Hyperemia/ Congestion / Perfusion Flashcards

(38 cards)

1
Q

what are the steps to primary hemostasis

A
  1. Platelet adhesion
  2. platelet dense granule release
  3. Platelet activation and recruitment
  4. Platelet aggregation
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2
Q

in which breeds of dogs is a deficiency of glansmann thrombasthenia genetic

A

otterhounds
great pyrenees
horses

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3
Q

what are the steps to secondary hemostasis

A
  1. tissue factor released
  2. activation local coagulation factors
  3. conversion prothrombin to thrombin
  4. fibrin forms around platelets
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4
Q

what is hemostasis localization

A

tissue plasminogen activator causes fibrinolysis or dissolution of the plug, thrombus retraction and healing

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5
Q

what are the vitamin K dependent factors

A

2
7
9
10

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6
Q

what is needed as a cofactor for the coagulation enzymes

A

Ca

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7
Q

which hemostasis defects are most commonly seen in primary hemostasis

A

petechiae
ecchymosis

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8
Q

what is the dysregulation of coagulation and fibrinolysis causing widespread clotting and hemorrhage

A

DIC - disseminated intravascular coagulation

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9
Q

what can cause hemorrhage due to abnormal function or integrity

A

blood vessels
platelets - decreased # or function
coagulation factor defects

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10
Q

what are considered the acquired coagulation factor defects causing decreased production

A

severe liver disease
vitamin K deficiency

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11
Q

what is an aggregate of platelets, fibrin, and blood elements at sites of blood vessel injury

A

thrombus

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12
Q

what kind of thrombus can be found in the heart

A

mural thrombus

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13
Q

if the platelet plug is persistent in form in lumen of vessels, what is it called

A

thromboembolus

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14
Q

what are the parts to Virchow’s triad

A

abnormal blood flow
hypercoagulabiltiy
endothelial injury

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15
Q

which thrombi are often seen pale or white in color

A

arterial thrombi

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16
Q

which thrombi are dislodged and cause infarction downstream in tissues

A

vascular thrombi

17
Q

what kind of thromboembolus occurs in the aortic-iliac bifurcation downstream from aortic thrombi in cats

A

arterial thromboemboli

18
Q

which thrombi is often seen as dark red and gelatinous and can lead to pulmonary infarcts

A

venous thrombi

19
Q

what causes venous thrombi

A

large numbers of erythrocytes that are loosely incorporated into the thrombus because of slow blood flow

20
Q

which thrombi are often seen as yellow and in large vessels or heart

A

postmortem thrombi

21
Q

what is recanalization of a thrombi

A

invasion of fibroblasts and by the formation of new vascular channels to provide alternate routes for blood flow through and around the original thrombus

22
Q

how are small thrombi removed

23
Q

how are larger more persistent thrombi removed

A

phagocytes / new tissue forms

24
Q

what is hyperemia

A

increased blood flow

25
what is passive congestion
decreased blood flow
26
what are some outcomes of decreased perfusion
infarction reperfusion injury shock
27
what are causes of chronic passive congestion
passive congestion fibrosis resulting from healed injury
28
true or false: you can have generalized heart failure plus the presence of generalized edema
true
29
what does right sided heart failure cause congestion in
portal vein and hepatic congestion
30
what does left sided heart failure cause congestion in
pulmonary congestion
31
what is often times an outcome/result of congestion
hypertension leading to ascites and edema
32
what do vessel occlusions result in
acute infarction
33
what are causes of cardiovascular collapse leading to shock
decreased circulatory volume reduced cardiac output inappropriate peripheral vascular resistance (hypotension)
34
what are the types of shock
cardiogenic hypovolemia blood maldistribution
35
what are the types of bood maldistribution
anaphylactic shock neurogenic shock septic shock
36
what is responsible for anaphylactic shock
histamine
37
what is responsible for neurogenic shock
autonomic discharges
38
what is responsible for septic shock
endotoxins or proteoglycans leading to proinflammatory cytokines and procoagulants