Blood Vascular Flashcards

0
Q

Monckeberg’s arteriosclerosis is calcification within which layer of the artery?

A

Tunica media (muscle wall) - does not cause luminal narrowing

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1
Q

Sickle cell anemic patients are more likely to develop which other condition 100x more frequently compared to the normal pop’n?

A

Salmonella osteomyelitis

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2
Q

A “coiled” appearance in the neck adjacent to the spine is virtually diagnostic for which condition?

A

Monckeberg’s arteriosclerosis

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3
Q

Atherosclerosis and arteriosclerosis affects which part of the artery wall?

A

Tunica intima – causes luminal narrowing

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4
Q

What is the M/C congenital aneurysm?

A

Berry aneurysm in circle of Willis

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5
Q

Where is the M/C peripheral aneurysm and which gender is it most common in?

A

Popliteal artery (M:F = 30:1)

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6
Q

What is the 1st, 2nd and 3rd M/C locations for an aneurysm (and in which gender are they commonly seen)?

A
1st = Abdominal aortic (M>F)
2nd = Common iliac artery (M>F)
3rd = Splenic artery (F>M)
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7
Q

Ascending and aortic arch aneurysms are seen in which infective condition?

A

Syphilis

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8
Q

What is the M/C predisposing diseases of venous insufficiency?

A

Diabetes mellitus

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9
Q

What is the characteristic radiographic finding associated with venous insufficiency and what is the pathology behind it?

A

Periosteal new bone formation caused by hypoxia (sluggish blood flow).

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10
Q

AVN of the femoral head is bilateral in what % of cases? In what gender pop’n is it more commonly seen?

A

50% (but asymmetric); males

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11
Q

Legg-Calve-Perthes Disease is commonly seen in which age group and gender?

A

5-7yrs (3-12); males

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12
Q

What is Gage’s sign in relation to Legg-Calve-Perthes?

A

Lucent DEFECT at lateral epiphysis and adjacent metaphysis early in disease (indicates poorer prognosis).

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13
Q

Kienbock’s disease is M/C is which gender?

A

Males (9:1)

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14
Q

In what % of cases is negative ulnar variance associated with Kienbock’s?

A

75%

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15
Q

Kohler’s disease is seen in what age pop’n and gender?

A

Kids (5yrs); males

16
Q

What is the prognosis of Kohler’s disease?

A

Resolves with complete reconstitution of navicular to normal appearance.

17
Q

Panner’s disease is seen in which gender?

A

Exclusively males

18
Q

What is the etiology associated with Panner’s disease?

A

a) Repetitive trauma

b) Pitching & throwing activities

19
Q

Osgood-Schlatter’s disease is bilateral in what % of cases?

20
Q

According to Yochum, schmorl’s nodes can be seen in which conditions?

A
"SHOOT"
S = Scheuermann's disease
H = Hyperparathyroidism
O = Osteoporosis
O = Osteomalacia
T = Trauma
21
Q

Where is the M/C location for osteochondritis dessicans?

A

Medial condyle, lateral aspect

22
Q

What is the mechanism of injury for osteochondritis dessicans involving the medial talar dome?

A

Inversion + rotation + plantar flexion

23
Q

What is the mechanism of injury for osteochondritis dessicans involving the lateral talar dome?

A

Inversion where talus compresses against fibula. ???

24
Blount's disease is seen in which age pop'n?
Bimodal - infantile 1-3yrs; M/C - adolescent 8-15yrs
25
What is the etiology of Diaz's disease?
a) posttraumatic (usually after talar neck fx) | b) induced by oral corticosteroid therapy
26
Which radiographic sign signifies a good prognosis for talar fx?
Hawkin's sign (subcortical lucent band)
27
What is Van Neck's disease?
Irregular ends of the ischium and inferior pubic ramus at the ischiopubic synchondrosis.
28
What is Calve's disease?
Historical term for VB collapse that was thought to be d/t avascular necrosis; collapsed VB was found to be d/t to EG.
29
What is the radiographic difference between Gaucher's and Niemann-Pick disease?
No epiphyseal osteonecrosis or well-defined lucent lesions.
30
What is Fabry's disease?
Lipid storage disease -- deposits glycolipids in blood vessels - causes osteonecrosis of various bones (esp. femur & talus) - bilateral, symmetric skin pigmentation - renal cysts!
31
What is the skin finding seen with multicentric reticulohistiocytosis?
mucosal papules (50%)
32
How is multicentric reticulohistiocytosis different from RA?
MCRH has soft tissue nodules; can affect the DIPS; doesn't have juxtaarticular osteopenia; can get marginal erosions (more similar to gout)
33
Erdheim-Chester disease?
Excessive deposits of foam macrophages causing cardiac and pulmonary manifestations. A cause for retroperitoneal fibrosis. Has lung findings similar to LCH. MSK findings: patchy diffuse medullary sclerosis; thickened cortex in diaphysis and metaphysis; SYMMETRICAL