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Surgery General e9a5d55b

Lumbar sympathectomy done for all EXCEPT: September 2012

A
Causalgia
B
Intermittent claudication
C
Rest pain
D
Raynaud's disease
High-Yield Explanation
Ans. B i.e. Intermittent claudication Three main indications of lumbar sympathetcomy: Causalgia Inoperative aerial occlusive disease with limb-threatening ischemia causing rest pain, limited ulceration, or superficial digital gangrene Symptomatic vasospastic disorders Sympathectomy It increases peripheral blood flow by vasodilation of aerioles in cutaneous vascular beds Good for: - Causalgia - Hyperhidrosis - Vasosopastic disorders (frostbite, Raynaud's) PVD Some inoperable patients may receive sufficient increases to help heal superficial ischemic ulcers and relieve rest pain - Sho-term - Pallative

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