intro, arteries and veins Flashcards

1
Q

which body type has a short-broad thorax and abdomen and is the rarest type with more TRANSVERSE and HIGHly placed organs?

A

hypersthenic

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2
Q

which body type is thin with a very narrow thorax and abdomen and 2nd rarest?

A

asthenic

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3
Q

which body type is a lanky type person and is 2nd MC?

A

hyposthenic

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4
Q

which body type is MC and considered structurally “normal”?

A

sthenic

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5
Q

which quadrant houses the liver, R kidney, part of Rt. psoas and hepatic flexure of colon?

A

RUQ

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6
Q

which quadrant houses the spleen, L kidney, L psoas, and splenic flexure of the colon?

A

LUQ

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7
Q

which quadrant houses the lower R psoas, cecum and R bladder?

A

RLQ

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8
Q

which quadrant houses the L bladder, sigmoid colon?

A

LLQ

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9
Q

What is in the RUQ?

A

Liver
R kidney
R psoas
hepatic flexure of colon

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10
Q

what is in the LUQ?

A

Spleen
L kidney
L psoas
Splenic flexure of colon

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11
Q

What is in the RLQ?

A

Lower R psoas
Cecum
R bladder

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12
Q

What is in the LLQ?

A
L bladder
sigmoid colon (can cross midline into RLQ)
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13
Q

what is atherosclerosis of the aorta linked to?

A

etiology unknown but linked to elevated cholesterol and triglycerides

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14
Q

how does atherosclerosis of the aorta usually appear?

A

as 2 parallel lines (conduit, track or tram track appearance)
-usually discontinuous unless in advanced stage

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15
Q

what is the usual measurement for a normal abdominal aorta?

A

1 in in diameter

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16
Q

How can you use the vertebral body to assess the size of the abdominal aorta?

A

vertebral body on AP film is a little more than 2x bigger than the AA

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17
Q

atherosclerosis of the aorta is MC in what age group?

A

50s and up

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18
Q

what are the 3 ways aneurysms are defined?

A

1 location
2 shape- fusiform or saccular
3 true or false

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19
Q

what type of aneurysm is a dilation of an artery including the intimal layer?

A

true aneurysm

20
Q

what type of aneurysm is a dissection causing dilatation of the arterial layers external to the intima due to intimal tears?

A

false aneurysm

21
Q

What is a triple AAA usually caused by and what age and population does it most commonly affect?

A

atherosclerosis
85% male, 90% caucasian
ages 50 and up

22
Q

75-86% of AAA will demonstrate a _____?

A

calcific rim

23
Q

where is the location of most AAA?

A

btw L2-L4 which is between the renal and common iliac arteries (91%)

24
Q

where is the location on the AP view of a AAA?

A

left of the spine; if bilateral usually more on the left

25
Q

where is a AAA located on a lateral view?

A

just anterior to the spine

26
Q

AP dimension of abdominal aorta greater than _____ is considered dilated.

A

3cm

27
Q

tendencies for a AA to rupture are measured on what view?

A

lateral

28
Q

what measurement of dilation of the AA usually don’t rupture and which do?

A
5cm= don't rupture 
7cm= do rupture
29
Q

what is the term for a AA of 7cm that does rupture?

A

peak incident

30
Q

what are 3 indications of a AA rupture as seen on a radiograph?

A

1 marked change in location of calcific plaques
2 soft tissue mass
3 loss of psoas muscle or kidney shadow

31
Q

when an anterior vertebral body erosion occurs from pulsation of AA what is usually demonstrated?

A

corticated concave defect

32
Q

are aneurysms usually symptomatic or asymptomatic?

A

asymptomatic 75%

symptomatic (pain) 25%

33
Q

when pain is present with an aneurysm where is the pain usually experienced?

A

LBP which may be local or radiate
Abdominal pain
flank pain in some

34
Q

pain with an aneurysm signals seepage which is known as ______

A

pending rupture

35
Q

what are some clinical findings associated with an aneurysm?

A

1 bruit over or near the dilatation
2 palpable 90%
3 decreased pedal pulse

36
Q

with common iliac arteries atherosclerosis and aneurysms, what size should not be exceeded?

A

1.5 cm

37
Q

what is the 2nd MC AAA?

A

common iliac arteries- 66% extend here

38
Q

which quadrant are splenic artery atherosclerosis and aneurysms located?

A

LUQ

39
Q

what genders are MC affected by splenic artery aneurysms?

A

males MC over 50 (80%)

females MC under 50 (pregnancy increases risk)

40
Q

with visualization, the splenic artery is often seen as a conduit that is _____

A

serpiginous- wavy contour/tortuous

snake like, think S and S splenic, serpiginous

41
Q

what type of rim is usually present with a splenic aneurysm?

A

isolated rim

42
Q

what does the rim of a splenic aneurysm look like?

A

saccular- circular curvilinear rim

43
Q

what is the term for calcified venous thrombi?

A

phleboliths

44
Q

where are phleboliths usually found?

A

close to the pelvic rim below the ischial spines

-may also be located in scrotal veins

45
Q

phleboliths are also often found in _____ of soft tissue structures?

A

hemangiomas

46
Q

If a phlebolith is displaced outside of the pelvic basin or midline you should suspect?

A

an enlarging mass

47
Q

a distended bladder can shift a phlebolith what direction?

A

inferiorly &/or laterally