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17208897
Peripheral vascular diseases
Description
Mind Map on Peripheral vascular diseases, created by Fatima Alkhateeb on 10/03/2019.
Mind Map by
Fatima Alkhateeb
, updated more than 1 year ago
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Created by
Fatima Alkhateeb
almost 6 years ago
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Resource summary
Peripheral vascular diseases
Blood vessels of the lower limbs
Arteries
Veins
Vasculitis
Large vessels
Giant cell (temporal arteritis)
Elderly female, headache, jaw claudication
Could lead to blindness (ophthalmic artery)
Takayasu arteritis
Asian young female
Pulseless disease, fever, night sweats
Medium vessels
Polyarteritis nodosa
Kawasaki disease
Buerger disease
Heavy smoker, young male
Gengrene, autoamputation of digits
Asian children less than 4 years old, affecting skin, lips, tongue
Middle-aged men, Hep B in 30%, immune mediated
Nerves, skin, kidneys
Small vessels
Wegener
Microscopic polyangiitis
Churg-Strauss
Henoch-Schonlein purpura
Most common childhood systemic vasculitis
Classic triad: palpable purpura, arthralgia, GI problems
Asthma in adults, pouch-immune
p-ANCA positive, high IgE levels
Eosinophilia
Similar to Wegener but no granuloma or nasopharungeal involvement
p-ANCA positive
affecting both upper and lower respiratory tracts
c-ANCA positive
Atherosclerosis
Risk factors
Tobacco smoke
Hereditary
Endocrine
Obesity
Males
Age
Stress
Pathogenesis
endothelial cell dysfunction
macrophage and LDL accumulation
Foam cell formation
fatty streaks
smooth cell migration
proliferation and extracellular matrix deposition
fibrous plaque
complex atheroma
Intermittent claudication
A symptom of PAD characterized by pain, aching, or fatigue in exercising leg muscles
Aortic dissection
Intimal tear with dissection of blood through media of the aortic wall
Aneurysms
Thoracic
compression of mediastinal structures
Abdominal
Primarily due to atherosclerosis
Investigations
ABI index
Duplex US
photoplethysmogram
Management
Smoking cessation
Excersice
Statins (anti-heperlipidemics)
Media attachments
777 (binary/octet-stream)
8888 (binary/octet-stream)
33344 (binary/octet-stream)
9999 (binary/octet-stream)
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