Vascular in class Flashcards

1
Q

Chronic venous Insufficiency results from

Lymph edema is, leads to

Neuropathic ulcers located

Arterial Ulcers located

Venous ulcers located

A

DVT chronically, or RHF

non pitting, elephantiasis

Pressure points

distally, toes

medial ankle

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2
Q

HTN emegency defined as

such as

A

very high BP w evidence of organ damage

IC hemorrhage, PRES, aortic dissection, papilldema

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3
Q

Acute limb ischemia results from

CLI w

Aortic aneurysm is ___ until

A

Arterial embolism (thrombus/embolis, trauma, dissection)

claudication, skin changes, distal ulcers and poor pulses

rapid enlargement/rupture

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4
Q

Cholesterol can result in, indicating

Prior DVT predisposes to

Temporal arteritis (Jaw claudication) can produce

A

Leg claudication, PVD or amaurosis fugax

venous dz

retinal ischemia (pallor w segmentation of arteries)

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5
Q

CVI pathophys

Neuropathic foot ulcers results in

MCC of SVC syndrome

A

hydrostatic pressure is great distally, pumping action of foot pushes fluid back out

reduced sensation

primary lung ca (look for hemoptysis and smoking), thoracic AA, fibrosing mediastinitis, SVC thrombosis (central venous catheter, hypercoag)

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6
Q

AAA cause, areas

Risk of rupture greatest when

Small vessel processes follow

Aortic thromboembolism more likely to produce

A

Atherosclerosis, infra renal

> 5cm

Aortic catheterization

acute limb ischemia

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7
Q

Rf for dissection

Periarteritis nodosa

typically follows

Considered a

Look for ___ in SLE

manifestations

AB such as

RCC produces
Does not produce

A

HTN

MS do- renal, joint, hematuria, neuropathy, livedo reticularis

hep B infection

systemic vasculitis

APS

thrombotic (stroke)

antinuclear, cardiolipin or lupus anticoagulant

Hematuria, ab pain
RF

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8
Q

Horner’s sx

Cause

result of

Tertiary syphillis aneurysm

Hodgkin’s presents w

A

ptsosis, miosis, anhidrosis

compressed sympathetic chain

dissecting AA, cancer, SC dz, neck mass,

Ascending region, unlikely paraspinous

mediastinal adenopathy

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9
Q

Other sx of SSS

Anterior cord syndrome presents w (carotid artery)

Loss of proprioception suggests (posterior spinal)

A

Hemaniopsa

aphasia, hemiparesis, pronator drift

Posterior column dz

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10
Q

Phlegmasia treat w

presents w

concern

gangrene associated w

Retroperitoneal bleeding cause

A

Systemic anticoag

swollen, edematous leg w out skin change/ulcer

massive PE

arterial insuff

spontaneously, anticoag/platelets

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11
Q

Hyperdynamic pulse conditions

presents like

Delayed pulse w dec amplitude indicates

A

Aortic regurg, hyperthyroid fever, anemia, PDA, cirrhosis, stiff aortic wall

rapid rising w inc amplitude

Aortic stenosis

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12
Q

Takayusa’s Arteriti present

classic population

additional sx include

Preductal aortic coarctation produces

A

const, unequal upper extremity pulses, HTN w renal bruit

Asian, young woman

Neuro, renovascular HTN, limb claudication, angina, GI sx

unequal arm pressure, R > L

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13
Q

Most common dz predisposing to embolism

Retinal artery occlusion results in, due to

Etiologies

Fundoscopy revelas

A

A fib

blindness, retinal infarct

embolism, thrombosis from athero, vasculitis

cherry red macula, segmented vessels

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14
Q

Retinal vein thrombosis produces

Proliferative retinopathy looks like

result of

Another cause of papilledema

A

papilldema and retinal hemorrhage

too many vessels

DM

IC hemorrhage (inc ICP)

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15
Q

PE possible sx

Acute MI does not have

Deceleration injury, think

A

shock like state, leg swollen/pain, nonspecific CXR/heart

leg sx

Aortic tear

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