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Exam 1 - Peripheral system review + ht fail (sys v dias)
Exam 1 - Peripheral system review + Heart Failure (systolic v diastolic)
27
Health Care
Graduate
02/17/2013

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Term
Diastolic ht failure =
Definition
normal/near normal ejection fraction;
impaired ventricular relaxation/compliance/filling
Term
Systolic ht failure =
Definition
impaired contractile or pump fxn

("a condition in which the heart fails to discharge its contents adequately")
Term
aa. & vv. are innervated by
PARA or SYMPA nervous system?
Definition
sympathetic nervous system
Term
connections between arterial branches providing collateral circulation to capillary beds =
Definition
anastomoses
Term
vv have mm in media, but that
DECR or INCR
as vv get closer to heart?
Definition
decr as vv are closer to heart
Term
MAP =
Definition
mean arterial pressure
Term
MAP formula
Definition
DBP + 1/3*(SBP-DBP)
Term
MAP is assumed to be equal to...
Definition
perfusion pressure at organs
Term
Thromboangitis obliterans, aka...
Definition
Buerger's Disease
Term
Thromboangitis obliterans: PVD classification
Definition
vasospastic disease
Term
1* lymphatic system =
Definition
thymus, bone marrow
Term
2* lymphatic system =
Definition
nodes, tonsils, adenoids, spleen
Term
Occlusion of superficial femoral a. >> pain in...
Definition
buttocks/thigh
feet/ankle when walking uphill
Term
Occlusion of aoroiliac a. >> pain in...
Definition
buttocks
Term
Occlusion of popliteal a. >> pain in...
Definition
calf
Term
S/Sx of PVD
Definition
pain/ache c activity
burning pain at rest
pain aggravated by elevation (vv return probs)
decr skin temp
dry/scaly/shiny skin
poor hair/nail growth
ulcerations on WB surfaces
vision changes
fatigue on exertion
post-ex numbness
Term
PVD Rx: meds
Definition
cilostazol or pentoxifylline (change flexibility of RBCs
antiplatelet agents (Plavix)
statins (cholesterol lowering)
Term
Rx for PVD (6)
Definition
meds
sx
smoking cessation
exercise + diet
rx of HTN
rx of diabetes
Term
Risk factors for aneurysm (4)
Definition
>50 yo
HTN
M>F
atherosclerosis
Term
Risk factors for embolus (8)
Definition
rheumatic ht disease
a-fib
mitral stenosis
recent sx
bone fx
cigarette smoking
recent bedrest
long-term IV therapy
Term
Rx of embolus (5)
Definition
thrombolytic therapy
thromboaspiration
embolectomy
angioplasty
sx
Term
Risk factors for embolism (5)
Definition
venous stasis
local venous injury (>>sticky cells)
hypercoagulable states
oral contraceptives, pregnancy (incr estrogen>>incr risk)
sx, trauma, fx
heart disease
Term
Buerger's disease: descriptors (6)
Definition
distal ischemia (fingers/feet)
M 20-40yo
hx of smoking
chest pain
more common among south Asians
amputation common
Term
Raynaud's disease: Rx
Definition
keep body warm
avoid rapid temp changes
meds
Term
Types of 1* lymphatic disease
Definition
Milroy (birth)
Meige (puberty)
lymphedema tarde (middle-aged)
Term
1* lymphatic disease:
congenital or acquired?
Definition
congenital
Term
Aortic dissection: symptoms
Definition
similar to MI
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