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Systems Path Exam 2 > Ch. 9 Venous Pathology > Flashcards

Ch. 9 Venous Pathology Flashcards

1
Q

What is a thrombosis

A

Clot formation within a vessel

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2
Q

Phlebitis is

A

Generic term for venous inflammation

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3
Q

90% of vein problems are caused but what three pathologies

A
  1. Varicose Veins
  2. Phlebothrombosis
  3. Thrombophlebitis
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4
Q

What is phlebothrombosis is

A

A scene of previous inflammation

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5
Q

Thrombophlebitis is

A

Following inflammation

MC used term

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6
Q

Varicose veins are

A

Superficial veins are dilated and tortuous

Increase in pressure within lumen=vasodilation

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7
Q

WHo is most at risk for varicose veins

A

1/3 females, 1/5 males

Obesity, genetics, pregnancy, high heels

Mainly cosmetic concern

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8
Q

What is stasis dermatitis

A

Insufficient venous return

Thinning of skin

Skin darker/redder

Increase pressure/edema

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9
Q

90% of Deep vein thrombosis occurs from

A

Thrombophlebitis in the poplitieal fossa

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10
Q

Symptoms of thrombophlebitis

A

CYANOISIS, ERTHEMA, pain, localized edema

Pulmonary embolism may result

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11
Q

What is superior vena cava syndrome

A

SVC is compressed or invaded

Lung cancer or medistinaly lymphoma

CONGESTED UE VEINS= UE cyanosis/edema head, neck, arms

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12
Q

What is inferior vena Cava syndrome

A

IVC is invaded or compressed

Liver or renal cancer, pregnancy may cause

CONGESTED LE veins= LE cyanosis/edema, proteinuria

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13
Q

What is lymphedema

A

Lymphatic obstruction, fluid accumulation distended tissue

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14
Q

When is lymphedema MC

A

After infection or inflammation

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15
Q

Primary lymphedema is less common than secondary and is

A

Congenital malformation

Milroy disease- inherited hypoplasia/agensis of lymph vessels

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16
Q

Secondary lymphedema is more common and is

A

Obstruction or destruction of previous normal lymph vessels

Tumors, infection (filiarisis)

Surgery may produce thrombosis or fibrosis ( mastectomy)

17
Q

What is associated with a orange peel appearance

A

Lymphedema ACUTE

Skin is tethered by sweat ducts

18
Q

Brawny induration is associated with

A

CHRONIC lymphedema, hardening of the skin

19
Q

What is lymphangitis

A

Acute inflammation into a lymphatic channel

20
Q

What MC causes lymphangitis

A

A bacterial infection

Painful red streaks

21
Q

Are vascular tumors most benign or malignant

A

Benign MC- hemangioma

Malignant- Kaposi sarcoma, highly aggressive and rare, angiosarcoma

22
Q

A hemangioma are a

A

Strawberry like benign tumor

Normally head neck and face

23
Q

When do hemangioma go away

A

90% by age 7

24
Q

Kaposi Sarcoma is associated with what disease

A

AIDS

25
Q

What causes Kaposi sarcoma

A

Kaposi sarcoma herpesvirus KSHV or HHV8

Transmitted through sex/oral secretions

26
Q

When is treatment ofHHV8

A

Anti-retro viral Ned’s

1000x more likely in AIDS patients

27
Q

What is an angiosarcoma

A

Vascular endothelia cells can be highly invasive

28
Q

Who is MC for angiosarcoma

A

Older adults

29
Q

Which is worse differentiated or anaplastic angiosarcoma

A

Anaplastic- highly malignant

Poor prognosis, 30% 5 yr survival rate,

Recurrent if removed normally

Spread via lymph nodes

30
Q

Angiosarcoma MC on

A

Skin, breast, liver, soft tissues

31
Q

Hepatitic angiosarcoma is associated with

A

PVC or arsenic exposure

32
Q

Difference in appearance of an early and late angiosarcoma

A

Early-small red

Late- large, red/tan

33
Q

What is the main treatment for CAD

A

endovascular stenting 90%

Inhibits vasospasm

Possible intima hyperplasia

34
Q

What is a vascular graft?

A

Replace or bypass arteries

35
Q

If using a synthetic vascular graft risk of thrombosis

A

INCREASES

36
Q

What has better chance of success at 10 years for a vascular graft

A

Great Saphenous vein- 50%

Internal mammary artery- 90%

Systems Path Exam 2 (6 decks)

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