Patho
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involuntary sudden movement or muscular contraction that results from irritation or trauma | show 🗑
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show | Platelet Plug
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show | Blood Coagulation
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show | Intrinsic Pathway
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requires the blood to be exposed to a subendothelial tissue factor originating outside the blood. This factor begins a complex series of chemical reactions | show 🗑
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show | Aggregation
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show | Adhesion
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show | Anticoagulants
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show | Heparin
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What is Heparin's antidote? | show 🗑
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a drug that inhibits blood clotting by antagonizing the biosynthesis of vitamin K- dependent coagulation factors in the liver; taken to prevent future blood clots | show 🗑
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What is Warfarin (Coumadin's) antidote? | show 🗑
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show | Thrombocytosis
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PLT count >1,000,000 | show 🗑
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any rash in which blood cells leak into the skin or mucous membrane, usually at multiple sites. They are often associated with coagulation disorders or thrombosis | show 🗑
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pin point purpura; hemorrhagic spots on the skin that appear in patients with platelet deficiencies | show 🗑
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show | Hematoma
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show | Thrombocytopenia
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show | ITP- Idiopathic Thrombocytopenia Purpura
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combination of thrombocytopenia, hemolytic anemia, vascular occlusion, fever, and neurological abnormalities; abrupt onset; may be fatal | show 🗑
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deficient function of platelets | show 🗑
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urine acid in the blood because of unhealthy kidneys | show 🗑
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show | Hemophilia A
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most common hereditary bleeding disorder; autosomal; decreased PLT adhesion and reduction of factor VIII; most are mild and untreated | show 🗑
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show | DIC- Disseminated Intravascular Coagulation
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show | Vascular Disorders
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show | Cushing's Disease
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purpura due to old age | show 🗑
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production of RBC; occurs in bone marrow | show 🗑
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show | inappropriate clotting and the failure of blood to clot
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show | the activation of factor X, the conversion of prothrombin to thrombin, and the conversion of fibrinogen to fibrin
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show | the liver
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show | Vitamin K
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What are 4 natural anticoagulants? | show 🗑
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What can one do to get Vit K in their diet? | show 🗑
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What lab test is used for Heparin? | show 🗑
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show | PT
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show | Coumadin
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What anticoagulant is used to slow down growth of present clots? | show 🗑
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show | Causes-artherosclerosis, DM, smoking, high cholesterol, high plt levels
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show | > PLT function (thrombocytosis) and > clotting activity
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What are some causes of > clotting activity? | show 🗑
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show | TX-prophylaxis; stop smoking w/ birth control meds, coumadin, ASA, and heparin
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At what level are the PLT when bleeding occurs? | show 🗑
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What is the normal PLT count? | show 🗑
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What are the S/S of a PLT deficit? | show 🗑
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show | <100,000
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What are the causes of Thrombocytopenia? | show 🗑
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What are some drugs that are culprits of thrombocytopenia? | show 🗑
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show | biconcave disk
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must have ____ for hgb synthesis | show 🗑
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show | ferritin
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production of RBC; regulated by erthytopoietin; occurs in bone marrow | show 🗑
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show | 120 days
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show | spleen, live, and bone marrow
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during destruction of RBC _____ prodction > causing jaundice | show 🗑
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show | 4.2-5.4
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show | 3.6-5.0
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show | 14-16.5
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what is the hgb count for women? | show 🗑
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what is the hematocrit (hct) count for men? | show 🗑
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what is the hematocrit (hct) count for women? | show 🗑
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abnormally high RBC, which makes the heart work overly hard to move blood | show 🗑
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what is the HCT for men and women with polycythemia? | show 🗑
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what are the 3 types of polycythemia? | show 🗑
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the hct rises b/c of a loss of plasma volume w/o corresponding decrease in RBCs | show 🗑
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show | primary polycythemia
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what is another term for primary polycythemia? | show 🗑
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physiological increase in erythropoietin | show 🗑
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what are the causes of relative polycythemia? | show 🗑
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show | fluid volume replacement
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show | 40-60
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show | S/S-HA, dizziness, difficulty hearing, HTN, venous stasis, itching & painful fingers & toes, night sweats & wt loss
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show | TX-phlebotomy, chemo, & radiation
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Commonly associated w/ hypoxia (high altitudes, chronic heart failure, lung disease, & smoking) | show 🗑
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show | TX-relieve hypoxia (O2 adm, breathing tx, ect)
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show | hyperbilirubinemia in the newborn
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show | bilirubin lights or sun exposure
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show | May be caused by hypoxia, breast feeding, hemolytic disease, bowel or biliary obstruction, liver disease...Prematurity, Asian ancestry, & maternal diabetes increase risk
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what is hemolytic DX of the newborn? | show 🗑
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transports blood thru the lungs for gas exchange | show 🗑
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transports blood thru the body | show 🗑
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Includes R. side of the heart, pulmonary artery, pulmonary capillaries, & pulmonary vein | show 🗑
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Includes L. side of the heart, aorta, arteries, capillaries, veins, and vena cavas | show 🗑
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____ vein is the only vein that carries oxygenated blood | show 🗑
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low pressure system | show 🗑
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show | systemic (peripheral)
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____ are closer the the heart, therefore have higher ____ | show 🗑
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_____ function for cellular exchange | show 🗑
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principals governing pressure, flow, and resistance in the circulatory system | show 🗑
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thick walled; transports blood away from the heart; has more stretch; pulsates | show 🗑
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show | veins
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includes capillaries, venules, and arteriole | show 🗑
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single-cell thick; connect the venules and arterioles | show 🗑
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show | Hyperemia
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what are 4 substances that effect blood flow? | show 🗑
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b/t the blood and the vascular smooth muscle; serves as a physical barrier for those vasoactive substances; plays a role in cellular exchange | show 🗑
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compensatory mechanism to deal w/ a blood flow occlusion; slow, gradual process | show 🗑
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show | Nitric oxide and Angiotension II
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speeds things up; Epinephrine and norepinephrine | show 🗑
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show | parasympathetic
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increases BP | show 🗑
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impairment can lead to ischemia and infarction | show 🗑
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show | congestive heart failure
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show | birth control pills
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show | thrombosis
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show | Causes-polycythemia, dehydration, plt aggregation, CHF, shock, dysrhythmias (Afib), trauma, surgery, anesthesia, BCP, smoking, arteriosclerosis/atherosclerosis, immobilization
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ateries are ____ in color and are ____ with no pulse | show 🗑
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veins are _____ in color and are ____ with a large pulse and are swollen | show 🗑
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show | blood not getting to an area
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thrombosis in the venous results in ___ | show 🗑
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show | TX-prevention, anticoagulants (coumadin & heparin), anti plt aggregregates (ASA, plavix)
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show | embolism
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What are the causes of embolism? | show 🗑
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show | CVA (stroke), PE (pulmonary empolis), MI (Heart attack)
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what is the TX for embolism? | show 🗑
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sudden constriction of an artery | show 🗑
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what can a vasospasm cause? | show 🗑
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what are the causes of vasospasms? | show 🗑
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vascular disorders that cause inflammatory injury of the blood vessels of any type and origin; classified by vessel size | show 🗑
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show | S/S-fever, myalgia, arthralgia, and malaise
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what are the causes of vasculitides? | show 🗑
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algia | show 🗑
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5 p's | show 🗑
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pressure in the muscle fascia impairing circulation; can lead to permanent loss of function; may be caused by a tight cast or dressing, thermal injury, trauma, infiltration of IV fluids, postischemic swelling, & venous obstruction | show 🗑
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what are the S/S of compartment syndrome? | show 🗑
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what is the DX for compartment syndrome? | show 🗑
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show | TX-pressures > 30mmHg; remove pressure, fasciotomy
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fractures commonly result in ___ | show 🗑
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HRT | show 🗑
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show | Atherosclerosis
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show | Atherosclerosis
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what are 3 types of Atherosclerosis? | show 🗑
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show | vessel occlusion-necrosis....thrombus-MI, PE,stroke
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what are the S/S of Atherosclerosis? | show 🗑
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show | Aneurysms
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small spherical dilatation of a blood vessel junction; common in the circle of Willis in the brain | show 🗑
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show | Fusiform
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show | Saccular
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show | Aortic dissection
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show | Aortic dissection
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What are the S/S of an aortic dissection? | show 🗑
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What are some complication of an aortic dissection? | show 🗑
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show | DX-H & P, aortic angiogram, TEE, CT, MRI
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what is the TX for an aortic dissection? | show 🗑
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what are 3 types of aneurysms? | show 🗑
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show | dissection and an aortic aneurysm
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any part of the thoracic or abdominal aorta | show 🗑
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show | aortic aneurysms
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What are the S/S of an aortic aneurysms? | show 🗑
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what is the DX for aortic aneurysm? | show 🗑
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what is the TX for aortic aneurysm? | show 🗑
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show | PVD: Arterial Disorders of the Extremities
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sudden event that interrupts arterial blood flow to tissue or an organ; usually caused by a clot, but may be trauma or arterial spasms | show 🗑
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- Occlusion of the blood in the lower extremities...usually involves the popliteal and femoral arteries | show 🗑
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Most common in men 60-70; Smoking and DM worsens | show 🗑
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What are the S/S for Atherosclerosis occlusive disease (Ateriosclerosis Obliterans)? | show 🗑
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show | DX-skin inspection, Doppler, extremity BPs, nuclear imaging, & contrast angiogram
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What is the TX for Atherosclerosis occlusive disease (Ateriosclerosis Obliterans)? | show 🗑
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show | Thromboangitis obliterans-AKA Burger’s disease
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Mostly men 25-40; Smoking increases risk | show 🗑
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What are the S/S for Thromboangitis obliterans-AKA Burger’s disease? | show 🗑
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show | DX-skin inspection, Doppler, extremity BPs, nuclear imaging, & contrast angiogram
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What is the TX for Thromboangitis obliterans-AKA Burger’s disease? | show 🗑
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Functional disorder caused by intense vasospasms of the arteries & arterioles in the fingers & occasionally the toes; Disease occurs w/o a cause & phenomena is a result of another cause | show 🗑
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Occurs in usually otherwise healthy women; It is brought on by cold or extreme emotions | show 🗑
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what is the cause of Raynaud’s? | show 🗑
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Associated w/ previous vessel injury-frostbite, vibration, extreme temp, occupational trauma, collagen diseases, neurological disorders, & chronic arterial occlusive disorders | show 🗑
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Often the 1st s/s of a collagen disorder like scleraderma & SLE | show 🗑
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show | S/S-pallor to cyanosis; a sensation of cold, changes of sensory perception, hyperemia after episode, may affect the entire hand of just a portion, nails become brittle, arthritis may develop, ulceration & gangrene is rare
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show | DX-hx of vasospasmic episodes w/o presence of other disorders; laser-Doppler velocimetery, & CT
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show | TX-elimination of triggers (cold, emotional stress, vasoconstrictors), no smoking, vasodilators, surgical interruption of sympathetic pathways
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show | Varicose Veins
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More common after 50, in the obese, & women; usually have a family hx, prolonged standing & increased intra-abdominal pressure (lifting) | show 🗑
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show | Primary Varicose Veins
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What are the S/S of Varicose Veins? | show 🗑
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show | DX-inspection, Doppler ultrasonic flow probe, angiogram
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What is the TX for Varicose Veins? | show 🗑
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show | Secondary Varicose Veins
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show | Chronic venous insufficiency
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What are the S/S of Chronic venous insufficiency? | show 🗑
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show | S/S-edema, pain, ?Homan’s sign
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show | DVT
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show | TX-DO NOT MASSAGE, anticoagulant therapy, embolectomy
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caused by obstruction of lymph (removal or destruction of nodes) | show 🗑
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What are the S/S of Lymphedema? | show 🗑
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What is the TX for Lymphedema? | show 🗑
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the work part of BP | show 🗑
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the rest part of BP | show 🗑
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show | pulse pressure (~40)
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show | mean arterial pressure (90-100)
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show | Cardiac Output (OP) X Peripheral Vascular Resistance (PVR)
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ejection of blood into the aorta | show 🗑
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The variability is controlled by the amount of blood that is ejected & the elasticity of the aorta | show 🗑
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show | Systolic BP
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show | Diastolic BP
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Depends on the elasticity of the aorta & large arteries, ability to store energy, microcirculation blood flow control, & function of the aortic valve. | show 🗑
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show | Diastolic BP
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show | Regurgitation
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show | pulse pressure (~40)
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It rises with increased blood volume and vise versa | show 🗑
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1/3 of the pulse pressure | show 🗑
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show | Mean arterial pressure
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Meant to correct temporary imbalances-exercise and position changes | show 🗑
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show | Short-Term BP Regulation
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show | Neural and Humoral
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Control center located in the reticular formation of the lower pons and the medulla; major site for the autonomic nervous system; cardiac center | show 🗑
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Transmit parasympathetic and sympathetic impulses | show 🗑
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What is Neural Short-Term BP Regulation mediated through? (3) | show 🗑
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show | Baroreflex- Neural Short-Term BP Regulation (intrinsic mediator)
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show | baroreflex and chemoreceptor
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show | 1. factors associated with pain and cold...2. spread out and inconsistant...3. processed thru the hypothalmus...4. responses to mood and emotion
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show | Arterial chemoreceptors (Neural Short-Term BP Regulation)
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an enzyme that is synthesis, stored, and released in the kidneys in response to an increase in sympathetic nervous system activity or decreased BP, extracellular fluid volume, or extracellular Na | show 🗑
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show | Antidiuretic hormone (vasopressin)
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In HTN, this mechanism gets out of control | show 🗑
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show | Antidiuretic hormone (vasopressin) and Renin-angiotension-aldosterone
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Kicks in to compensate d/t the short-term mechanisms inability to maintain changes over time. | show 🗑
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show | Long-term BP regulation
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Fall in BP= ________ | show 🗑
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Too much fluid in tissue=__________ | show 🗑
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