabolic Hypoglycemia Ketoacidosis Hyperosmolar coma Lactic acidosis B Infections C Vascular complications. - PowerPoint PPT Presentation

Transcript of Imaging of Vascular Complications of Diabetes

Page 1: Imaging of Vascular Complications of Diabetes

Imaging of Vascular

Complications of Diabetes

By Dr Ashok MANRAJ

Medical Update 13.12.06

Page 2: Imaging of Vascular Complications of Diabetes

Dr Ashok Manraj Medical Update 13.12.06

Complications of diabetesCatch them young, else they spread like wildfire

A Metabolic

– Hypoglycemia– Ketoacidosis– Hyperosmolar coma– Lactic acidosis

B Infections

C Vascular complications

Page 3: Imaging of Vascular Complications of Diabetes
Page 4: Imaging of Vascular Complications of Diabetes
Page 5: Imaging of Vascular Complications of Diabetes
Page 6: Imaging of Vascular Complications of Diabetes
Page 7: Imaging of Vascular Complications of Diabetes
Page 8: Imaging of Vascular Complications of Diabetes
Page 9: Imaging of Vascular Complications of Diabetes

Vascular complications of diabetes

Microangiopathic.Retinopathy.Nephropathy.Neuropathy

Macroangiopathic.Coronary artery disease.Cerebro-vascular disease.Peripheral vasc. disease

Page 10: Imaging of Vascular Complications of Diabetes

Peripheral vascular disease in diabetics differs from that in non-diabetics

Diabetic Non-diabetics

Frequency More common Less common

Age of onset Younger age Older age

Clinical course Rapid Less Rapid

Occlusion Multisegmental Single segment

Lower limbs Both Unilateral

Vessels involved

Proximal & distal

Distal

Page 11: Imaging of Vascular Complications of Diabetes
Page 12: Imaging of Vascular Complications of Diabetes
Page 13: Imaging of Vascular Complications of Diabetes
Page 14: Imaging of Vascular Complications of Diabetes
Page 15: Imaging of Vascular Complications of Diabetes
Page 16: Imaging of Vascular Complications of Diabetes
Page 17: Imaging of Vascular Complications of Diabetes
Page 18: Imaging of Vascular Complications of Diabetes
Page 19: Imaging of Vascular Complications of Diabetes
Page 20: Imaging of Vascular Complications of Diabetes
Page 21: Imaging of Vascular Complications of Diabetes
Page 22: Imaging of Vascular Complications of Diabetes
Page 23: Imaging of Vascular Complications of Diabetes
Page 24: Imaging of Vascular Complications of Diabetes
Page 25: Imaging of Vascular Complications of Diabetes
Page 26: Imaging of Vascular Complications of Diabetes
Page 27: Imaging of Vascular Complications of Diabetes

Doppler criteria of stenosis of carotid arteries

% diameter reduction Doppler Clinically

Normal PSV<125 Normal Clear window 1-15% PSV<125 Minimal disease

Min spec broad16-49% PSV <125 Moderate disease

Spec broad 50-79% PSV>125 Mod severe

Inc Dias flow Marked spec broad

80-99% PSV>200 Markedly severeEDV>140

Page 28: Imaging of Vascular Complications of Diabetes
Page 29: Imaging of Vascular Complications of Diabetes
Page 30: Imaging of Vascular Complications of Diabetes