Thrombosis and Embolism

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Questions and Answers

A patient presents with shortness of breath and chest pain. Imaging reveals a blood clot lodged in the pulmonary artery. This condition is best described as:

  • Arterial thrombosis
  • Amniotic embolism
  • Venous thromboembolism (correct)
  • Fat embolism

Which of the following is a key distinction between a thrombus and an embolus?

  • A thrombus only causes partial obstruction, while an embolus always causes complete obstruction.
  • A thrombus is a stationary clot, while an embolus is a mobile mass that travels through the bloodstream. (correct)
  • A thrombus is composed of fat, while an embolus is composed of blood cells and fibrin.
  • A thrombus always originates in the venous system, while an embolus originates in the arterial system.

A patient who recently underwent a long bone fracture surgery is now showing signs of respiratory distress and confusion. What is the most likely cause?

  • Amniotic fluid embolism
  • Arterial thrombosis
  • Deep vein thrombosis
  • Fat embolism (correct)

Which of the following conditions is least likely to increase the risk of thrombus formation?

<p>Regular aerobic exercise (A)</p> Signup and view all the answers

A patient presents with pain and swelling in their left calf. Doppler ultrasound reveals a blood clot in the deep veins of the leg. This condition is best described as:

<p>Deep vein thrombosis (A)</p> Signup and view all the answers

During labor, a patient suddenly develops acute respiratory distress and cardiovascular collapse. Which rare embolic event should be suspected?

<p>Amniotic fluid embolism (C)</p> Signup and view all the answers

A patient who is post-operative from hip replacement surgery complains of acute chest pain and difficulty breathing. A CT scan reveals a large clot in the pulmonary artery, which originated in the deep veins of the leg. Which term best describes this sequence of events?

<p>Thromboembolism (D)</p> Signup and view all the answers

Which clinical scenario would most likely result in an air embolus?

<p>Central venous catheter insertion (C)</p> Signup and view all the answers

A patient with a history of atherosclerosis experiences sudden weakness on one side of their body and difficulty speaking. Imaging reveals a blocked artery in the brain. This is most likely caused by:

<p>Arterial thrombosis (D)</p> Signup and view all the answers

How would you differentiate between deep vein thrombosis (DVT) and pulmonary embolism (PE) based on their primary locations?

<p>DVT occurs in the deep veins, typically of the leg, while PE occurs in the pulmonary arteries. (D)</p> Signup and view all the answers

Flashcards

Thrombus

A blood clot formed from platelets, fibrin, and other elements within a blood vessel.

Thrombosis

The formation of a thrombus that partially or fully obstructs a blood vessel.

Embolus

An intravascular mass (solid, liquid, or gas) carried by the blood.

Thromboembolism

A thrombus that dislodges from its original location and travels to a distant site.

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Venous Thromboembolism

Thromboembolism affecting veins. Includes DVT, PE and Sinus thrombosis

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Study Notes

  • Thrombus refers to a blood clot comprising platelets, fibrin, and other elements within a blood vessel.
  • Thrombosis is the formation of a thrombus that either partially or fully obstructs a vessel.

Types of Thrombosis

  • Arterial thrombosis can lead to myocardial infarction (MI), stroke, and peripheral arterial thrombosis.
  • Venous thrombosis can result in deep vein thrombosis (DVT) and pulmonary embolism (PE).
  • Risk factors for thrombosis include cancer, pregnancy, and the use of estrogen contraceptives.
  • Embolus is an intravascular solid, liquid, or gaseous mass transported by the blood.

Types of Embolism

  • Fat emboli can occur after a fracture.
  • Air emboli appear as frothy, clotty masses accompanied by an inflammatory response.
  • Amniotic embolism involves fetal tissue, is rare, and has a high mortality rate.
  • Thromboembolism is a thrombus that originates in one location and travels to a distant site.

Types of Thromboembolism

  • Venous thromboembolism includes DVT, PE, and sinus thrombosis.

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