Tumours Flashcards

1
Q

what is the most common tumour found in the heart?

A

metastases - usually in pericardium

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2
Q

what is most common primary cardiac tumour in adults?

A

myxoma

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3
Q

describe myxoma

A

90% occur in atria and cause a ball valve obstruction in the left atrium that may cause multiple syncopal episodes
made of gelatinous, mucous material

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4
Q

what type of murmur will you hear with myxoma

A

diastolic tumour plop sound.

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5
Q

what is the most common primary cardiac tumour in children?

A

rhabdomyoma

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6
Q

what syndrome does the most common primary cardiac tumour in children occur in

A

tuberous sclerosis (renal angiolipodoma, giant cell astrocytoma, cardiac rhabdomyoma, benign hamartomas that may become malignant; TSC1 hamartin and TSC2 - tuberlin tumour suppressors)

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7
Q

when do you see kussmaul sign?

A

constrictive pericarditis
restrictive pericarditis
right atrial tumours
right ventricular tumours

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8
Q

what is the kussmaul sign

A

increased in JVP on inspiration istead of decreased - so will see whn the right atrium refuses to let blood in (constrictive pericarditis, cardiac tamponade, right atrium tumour, right ventricle tumour)

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9
Q

name the vascular tumour: malignant, rare, blood vessel, in elderly @ sun exposed areas, head, neck, breast areas

A

angiosarcoma

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10
Q

what are angiosarcoma vascular tumours associated with?

A

radiation therapy
chronic postmastectomy lymphedema
vinyl chloride
arsenic exposures

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11
Q

what is a cherry hemangioma

A

benign capillary hemangioma of the elderly
does not regress
increased frequency with age

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12
Q

vascular tumour associated with turner syndrome

A

cystic hygroma - cavernous lymphangioma of the neck

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13
Q

red blue tumour under fingernails, bening and painful

A

from modified smooth muscle celsl of thermoregulartory flomus body
Glomus tumour

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14
Q

HHV-8 HIV vascular tumor

A

Kaposi sarcoma
malignant
lymphocytic infiltration

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15
Q

vascular tumour associated with trauma and rpegnancy

A

pyogenic granuloma

polypoid capillary hemangioma that can ulcerate and bleed

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16
Q

what is a strawberry hemangioma

A

benign capillary hemangioma of infanct
appears in the first few weeks of life
grows rapidly
regresses spontaneously by 5-8 years old

17
Q

describe the Raynaud phenomenon

A

vasospasm in response to cold or stress
white/ischeamia - blue/cyanosis - red/reperfusion
@ tose and fingers

18
Q

what is Raynaud disease

A

primary and idopathic

19
Q

what is Raynaud syndrome

A

secondary to mixed connective tissue disease (antiU1RNP), SLE, CREST (anticentromere)

20
Q

how do you treat Raynaud phenomenon?

A

CCBs