Blood Vessels Dz Sx Flashcards
(23 cards)
- facial pain
- headache
- older patients
- fever, fatigue, weight loss
- enlarged and tender temporal arteries
- double vision
giant cell (temporal) arteritis (noninfectious vasculitis)
- homogenous pink (hyaline) thickening of vessel wall
- narrow lumen
- plasma protein leakage across damaged epithelium
hyaline arteriosclerosis
- string of beads on angiography
- focal irregular thickening
- may develop into aneurysm
- young woman
fibromuscular dysplasia
- persistent pneumonitis and sinusitis
- renal dz
- nasopharyngeal ulceration
- rashes
- myalgias
granulomatosis with polyangiitis
noninfectious vasculitis
- pulsating mass in the abdomen with bruit
AAA
- calcification of muscular arteries
- involves internal elastic membrane
- no narrowing of lumen
- no clinical significance
Monckeberg medial sclerosis
- severe HTN
- concentric lamellations (onion skinning)
- luminal narrowing
hyperplastic arteriosclerosis
- vascular insufficiency in extremities
- smokers
- less than 35 y/o
- hypersensitivity to tobacco products
thomboangiitis obliterans (buerger dz) (noninfectious vasculitis)
- rapid accelerating HTN due to renal a. involvement
- abd pain and bloody stools
- diffuse myalgias
- peripheral neuritis affecting motor nerves
polyarteritis nodosa (PAN) (noninfectious vasculitis)
- hemoptysis
- hematuria
- proteinuria
- bowel pain or bleeding
- muscle pain or weakness
- palpable cutaneous purpura
microscopic polyangiitis
noninfectious vasculitis
- infant and small children
- conjunctival and oral erythema and blistering
- edema of hands and feet
- erythema of palms and soles
- desquamative rash
- cervical LN enlargement
Kawasaki dz
noninfectious vasculitis
- idiopathic HTN
- older age
- african american increased risk
essential HTN
- starts with fever, fatigue, weight loss
- ocular disturbances
- marked weakening of pulses in UE (pulseless dz)
- Japanese patients
Takayasu arteritis
noninfectious vasculitis
- chest pain radiating to the back between the scapulae and moving downward
- hypertensive males 40-60
- young patients with marfans
aortic dissection
- worst headache i’ve ever had
berry aneurysm
- pre-existing benign HTN
- retinal hemorrhage and exudate
- papilledema
- renal failure
- BP 200/120
malignant HTN
HTN with underlying renal or adrenal dz (like primary aldosteronism, cushing, pheochromacytoma)
secondary HTN
- “broken heart syndrome”
- sudden cardiac death from epinephrine, cocaine, or emotional stress
myocardial vessel vasospasm (takotsubo cardiomyopathy)
- obliterative endarteritis of vasa vasorum
- ischemia of outer media in the thoracic aorta
tertiary syphilus
- palpable purpura
- GI tract bleeding
- renal dz
- eosinophils and granulomas
- cardiomyopathy
Churg-Strauss syndrome
noninfectious vasculitis
- aphthous ulcers of oral cavity
- genital ulcers
- uveitis
Behcet dz
noninfectious vasculitis
- deposits of antigen-antibody complexes in vascular walls
- seen in SLE or drug hypersensitivity
- skin lesions
- seen in Hep B patients (polyarteritis nodosa)
immune complex vasculitis
non-infectious vasculitis
- difficulty breathing
- possible speech problems
- high TGF-B levels
- due to HTN or Marfan
thoracic aortic aneurysm (TAA)
