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Blood Vessels Path
Riz Ahmad
46
Medical
Graduate
01/06/2012

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Term
Atherosclerosis
Definition
INTIMA changes in medium/large arteries
Term
Plaque/Atheroma (4)
Definition
Raised lesion of lipid
Fibrous cap
Collagen deposition (stains blue)
Deposited in intima
Term
Aneurysm
Definition
Weakened vessel wall --> Balloons out
Term
Atherosclerosis risk (HHCDCI)
Definition
Hyperlipidemia
HT
Cigarettes
Diabetes
CRP/Inflammation
Term
Atherosclerosis pathogenesis (6)
Definition
Lipoproteins (LDL) accumulation
Monocyte adhesion
Platelet adhesion
Factor release
Smooth muscle proliferation
ECM production
Term
Most common site of atherosclerotic aneurysm
Definition
Between lower abdominal aorta and upper iliac arteries
Term
Thoracic atherosclerosis location
Definition
Primarily dorsal by intercostal arteries
Term
MC in thoracic/ascending aorta
Aortic valve dilated
Saccular outpouching (not all the way around)
Wrinkled tree bark intima
Definition
Tertiary/Syphilis aneurysm
Term
Aortic Dissection (4)
Definition
Intimal tear in thoracic vessel
Blood --> media

1. Massive hemorrhage
2. Hemothorax
3. Pericardium rupture
4. Cardiac tamponade
Term
MC in ACA
Congenital defect in media
Subarachnoid hemorrhage
Common in polycystic kidney disease pts.
Definition
Congenital/Berry aneurysm
Term
Classic fusiform aneurysm (2)
Definition
Atherosclerotic abdominal aorta
Arteriosclerotic kidney --> HT
Term
Aortic dissection (adults) (2)
Definition
HT
40-60 yo men
Term
Aortic dissection (younger) (3)
Definition
RARE
CT abnormality
Marfan's
Cystic medial degeneration
Term
95% have cANCA = Antineutrophil cytoplasmic Ab
Definition
Wegener's Granulomatosis
Term
DNA/AntiDNA Ab
Definition
Immune complex Noninfectious vasculutis
SLE
Term
Wegener's Granulomatosis (3Ns)
Definition
Necrotizing granulomas of upper/lower respiratory tract
Necrotizing glomerulonephritis (hematuria)
Term
> 50 yrs
In small arteries
Headaches/face pain
Optical symptoms
Definition
MC vasculitis
Giant cell (Temporal) Arteritis
Term
Giant cell (Temporal) Arteritis Pathology (6)
Definition
Lymphocytes and multinucleated giant cells
Nodular intimal thickening
Granulomatous inflammation of inner media
Fragmentation of internal elastic lamina
Lumen stenosis and thrombosis
Term
Weak pulse in upper extremities (Classic Sign)
Ocular defects
F < 40 yrs
Definition
Vasculitis of aortic arch great arteries
Takayasu Arteritis
Term
Takayasu Arteritis Pathology (7)
Definition
Collagenous scarring of arterial wall
Thickened intima
Lumen stenosis
Granulamatous inflammation
Giant cells/monocyte inflammation of media
Patchy medial necrosis
Adventitial inflammation
Term
Systemic S to M arteries
Capillaries spared
Episodic
Hep B Ag present in 30% (UNIQUE)
Definition
Polyarteritis Nodosa
Term
Polyarteritis Nodosa Pathology (3)
Definition
Transmural inflammation (Acute)
Fibrous nodular thickening (Chronic)
Impaired perfusion -> infarcts
Term
Kawasaki Disease General (4)
Definition
NI Vasculitis of M to L arteries
Transmural inflammation
Fibrinoid necrosis less than PaN
Coronary arteries aneurysms (20%) --> Aneurysms, MI
Term
Hypersensitivity Leukocytoclastic Vasculitis (4)
Definition
Immunologic reaction to Ag
Fragmented neutrophils in capillaries
Same aged lesions
Palpable purpura on legs
Term
Hypersensitivity Leukocytoclastic Vasculitis (2 Organs)
Definition
Lung --> hemoptysis (coughing up blood)
Kidney --> hematuria
Term
Kawasaki Disease Kids (4)
Definition
80% pts < 4 yrs
Leading cause of acquired heart disease in children
Cervical lymphadenopathy
Edema and rash
Term
Churg-Strauss Syndrome (2)
Definition
Bronchial Asthma
Allergic rhinitis
Term
Eosinophilia
Definition
Churg-Strauss Syndrome
Term
2/3 have pANCA
Definition
Churg-Strauss Syndrome
Term
Antiendothelial cell Ab
Definition
Kawasaki
Term
Smoking < 35
Feet ulcers (Tibial/Radial vasculitis)
Cold sensitivity (Raynauds)
Definition
Thromboangitis Obliterans
Buerger Disease
Term
Endothelial cells targeted --> hemorrhage
Definition
Rickettsial RMSF
Term
Angioinvasive arteritis in lungs
Definition
Fungal - Aspergillosis
Term
Dilated tortuous superficial varicose veins (3)
Definition
Increased intraluminal pressure
Incompetent valves
Noncontributory to pulmonary thromboemboli
Term
Statis Dermatitis
Ulcerated Skin
Definition
Varicose Veins
Term
Homan sign
Definition
Pain on foot dorsoflexion
DVT
Term
Adenocarcinoma (pancreas/colon)
Definition
Troussaeu = migratory thrombophlebitis
Term
Contributory to pulmonary thromboemboli
Definition
DVT
Not Varicose Veins
Term
Vascular tumors
Definition
Benign
Increased number of blood vessels
Term
Vascular tumor in skin and lips
Most common hemangioma
Definition
Capillary Hemangioma
Term
Vascular tumor in deep tissue, large dilates vessels
Definition
Cavernous Hemangioma
Term
Benign smooth muscle cell tumor
Painful
Digits
Definition
Glomangioma
Term
Reddish purple raised patches
Spindle cells
Slit spaces
Definition
Kaposi Sarcoma
Term
Kaposi Sarcoma types (BETH)
Definition
Bantu children
E. European men lower legs
Transplant Associated
HIV
Term
Malignant anaplastic endothelial cell neoplasm
Increased N/C ratio
Definition
Angiosarcoma
Term
Hepatic Angiosarcoma causes (CPcAT)
Definition
Carcinogens
Polyvinyl chloride
Arsenic
Thorotrast
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