blood vessels and lymphatic disorders Flashcards
AA significant at
5-6cm
thrombosis in aortic aneurysms , not anticoagulation
coronary surgery prior to aneurysm repair
Tx for AA
Labetolol
esmolol
nitroprusside
surgical repair or endovascular graft
3/6 diastolic decresendo murmur at base
aortic insufficiency
2/6 sstoplic murmur at apex that lengthens w/standing and shortens w/hand grip
mitral regurg
how does dissecting AA cause paraplegia
4% of people ahve vertebral aa come off descending aorta
conditions associated w/dissecting AA
HTN
pregnancy
bicuspid aortic valve
coarctation of aorta
causes of mediastinal widening
artifact
mediastinal mass
vessels- aortic aneurysm
anthrax
medistinal mass
T and B cell lymphoma
teratoma
thyroid
thymus
popliteal aneurysm
easily palpable popliteal pulse
70% of peripheral aa aneurysms
can present w/loss of distal pulse w/acute leg or foot pain
surgery if >2cm
if light touch intact can use more conservative Tx
virchows triad
hypercoaguabilty
stasis
trauma
trousseaus syndrome
mucins producing cancers activate P and L selectins -> platelet rick microthrombi
thrombogenic cancers
adenocarcinoma of the lungs gastirc esophageal lung pancreas renal ovarian AML non-hodgkins lymphoma
venous ulcers
Hx trauma medial malleolus irregular margins beefy edema indurated lipodermatosclerosis hyperpigmentation moderate to heavy exudate
arterial ulcers
smoking Hx caludication site of pressure sharp borders bed pale grey or yellow hair loss, cold feet, no pulses
neuropathic ulcers
numbess common in DM pressure site variable depth surrounding callus cap refilling normal ABI = normal
chronic leg ulcers
PAD venous insufficiency DM autoimmune diseases SS anemia erythema induratum/nodular vasculits/panniculitis fungal infection
phlegmasia cerulean dolens
inflamed blue and painful
due to primary venous insufficiency w/secondary arterial insufficiency
think CANCER, can also be obesity, age, immbolixzation, procoagulant conditions
Tx of phlegmasia cerulean dolens
fluid
anticoagulation
evaluate for cancer
which type of cancer can cause SVC obstuction
non-small cell >small cell> lymphoma
pancoasts sydrome caused by
NSCLC
non cancer causes of SVC obstruction
chronic fibrotc mediastinitis
DVT from arm vv
aortic arch aneurysm
constrictive pericarditis
saliva bourne cat disease
bartonella henselae- cat scratch fever
capnocytophagia
tularemai
rabies
bartonella henselae-
cat scratch fever
capnocytophagia
DF2 usually from dog bites
fecal cat borne disease
T. gondi cryptosporidum salmonella campylobacter worms
aerosol borne cat disease
coxiella burnetti
urine borne cat diseases
leptospirosis
direct contact cat disease
sporothrix chednckii
mircosporum canis
milroy disease
congenital lympedema w/break in VEGFR 3 gene
stewart treves syndrome
actually hemagiosarcoma rather than a lymphangiosarcoma due to local immunodeficiency
