ANATOMICAL PATHOLOGY 2.2(THROMBOEMBOLIC VASCULAR OCCLUSION ) Flashcards
THROMBOSIS
SOLIDIFICATION OF BLOOD CONTENTS FORMING WITHIN THE VASCULAR SYSTEM DURING LIFE
PRIMARY ABNORMALITIES LEADING TO THROMBOSIS
ENDOTHELIAL INJURY
HYPERCOAGULABILITY
ALTERATION IN BLOOD FLOW
ENDOTHELIAL INJURY CAUSES
INFLAMMATION
HYPERCHOLESTEROLEMIA
ABNORMAL BLOOD FLOW CAUSES
STASIS:PROLONGED BED REST ATRIAL FIBRILLATION
TURBULANCE:ATHEROSCLERIC VESSEL NARROWING,ANEURYSM
HYPERCOAGULABLE STATES
DISORDER OF BLOOD THAT MAY CAUSE THROMBOSIS
PRIMARY:FACTOR V MUTATION,PROTEIN V &S DEFICIENCY
ACQUIRED: PROSTHETIC VALVES MYOCARDIAL INFARCTION PROLONGED BED REST AND MOBILIZATION TISSUE INJURY
VENOUS THROMBOSIS
AKA PHLEBOTHROMBOSIS
ALMOST INVARIABLY OCCLUSIVE
THROMBUS TAKE SHAPE OF THE VEIN
THROMBUS FORM IN A RELATIVELY STATIC ENVIROMENT
SUPERFICIAL THROMBI
COMMONLY OCCUR IN SAPHEOUS VEIN OF THE LEG IN SETTING OF VARICOSITIES,CAUSE LOCAL PAIN SWELLING AND CONGESTION
RARELY EMBOLISE BUT PREDISPOSE TO ULCERATION OF OVERLYING SKIN
DEEP VEIN THROMBI
ASSOCIATED WITH HYPERCOAGULABLE STATES
COMMONLY AFFECTS BIG VEINS AT OR ABOVE THE KNEE
EMBOLISES
ARTERIAL AND CARDIAC THROMBOSIS
RHEUMATIC HEART DISEASE MAY CAUSE ATRIAL MURAL THROMBI CAUSING ATRIAL DILATION AND FIBRILLATION
MURAL THROMBOSIS CAUSES
MYOCARDIAL INFARCT
ARRHYTHMIAS
DILATED CARDIOMYOPATHY
\CARDIAC ANEURYSMS
FATE OF THROMBI
PROPAGATION
EMBOLIZATION
DISSOLUTION
ORGANISATION AND RECANALIZATION