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oedema
oedema
29
Medical
Undergraduate 2
02/06/2017

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Term
Oedema
Definition
abnormal increase in intertsitial fluids within tissues
Term
normal H2O distribution
Definition
60% body weight ,2/3 intracellular .
bu most of ECF in interstitium
<5% in blood plasma
Term
Function of the opposing effect of vascular hydrostatic pressure vs plasma colloid pressure ?
Definition
controls movement of water +low molecular weight salts btw intravascular +interstitial spaces
Term
equilibrium btw capillary hydrostatic +osmotic forces ensures ?
Definition
no net loss or gain of fluid across capillary bed
Term
Causes of accumulation of extravascular fluid
Definition
1. increased hydrostatic pressure
2. diminished plasma osmotic pressure
3. movement of water into tissues exceeds lymphatic drainage .
Term
fluid collections in different cavities
Definition
hydrothorax ,hydropericardium ,hydroperitonium/ascites
Term
Ascites
Definition
Abnormal accumulatrion of fluid in the peritoneal cavity
Term
Anascara
Definition
servere +generalized edema with widespread subcutaneous tissue swelling
Term
Transudate in edema is characterized by?
Definition
increased hydrostatic pressure or reduced plasma proteins
Term
Exudate Edema characterized by ?
Definition
Inflammatory
Term
causes of edema
Definition
1. heart failure
2. hepatic failure
3.malnutrition
Term
Mechanism of heart failure casing edema
Definition
↓cardiac output → RAAS→ increase in Na +water retention→↑transudation . edema
Term
mechanism of malnutrition causing edema
Definition
↓hepatic synthesis of proteins,nephrotic syndrome →plasma oncotic pressure .
Term
Causes of Increased hydrostatic pressure
Definition
1. impaired venous return (congestive heart failure,constrictive pericarditis,ascites(liver cirhos)venous obstruction)
2. Arteriolar dilation(heat , neurohumoral dysregulation )
Term
A focal impairment in venous return can result in ?
Definition
regional increases in hydrostatic pressure
Term
localised edema
Definition
caused by deep venous thrombosis in lower extremities
Term
systemic edema
Definition
caused by a generalised increase in venous pressure which is caused by cngestive heart failure
Term
causes of decreased plasma osmotic pressure /hypoproteinemia
Definition
inadequate synthesis or the loss of from circulation of albumin .
Term
Inflammatory edema
Definition
increased vascular permeability . characterised by exudate
Term
lymphedema
Definition
typically localized impairment in lymphatic drainage
Term
Causes of impaired lymphatic drainage
Definition
1. neoplastic (radiotherapy to the breast → arm edema)
2.inflammatory (filariasis causing elaphantiasis )
Term
Subcutaneous edema
Definition
dependent/diffuse
Term
dependent edema
Definition
legs when standing +sacrum when recumbent
Term
pitting edema
Definition
finger pressure over substantially oedematous subcutaneous tissue displaces the interstitial fluid and leaves finger print depression
Term
Periorbital Oedema
Definition
renal dysfunction
Term
pulmonary edema
Definition
setting of left ventricular failure →also seen in renal failure ,pulmonary infections +hypersensitivity reactions
Term
pulmonary edema characterized by
Definition
lungs 2-3X normal weight ,frothy,blood tinged on cut surface
Term
Cerebral Oedema
Definition
localized due to neoplasm of abscess , Generalised as in encephalitis, hypertensive crisis or cerebral venous
outflow obstruction.
Term
cerebral edema marcroscopic characteristics
Definition
grossly swollen brain , generalized oedema with distended gyri,narrow sulci with flattening against unyielding skull
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