Aortic Dissection & Aneurysm

Question 1

Sharp tearing chest pain radiate to the back ?? which disease ??

Answer 1

Aortic dissection

P-70

Question 2

HTN how occur in AD ??

shit pathogenesis

Answer 2

HTN = Hyaline arteriolosclerosis = Vasa vasorum = dec blood flow = Atrophy of the media

P-70

Question 3

Common cause of AD ?

Answer 3

1. HTN
2. InhERITED DEFECTS OF connective tissue

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Question 4

Defects of connective tissue in young cause AD how ??

Answer 4

1. Marfan syndrome
2. Ehlers Danlos syndrome

Question 5

Ballon like dialtion of thoracic aorta ??

Answer 5

Thoracic aneurysm

P-70

Question 5

Complications of AD ??

Answer 5

1. Pericardial temponade
2. Rupture + Fatal hemorrhage
3. Obstruction of branching ARTERIES

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Question 6

Tree bark apperance of the aorta in which DIsease»_space;»????

Answer 6

Thoracic aneurysm

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Question 7

TA classically seen in —– ??

Answer 7

Tertiary syphilis

Question 7

Pathogenesis of Endarteritis of the vaso-vasorum ???

Answer 7

1. Luminal narrowing
2. dec blood flow
3. Atrophy of vessel wall

P-70

Question 8

Complications of TD ??

Answer 8

1. AOric root dilation
2. Compression of mediastinal structure
3. Thrombosis
4. Embolism

P-70

Question 9

Cause of AAA ??

Answer 9

Atherosclerosis

Question 9

Ballon like dilation of abdominal aorta is called ??

Answer 9

Abdominal aorta aneurysm

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Question 10

AAA site ???

Answer 10

Renal artery
above the aortic bifurcation

P-70

Question 11

Clinical presentation of AAA ??

Answer 11

Pulsatile abdominal mass that grows with time

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Question 12

Major complication of AAA >??

Answer 12

Rupture

Question 13

Complication triad of AAA ??

Answer 13

1. HypoTension
2. Flank pain
3. Abdominal mass

P-70

OTHER COMPLICATIONS – thrombosis / embolism + compression of local structures ( ureter +) ……………………..

Question 14

Chest / Back pain
+ Dysphagia + Hoarseness + Cough + Dyspnea = Dx ??

uw

Answer 14

Thoracic aorta aneurysm

as it compress sourrounding structures

UW

Question 15

Result of abdominal aortic aneurysm ??

UWorld

2 points

Answer 15

1. Chronic transmural inflammation
2. ECM degradation within the wall of the aorta

UW

Question 15

Risk factors of Abdominal Aortic Aneurysm ???

UWorld

Answer 15

1. Age > 60
2. Smoking
3. HTN
4. Male
5. Family history
6. Atherosclerosis

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Question 16

AAA focal dialtion of abdominal aorta size ?

UW

Answer 16

> 50% above normal
3cm in diameter

UWorld

Question 16

All risk factors + Abdominal /back pain = ??

UWorld

Answer 16

Abdominal aortic aneurysm

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