Abdominal Vasculature Flashcards
You are trying to rule out PV thrombosis. What other vessels should be interrogated for thrombosis?
A) IMV and HV
B) SMV and SV
C) HV and HA
D) IMV and SMV
B - the SMV and SV form the portal confluence
A 54 year old male has been referred for abdominal doppler who is suffering from uncontrollable blood pressure. What pathology are you searching for?
A) Renal artery stenosis
B) AAA
C) Hepatofugal flow in PV
D) Splenic varices
A
What does the CHA branch into?
A) GDA and Rt gastric
B) Proper hepatic and GDA
C) Proper hepatic and Rt gastric
D) GDA and Lt gastric
B
What vessels should you doppler in a patient with chronic mesenteric ischemia?
A) PV, SMV, SV
B) Aorta, renal and common iliac arteries
C) Celiac trunk, SMA, and IMA
D) Distal Ao, common iliac, and common femoral arteries
C
What is the most significant clinical consequence of portal hypertension?
A) Ascites
B) Variceal hemorrhage
C) Liver ischemia
D) Vascular thrombosis
B - life threatening condition
What are the branches off the celiac trunk? (3)
Splenic A
Common Hepatic A
Lt gastric
What does the common hepatic artery branch into?
GDA
Proper hepatic
Is the GDA posterior or anterior to the panc head?
Anterior - courses caudally
What produces the “wings of a seagull” ?
Celiac trunk
What artery coming off the AO appears like a pumpkin stem?
A) SMA
B) Renal Artery
C) IMA
D) Splenic A
IMA
Is the portal confluence anterior or posterior to the panc head?
Posterior
What will colour doppler appear like in a AAA?
“Ying-yang” bi-directional flow
Aortic rupture increases in risk when Ao measures what?
> 7cm - medical emergency
What does EVAR stand for?
Endovascular repair of AAA
What is the most common complication of a graft?
Pseudoaneurysm
