cardiovascular pathology Flashcards

1
Q

Aneurysms

A
  • abnormal dilations of arteries from a weakened vessel wall

- it damages the blood vessel endothelium - making it rough and increasing risks of clots

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2
Q

causes of an aneurysm

A

weakening due to:

  • atherosclerosis
  • trauma
  • congenital
  • hypertension
  • infection
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3
Q

commo sites for anuerysms

A
  • circle of willis
  • thoracic aorta
  • abdominal aorta
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4
Q

classification of aneurysms

A

saccular
fusiform
dissecting

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5
Q

saccular aneurysm

A
  • localised bulge on one side of the artery - usually in cerebral arteries
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6
Q

fusiform aneurysms

A

bulge includes the entire circumference of the vessel wall- usually distal abdominal aorta

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7
Q

dissecting aneurysms

A

occurs when there is a tear in the intima and blood flows within the vessel wall

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8
Q

brain aneurysm patient presentation

A
  • severe headache
  • nausea and vomiting
  • stiff neck/pain
  • blurred/double vision
  • dilated pupils
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9
Q

Thoracic aneurysm patient presentation

A
  • chest pain
  • dyspnoea - difficulty breathing
  • hypotension
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10
Q

abdominal aorta patient presentation

A
  • patient may notice a pulsatile mass in abdomen (Abdominal aortic aneurysm
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11
Q

CT Angiogram - patient considerations

A
  • claustrophobic/ photophobic
  • unconscious
  • pale/sweaty
  • difficulty breathing
  • pain/ severe pain
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12
Q

patient preparation for CT Angiogram

A
  • patient ID
  • informed consent
  • cannula and fasting
  • blood results
  • dress into gown
  • LMP
  • use appropriate PPE
  • allergy status
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13
Q

CT Angiogram room prep

A
  • crash trolley
  • warmed contrast
  • cannulation equipment
  • pat slide
  • immobilisation aids
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14
Q

treatment for AAA

A
  • endovascular aortic repair

- surgery

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15
Q

Deep vein thrombosis (DVT)

A
  • occurs when a blood clot forms in one or more of the deep veins e.g. in the legs.
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16
Q

DVT risk factors

A
  • family history
  • blood vessel damage
  • trauma
  • immobility
17
Q

treatment for DVT

A
  • injection of anticoagulant medicine e.g. warfarin
18
Q

Pulmonary embolism (PE)

A
  • a clot that breaks away and travels into the blood stream and gets trapped in the lungs
19
Q

causes of PE

A
  • DVT

- Fat embolus caused from trauma

20
Q

symptoms of PE

A
  • SOB
  • Chest pain
  • coughing up blood
21
Q

PE Imaging

A
  • RNI V/Q SPECT
  • RNI PLANAR V/Q
  • CXR
  • CTPA
22
Q

PE Perfusion (Q) scan technique

A
  • patient is supine
  • syringe inverted before injection
  • wide gauge needle - direct injection
  • dont draw blood back into needle - can lead to clots
  • as you are injecting get patient to breathe deeply for 2 minutes
23
Q

PE perfusion (Q) scan views

A
  • anterior
  • posterior
  • RPO - left posterior oblique
  • LPO
  • left lateral
  • right lateral
24
Q

PE ventilation scan radionuclides

A

99mTc- DTPA - aerosol- scanned 24 hours later
- cheap, however poorer image quality

81mKr - patient breathes in gas through mask and nebulised through water, takes deep breath