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ABDOMEN REGISTRY > Chapter 9: Abdominal Vasculature > Flashcards

Chapter 9: Abdominal Vasculature Flashcards

1
Q

The aorta originates in what part of the heart

A

Left ventricle

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2
Q

The celiac trunk branches into what three arteries

A

Splenic, common hepatic, and left gastric

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3
Q

The PSV range of the abdominal aorta is ______ cm/s

A

70-100

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4
Q

Suprarenal aorta has ______ resistance flow

A

Low

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5
Q

Infrarenal aorta has _____ resistance flow

A

High

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6
Q

The PSV range for the celiac artery is _______ cm/s

A

98-105 cm/s

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7
Q

The celiac artery has ____ resistance flow

A

Low

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8
Q

The common hepatic artery has _____ resistance flow

A

Low

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9
Q

The common iliac arteries have _____ resistance flow

A

High

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10
Q

The splenic artery has ____ resistance flow

A

Low

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11
Q

The PSV range for the SMA is ___cm/s

A

97-142 cm/s

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12
Q

Describe the resistance of the SMA flow before and after eating

A

Before eating-high
After eating- low

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13
Q

The renal arteries have ____ resistance flow

A

Low

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14
Q

Renal arteries arise just below the level of the _____

A

SMA

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15
Q

The right renal artery is much _____than the left

A

Longer

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16
Q

The inferior mesenteric artery supplies blood to what parts of the colon

A

Transverse colon
Descending colon
Rectum

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17
Q

The SMA provides blood to what organs

A

Small intestines
Some of the colon
Pancreas

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18
Q

List the normal diameter of the aorta for prox mid and distal

A

Prox 2.5 cm
Mid 2cm
Distal 1.8cm

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19
Q

The iliacs should measure _____ mm. Aneurysm is considered when they exceed __cm

A

8-10mm
>2cm = aneurysm

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20
Q

Describe a true aneurysm

A

All three vessel walls are involved
Most common

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21
Q

An abdominal aortic aneurysm is when the diameter exceeds

A

3cm

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22
Q

Most common location for an aortic aneurysm is _____

A

Infrarenal

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23
Q

What is a mycotic aneurysm

A

An aneurysm caused by infection

24
Q

What is a fusiform aneurysm

A

The most common shape.
Looks like Daniel ancho de los dos lados

25
Q

What is a saccular aneurysm

A

Sudden dilation of a vessel como un saco kind of
Looks like a pregnant woman de lado

26
Q

What is the most common cause of aneurysms

A

Atherosclerosis

27
Q

Abdominal Aortic aneurysms have been associated with that conditions

A

Marfan Syndrome
Syphilis
Hereditario
Infection

28
Q

What are some complications of abdominal aortic aneurysms

A

Distal embolism
Infection
Dissection
Rupture

29
Q

What does EVAR stand for

A

Endovascular aortic stent graft repair

30
Q

An EVAR is delivered to the aorta by accessing which vessel

A

CFA

31
Q

What is an endoleak

A

Failure of the graft to isolate the aneurysm from circulation.
Propensity to rupture

32
Q

Flow within the aortic graft should have what kind of waveform

A

Triphasic

33
Q

Describe an aortic dissection

A

Occurs when there is a separation of the wall layers causing intense chest pain
Intimal flap may be seen
Associated with Marfan syndrome

34
Q

With an aortic dissection what are the symptoms

A

Chest pain, hypertension, abdominal pain, lower back pain and neurologic symptoms

35
Q

Describe an abdominal aortic rupture

A

Te mueres literal
An aneurysm with adjacent hematoma confirms rupture
Pulsatile abdominal mass and bruit

36
Q

An abdominal aortic rupture es más propenso a que pase when the aneurysm is >____ cm

A

7cm

37
Q

What are the symptoms of an abdominal aortic rupture

A

Hypotension, lower extremity pain, back pain, abdominal pain, decreased hematocrit

38
Q

What is a pseudoaneurysm

A

False aneurysm
Contained rupture of a vessel commonly found at the groin after catherization

39
Q

What are the findings of a pseudoaneurysm

A

Pulsatile mass in the area, peri vascular hematoma connecting by a neck to the vessel, showing swirling blood (ying yang sign) and turbulent flow

40
Q

IVC diameter should not exceed ___ cm

A

2.5

41
Q

IVC may become narrowed with what syndrome

A

Budd chiari syndrome

42
Q

Enlargement of hepatic veins and IVC is seen with what condition

A

Right sided heart failure

43
Q

Left renal vein is much ______than the right

A

Longer

44
Q

What is a retroaortic left renal vein variation

A

Left renal vein travels posterior to aorta in some people

45
Q

The right gonadal vein connects to IVC directly, the left gonadal vein connects to ________ vein

A

Left renal

46
Q

Renal veins have ___ velocity and ____ flow

A

Low velocity, continuous flow

47
Q

What are common findings with iVC thrombosis

A

IVC enlargement, absence of flow, and material noted in lumen

48
Q

IVC filter is also known as

A

Greenfield IVC filter

49
Q

Tumors that infiltrate IVC are commonly associated with ______

A

Renal cell carcinoma, Wilms tumor, renal transitional cell carcinoma

50
Q

Right sided heart failure is the most common cause of _______

A

IVC obstruction

51
Q

The main portal vein is created by the union of which two veins

A

SMV and splenic vein

52
Q

What is the portal splenic confluence

A

Junction of the splenic vein, SMV, And possibly inferior mesenteric vein

53
Q

Normal flow in the main portal vein should be hepatopetal and monophasic. The portal vein should be less than ___mm in diameter

A

13

54
Q

The splenic vein is located ______ to pancreas body and tail

A

Posterior

55
Q

An arteriovenous fistula can result from

A

Puncture, trauma, or biopsy

56
Q

What are arteriovenous malformations (AVMs)

A

Direct communications between arteries and veins
Can be congenital or caused by surgery malignancy or biopsy
Turbulent flow will be seen

ABDOMEN REGISTRY (13 decks)

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