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22 Cards in this Set
- Front
- Back
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235. Polyarteritis nodosa?
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a. Immune complex-mediated transmural vasculitis w/fibrinoid necrosis.
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236. Sx of polyarteritis nodosa?
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1. Fever
2. Wt. loss 3. Malaise 4. Abdominal pain 5. Melena 6. HA 7. Myalgia 8. HTN 9. Neurologic dysfunction 10. Cutaneous eruptions. |
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237. Findings in polyarteritis nodosa?
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a. Hepatitis B seropositive in 30% of patients!!!!
b. Multiple aneurysms and constrictions on arteriogram. |
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238. Tx of polyarteritis nodosa?
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a. Corticosteroids
b. Cyclophosphamide. |
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Condition you better not forget is associated w/polyarteritis nodosa?
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Hep B
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239. Significant feature of Polyarteritis Nodosa- What is spared and how does the age of the lesions compare?
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a. Typically involves renal and visceral vessels NOT pulmonary arteries.
b. Lesions are at different ages. |
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240. Takayasu’s arteritis?
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a. Known as “Pulseless disease”.
b. Granulomatous thickening of aortic arch and/or proximal great vessels. c. Associated w/an ↑ ESR. d. Primarily affects Asian females < 40 yo. |
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241. Sx of Takayasu’s arteritis?
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a. Fever
b. Arthritis c. Night sweats d. Myalgia e. SKIN nodules f. Ocular disturbances g. Weak pulses in upper extremities. |
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242. Temporal arteritis (Giant cell arteritis)?
+ Key Feature to look for? |
a. Most common vasculitis affecting medium and large arteries.
b. Usually branches of carotid artery c. Focal, granulomatous inflammation. d. Affects elderly females. |
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243. Sx of temporal arteritis?
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a. Unilateral HA
b. Jaw claudication c. Impaired vision (occlusion of ophthalmic artery that may lead to irreversible blindness). |
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244. Findings associated w/temporal arteritis?
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a. ↑ ESR.
b. Half of pts have systemic involvement and poly myalgia rheumatica. |
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245. Strawberry hemangioma (vascular tumour)?
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a. Benign capillary hemangioma of infancy.
b. Initially grows w/child!! c. Then spontaneously regresses. So first grows then regresses- had a question on this. |
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246. Cherry hemangioma (vascular tumour)?
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a. Benign capillary hemangioma of elderly. (Think elderly prefer cherries while children prefer strawberries)
b. Does not regress c. Frequency ↑ w/age. |
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247. Pyogenic granuloma (vascular tumour)?
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a. Polypoid capillary hemangioma that can ulcerate and bleed.
b. Associated w/trauma and pregnancy. |
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248. Cystic hygroma (vascular tumour)?
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a. Cavernous lymphangioma of the neck.
b. Associated w/Turner syndrome. |
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249. Glomus tumour (vascular tumour)?
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a. Benign, painful, red-blue tumour under fingernails.
b. Arises w/modified smooth muscle cells of glomus body |
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What are the cells of the Glomus Tumour (under the fingernail) important for?!?
had a question on this |
Thermoregulation.
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250. Bacillary angiomatosis (vascular tumour)?
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a. Benign capillary skin papules found in AIDS pts.
b. Caused by Bartonella Henselae infections. c. Frequently mistaken for Kaposi’s sarcoma. |
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251. Angiosarcoma?
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a. Highly lethal malignancy of the liver.
b. Associated w/vinyl chloride, arsenic, and ThO2 (thorotrast) exposure. |
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252. Lymphangiosarcoma?
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a. Lymphatic malignancy associated w/persistent lymphedema (e.g. post-radical mastectomy).
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253. Kaposi’s sarcoma?
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a. Endothelial malignancy of the skin associated w/HHV-8 and HIV.
b. Frequently mistaken for bacillary angiomatosis. |
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Donzo
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Donzo
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