Oct. 9, 2019 Flashcards

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1
Q

What is an ANEURYSM?

A

A localized dilation of an ARTERY not VASODIL

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2
Q

Why is age a risk factor for developing an ANEURYSM?

A

As person ages there is degenerative tissue change in vessel walls

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3
Q

Which VESSELS are most commonly affected by ANEURYSMS?

A
  • THORACIC and ABDOM AORTA
  • FEMORAL A
  • ILIAC As
  • POPLITEAL A
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4
Q

What are risk factors for developing an ANEURYSM?

A
  • ATHERO
  • Uncontrolled HTN
  • CONGENITAL DEFECTS
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5
Q

Why is ATHERO a risk factor?

A

Causes changes and weakens wall

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6
Q

Why is uncontrolled HTN a risk factor?

A

Causes heightened pressure against A walls

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7
Q

Why are CONGENITAL DEFECTS a risk factor?

A

May have weaker BVs d/t developmental issues

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8
Q

Where are ANEURYSMS most commonly found on a V?

A

In an area where Vs bind or divide

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9
Q

What are the 2 types of ANEURYSMS?

A

TRUE and FALSE

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10
Q

What are the characteristics of a TRUE ANEURYSM?

A
  • Intact V wall

- There is a greater than 50% inc in diameter

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11
Q

What are the characteristics of a FALSE ANEURYSM?

A
  • Compromised wall
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12
Q

Name 3 forms of ANEURYSMS

A

1) FUSIFORM
2) SACCULAR
3) DISSECTING

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13
Q

How could you identify an ANEURYSM as FUSIFORM?

A

If it is equal bilaterally

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14
Q

What causes a DISSECTING ANEURYSM?

A

Damage to the ENDOTHELIUM causes bleeding into the surrounding tissues and causes an ANEURYSM

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15
Q

What is a defining characteristic of a SACCULAR ANEURYSM?

A

It is UNILATERAL

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16
Q

What is the most severe COMPLICATION of an ANEURYSM?

A

Rupture, which causes hemorrhaging

17
Q

Give 3 COMPLICATIONS of ANEURYSMS

A

1) Pressure on surrounding structures (this is especially troublesome when pressing against NERVES or BVs)
2) THROMBOSIS
3) DISTAL EMBOLISM

18
Q

What is the Tx of ANEURYSM?

A

Sx

19
Q

Why is a BERRY ANEURYSM referred to as such?

A

Because it is round and resembles a berry

20
Q

What are 4 types of CORONARY A DISEASE?

A
  • ACS
  • CHRONIC ISCHEMIC SYNDROME
  • NSTEMI
  • STEMI
21
Q

T or F:

CAD only involves the CORONARY A?

A

F, it involves all As that contribute to CARDIAC circulation

22
Q

What does ACS stand for?

A

ACUTE CORONARY SYNDROME

23
Q

What are characteristics of ACS?

A
  • Unstable ANGINA

- MI

24
Q

What causes UNSTABLE ANGINA?

A

Inadequate B flow, may be as a result of plaque in the A, constant pain whether resting or on exertion

25
Q

What are characteristics of CHRONIC ISCHEMIC HEART DISEASE?

A
  • STABLE ANGINA
  • VARIANT ANGINA
  • MICROVASCULAR ANGINA
  • SILENT MYOCARDIAL ISCHEMIA
26
Q

Explain STABLE ANGINA

A

No pain during rest, pain felt during exertion

27
Q

What does MICROVASCULAR ANGINA affect?

A

The smaller branches of CARDIAC Vs

28
Q

Explain NSTEMI

A

ST SEGMENT is not elevated

29
Q

Explain STEMI

A

ST SEGMENT is elevated