CV V Flashcards
early rheumatic fever
mitral regurg
late rheumatic fever
mitral stenosis
aschoff bodies
rheumatic fever
granuloma with giant cell
also see antischkow cells - macros with ovoid wavy rod like nucleus
M protein
strep pyogenes - rheumatic fever cross-reactivity
tx rheumatic fever
PCN
beck triad
cardiac tamponade
1 muffled sounds
2 hypotension
3 distended neck vein
see pulsus paradoxus also
MC heart tumor
mets
MC primary heart tumor
myxoma
-90% left atria
ball valve obstruction
diastolic tumor plop
rhabdomyoma
cardiac tumor in children
-with tuberous sclerosis
kussmaul sign
increased JVP on inspiration
constrictive pericarditis
restrictive cardiomyopathy
right atrial or ventricular tumor
raynaud tx
CCB
angiosarcoma
with radiation therapy
-or chronic postmastectomy lymphedema
vinyl chloride
liver angiosarcoma
also with arsenic
cystic hygroma
with turner syndrome
cavernous lymphangioma of neck
pyogenic granuloma
polyp capillary hemangioma
can ulcerate
strawberry hemangioma
benign - of infancy
grows - the regresses
bacillary angiomatosis
B9 - in AIDS
bartonella henselae infection
has neutrophil infiltrate
cherry angioma
benign capillary hemangioma of elderly - does not regress
glomus tumor
painful - red-blue tumor nder fingernails
from thermoregulatory glomus body
temporal giant cell arteritits
granuloma formation
MC - carotid artery
complication - blind
tx - corticosteroids
takayasu arteritis
pulseless disease
asian females - less than 40yo
fever, night sweat, arthritis
granulomatous thickening of aortic arch and prox great vessels
large vessel vasculitis
temporal arteritis
takayasu
medium vessel vasculitis
PAN
kawasaki
buerger
thromboangiitis obliterans
buerger
smoker
polyarteritis nodosa
young adult
-hep B association
renal and visceral vessels
IC mediated - type III hypersens
transmural inflammation - and fibrinoid necrosis
tx - corticosteroid, cyclophosphamide
kawasaki disease
asian children
conjunctival injection rash adenopathy strawberry tongue fever
can get coronary artery aneurysms
tx - IVIG and ASA
small vessel vasculitis
wegeners
microscopic polyangiitis
churg strauss
HSP
wegeners
c-ANCA - PR3 - anti-proteinase 3
upper resp infection
lower resp infection
hematuria and red casts
perforation nasal septum
necrotizing granulomas
necrotizing glomerulonephritis
tx cyclophosphamide - corticosteroids
microscopic polyangiitis
necrotizing vasculitis
p-ANCA - MPO - anti - myeloperoxidase
tx - cyclophosphamide, corticosteroids
palpable purpura
churg strauss
eosinophilic granulomatosis with polyangiitis
pANCA, - MPO
and IgE elevated
asthma, sinusitis, skin nodules or purpura
henoch schonlein purpura
MC childhood systemic vasculitis
follow URI
triad
1 palpable purpura
2 arthralgia
3 GI abdomen pain
IgA IC deposition - vasculitis
associated with berger - IgA nephropathy
