Wookie nice explanation.

How are you studying for pathophys?

I don't know that you should you advertise that to everybody.

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A definition of inappropriate: India accepting millions in foreign aid and then sending a probe to the moon. Now I ask you.....
NO FLY LIAT

Did I offend you in anyway?. I am not proud of myself that I had to repeat path but you don't have to remind me that. I think it was very insensitive on your part.

folks, any flaming or insults will result in infraction. review your posts and edit to comply. there will be no individual pms

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Steph
If you get a warning, put on yer manpants and stop whining about it.

Q blah de blah man has a left ventricular mural thrombosis. If it embolizes, the most likely sight for embolism is

A) brain
B) lower extremities
C) kidney
D) Liver
E) Intestines

Sure these all involve a systemic route, so what. I think the q is really asking, in which area is the most catastrophic damage done.

I am saying the answer is C,as the kidney is a solid organ and therefore has only one blood supply. Brain (overlooking a watershed infarction) has anastamosis, lower ext sounds like a venous problem. Liver has a dual blood supply (hepatic and portal). Intestines also have a double blood supply (portal and caval).
Please, any constructive criticism from 5/6th termers (having mastered Pathology) on up (pathologist alumni-Dunsoon) would be appreciated.

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A definition of inappropriate: India accepting millions in foreign aid and then sending a probe to the moon. Now I ask you.....
NO FLY LIAT

4th termers, let's use this thread as a substitute for the lack of discussion forum for Path, on Angel.

__________________
A definition of inappropriate: India accepting millions in foreign aid and then sending a probe to the moon. Now I ask you.....
NO FLY LIAT

B) Lower extremities.
Sorry I pick something different. Brain is 10% of the time.

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MS-2 SGU

"I would rather try talking suicidal patients down first before suggesting they hurry up and jump" me

the question isnt asking where it will cause the most damage or whatever, but where the embolus will go if it comes from the left ventricle.....most likely its the brain or l ext.

thats why anyone with a-fib should be given anti-coagulants such as warfarin to prevent stroke or other embolic events.
there are too many other vessels to by pass before it hits the kidney, and other stuff/organs

the carotids are the main initial divisions from the arch of aorta , so a good chance that the embolus will go there.
the l. ext is common because of the effect of gravity

i just dont remember the exact %

here is another way to think of it...
this is why knowing anatomy is important

think of the renal a and and liver and intestine, which is probably supplied by the celiac a. all branches from aorta. now those arteries....there is an angle which it breaks off the descending aorta...it is LESS likely the embolus will make a TURN and go to these arteries.

it is MORE common to shoot straight up to the carotids right out of the aorta (high pressure) OR go straight down the aorta (gravity) and finally gets stuck in the small arteries in the leg after going thro the iliacs, femoral....my guess is the popliteal a. it is one of the smallest, narrowest artery which embolic event can occur

btw
renal artery stenosis do occur. but most often from htn damage or some sort of atheroscelorsis or fibromuscular changes. and when that occurs, it is bad bc it is only supplied by 1 artery