aneurysms Flashcards

1
Q

process of an aneurysm

A

blood vessel –> HTN –> blood vessel dilates (vessel wall thickens) –> blood vessel bursts (aneurysm)

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2
Q

aneurysm

A

HTN weakens walls of arteries, increasing development of bulges in arterial walls (aneurysms)

*cause turbulent blood flow, susceptible to rupture

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3
Q

what may be heard of an aneurysm

A

bruit

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4
Q

most common areas for aneurysms

A

aorta
cerebral arteries

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5
Q

common types of aneurysms

A

location:
abdominal aortic aneurysm
thoracic aneurysm
cerebral

type:
saccular
fusiform
berry aneurysm

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6
Q

variations of aneurysms

A

dissecting aortic aneurysm (blood in-between vessels and rips layers apart)
false (pseudo) aneurysm (localized tear in wall)

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7
Q

how are aneurysms classified?

A

above or below renal artery

suprarenal (above)
infrarenal (below)

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8
Q

saccular aneurysm

A

balloon shaped
involves only one side of artery
wide neck

(SAC hanging off artery)

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9
Q

fusiform aneurysm

A

entire vessel
gradual/progressive dilation
potentially extensive involvement

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10
Q

berry aneurysm

A

subtype of saccular
small neck
located at bifurcation

common location: circle of willis
**rupture can be deadly d/t this location

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11
Q

circle of willis

A

provides a connection between anterior and posterior circulation at the base of the brain

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12
Q

false (pseudo) aneurysm

A

localized dissection or tear in inner artery wall
type of hematoma

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13
Q

which type of aneurysm is a complication of vascular interventional procedures?

A

false (pseudo) aneurysm

can result d/t a tear in arterial wall

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14
Q

aortic aneurysm types

A

ascending aorta
aortic arch
descending aorta
abdominal aorta

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15
Q

abdominal aortic aneurysm (AAA)

A

if bruit heart, presence of aneurysm suggested

if pulsatile mass seen during inspection or found during light palpation – deep palpation should NOT be performed

if aneurysm bursts through THICKEST vessel, pt could bleed out

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16
Q

dissecting an aneurysm

A

layers of the wall of the artery are separated and blood enters the region

false lumen created

17
Q

aortic dissection: manifestations

A

sudden, severe tearing pain

early:
BP elevated

late:
BP unobtainable
syncope, hemiplegia, paralysis of lower extremities
CV collapse –> shock –> death

18
Q

aortic dissection

A

surgical emergency (time is crucial, minutes count)

emergency meds
- beta blockers
- nitrates