Vascular Pathology

Question 1

Arteriosclerosis (hyaline)

Answer 1

Due to essential HTN or DM

Thickening of vessel wall

Question 2

Arteriosclerosis (hyperplastic)

Answer 2

Due to severe HTN

onion skinning because of smooth muscle proliferation

Question 3

Arteriosclerosis (monkeberg)

Answer 3

Medial calcification
Affects medium size A.
Vascular stiffening
Pipestem appearance on XRAY

Question 4

Atherosclerosi

Answer 4

Arteriosclerosis caused by adipose plaque
Abdominal aorta>coronary artery>popliteal artery>carotid artery
Symptom : angina , claudication
Complications: aneurysm ischemia Infarcts peripheral vascular disease, thrombus, emboli

Question 5

Aneurysms abdominal

Answer 5

Abd pain / back pain
Atherosclerosis
Pulpable pulsatile abd mass
Crescent shape non apcified (tire tar az aort dar cxr)

Question 6

Aneurysm thoracic

Answer 6

Cystic medial degeneration

Risk factor : marfan, bicuspic aortic valve, HTN
Associated woth tertiary syphilis(end arteritis of vasa vasorum)
May cause AR

Question 7

Aortic dissection

Answer 7

False lumen (dar cxr roshan tar az aorta)
Associated with marfan, bicuspid aortic valve, hypertension
Tearing: sudden onset chest pain radiating to back, organ ischemia, aortic rupture, death

Proximal: tx: surgery
Distal: betablocker then vasodilators