Aneurysms Flashcards

1
Q

progression of an aneurysm

A

blood vessel –> high BP –> blood vessel dilates –> blood vessel bursts

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2
Q

aneurysms

A

bulges in arterial walls

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3
Q

how do aneurysms develop?

A

hypertension weakens the walls of arteries, increasing likelihood of aneurysms

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4
Q

what do aneurysms cause?

A

–turbulent blood flow
–bruits

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5
Q

most common areas for aneurysms

A

–aorta
–cerebral arteries

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6
Q

common aneurysms (names)

A

–abdominal aortic aneurysms (AAA)
–thoracic aortic aneurysm
–cerebral

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7
Q

variations of aneurysms

A

–dissecting aortic aneurysm
–false (pseudo) aneurysm

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8
Q

inferrenal aneurysm

A

below the renal artery

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9
Q

superrenal aneurysm

A

above the renal artery

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10
Q

saccular aneurysm

A

–balloon shaped
–involves only one part of circumference
–wide neck

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11
Q

fusiform aneurysm

A

–entire circumference of aneurysm
–gradual/progressive dilatation
–potentially extensive involvement

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12
Q

berry aneurysms

A

–subtype of saccular
–small neck
–located at bifurcation
–common location = Circle of Willis

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13
Q

side effect of rupture at Circle of Willis

A

death

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14
Q

false (pseudo) aneurysm

A

–localized dissection or tear in inner artery wall
–type of hematoma
–complication of vascular interventional procedures

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15
Q

how to identify an abdominal aortic aneurysm?

A

–auscultation of a bruit over the abdominal aorta
–pulsatile mass evident in abdomen via inspection or light palpation (NO deep palpation = rupture)

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16
Q

dissecting aneurysm

A

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

17
Q

early signs of aortic dissection

A

–sudden severe, tearing pain
–BP elevated

18
Q

late signs of aortic dissection

A

–sudden severe, tearing pain
–BP may be unobtainable
–syncope
–hemiplegia
–paralysis of lower extremities
–cardio collapse –> shock –> death

19
Q

treatment for aortic dissection

A

–surgical emergency
–emergency pharm: beta blockers, nitrates

20
Q

benefit of BB with aortic dissections

A

–decrease HR
–decrease BP