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Patho

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Question
Answer
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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