Part of HP-03 — Body Fluids & Circulation

Circulatory Disorders — Causes, Features, and NEET Points

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DisorderCauseHallmark FeatureNEET Point
HypertensionPersistently elevated BP (>140/90 mmHg); multifactorial (diet, genetics, stress)"Silent killer" — usually asymptomatic until organ damage (stroke, MI, kidney failure)Normal BP = 120/80; hypertension = >140/90
Coronary Artery Disease (CAD)Atherosclerosis (lipid plaque) narrows coronary artery lumenReduced blood supply to myocardium; may cause angina or MICoronary arteries arise from aorta; fill during diastole
Angina PectorisTemporary insufficient O2O_{2} supply to myocardium during exertionAcute chest pain during exertion, relieved by rest or nitroglycerin; no permanent cell deathReversible ischemia — distinguish from MI
Myocardial Infarction (MI)Prolonged complete coronary occlusion (thrombus on ruptured plaque)Irreversible cardiac muscle cell death; ST elevation on ECG; cardiac biomarkers elevated"Heart attack" — permanent damage; different from angina
Heart Failure (CHF)Heart cannot pump sufficient blood to meet metabolic needsBreathlessness, fatigue, peripheral edema; left-sided → pulmonary edema; right-sided → peripheral edemaCan be left or right-sided with different clinical signs
Erythroblastosis FetalisRh-negative mother sensitized by Rh-positive foetus; anti-Rh IgG crosses placentaFoetal haemolysis → anaemia, jaundice, foetal hydrops; occurs in 2nd+ pregnanciesPrevention = RhoGAM within 72 hrs of first delivery
AtherosclerosisLDL deposition in arterial walls → foam cells → plaqueArterial wall thickening and narrowing; plaque rupture → thrombosisUnderlying cause of CAD, MI, and stroke
ThrombocytopeniaLow platelet count (<1.5 lakh/mm3mm^{3}); causes: dengue, ITP, bone marrow diseaseIncreased bleeding tendency; prolonged clotting timeAssociated with dengue fever in clinical NEET context

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