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  • Carotid Duplex Scan: Takayasu'S Arteritis

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    Ernesto Trinidad Jr RN
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    The carotid duplex scan showed circumferential wall thickening and significant stenosis of the right distal common carotid artery and total occlusion of the right common carotid artery. The patient was experiencing symptoms of ischemia including dizziness, headache, visual disturbances and hypertension due to insufficient blood flow to the head and brain from the stenotic vessels. The diagnosis was Takayasu's arteritis, a large vessel vasculitis causing inflammation and stenosis of the aorta and its branches resulting in cardiovascular and musculoskeletal symptoms like joint pains, tremors, and cold extremities due to reduced blood flow.

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    Path o Physiology Final

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    The carotid duplex scan showed circumferential wall thickening and significant stenosis of the right distal common carotid artery and total occlusion of the right common carotid artery. The patient was experiencing symptoms of ischemia including dizziness, headache, visual disturbances and hypertension due to insufficient blood flow to the head and brain from the stenotic vessels. The diagnosis was Takayasu's arteritis, a large vessel vasculitis causing inflammation and stenosis of the aorta and its branches resulting in cardiovascular and musculoskeletal symptoms like joint pains, tremors, and cold extremities due to reduced blood flow.

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    23 views2 pages

    Carotid Duplex Scan: Takayasu'S Arteritis

    Uploaded by

    Ernesto Trinidad Jr RN
    The carotid duplex scan showed circumferential wall thickening and significant stenosis of the right distal common carotid artery and total occlusion of the right common carotid artery. The patient was experiencing symptoms of ischemia including dizziness, headache, visual disturbances and hypertension due to insufficient blood flow to the head and brain from the stenotic vessels. The diagnosis was Takayasu's arteritis, a large vessel vasculitis causing inflammation and stenosis of the aorta and its branches resulting in cardiovascular and musculoskeletal symptoms like joint pains, tremors, and cold extremities due to reduced blood flow.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Carotid Duplex

    Scan
    IMPRESSION:
    Circumferential
    wall thickening &
    significant
    stenosis of R
    distal CCA & total

    Ischemi
    a

    Common Carotid Artery


    occlusion

    Turbulent blood flow from


    stenotic vessel

    R & L Subclavian
    Artery Affectation

    Joint Pains
    Occasional tremors
    Diminished brachial Pulse
    (Left)
    Cold and clammy hands
    & feet

    Insufficient O2 delivery to
    head & brain
    (+) Bruit & Thrills
    bilateral carotid
    area

    Transient Ischemic
    Dizziness/Lightheadednes
    s
    Headache
    Hypertension
    Visual Disturbances

    TAKAYASUS
    ARTERITIS

    PATHOPHYSIOLOGY
    Non Modifiable Factors
    Race: Asian (Most
    common)
    Gender: Woman (9:1)
    Age: 20 (teens-40s)

    Other Risk Factors


    Hyperthyroidism
    History
    Hepatitis A History
    Stimulation from
    Antigen
    Triggering HSP-65 expression to
    aortic tissue

    Perforin
    Acute
    Inflammation
    Recruiting more
    mononuclear cells
    (monocytes/phagoc
    ytes)
    Alpha-beta T-cells
    infiltrates

    Inducing MICA
    (MHC class I
    related chain A)

    Releasing
    NKG2D
    Receptors

    Inducing more
    MICA &
    costimulation on
    vascular wall

    Amplifying
    inflammatio
    n

    Activation of
    Dendritic Cell on
    Vascular wall

    Gamma-delta Tcells & Natural


    Killer cells
    infiltration
    Releasing of pro
    inflammatory
    cytokines

    Cooperates with BCells

    Determining Humoral immunity


    consisting of anti-endothelial
    autoantobodies
    Triggering cytotoxicity to
    Endothelial Cells

    ESR= 19 mm/hr
    (Normal value per
    age= Age +10/2)

    Massive inflammation of Aorta and its


    branches
    Stenosis of blood
    vessels
    Anemia (Hgb-10.7
    g/dl; hct-32.5%)

    Insufficient blood
    flow
    Cardiovascul
    ar

    Easy Fatigability
    Pale skin
    Pale palpebral
    conjunctiva

    Formation of
    Collateral Vessels

    Musculoskele
    tal

    Duplex UTz (0911-13) REMARKS:


    Collaterals are
    seen along the
    Left proximal to
    distal CCA, ICA &

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