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Pathology > vascular,CVS > Flashcards

vascular,CVS Flashcards

1
Q

Headache,visual disturbance
in old adult
with fever, joint pain

A

Gaint cell arthritis
Jaw claudication
polymyalgia rheumatica

biopsy-gains cell and fibrosis
ESR elevated

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2
Q

young adult with weak upper extremity with absent pulse

A

takayasu arteritis
visual and neurological sym
ESR elevated

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3
Q

young adult with hypertension,abd pain Malena,neurological disturbance
no lung involvment

A

Polyarteritis Nodosa
hypertension[renal artery]
,abd pain Malena[mesentric artery]

ass with Hbsag
imaging-string of pearl app

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4
Q

children with fever,conjuctivitis,erythematous rash in palm and soles
coronary artery involvement

A

Kawasaki disease

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5
Q

smoking ass vasculitis

A

Buerger disease

ass with Raynaud

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6
Q

Nasopharynx,lung and kidney involvment with necrotizing granulomatous

A 
wegener granulomatis
C-ANCA positive
Nasopharyngeal ulcer
b/llung infiltrates
Rapidly progressive glomerulonephritis
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7
Q

Lung and kidney involvment
No nasopharynx
no granuloma

A

Microscopic Polyangitis

P-ANCA

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8
Q

P anca positive with eosinophila and asthma

A

Chrug strauss syndrome

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9
Q

palpable purpura in buttock and legs

GI bleeding

A

Henoch Schonlein purpura
IgA vasculitis
ass with IgA nephropathy foll upper respiratory infection

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10
Q

secondary hypertension causes

A

Renal artery stenosis
old-atherosclerosis
young-fibromuscular dysplasia

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11
Q

Maliganant hypertension

A

Acute renal failure
headache
papilledema

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12
Q

Lipid laden macrophages

A

foam cell in atheroscerosis

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13
Q

hemosiderin laden macrophages

A

Heart failure cell in pulmonary edema

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14
Q

Hyaline arterioloscerosis

A

benign hypertension
diabetes
chronic renal failutr

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15
Q

Hyperplastic arterioloscerosis

A

Malignant hypertension
onion skin app
Acute renal failure with flea bitten app

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16
Q

onion skin app

A

Hyperplastic arteriolosclerosis
Ewings sarcoma of bone
Primary sclerosing cholangitis(beaded app)

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17
Q

Aortic dissection causes

A

older -hypertension

young-marfans,ehler danos

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18
Q

Tree bark app of aorta

A

Thoracic anurysm - tertiary syphilis

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19
Q

Pulsatile mass
hypertension
flank pain

A

Abd aorta aneurysm

cause-atherosclerosis,male,smoker

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20
Q

HHV 8

A 
Kaposi sarcome
purple patch plaque noodles on skin
low garde malignancy
in AIDS
immunosupression
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21
Q

chest pain on exertion

A

stable angina

ecg - ST depression -sunendo ischemia

22
Q

chest pain on rest

A

Unstable angina

ecg - ST depression -sunendo ischemia

23
Q

coronary vasospasm

A

Prinzmetal angina

ecg - ST elevation-transmural ischemia

24
Q

Troponin I

A

MI most sensitive marker

CK-MB-for reinfarct

25
Q

MI 4 to 24 hr

A

dark discoloration
coagulative necrosis

comp
arrhythmia

26
Q

MI < 4 hr

A

cops
cardiogenic shock
arrhythmia

27
Q

MI 1 to 3 days

A

yellow pallor
Neutrophil

comp
firinous pericarditis

28
Q

MI 4 to 7 days

A

yellow pallor
macrophages

comp
rupture of 
wall-cardiac tamponade
interventricular septum-shunt
papillary muscle -Mitral regurgitation
29
Q

MI 1 to 3 week

A

Red border

granulation tissue

30
Q

MI months

A

White scar
fibrosis

comp
aneurysm
dressler syndrome

31
Q

sudden cardiac death

A

acute ischemia-vent. arrhythmia
mitral valve proplase
cardiomyopatrhy

32
Q

left heart failure

A

causes-MI,DCM,Ischemia
pulm edema-dyspnea,PND,Orthopnea,crackles
Fluid retention

33
Q

right heart failure

A 
causes-lung disease
left heart failure 
JVP
painful hepatospleenomegaly-nutmeg liver
pedal edema
34
Q

Acute rheumatic fever

A

*Migratory polyartgritis
*pancarditis- Endocarditis MR
myocarditis-Ascoff body-foci of chronic inflammation,histiocytes with wavy slender nuclei[Anitschkow cells]
*Subcutaneous nodule
*Erythema marginatum-nonpruritic rash in trunk and limbs
*Syndenham chorea

35
Q

crescendo decrescendo murmur

systolic ejection click

A

Aortic stenosis
m/c wear and tear
then chr rheumatic

36
Q

Blowing diastolic murmur
bounding pulse
Quinke pulse-nailed
head bobbing

A

Aortic regurgitation

isolated root dilation

37
Q

Midsystolic click with regurgitant murmor

A 
MVPS
myxoid degeneration-marfan,ehler
comp-
IE
MR
38
Q

Pansystolic murmur

A

Mitral regurgitation
causes-from MVP
acute rh fever
MI 4 to 7 days

39
Q

Paradoxical emboli

A

ASD

40
Q

MDM with opening snal

A

Mitral stenosis’
comp
atrial fibrillation-mural thrombi

41
Q

endocarditis in damaged valve

A

streptococci viridans
suns cute-small vegetation

chr rheumatic -MS and AS
mitral valve prolapse

42
Q

endocarditis in normal valve

A

staph aureus
IV drug abusers
acute- large

43
Q

endocarditis in prosthetic valve

A

staph epidermidis

44
Q

endocarditis in colorectal ca

A

Strep bovis

45
Q

Janeway lesion

A

nontender erythematous lesion in palm and soles
osler node- tender lesion on finger and toe
splinter hge- nail beds
Roth spots-embolization of septic vegetation

46
Q

sterile vegetation

A 
Nonbacterial thrombotic endocarditis
   in hyoercoagulable state or in Adeno ca
   leads to mitral regurgitation
Libman sacks 
   in SLE
    leads to mitral regurgitation
47
Q

Dilation of all four chamber

A 
Dilated cardiomyopathy
 idiopathic
other
coxsackie
doxorubicin
pregnancy or childbirth[peripartum cardiomyopathy]
alcohol
hemochromatosis
48
Q

Hypertrophic cardiomyopathy

A

genetic mutation -AD
ass with Friedrich ataxia

sudden death -due to arrhythmia in young athletes
bxiopsy-myofiber disarray

49
Q

Restrictive cardiomyopathy

A

Amyloidosis
sarcoidosis
LOEFFLER SYNDROME- endomyocardial fibrosis with easinophilic infiltrate and eosinophilia

ECG- low voltage with diminished QRS

50
Q

Atrial Myxoma

A

Left atrium
benign
pedunculate mass -cause syncope due to obstruction of mitral valve

51
Q

Rhabdomyoma

A

ventricles

ass with tuberous sclerosis

52
Q

Meatstasis to heart

A

Breast
lung
melanoma

Pathology (10 decks)

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