Shared Flashcard Set

Details

Vascular Ultrasound
Cerebrovascular lectures 1 and 2
50
Health Care
Professional
06/23/2011

Additional Health Care Flashcards

 


 

Cards

Term
ANTERIOR CIRCULATION CONTAINS:
Definition
COMMON CAROTID A., INTERNAL CAROTID A., EXTERNAL CAROTID A.
Term
RIGHT CCA IS A BRANCH OF
Definition
INNOMINATE A.
Term
LEFT CCA IS A BRANCH OF
Definition
AORTIC ARCH
Term
INTRACRANIAL OF ICA INCLUDES:
Definition
OPHTALMIC A.ORIGINATES NEAR CAROTID SIPHON,ANTERIOR AND MIDDLE CEREBRAL A WHICH TERMINATE AT THE CIRCLE OF WILLIS, POSTERIOR COMMUNICATING A.
Term
THE FIRST BRANCH OF ASCENDING AORTA BEFORE BECOMING AORTIC ARCH
Definition
CORONARY ARTERY
Term
3 BRANCHES OF AORTIC ARCH
Definition
INNOMINATE A., LEFT CCA, LEFT SUBCLAVIAN A.
Term
VESSELS OF MICROCIRCULATION:
Definition
ARTERIES, ARTERIOLES, CAPILLARIES
Term
MICROSCOPIC ANATOMY OF ARTERIAL WALL CONTAINS:
Definition
TUNICA INTIMA (INNER LAYER COMPOSED OF ONE LAYER OF ENDOTHELIAL CELLS), TUNICA MEDIA (THE THICKEST LAYER COMPOSED OF SMOOTH MUSCLES AND CONNECTIVE TISSUES)AND TUNICA EXTERNA OR ADVENTITIA (THE OUTERMOST LAYER COMPOSED OF FIBROUS CONNECTIVE TISSUES)
Term
THE VESSELS THAT CARRY BLOOD TO THE ADVENTITIA LAYER OF ARTERIAL WALLS
Definition
VASA VASORUM
Term
THE AMOUNT OF BLOOD THAT IS PUMPED INTO AORTA WITH EACH HEAT BEAT
Definition
70 MILLILITERS
Term
WHAT HAPPENDS WITH EACH CARDIAC CONTRACTION
Definition
PRESSURE IN THE LEFT VENTRICLE RISES RAPIDLY, LEFT VENTRICLE PRESSURE EXCEEDS THAT IN THE AORTA (PRESSURE GRADIANT), AORTIC VALVE OPENS AND BLOOD IS EJECTED, BP RISES.
Term
TOTAL ENERGY CONTAINS:
Definition
PRESSURE (POTENTIAL)ENERGY, KINETIC ENERGY, GRAVITATIONAL (HYDROSTATIC) ENERGY.
Term
HYDROSTATIC ENERGY IS DEFINED AS
Definition
THE WEIGHT OF THE COLUMN OF BLOOD EXTENDING FROM THE HEART TO THE LEVEL WHERE PRESSURE IS MEASURED.
Term
FACTORES AFFECTING RESISTANCE TO FLOW
Definition
VISCOSITY, VESSEL LENGTH AND VESSEL RADIUS
Term
WHAT CONDITIONS CAN INCREASE THE VISCOSITY OF BLOOD
Definition
ELEVATED HEMATOCRIT(ERYTROCYTHEMIA)AND DEHYDRATION
Term
WHAT CONDITION CAN DECREASE BLOOD VISCOSITY
Definition
SEVER ANEMIA
Term
LAMINAR FLOW
Definition
LAYERS OF BLOOD CELLS MOVING AGAINST ONE ANOTHER, THE FASTEST MOVING FLOW IS IN THE CENTER AND SLOW MOVING AND STATIONARY FLOW REMAIN AT THE WALL.
Term
PLUG FLOW
Definition
THE LAYERS OF BLOOD CELLS ARE MOVING WITH THE SAME SPEED. IT IS SEEN AT VESSEL ORIGIN
Term
WHAT ARE THE TWO FORMS OF ENERGY LOSS
Definition
VISCOUS ENERGY LOSS DUE TO INCREASED FRICTION, AND INERTIAL LOSS DUE TO DIVIATIONS FROM PLUG TO LAMINAR WHICH OCCURS DUE TO CHANGE IN DIRECTION AND/OR VELOCITY
Term
POISEUILLE'S EQUATION DEFINES
Definition
RELATIONSHIP BETWEEN PRESSURE, FLOW VOLUME AND RESISTANCE. IT HELPS ANSWER QUESTION OF HOW MUCH FLUID MOVES THROUGH A VESSLE.
Term
WHICH FACTOR HAS THE MOST DRAMATIC EFFECT ON RESISTANCE
Definition
DIAMETER OF THE VESSEL BECAUSE IT IS TO THE 4TH POWER
Term
BERNOULLI EXPLAINS
Definition
THE INVERSE RELATIONSHIP BETWEEN PRESSURE AND VELOCITY
Term
FLOW SEPARATION OR BOUNDRY LAYER SEPARATION IS
Definition
IS THE AREA OF LITTLE MOVEMENT DUE TO BIFURCATION OR TORTUOUS VESSEL. CAN ALSO BE DUE TO INTRA LUMINAL DISEASE.IT IS SEEN AS OPPOSIT COLOR CLOSE TO THE WALL
Term
STEADY FLOW
Definition
FLOW WITH CONSTANT SPEED (VENOUS FLOW)
Term
PULSATILE FLOW
Definition
FLOW WITH CHANGES IN PRESSURE AND SPEED WITH EACH HEART BEAT.
Term
PHASES OF PULSATILE FLOW
Definition
1.SYSTOLE-FORWARDFLOW WITH ACCELARATION
2.LATE SYSTOLE/EARLY DIASTOLE-TEMPORARY FLOW REVERSAL DUE TO PERIPHERAL RESISTANCE
3.END DIASTOLE-FLOW IS FORWARD AGAIN.
Term
LOW RESISTANCE FLOW
Definition
CONTINUOUS STEADY FLOW FEEDING A DILATED VASCULAR BED(VESODILATION),EXAMPLE ARTERIES: ICA, VERTEBRAL, RENAL, CELIAC, SPLENIC, HEPATIC
Term
HIGH RESISTANCE FLOW
Definition
FLOW OF A PULSATILE NATURE WHICH CAUSE NO OR LITTLE FLOW IN DIASTOLE DUE TO VESOCONSTRICTION OF THE PERIPHERAL VASCULAR BED. EXAMPLE ARTERIES:ECA, SUBCLAVIAN, AORTA, ILIAC, EXTREMITY ARTERIES AND FASTING SMA
Term
DOPPLER FLOW PROXIMAL AND DISTAL TO A SIGNIFICANT STENOSIS(GRATER THAN %50)
Definition
DOPPLER FLOW PROXIMAL TO A SIGNIFICANT STENOSIS BECOMES HIGHER RESISTANCE AND DISTAL TO STENOSIS BECOMES LOWER RESISTANCE
Term
POSTERIOR CEREBROVASCULAR CIRCULATION
Definition
LEFT AND RIGHT VERTEBRAL ARTERIES (BRANCH OF L AND R SUBCLAVIAN ARTERIES) WHICH JOIN EACHOTHER AND FORM BASILAR ARTERY. BASILAR ARTERY DIVIDES INTO POSTERIOR CEREBRAL ARTERIES
Term
CIRCLE OF WILLIS
Definition
ANTERIOR CEREBRAL ARTERIES, DISTAL ICA, ANTERIOR COMMUNICATING ARTERIES, POSTERIOR COMMUNICATING ARTERIES AND POSTERIOR CEREBRAL ARTERIES
Term
BRANCHES OF OPHTHALMIC ARTERY
Definition
SUPRAORBITAL A., FRONTAL A., AND NASAL A.
Term
PERIORBITAL CIRCULATION WHICH CAN BECOME PERIORBITAL COLATERALS
Definition
1.SUPRAORBITAL A. WHICH JOINS ECA VIA SUPERFICIAL TEMPORAL A.
2.FRONTAL A. WHICH JOINS ECA VIA SUPERFICIAL TEMPORAL A.
Term
EFFECTS OF STENOSIS ON FLOW CHARACTERISTICS
Definition
VELOCITY ACCELERATION DUE TO AREA REDUCTION AT THE STENOSIS WHICH RESULTS IN ENERGY LOSSES DUE TO ACCELERATION. DISTAL TO THE STENOSIS TURBULENCE FLOW OCCURS DUE TO ENLARGED AREA AND INCREASED PRESSURE.(EDDY OR VORTICE CURRENTS)
Term
PLAQUE
Definition
material that is atherosclerotic that builds up on the vessel walls; may restrict flow or send small clots distally
Term
STENOSIS
Definition
narrowing of an artery, usually caused by plaque build-up
Term
COLLATERAL CIRCULATION
Definition
alternate pathways for blood flow
Term
EMBOLUS
Definition
a solid, liquid, or gas traveling in circulation that may cause vessel occlusion
Term
HEMODYNAMICS
Definition
the study of the characteristics of blood flow
Term
DOPPLER EFFECT
Definition
a change in frequency resulting from motion
Term
SPECTERAL ANALYSIS
Definition
- analysis of the frequency shifts present in pulsed wave Doppler signals
Term
VELOCITY
Definition
the speed and direction of blood flow derived from the Doppler shift
Term
STROKE VOLUME
Definition
- amount of blood ejected with each contraction
Term
DISTURBED FLOW
Definition
LOSS OF LAMINAR PROFILE
IRREGULAR FLOW PATTERN
FLOW IN FORWARD DIRECTION
FLOW OSCILLATES AND WAVERS
CAUSED BY :
Change in vessel direction
Changed velocities
Term
TURBULENT FLOW
Definition
FLOW IS CHAOTIC
DIFFERENT DIRECTIONS
DIFFERENT SPEEDS
VORTICES AND EDDIES
VARIES IN TIME & WITH LOCATION
ASSOCIATED WITH BRUITS AND THRILLS
Term
REYNOLD'S CRITICAL NUMBER
Definition
PREDICTS THE ONSET OF TURBULENT FLOW
FACTORS: flow velocity, fluid density, radius of vessel, viscosity of blood
Term
REYNOLD'S CRITICAL NUMBER
Definition
WHEN REYNOLDS NUMBER EXCEEDS 2000, LAMINAR FLOW TENDS TO BECOME DISTURBED!
Term
WINDKESSEL EFFECT
Definition
Arteries are compliant
Pressure increase in systole
Artery expands
Pressure decrease in diastole
Artery contracts
Produces flow in diastole
Term
COMPLIANT MEANS
Definition
ARTERIES ARE CAPABLE OF EXPANSION AND CONTRACTION WITH CHANGES IN PRESSURE
Term
BRUITS AND THRILLS
Definition
BRUITE-LOW RUMBLING SOUND HEARD UPON AUSCULATION
THRILLS-PALPABLE VIBRATION FELT AT THE STENOSIS
Supporting users have an ad free experience!