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8 Cards in this Set

  • Front
  • Back
define Arteriosclerosis
The generic term for thickening, hardening & loss of elasticity of the arterial wall
what are the 3 types of ateriosclerosis? tell a bit about them
Atherosclerosis: involvement of large/medium size vessels

Mönckeberg arteriosclerosis (medial calcific): not important dont worry

Arteriolosclerosis: small vessel disease
what is the number one organ effected by arteriolosclerosis?
Kidney

(small vessel disease)
What is the pathogenesis of atherosclerosis?

***TEST
The response to injury hypothesis

chronic endothelial injury
accumulation of lipoproteins (LDL mainly)
oxidation of lipoproteins
adhesion of monocytes & other leukocytes
release of platelet factors → migration of smooth muscle cell into intima
proliferation of SMC’s
↑ accumulation of lipids
what are fatty streaks? what are they seen in?
lipid laden macrophages & SMC’s
complicated plaques – calcified, fissured, ulcerated

seen near major vessel bifurcations (aorta, etc)

this is seen in gross morphology of atherosclerosis
if a person has an aneurysm, how big does it have to be when you just say...sorry can't do anything about it
greater than 5 cm
what is arteriolosclerosis secondary to?
hypertension and/or diabetes
what are the 2 types of arteriolosclerosis ?
hyaline – diffuse thickening of arteriolar walls (benign nephrosclerosis)

hyperplastic – malignant hypertension (systolic >200, diastolic > 120) ± 5% of hypertensive patients