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The Zero to Finals Medical Revision Podcast

Vasculitis (2nd edition)

The Zero to Finals Medical Revision Podcast

Thomas Watchman

Life Sciences, Education, Medical Finals, Medicine, Surgery, Health & Fitness, Paediatrics, Medical Student, Medical Education, Medical Exams, Medical School, Medical Revision, Science, Learn Medicine, Finals Revision, Obstetrics And Gynaecology

4.8678 Ratings

🗓️ 6 November 2023

⏱️ 13 minutes

🧾️ Download transcript

Summary

This episode covers vasculitis. Written notes can be found at https://zerotofinals.com/medicine/rheumatology/vasculitis/ or in the rheumatology section of the 2nd edition of the Zero to Finals medicine book. The audio in the episode was expertly edited by Harry Watchman.

Transcript

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0:00.0

Hello and welcome to the zero to finals podcast. My name is Tom and in this episode I'm going to be talking to you about vasculitis. And you can find written notes on this topic at zero to finals.com slash vasculitis or in the rheumatology section of the second edition of the zero to finals medicine book.

0:23.8

So let's get straight into it.

0:27.2

Vascularisclitis describes inflammation of the blood vessels.

0:32.1

Various specific diseases cause vasculitis, and these can be categorized based on whether they affect

0:38.5

the small, medium or large vessels.

0:42.2

Let's start with a summary of the different types of vasculitis.

0:47.9

Hennock-Shonline purpura affects the small vessels, and the key features are purpura, which is a non-blanching rash,

0:56.8

and IGA nephritis. Microscopic polyangitis affects the small vessels. It's associated with

1:05.4

P-ancher antibodies and the key features are glomerula nephritis in the kidneys and diffuse alveola hemorrhage

1:15.8

in the lungs. Granulomatosis with polyangitis affects the small vessels. It's associated with

1:24.6

sea anchor antibodies, and the key features are nasal symptoms,

1:30.1

respiratory symptoms, and glomerulinephritis in the kidneys.

1:35.9

Eocinophilic granulomatosis with polyangitis affects the small vessels.

1:42.2

It's associated with P-anchor antibodies and raised eosinophils,

1:48.5

and the key features are late-onset asthma and sinusitis and rhinitis in the nose.

1:57.4

Polyarthritis nodosa affects the medium-sized vessels vessels and the key features are renal impairment,

2:04.7

hypertension or high blood pressure, cardiovascular events and tender skin nodules.

2:13.0

Kawasaki disease affects the medium-sized vessels and the key features are a high fever for more

2:19.7

than five days, a widespread rash, bilateral conjunctivitis, a strawberry tongue and coronary

2:27.8

artery aneurysms. Giant cell arteritis affects the large vessels. The lab finding is a raised ESR or erythricide sedimentation rate

2:39.1

and the key features are unilateral headache, scalp tenderness and vision loss.

2:45.9

And finally, Takayasu's arthritis affects the large vessels and the key features are that the

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