Wk 1 Aneurysms Flashcards

1
Q

What is an aneurysm?

A

Abnormality in the wall of an artery, and the wall will start to expand and cause a bulge which is the aneurysm

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2
Q

Aneurysms are consistent with __

A

hypertension

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3
Q

High blood pressure causes the vessel to dilate causing the vessel wall to..

A

get thicker and it can burst causing an aneurysm

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4
Q

What may be heard over an aneurysm?

A

Bruits

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5
Q

What are the most common areas for aneurysms?

A

Aorta and cerebral arteries

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6
Q

Aneurysms cause __ blood flow and are susceptible to rupture

A

turbulent

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7
Q

What does a saccular aneurysm look like?

A

wide neck, bulbular

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8
Q

What does a fusiform aneurysm look like?

A

hangs around the entire artery

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9
Q

What does a pseudo aneurysm look like?

A

where blood gets in between the walls of the artery

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10
Q

What is a triple A?

A

aortic abdominal aneurysm

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11
Q

Triple As are either

A

infra or supra renal

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12
Q

What is a directing aortic aneurysm?

A

Blood gets in between the layers of the vessel and rips the layers apart

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13
Q

A more localized tear in the layer of the wall

A

pseudo aneurysm

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14
Q

Balloon shaped aneurysm

A

saccular

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15
Q

What is characteristic of a saccular aneurysm?

A

Wide neck, involves only one part of circumference

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16
Q

What is characteristic of a fusiform aneurysm?

A

Involves entire circumference of vessels, more gradual progression, and has potential extensive involvement

17
Q

What is a berry aneurysm?

A

Subtype of a saccular aneurysm, smaller neck

18
Q

Where are berry aneurysms typically located?

A

In the cerebral arteries at bifurcations

19
Q

What is the most common place to see berry aneurysms?

A

Circle of Willis

20
Q

What is the Circle of Willis?

A

Connection between anterior and posterior circulation at the base of the brain

21
Q

Localized dissection or tear in the artery wall

A

pseudo aneurysm

22
Q

Pseudo aneurysms are types of

23
Q

Pseudo aneurysm can be the result of a…

A

vascular intervention procedure

24
Q

A triple A can be seen on abdominal assessment and felt as…

A

pulsating mass. But should not be deeply palpation

25
What is an aortic dissection?
tear down the aorta, separate from an aneurysm
26
What does an aortic dissection feel like?
Sudden severe, tearing pain
27
What are the early symptom of an aortic dissection?
Blood pressure is elevated
28
What are the late symptoms/signs of an aortic dissection?
BP unobtainable Syncope, hemiplegia, paralysis of lower extremities CV collapse, shock, then death
29
What are emergency medications used during an aortic dissection?
Beta blockers | Nitrates