Aortic Dissection & Aneurysm Flashcards
Sharp tearing chest pain radiate to the back ?? which disease ??
Aortic dissection
P-70
HTN how occur in AD ??
shit pathogenesis
HTN = Hyaline arteriolosclerosis = Vasa vasorum = dec blood flow = Atrophy of the media
P-70
Common cause of AD ?
- HTN
- InhERITED DEFECTS OF connective tissue
p-70
Defects of connective tissue in young cause AD how ??
- Marfan syndrome
- Ehlers Danlos syndrome
Ballon like dialtion of thoracic aorta ??
Thoracic aneurysm
P-70
Complications of AD ??
- Pericardial temponade
- Rupture + Fatal hemorrhage
- Obstruction of branching ARTERIES
p-70
Tree bark apperance of the aorta in which DIsease»_space;»????
Thoracic aneurysm
P-70
TA classically seen in —– ??
Tertiary syphilis
Pathogenesis of Endarteritis of the vaso-vasorum ???
- Luminal narrowing
- dec blood flow
- Atrophy of vessel wall
P-70
Complications of TD ??
- AOric root dilation
- Compression of mediastinal structure
- Thrombosis
- Embolism
P-70
Cause of AAA ??
Atherosclerosis
Ballon like dilation of abdominal aorta is called ??
Abdominal aorta aneurysm
p-70
AAA site ???
Renal artery
above the aortic bifurcation
P-70
Clinical presentation of AAA ??
Pulsatile abdominal mass that grows with time
P-70
Major complication of AAA >??
Rupture
Complication triad of AAA ??
- HypoTension
- Flank pain
- Abdominal mass
P-70
OTHER COMPLICATIONS – thrombosis / embolism + compression of local structures ( ureter +) ……………………..
Chest / Back pain
+ Dysphagia + Hoarseness + Cough + Dyspnea = Dx ??
uw
Thoracic aorta aneurysm
as it compress sourrounding structures
UW
Result of abdominal aortic aneurysm ??
UWorld
2 points
- Chronic transmural inflammation
- ECM degradation within the wall of the aorta
UW
Risk factors of Abdominal Aortic Aneurysm ???
UWorld
- Age > 60
- Smoking
- HTN
- Male
- Family history
- Atherosclerosis
UW
AAA focal dialtion of abdominal aorta size ?
UW
> 50% above normal
3cm in diameter
UWorld
All risk factors + Abdominal /back pain = ??
UWorld
Abdominal aortic aneurysm
UW