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Pulomonary HTN

Takayasu Arteritis (pulseless disease)
- due to pulmonary a. dz.

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Pulsus paradoxus

Adhesive Mediastinopericarditis

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Oral aphthous ulcers, Genital ulcers, Uveitis

Behcet Disease

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pulm capillaritis

Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis)

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type of nevus flammeus that thickens skin surgace and not fade over time

port wine stain

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Takayasu Arteritis (pulseless disease)
-due to coronary involvement

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pitting edema

R sided HF

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cyanosis in LE

coarctation of aorta w PDA

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Raynaud like cold sensitivity

Thromboangiitis Obliterans (Buerger Disease)

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LVH –> LAH –> afib –> thrombosis

L-sided HF

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weak pulse in LE

AAA

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polycythemia

R–>L shunt

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Can cause compression syndromes, especially in the brain in VHL disease (cerebellum, brainstem, retina, pancreas and liver lesions).

Cavernous Hemangioma

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transverse myelitis

aortic dissection if vert aa’s affected

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pulsating mass in abd

AAA

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‘Peau d’orange’

lymphedema
-d/t persistent edema and deposition of interstitial CT (common in breast cancer) when draining lymphatics are clogged with tumor cells

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ring-like opacities on CXR

calcific stenosis of bicuspid aortic valve

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ball-valve obstruction of AV valve

myxoma, lipoma

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Trousseau sign

Migratory Thrombophlenitis

-Venous thromboses appear in one location, disappear and occur at another site

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patches and plaques on the skin, mucous membranes, LNs, GI tract of viscera

aids assoc (epidemic) KS

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Facial port wine nevi.
Ipsl. venous angiomas of cortical leptomeninges.
Mental retardation.
Seizures.
Hemiplegia.
Skull radioopacities.

port wine stain assoc w Sturge-weber syndrome (encephalotrigeminal angiomatosis)

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patches and plaques on the LN and cutaneous

endemic af KS

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renal fialure

malig HTN

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chronic sinusitis

Granulomatosis with Polyangiitis (Wegener Granulomatosis)

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ascites

R sided HF | -can maybe lead to atelectasis --> dyspnea

aortic insufficiency

aortic dissection

elevated CRP

inflamm AAA

pulsatile arrays of dilated subq aa. or arterioles about a central core that blanch w pressure -on face, neck, upper chest

spider telangiectasia

Brawny induration

Varicose Veins | -brownish color from hemolysis of RBCs

Persistent pneumonitis w b/l nodular and cavitary infiltrates

Granulomatosis with Polyangiitis (Wegener Granulomatosis)

elevated IgG4

IgG4 AAA

HTN in UE; HoTN in LE w caudication when excess leg mvmt

coarctation of aorta wo PDA

systolic retraction of rib cage/diaphragm

Adhesive Mediastinopericarditis

afib and pulm edema

systemic (L sided) hypertensive <3 dis

strings on a bead appearance

fibromuscular dysplasia that develops aneurisms

Erythematous or hemorrhagic nontender lesions of palms/soles (janeway lesions)

infectious endocarditis

Irregular aortic thickening with intimal hyperplasia

``` Takayasu Arteritis (pulseless disease) -can involve pulm a, coronary a, renal a ```

Poor wound healing + superimposed infection

Varicose Veins

harsh ejection murmur

hypertrophic cardiomyopathy

atrophy of skin, subq tissue and mm (longterm)

primary raynaud phenom | -from intimal thickening of a

hypercalcemia, congenitive abns (supravalvular stenosis), and chara facial abns

William-Beuren synd

rib notching on chest xray

coarctation of aorta wo PDA

Redpurple cutaneous plaques and nodules on the LE that spread proximally

classic KS

machine-ilike harsh murmur

PDA

have chronic hep B and deposits with HBsAg-HBsAb

Polyarteritis Nodosa (PAN)

T cell hypersensitivity to unidentified antigens.

Kawasaki Disease (mucocutaneous LN synd)

Systemic HTN

``` Takayasu Arteritis (pulseless disease) -due to renal a. Disease ```

weak pulse in UE

Takayasu Arteritis (pulseless disease)

~fibrinous pericarditia, but w systemic issues like fever and rigors

purulent/supparative pericarditis

pain: sharp, pleuritis, position dependent

serous pericarditis

symmetric red white and blue from proximal to distal esp in fingers and toes

raynaud phenom

Red, painful subq streaks and painful enlargement of the draining LNs (regional LAD)

lymphangitis

retinal hem and exudates (w or wo papilledema)

malig HTN

parasoxical embolism

R--L shunt or ASD

anasarca

R siede HF | =generalized massive edema

kearley A and B lines on CXR

L-sided HF

anti-endothelial and anti-SMC abs

``` giant cell (temporal) arteritis (not definitive) ```

<3 dis, subQ nodules, vasculitis, neutropenia

rheumatologic dis

rapidly rising bp + 200/120

malig HTN

Arrhythmogenic RV cardiomyopathy (ARVC) and hyperkeratosis of plantar/palmar skin

naxos synd

has necrotizing glomerulomephtitis

Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis)

MHC2

giant cell (temporal) arteritis

widened aveloarsepta

L-sided HF

stasis dermatitis

Varicose Veins | -skin changes d/t underlying stasis

chylous ascites, chylothorax, chylopericardium

lymphedema | -d/t Rupture of dilated lymphatics leads to milky accumulations of lymph

PR3-ANCA (cANCA

Granulomatosis with Polyangiitis (Wegener Granulomatosis)

"strawberry type" hemangioma

Juvenile Hemangioma

Retinal hems (roth spots)

infectious endocarditis

dilated caps and veins over resp, GI, urinary tract

Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu dz)

unexplained death in athletes

hypertrophic cardiomyopathy

murmur

ASD, VSD, coarctation of aorta w/wo PDA, aortic stenosis/atresia

Interstitial fluid accumulation leading to .

lymphedema

MPO-ANCAs (pANCA)

- Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis) - Churg-strauss Syndrome (allergic granulomatosis and angiitis)

asymmetric red white and blue from proximal to distal esp in fingers and toes that gets progressively worse

secondary raynaud phenom

Microthromboemboli (splinter/sublingurl hem)

infectious endocarditis

painful tumor under fingernail

Glomus Tumor (glomangioma)

mid-systolic click/murmur

mitral valve prolapse

necrotizing granulomas in U/L resp tract, s-m vessels in lungs/airways + Focal necrotizing, (crescenteric) glomerulonephritis

Granulomatosis with Polyangiitis (Wegener Granulomatosis)

Nodular phlebitis (venous inflamm

Thromboangiitis Obliterans (Buerger Disease)

loud pericardial friction rub

serous pericarditis

Mucosal ulcerations of nasopharynx.

Granulomatosis with Polyangiitis (Wegener Granulomatosis)

hepatomegaly

R sided HF

cardiac tamponade

aortic dissection

HLAB51

Behcet Disease

pulm congestion/edema

L-sided HF

cyanosis

R-->L shunt

patches and plaques on the LN, mucosa, viscera

transplant assoc KS

Subq nodules in pulp ot digits (osler nodes)

infectious endocarditis

cardiac abn, abn facies, thymic aplasia, cleft palate, and hypocalcemia.

DiGeorge SYnd

splenomegaly

R sided HF