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18 Cards in this Set
- Front
- Back
What are 2 general pathologic changes in in blood vessels
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1. Narrowing or obstruction of the lumen
2. Weakening the wall (dilation--aneurysm, rupture, dissection) |
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What is the most common anomaly in the the whole body?
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vascular! sometimes a vessel is there, sometimes they aren't
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what is the difference between a true and false aneurysm
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“True” aneurysm has complete arterial wall
“False” aneurysm has a missing part of vessel wall |
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where is the most common site for atherosclerotic aneurysm?
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lower abdominal area, between the renal arteries and iliac bifurcation or in common iliac
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what type of person is likely to have aortic dissection?
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> 90% in hypertensive men 40 – 60 yrs old
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what problem is associated with Marfan's?
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aortic dissection
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le martelage
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hammering
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what is the most common Vascular disease?
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Giant cell Arteritis
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a 35 year old Asian woman presents to your office and has problems with large arteries (including the aortic arch), she has a pulseless upper extremity
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Takayasu Arteritis
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patient has headaches and is complaining of visual problems. You decide to put the patient on steroids and they respond well to the treatment. What do they have?
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Giant cell Arteritis
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patient has Hep B and presents with fever, malaise, and weight loss. You suspect that if you were to make a histological stain of this persons vasculature, you would see segmental fibrinoid necrosis of arterial wall & neutrophilic infiltrate. What does this person have? What is the treatment?
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Polyarteritis Nodosa
90% cure with immunosuppressive therapy |
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what are some of the main differences between Polyarteritis Nodosa and Microscopic Polyangiitis
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Microscopic Polyangiitis: Like PAN but involves smaller vessels; can involve the lung (whereas PAN doesn't)
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an infant presents to your office with high fever, skin rash and conjunctival erythema...What is going on?
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Kawasaki disease
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this vascular problem involves the following triad:
Focal necrotizing vasculitis of lung & upper airway Necrotizing granulomas of upper & lower respiratory tract Necrotizing glomerulitis |
Wegener Granulomatosis
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a 30 year old patient arrives at your office with a very serious problem. He reports that he has smoked since he is 11 and now is having gangrene of his fingertips. What does he have?
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Thromboangiitis Obliterans (Buerger Disease)
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What is Raynaud's disease?
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Unknown etiology but is an exaggeration of normal central & local vasomotor responses to cold or emotion
Clinically have pallor or cyanosis of digits & infrequently tip of nose or ears - - in young, healthy women |
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what is the number one thing that can occlude lymphatics
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malignancy
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what is the difference between lymphangitis and lymphedema?
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Lymphangitis – infection involving the lymphatics draining a locus of inflammation – frequently resulting from -hemolytic strep – usually regionally lymphadenopathy.
Lymphedema – obstruction with lymphatic dilation & abnormal accumulation of interstitial fluid in the drainage site |