blood vessels and lymphatic disorders

Question 1

AA significant at

Answer 1

5-6cm
thrombosis in aortic aneurysms , not anticoagulation
coronary surgery prior to aneurysm repair

Question 2

Tx for AA

Answer 2

Labetolol
esmolol
nitroprusside
surgical repair or endovascular graft

Question 3

3/6 diastolic decresendo murmur at base

Answer 3

aortic insufficiency

Question 4

2/6 sstoplic murmur at apex that lengthens w/standing and shortens w/hand grip

Answer 4

mitral regurg

Question 5

how does dissecting AA cause paraplegia

Answer 5

4% of people ahve vertebral aa come off descending aorta

Question 6

conditions associated w/dissecting AA

Answer 6

HTN
pregnancy
bicuspid aortic valve
coarctation of aorta

Question 7

causes of mediastinal widening

Answer 7

artifact
mediastinal mass
vessels- aortic aneurysm
anthrax

Question 8

medistinal mass

Answer 8

T and B cell lymphoma
teratoma
thyroid
thymus

Question 9

popliteal aneurysm

Answer 9

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

Question 10

virchows triad

Answer 10

hypercoaguabilty
stasis
trauma

Question 11

trousseaus syndrome

Answer 11

mucins producing cancers activate P and L selectins -> platelet rick microthrombi

Question 12

thrombogenic cancers

Answer 12

adenocarcinoma of the lungs
gastirc
esophageal
lung
pancreas
renal ovarian
AML
non-hodgkins lymphoma

Question 13

venous ulcers

Answer 13

Hx trauma
medial malleolus
irregular margins
beefy
edema
indurated lipodermatosclerosis
hyperpigmentation
moderate to heavy exudate

Question 14

arterial ulcers

Answer 14

smoking Hx
caludication
site of pressure
sharp borders
bed pale grey or yellow
hair loss, cold feet, no pulses

Question 15

neuropathic ulcers

Answer 15

numbess
common in DM
pressure site
variable depth
surrounding callus
cap refilling normal 
ABI = normal

Question 16

chronic leg ulcers

Answer 16

PAD
venous insufficiency
DM
autoimmune diseases
SS anemia
erythema induratum/nodular vasculits/panniculitis
fungal infection

Question 17

phlegmasia cerulean dolens

Answer 17

inflamed blue and painful
due to primary venous insufficiency w/secondary arterial insufficiency
think CANCER, can also be obesity, age, immbolixzation, procoagulant conditions

Question 18

Tx of phlegmasia cerulean dolens

Answer 18

fluid
anticoagulation
evaluate for cancer

Question 19

which type of cancer can cause SVC obstuction

Answer 19

non-small cell >small cell> lymphoma

Question 20

pancoasts sydrome caused by

Answer 20

NSCLC

Question 21

non cancer causes of SVC obstruction

Answer 21

chronic fibrotc mediastinitis
DVT from arm vv
aortic arch aneurysm
constrictive pericarditis

Question 22

saliva bourne cat disease

Answer 22

bartonella henselae- cat scratch fever
capnocytophagia
tularemai
rabies

Question 23

bartonella henselae-

Answer 23

cat scratch fever

Question 24

capnocytophagia

Answer 24

DF2 usually from dog bites

Question 25

fecal cat borne disease

Answer 25

T. gondi
cryptosporidum
salmonella
campylobacter
worms

Question 26

aerosol borne cat disease

Answer 26

coxiella burnetti

Question 27

urine borne cat diseases

Answer 27

leptospirosis

Question 28

direct contact cat disease

Answer 28

sporothrix chednckii

mircosporum canis

Question 29

milroy disease

Answer 29

congenital lympedema w/break in VEGFR 3 gene

Question 30

stewart treves syndrome

Answer 30

actually hemagiosarcoma rather than a lymphangiosarcoma due to local immunodeficiency