Hemodynamic Disorders and Shock

Shock 1

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What is an embolus
Freely movable, intravascular mass that is carried from one anatomic site to another by blood
2 types
Thromboemboli, Liquid Emboli
Thomboemboli
Fragments of thrombi carried by venous or arterial blood. Infected thrombi give rise to septic emboli.
Pulinarie embolism (from pulmonary artery)
Liquid Emboli
Fat emboli that occure after bone fracture, amniotic fluid emboli caused by amniotic fluid into the uterine veins
Mural thrombus where it is, and then where it travels
Arterial embolus, stay in the heart and then travel to the brain or intestines
Other types of emboli
Gaseous emboli, solid particle emboli
Gaseous emboli common causes
Comes from air injected into veins, ait that is liperated under pressure (decompression sickness)
Solid particle emboli
Like cholesterol crystals can detach from atherosclerotic plaques, from tumor cells, bone marrow emboli
Most common emboli
Thromboemboli, which are classified on the basis of the vessels through which they are carried in the blood
Emboli anatomically classified
Venous emboli originate in veins and are carried by the venous cirulcation. Arterial emboli
Where do venous emboli usually end up?
Pulmonary artery, pulmonary branches causing pulmonary embolism
Where do arterial emboli originate?
Left atrium, ventricle, aorta and the major arteries. carriedby arterial blood and are cuases of infarction resulting from the occlusion of peripheral arteries
What is a paradoxical emboli?
Venous emboli that reach the arterial circulation through foramen ovale
Where to arterial emboli usually originate from?
Common causes of ischemia in organs, most originate from the endocardium or valvular thrombi. Ulceratred atherosclerotic plaques of the aorta and it's major branches
What size of arteries are usually involved in arterial embolism?
Medium to small