Chp 9 Abd Vasculature - Penny

Patient with history of back pain & hypertension you visualize a 6 cm infrarenal aortic aneurysm with echogenic linear structure noted gently swaying in the Aortic lumen what is the diagnosis most likely

Aortic dissection

Which vessel travels anterior to the left renal artery

Left renal vein

Aorta originates at the

Left ventricle

They hepatic artery should demonstrate what flow

Low resistance flow

Clinical findings of an abdominal aortic aneurysm include

Lower extremity pain back pain and abdominal bruit

The diameter of the IVC Should never exceed

2.5 cm

And abdominal aortic aneurysm is present when the diameter of the abdominal aorta exceeds

3 cm

Occlusion of the hepatic v describes

Budd-Chiari syndrome

First main visceral branch of the abdominal aorta

Celiac artery

Which artery would most likely have a high resistance flow pattern Celiac, common iliac, splenic or right renal

Common iliac a.

Most common shape of an abdominal aortic aneurysm is

Fusiform

Branches of the celiac access

Hepatic splenic and left gastric artery

Veins seen attaching to the IVC just below the diaphragm are

Hepatic v

Which of the following would have a pulsatile triphasic blood flow pattern Renal hepatic Gonadal or common iliac veins

Hepatic veins because of their location near to the heart

Vessel traveling posterior to the superior mesenteric artery and anterior to the abdominal aorta

Left renal vein

What should the postprandial flow pattern be within the superior mesenteric artery

Low resistance

And aneurysm associated with infection is

Mycotic

IVC terminates at

Right atrium to the heart

Which vessel would be the shortest in length Right renal vein right renal artery left renal vein or left renal artery

Right renal vein

Enlargement of the IVC with subsequent enlargement of the hepatic veins is seen in cases of

Right-sided heart failure

Vascular structure that may be confused for the main pancreatic duct

Splenic artery

The main portal vein is created by the union

Splenic vein and superior mesenteric vein

Which vessel will show a different flow pattern after eating

Superior mesenteric artery

Outer layer of the vessel

Tunica adventitia

What is the inner wall layer of the vessel closest of the passing blood called

Tunica intima

True statements about the abdominal aorta

Abdominal aorta is located just left of the midline the most common location of an abdominal aortic aneurysm is infrarenal abdominal aorta is considered to be retroperitoneal and most abd aneurysms located within the abdominal aorta are true aneurysms

In small bowel ischemia the postprandial superior mesenteric artery will yield what flow pattern

High resistance

The second main branch of the abdominal aorta is

Superior mesenteric artery

What is true about the IVC

The diameter is variable respiration can affect the size and is considered a retroperitoneal location it is located to the right of the abdominal aorta

Name The structures seen in a transverse view of the abdominal aorta at the level of the SMA

The liver pancreas portal confluence SMA splenic vein aorta IVC and vertebrae