COW Flashcards

1
Q

What is the difference between an aneurysm and a dissection?

A

aneurysm is the ballooning of a vessel while a dissection is when the vessels of the wall of the artery separate (i.e. the blood makes its way between the layers of the artery, typically in the thoracic aorta)

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2
Q

WHere do dissections typically occur?

A

thoracic aorta

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3
Q

Where do aneurysms typically happen?

A

abdominal aorta

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4
Q

What crosses the aorta? Therfore what should you do when you have an aortic aneurysm?

A

duodenum

reflect duodenum

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5
Q

When you are looking at a CT scan and you see an anuerysm what color will it be?

A

it will be gray filled with thrombi

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6
Q

When you think your friend is hally berry then you are in (blank)

A

hypovolemic shock :)))))

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7
Q

Abdominal aneurysms typically occur (Blank) the renal arteries

A

below

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8
Q

What are the three veins (collateral flow) attached to the left renal vein?

A

gonadel, adrenal, ascending lumbar

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9
Q

If you have an aortic aneurysm what should you tie off?

A

the IMA

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10
Q

How does an aortic graft work?

A

you put it in with a needle stick and it balloons out in the aneurysm which seals the walls so blood can no longer enter

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11
Q

What is this:
the sudden interruption of blood flow into the intestine
(minimally developed collaterals, abdominal catastrophe, usually embolic)

A

acute mesenteric ischemia

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12
Q

collateral flow takes (blank) to develop

A

time

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13
Q

What is this:

extensive collaterals, intestinal angina (involvement of at least 2 vessels)

A

Chronic mesenteric ischemia

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14
Q

If a clot doesnt migrate then it is (blank)

A

thrombotic

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15
Q

If you have a clot and it moves then it is (blank)

A

embolotic

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16
Q

If you have a blockage of the SMA will the SMA be out of commission?

A

no, if enough time has passed the pancreaticduodenal can help it out and make it work

17
Q

Where does the superior rectal artery start?

A

after the sigmoid arteries

18
Q

If you have a occlusion in your left colic artery what happens? (IMA messed up)

A

your SMA will help it out

19
Q

If you have dead intestine what will you pH be like?

A

you will have metabolic acidosis!!!! AHHHHHHHH

20
Q

Severe abdominal pain and acidosis indicates that your patient has an (BlanK)

A

occlusion and dead intestine

21
Q

How do you expose the SMA?

A

reflect the transverse colon