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25 Cards in this Set

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the TYPE of EDEMA where chemical mediators play a role
INFLAMMATORY edema
the TYPE of EDEMA where HEMODYNAMIC FORCES across the capillary wall controls swelling
NON -inflammatory edema (no WBC's)
Drop in protein (plasma colloid osmotic), retaining water and salt due to JG apparatus, blocked lymphatics (cancer, inflammation, etc.), or INCREASED hydrostatic pressure are all signs of
NON - inflammatory edema (no WBC)
NON-inflammatory edema could be said to be ____________-related.
Gradient
Describe NON-inflammatory edema in terms of fluid collection?
a NET INCREASE (accumulation) of EXTRA CELLULAR FLUID because more fluid going into vessel than out

*this card probably should say "more going out of the vessel than in" but I have to check the notes
Describe a clot
Impaired venous outflow because of a clot is called VENOUS THROMBOSIS

BLOCKAGE OF A VEIN
Increased HYDROSTATIC pressure due to THROMBOSIS...
a CLOT has formed, blocking the vein and causing DEEP VEIN THROMBOSIS
Increased HYDROSTATIC pressure not only caused by deep vein thrombosis due to a clot blocking a vein, but also can result from 2 organ FAILURE:
RIGHT SIDED HEART FAILURE -where does the fluid go when it can't get into the heart? Yup, the tissues.

RENAL FAILURE: + dysfunction due to a higher VOLUME of blood/fluid so the fluid compartment balance of the kidney crashes.
Regarding SALT & WATER retention, you make too much _______, either because of renal failure or heart failure, and Big Aldosterone is gonna come kick out those K+ bums and grab the Salty girls all for himself.
RENIN
*causes edema because...
JUXTAGLOMERULAR APPARTATUS overfunction, either due to kidney fail or heart failure. Doesn't matter which.
Why would Secondary/heart disease cause and increase in blood pressure and INCREASE EDEMA?
ATHEROSCLEROSIS in renal artery
secrete RENIN due to initially LOW BP in kidneys, this skyrockets the BP and causes edema.
__________edema is most often due to right sided heart failure and involves the lower extremities because the blood cannot get back in!
DEPENDENT
___________edema is all edematous, most often due to RENAL failure and is more severe than dependent edema.
ANASARCA/GENERALIZED
ANASARCA presents with __________ along the tibia and ankle and __________ edema around the eyes.
PITTING & PERIORBITAL edema = anasarca/general edema


*severity based on time it takes for tissue to restore/pop up
DEPENDENT edema is
RSHF
GENERALIZED edema is
RENAL w/ Periorbital and Pitting edema
ASCITES is
KWASHIKOR'S (malnutrition)
When blood does not return to the heart from the lungs, ___________ edema results.
PULMONARY
Why would blood return to the lungs in pulmonary edema?
The LEFT SIDE OF THE HEART IS FAILING.
signs and symptoms of pulmonary edema:

DROWNING IN BLOOD...
EDEMATOUS (red)
PROTEINACEOUS (frothy)
sputum with chest pain

DROWNING
ACTIVE increased blood flow to a tissue is called ___________.
Example?
Does it cause edema?
HYPEREMIA

Vasodilation
No, happens all the time due to chemicals or sympathetics.
HYPEREMIA =
ACTIVE, NO edema
CONGESTION =
PASSIVE, ALWAYS EDEMA (ISCHEMIA)
What causes right sided heart failure with passive congestion?
heart cells in the LUNGS have macrophages full of HEMOSIDERIN. RBC's leak into alveoli, macrophages eat them and the hemosiderin dyes them a RED/BROWN COLOR of lung.
NUTMEG LIVER ...

LIVER BACKED UP WITH BLOOD
passive/CONGESTION of liver because Right side of heart is not draining the venous system. Right sided blood must go into liver before rest of the body.
T.E.V.A.T.
5 causes of hemorrhage:
Trauma Aneurysm Erosion Vitamin Thrombocytopenia