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Vascular dz take two

Step one and question for vascular dz

What are described as "ball-valve" obstruction in the left atrium Myxoma cardiac tumor
Myxomas are associated /w multiple syncopal episodes
What is the number one most common cardiac tumor in adults Myxomas
90% of myxomas occure? atria (mostly left atrium)
What is the most frequent cardiac tumor in children rhabdomyomas
Rhabdomyomas are associated /w tuberous sclerosis
Metastases to the heart most commonly from? Melanoma and lymphoma
Cardiac tumors are associated /w Kussmaul's sign. What is Kussmaul's sign? Increase in jugular venous pressure on inspiration
What are dilated, tortuous superficial veins due to chronically increased venous pressure called Varicose veins
Varicose veins are predisposes a person to what? Poor wound healing and varicose ulcers
Raynaud's disease is due to what? arteriolar vasospasm
What type of vessels does Raynaud's dz affect small vessels
Raynaud's disease is in response to? Cold temp. or emotional stress
Decreased blood flow to the skin due to arteriolar vasospasm when secondary to a mixed connective tissue disease, SLE or CREST syndrome is called? Raynaud's phenomenon
Wegener's granulomatosis is characterized by a triad of what? Focal necrotizing vasculitis necrotizing granulomas in the lung and upper airway Necrotizing glomerulonephritis
Wegener's granulomatosis affects what size vessels? small vessels
Symptoms of Wegener's granulomatosis Hemoptysis hematuria perforation of nasal septum chronic sinusitis otitis media mastoidistis cough dyspnea
What are the clinical findings for Wegener's granulomatosis c-ANCA is a strong marker of the disease Chest x-ray may reveal large nodular densities hematuria and red cell casts
What is the treatment for wegener's granulomatosis Cyclophosphamide and corticosteroids
What are the ANCA-positive vasculitides? c-ANCA = wegener's granulomatosis p-ANCA = Microscopic polyangiitis, 1 pauci-immune crescentic glomerulonephritis and churg-strauss syndrome
ANCA-positive vasculitides affect what size vessels small vessels
What dz is similar to Wegener's but lacks granulomas? Microscopic polyangiitis
What vasculitis is limited to kidney? 1 pauci-immune crescentic glomerulonephritis
What vasculitides is characterized by granulomatous vasculitis /w eosinophilia Chrug-Strauss syndrome
Churg-Strauss syndrome most often presents /w asthma sinusitis skin lesions peripheral neuropathy (e.g = wrist/foot drop) Can also involve heart, GI and kidneys
What dz is a congenital vascular disorder that affects capillary sized blood vessels Sturge-weber disease
What disorder presents with Port-wine stain (nevus flammeus) on face, ipsilateral leptomeningeal angiomatosis (intracerebral AVM), seizures and early-onset glaucoma. Sturge-Weber disease
What is the most common form of childhood systemic vasculitis Henoch-Schonlein purpura
Henoch-Schonlein is associated /w what type of immune complexes? IgA Can follow an URI
What is the common triad in Henoch-Schonlein purpura skin, joints, and GI /w multiple lesions of the same age
Henoch-Schonlein is what kind of hypersensitivity? Type III
What are the symptoms of Henoch-Schonlein dz? skin rash on buttocks and legs (palpable purpura) arthralgia intestinal hemorrhage abdominal pain melena
Buerger's disease is also known as? Thromboangiitis obliterans
What disease is seen in heavy smookers Buerger's disease (thromboangiitis obliterans)
What size vessels does Buerger's disease (thromboangiitis obliterans) affect? Small and medium sized vessels
What dz. is associated /w idiopathic, segmental, thrombosing vasculitis of small and medium peripheral arteries and veins. Buerger's disease (thromboangiitis obliterans)
What are the symptoms for Beurger's disease? Intermittent claudication superficial nodular phlebitis cold sensitivity (raynaud's pehomenon) sever pain in affected par May lead to gangrene and autoamputation of digits
What is the treatment for Buerger's disease Smoking cessation
What type of vasculitis is Kawasaki disease Acute, self-limiting necortizing vasculitis in infants/children
Kawasaki disease is associated /w what ethnicity? Asian
What sized vessels does Kawasaki affect? Small + medium vessels
What are the symptoms for Kawasaki disease Fever, conjunctivitis changes in lips/oral mucosa (strawberry tongue) lymphadenitis desquamative skin rash May develop coronary aneurysms
What is the treatment for Kawasaki disease IV immunoglobulin Aspirin
Polyarteritis is what type of vasculitis? Immune complex-mediated transmural vasculitis /w fibrinoid necrosis
What size vessels does polyarteritis nodosa affect small and medium arteries
What are the symptoms for polyarteritis nodsa Fever, weight loss malaise abdominal pain melena headache myaligia hypertension neurologic dysfunction cutaneous eruptions
What vasculitis is associated with Hepatitis B in 30% of pt. Polyarteritis nodsa
What vasculitis typically involves renal and visceral vessels, NOT pulmonary arteries Polyarteritis nodosa
What vasculitis has lesion at different stages polyarteritis nodosa
What are the finding for polyarteritis nodosa Hepatitis B seropositivity in 30% of pt. Multiple aneurysms and constrictions on arteriogram
What is the treatment for polyarteritis nodosa corticosteroids cyclophosphamide
What arteritis is known as "pulseless disease" Takayasu's arteritis
What size vessels does Takayasu's arteritis affect medium and large arteries
What type of arteritis is Takayasu's arteritis? Granulomatous
What arteritis is associated /w increased ERS Takayasu's arteritis Temporal Arteritis (giant cell arteritis)
Takayasus' arteritis is thickening of what arteries aortic arch and/or proximal great vessels
Takayasu's arteritis primarly affects who? Asian femalses <40 years of age
What are the symptoms for Takayasu's arteritis FAN MY SKIN On Wednesday Fever Artheritis Night sweats MYalgia SKIN nodules Ocular disturbances Weak pulses in upper extremities
What arteritis usually affects branches of the carotid artery? Temporal arteritis (giant cell arteritis)
What size vessels does temporal arteritis affect Medium and large arteries
Temporal arteritis is what type of arteritis granulomatous inflammation
What population does temporal arteritis usually affect? elderly females
What are the symptoms for temporal arteritis Unilateral headache jaw claudication impaired vision (occlusion of ophthalmic artery that may lead to irreversible blindness)
What are the clinical findings for temporal arteritis? Associated /w an increase ESR. half of pt have systemic involvement polymyalgia rheumatica
How is temporal arteritis treated? High-dose steroids
What vascular tumors is a benign. Initially grows /w child; then spontaneously regresses Strawberry hemangioma
What vascular tumor is found in elderly, does not regress and the frequency increases with age cherry hemangioma
Pyogenic granuloma is associated /w trauma an dpregnancy
Which vascular tumor is a polypoid capillary hemangioma that can ulcerate and bleed pyogenic granuloma
Cystic hygroma is associated with what genetic disorder Turner syndrome
A cavernous lymphangioma of the neck is called? Cystic hyroma
A benign, painful, red-blue tumor under fingernails? Glomus tumor
Which vascular tumor arises form modified smooth muscle cells of glomus body Glomus tumor
Bartonella henselae is associated /w what vascular tumors Bacillary angiomatosis
Which vascular tumor is considered a benign capillary skin papules found in AIDS pt. and mistaken for Kaposi's sarcoma Bacillary angiomatosis
What is the vacular tumor called that is a highly lethal malignancy of the liver Angiosarcoma
What is associated /w causing liver angiosarcoma Vinyl chloride arsenic ThO2(Thorotrast)
What vascular tumore is associated /w post radical mastectomy Lymphangiosarcoma
What vascular tumor is associated with peristent lymphedema Lymphangiosarcoma
Kaposi's sarcoma is associated /w what virus HHV-8 and HIV
Kaposi's sarcoma is frequently mistaken for? Bacillary angiomatosis
Created by: schrla



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