|
(#) indicates the suggested number of items to consider in a complete answer
Radiology Findings:
What CT findings may suggest mediastinal hemorrhage (4):
Answer:
a. Poorly defined fat planes.
b. Perivascular hematoma.
c. Periaortic hematoma.
d. Contrast extravasation.
The direct signs of aortic injury include:
Answer:
a. Abnormal contour of aorta.
b. Change in caliber.
c. Intraluminal irregularity (intimal flap).
In simple terms, describe the Stanford classification for aortic dissection?
Answer:
a. Type A involves ascending aorta.
b. Type B does not involve ascending aorta.
What is the most likely etiology of a very large aneurysmal aortic root with sinotubular ectasia (tulip bulb appearance)
Answer:
Marfan syndrome.
What is a basic differential diagnosis for CT or angiographic findings suspicious for aortic dissection? (3)
Answer:
a. Aortic dissection
b. Together the following two diagnoses constitute the acute aortic syndrome:
- Intramural hematoma
- Penetrating aortic ulcer
Diagnosis of chronic PE by pulmonary angiography is based on the identification of what supporting findings? (4)
Answer:
a. Webs
b. Luminal irregularities
c. Abrupt vessel narrowing and/or obstruction
d. Dilated central pulmonary arteries
The angiographic appearance of diabetic vascular disease differs from typical atherosclerosis in which two main ways?
Answer:
a. Vascular calcification involving arteries of all sizes.
b. Disease involvement is more distal, often sparring large proximal vessels.
What is the typical radiographic finding of Giant Cell Arteritis?
Answer:
Smooth, long segment narrowing
What is the angiographic hallmark appearance of Buerger disease?
Answer:
a. Corkscrew appearance of arteries.
b. Collaterals around areas of occlusion (most often at wrists and ankles).
c. Absence of atherosclerotic findings.
d. May present with gangrenous digits in a young patient
The range of angiographic findings in trauma include what 5 main categories of vascular pathology?
Answer:
a. Vasospasm
b. Intimal irregularity
c. Pseudoaneurysm
d. Extravasation
e. Arteriovenous fistula
Aortoiliac occlusive disease can be caused by which inflammatory disease in particular? What are the radiographic findings?
Answer:
a. Takayasu arteritis
b. Long segment, smooth narrowing of abdominal aorta
c. May extend into branch vessels
What are the classic radiographic findings in polyarteritis nodosa (PAN)?
Answer:
a. A rare necrotizing vasculitis that affects small and medium-sized arteries of multiple
organs.
b. Most commonly
- kidney (85%)
- Liver (65%)
c. Multiple, small, saccular microaneurysms, occlusions, and irregular stenoses throughout abdominal viscera. Most commonly present in the kidney (85%) or liver (65%).
|
