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18 Cards in this Set

  • Front
  • Back
What are 2 general pathologic changes in in blood vessels
1. Narrowing or obstruction of the lumen

2. Weakening the wall (dilation--aneurysm, rupture, dissection)
What is the most common anomaly in the the whole body?
vascular! sometimes a vessel is there, sometimes they aren't
what is the difference between a true and false aneurysm
“True” aneurysm has complete arterial wall

“False” aneurysm has a missing part of vessel wall
where is the most common site for atherosclerotic aneurysm?
lower abdominal area, between the renal arteries and iliac bifurcation or in common iliac
what type of person is likely to have aortic dissection?
> 90% in hypertensive men 40 – 60 yrs old
what problem is associated with Marfan's?
aortic dissection
le martelage
hammering
what is the most common Vascular disease?
Giant cell Arteritis
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
Takayasu Arteritis
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?
Giant cell Arteritis
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?
Polyarteritis Nodosa

90% cure with immunosuppressive therapy
what are some of the main differences between Polyarteritis Nodosa and Microscopic Polyangiitis
Microscopic Polyangiitis: Like PAN but involves smaller vessels; can involve the lung (whereas PAN doesn't)
an infant presents to your office with high fever, skin rash and conjunctival erythema...What is going on?
Kawasaki disease
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
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?
Thromboangiitis Obliterans (Buerger Disease)
What is Raynaud's disease?
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
what is the number one thing that can occlude lymphatics
malignancy
what is the difference between lymphangitis and lymphedema?
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