Blood Vessels Flashcards
Aortic dissection
Vs
False aneurysm
Blood in between single vessel layer instead of two
Weibel palade bodies
Intima of endothelial cell
Types of aneurysms
AAA Mycotic Berry Syphilitic Aortic dissection AV fistula
AAA
Location
Infrarenal
AAA
RF
Age>50
M
Mycotic aneurysm
Causes
Aspergillus
Candida
Mucor
Bacteroides
Pseudomonas
Salmonella
Berry aneurysms
Location
Acom
Lack of internal elastic lamina and smooth muscle
Berry aneurysm
Berry aneurysm
MC sx
Sudden occipital headache
Invasion of vaso vasorum of thoracic aorta = obliterative endarteritis
Ascending aorta
Syphilitic aneurysm
Aortic dissection
Location
Within 20 cm of aortic valve
AV regurgitation
Syphilitic aneurysm
2 types of aortic dissection
A proximal ascending aorta
B distal to subclavian artery
Cystic medial degeneration
aortic dissection
Venous System disorders
Varicose veins Phlebothrombosis Thrombophlebitis SVC syndrome IVC syndrome Thoracic outlet syndrome
Abnormally dilated superficial saphenous veins
>50 yo
Varicose veins
Swelling
Pain on dorsiflexion of the foot
Phlebothrombosis
Phlebothrombosis
MC location
Deep calf veins
Orange discoloration and ischemic ulcers around ankle
DVT
MCC thrombophlebitis
IV cannulation
Migratory thrombophlebitis
Trosseau syndrome
Pancreatic ca
MCC thoracic outlet syndrome
Spastic anterior scalene muscles
Disappearance of pulse when arms are outstretched and patient looks to the side
Adson test
Thoracic outlet syndrome
Lymphatic disorders
Lymphagitis
Obstructive lymphedema
Primary lymphedema
Painful subcutaneous red streaks and LN
GABHS
Lymphagitis
MCC obstructive lymphedema
Spread of malignant tumors
3 patterns of arteriosclerosis
Monckeberg medial calcific sclerosis
Hyperplastic and hyaline variant
Atherosclerosis
Ca deposits in >50
Monckeberg
HPN DM
Malignant HPN
Hyaline benign nephrosclerosis
Hyperplastic concentric hypertrophy onion
Atherosclerosis
Non modifiable
Age
Male
Family history
Genetics
Atherosclerosis
Potentially controllable
Hyperlipidemia
Hypertension
Smoking
DM
MC location of atherosclerosis
AA
MCC secondary hpn
Renal
Renal hpn
Male
Female
Renal artery atherosclerosis
Fibromuscular dysplasia
Earliest sign of hon heart disease
Inc in transverse diameter of myocytes
MCC vasculitides
Unknown
P-anca
Churg strauss
Microscopic polyangitis
Ab against MPO
C anca
Wegener’s granulomatosis
Ab against proteinase-3
Large sized vasculitis
Temporal giant cell arteritis
Takasyu arteritis
MC systemic vasculitis in adults
Temporal arteritis
Temporal and ophthalmic
Corkscrew like arteries: carotid radial ulnar
Granulomatous aortic arch
Takasyu arteritis
Takasyu arteritis
Fan my skin on Wed Fever Arthritis Night sweats Myalgia Skin nodules Ocular Weak UE pulses
Medium sized vasculitis
PAN
Kawasaki
MC PAN
Renal
Spares pulmo
Nodular intimal thickening
Temporal arteritis
Segmented transmural necrotizing inflammation of small to med arteries
PAN
MC acquired disease in children
Coronary arteries
Mucocutaneous LN syndrome
Kawasaki
3 indications for giving ASA to pedia
Kawasaki
JRA
RF
Steroids to Kawasaki disease?
No
Rupture of coronary vessel
Small sized vasculitis
Microscopic polyarteritis
Churg strauss
Wegener
MP vs PAN
MP have lesions of the same age
MP caused by
Penicillin
Streptococci
SLE
Necrotizing vasculitis with granulomas with eosinophilic necrosis
Lung vessels
Spared renal
Churg strauss
Wegener triad
Necrotizing granulomas
Necrotizing vasculitis in the lungs
Necrotizing glomerulonephritis
4Cs Wegener
C anca
Crescenteric GB
Cyclophosphamide
Corticosteroids
Thrombus with microabscesses in small to med arteries
Thromboangitis obliterans
Benign vascular tumors
Hemangiomas Lymphangioma Glomus tumor Vascular ectasia Bacillary angiomatosis
Largest hemangioma
Regress by 7
Thin walled capillaries
Capillary
MC benign tumor of liver and spleen
Cavernoud hemangioma
Polypoid form of capillary hemangioma
Bleeds easily
Pyogenic granuloma
Lobular capillary hemangioma
Blister like blebs filled with exudate in head, neck and axilla
Capillary lymphangioma
Lymphanguina circumscriptum
Cavernous lymphangioma
Cystic hygroma
Neck
Turner’s
Birthmark
Port wine stains
Nevus flammeus
Benign capillary proliferation in AIDS by Bartonella henselae
Bacillary angiomatosis
Intermediate grade
Kaposi
Hemangioendothelioma
Malignant vascular tumors
Angiosarcoma
Hemangiopericytoma
Red nodules transform into gray white fleshy masses in skin, soft tissue, breast and liver
Angiosarcoma
Staghorn vascular pattern
Hemangiopericytoma