Circulatory & Lymphatic Flashcards
what is a major cause of sudden cardiac death in young athletes
hypertrophic cardiomyopathy
congenital heart disorder where part of heart muscle thickens w/o known cause
hypertrophic cardiomyopathy
cause of hypertrophic cardiomyopathy
unknown but it is an inherited autosomal dominant trait
how is hypertrophic cardiomyopathy diagnosed
EKG, radiography, cardiac MRI, genetic test
tx hypertrophic cardiomyopathy
- beta-blockers & calcium channel blockers for arrhythmia
- pacemaker/implantable cardioverter-defibrillator
- surgical myectomy
- avoid strenuous exercise and stressful situations
prognosis for hypertrophic cardiomyopathy
high risk for sudden death but some may live normal lives
list acyanotic cardiovascular defects
- ventricular septal defect
- patent ductus arteriosus
- coarctation of the aorta
- atrial septal defect
list cyanotic cardiovascular defects
- tetralogy of fallot
- transposition of the great arteries
- tricuspid atresia
- truncus ateriosus
- total anomalous pulmonary venous return
define acyanotic cardiovascular defects
oxygenated and deoxygenated blood DO NOT mix and cyanosis is NOT present
what is the most common congenital cardiac disorder
ventricular septal defect (VSD)
abnormal opening between right and left ventricles
ventricular septal defect
likelihood of patent ductus arteriosus
fairly common in premature infants and accompanies ASD
ductus fails to functionally close causing abnormal opening between aorta and pulmonary veins
patent ductus arteriosus
tx patent ductus arteriosus
drug therapy (antiprostaglandin or ibuprofen) or surgery
narrowed aortic lumen causing partial obstructed flow through aorta
coarctation of aorta
coarctation of the aorta is often associated with
turner syndrome
abnormal opening between right and left atrium
atrial septal defect
how does blood generally shunt in atrial septal defect
left to right
tx atrial septal defect
surgery
atrial septal defect is often associated with
prematurity and patent ductus arteriosus
condition/defect causing arterial blood to not be fully oxygenated causing cyanosis
cyanotic defect
what is the most common cyanotic cardiac defect
tetralogy of fallot
combination of ventricular septal defect, pulmonary stenosis, dextroposition of aorta (overriding VSD), and right ventricular hypertrophy
tetralogy of fallot
tightening of pulmonary valve or vessel
pulmonary stenosis
aorta displaced to the right
dextroposition of aorta
aorta and pulmonary artery are reversed so aorta comes from right ventricle and pulmonary artery comes from left ventricle
transposition of the great arteries
what is the result of transposition of the great arteries
closed loop circulatory system between heart and lungs and then heart and circulation
how is transposition of the great arteries diagnosed
- physical exam & pt history
- chest xray
- blood test
- cardiac catheterization
- ECG and echocardiography
- prenatal ultrasound
enlargement of lymphoid tissue causing partial breathing blockage
adenoid hyperplasia
the cause of adenoid hyperplasia is unknown but list its risk factors
repeated infections, chronic allergies, heredity
how is adenoid hyperplasia diagnosed
- lateral pharyngeal radiographs
- nasopharyngoscopic exam
tx: adenoid hyperplasia
adenoidectomy
reduction of RBCs or hemoglobin concentration
anemia
causes of anemia
iron deficiency, acute/chronic blood loss, decreased blood formation, nutrition deficiency disorder, hemolytic disease, inhibition/loss of bone marrow, sickle cell disease
how is anemia diagnosed
- physical exam
- lab testing (hematocrit, hemoglobin concentration, serum iron levels, RBC, mean corpuscular hemoglobin, bone marrow studies)
tx anemia
dependent on cause
cancer of bone marrow w/increase in immature WBCs or undifferentiated blastocytes
leukemia
what is the most common childhood cancer
leukemia
how is leukemia diagnosed
peripheral blood smear, leukocytosis, neutropenia, anemia, thrombocytopenia, bone marrow aspiration, chromosome analysis, lumbar puncture, lab test