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vessels, :<3::<3::<3: - Coggle Diagram
vessels
Aneurysm
Abdo Aorta: AtheroscL
Thoracic Aorta : marfan sy, Ehlers D. Sy, syphilis
Cerebral ves " berry"
:<3: weak wall after AIM, IE
Unusual : A-V shunt, Mycosis
v.
SVT
DVT
Varixy "Phlebectasia"
Vasculitis
M
Poly-artritis nesoda (PAN)
: rare nec arteritis, :red_cross:glomeruloneph, :red_cross: ACNCA
Kawasaki Sy
: coronary a. , children -> HA, ICHS, aneurysm + mucocut sy & lymphadenopathy
S
GPA
: c-ANCA (PR3) +, upper airways, lungs, kidneys, *Granulomas, nec vasculitis
MPA
: p-ANCA (MPO) +, lung, kidney, No granulomas
EGPA
: p-ANCA +, asthma, eosinophilic granulomas
Goodpature (anti- GBM):
lung, kidney - hemoptysis, hematuria
IgA vasculitis
: common in children, palpable purpura, arthralgia, GI symp. renal
Leukocytosiclastic vasculitis: allergy, skin purpura
L
Takayasu "Pulse-less disease"
: Granulomatous inflamm, aorta + rr, female, Asia, Mexico,
Temporal Giant
;' F, >50 y , treat w/ steroid
Dissection
A: asc aorta + arch - more common , more sever
B: Desc aorta only
Atherosclerosis
:<3::<3::<3:
congenital :<3:
Valve
stenosis, atresia
Ebstein
: TR
Aortia
R Arch / Arch duplication
A. lusoria
Coarctation
outflow
Vent-atria
DORV
TGA
TOF
Trucus Arteriosus communis
PDA
/ anomalous pulm. v. return
Septal
VSD
: perimem, intra-m. , Roger's disease (small vsd, B)
ASD
: foramen ovale patens / perivium , atrium commune
AVSD
: common in Down
HLHS
"hypoplastic L :<3: sy"
position
Dextroposition
Coronary a. : abnorm origine, fistula, ischemia
Valves
:male_sign:
AR
: endocarditis, Marfan Aortic dissection, syphilis / LV eccentric / exer dyspnea, wide pule p / early dias murmur
MS
: 98% RF , congen, myxoma / LA P :arrow_up:, pulm HTN, RV dilation / exer dyspnea, hemoptosis, Mitral face / dias rumbling murmur
AS
: degenerative (elderly), bicuspid, RF / LV Concentric > ischemia / exer dyspnea, angina, SCD / sys ejection murmur
MR
: MVP (myxoid), post MI papillary mm. rupture, senile, IE / LV eccentric, pulm HTN / dyspnea, risk of emboli / holosys murmur
TR
: due to RV oveeload , Ebstein's Anomaly (atrialization of RV)
Carcinoid :<3: disease : mts from liver > serotonin release > fibrosis of R side valves > TR, PS
MYO
yonger
:male_sign:
Infec: bac (borrelia, C.diff, staph) / virus (coxB, adeno, echo, influ) / myco (asper, candida) / para (toxo, T.cruzi)
non infec: RF, SLE
dilated, round, flaccid, plae, mottled myocardium symp mimic AMI (but norm coronary aa.) / dg: 5sample biopsy w/ 50% sen, troponin, CK-MB, CRP, ESR, MRI
idio : giant cell, eosino mayocarditis
CMP
Hypertrophic
: asymm septal, LV , dias dysfunc, AD (mut in myosin , troponin) / arrhth, ischemia, paradoxical reduction of BP, MR, dyspnea, syncope
Restrictive
: normal Vulome, norm sys, dias sydfunc / amyloidosis, hemochromatosis, idio inters fibrosis in children / R:<3:F
Dilation
: sys dysfunc, Cox B, echo virus, DMD, BMD, Alcohol, peripartum (multipara, older) / ch :<3:F , arhyth, / 5y survival 30% , need tranplant
ARVC "arrhythmogenic"
: :<3:m. replacement w/ CT, AT / familial, virus, / arrhyth, R:<3:F, coronary death
Pericard
fluid
norm 30 ml
clear
CHYLO: lymph (milky), t duct obst / tu, trauma
HEMO: rupture, dissection, iatrogenic / rapid > temponade ~ 200 mL
EFFU: serous, fibrinous, hemorrhagic / variable effect
HYDRO: clear, hypo-pr eamia, ch :<3:F / slow accum, temponade > 1L
itis
non infec:
pericarditis epistocardiaca
, uremia, SLE, RF, radiation, tu mts (carcinomatous percarditis)
Infec: bac (staph, pneumococ) - purulent / virus (entero, echo) - serous, lymphatic inflamm / myco (asper, candida, histoplasma) - purulent
healing: ad integrum, scar, adhe pericard petrosa "Amored :<3:" (TB, purulent inflam, radiation, surgery) , rubbing murmur, general symp, HF
Endocarditis
Infective
prothetic valve : 2m after implant, early onset, bad prog
IV drug: tricuspid,
S.aureus, candida
ch: Strep. Viridans , :red_cross:indicate:<3: invovlment, :red_cross:murmur , sys inflam, general symp,
noso IV: catheter, dental, bad prog
Ac : Staph. Aureus, sudden, sepsis, murmur, valve destruction
Sterile
SLE "Libman-sacks"
: AI, serous peri, lympho myo, verrucosa endo, acc w/ atheroscl , ac nec vacul - anti-ph-lipid Ab > endo dysfunction > H thrombosis risk
NBTE "Marantic"
: hyperCoag, L :<3: (MS, AS), in ass w/ 60% tu (pan, ovaries, stomach, lung)/ 40% (DIC, nephropathy, COPD) , can cause brain and spleen infarct
RF
: after Strep.pyones, pan, emdo, myo, peri, endocarditis verrucosa (Mitral>Aortic), Aschoff's bodies, / Ch >>> scar, stenosis insuffi > MS > HF
:<3: Tu
1
B
Papi fibro-elastoma
: Hamartogenic endocardial formation "false tu" in older, on Aortic valve tips , 1cm / emb, murmur
Rhabdomyoma
: children, TB / obts, arrhythmia
Myxoma
:female_sign: 30-60 y, LA septum, pedunculated ~ 5cm / emb. valve obst, sudden death / star shape cell + mucoid stroma
Cystic Tu of AV node
: congenital, tiny lesion / complete AV block, sudden death
M
Angiosar
: adults, most common primary malig
Rhabdomyosar
: children , poor prog
Large B cell Lymphoma
: ass w/ immunodefi, infiltrative
2: more common than primary - lung, breast, kidney, melanoma, liver
-- carcinomatous pericarditis (80%)