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38 Cards in this Set
- Front
- Back
Definition of edema
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The presence of excessive fluid n the tissues or body cavities.
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Definition of effusion
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Fluids in cavities
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Anasarca
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Very severe generalized edema, especially subcutaneous tissue (Total body edema)
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Dependent edema
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Edema distributed by gravity
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Pitting edema
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Finger pressure leaves a depression
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Transudate
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Fluid of low protein content
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Exudate
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Fluid of high protein content
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Ascites
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Excessive peritoneal fluid
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Hydrothorax
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Excessive pleural fluid
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Hydrarthrosis
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Excessive joint fluid
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Four main causes of edema
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1. Increased hydrostatic pressure in blood capillaries
2. Decreased oncotic pressure 3. Increased permeability 4. Lymphatic obstruction |
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Sites of edema
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1. subcutaneous tissue
2. ankles 3. lung 4. brain |
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Morphological change due to edema
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Gross: tissue or organ swelling
Histology: separation of tissue element by eosinophilic material |
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Hyperemia
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Increased blood volume in the vascular space of the organ involved.
Morphology: vascular engorgement |
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Two types of hyperemia
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Active hyperemia: increased inflow
Passive hyperemia: decreased outflow |
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Hemorrhage
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Flow of blood out of the vascular compartment
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Petechiae
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Minute hemorrhages in the skin, mucus membranes or serosal surfaces
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Purpura
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Slightly larger hemorrahages of surfaces than petechiae
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Ecchymosis
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Large hemorrhages of surface
"Bruise" |
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Hematoma
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Pool of extravascular blood trapped in the tissue
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Hemoptysis
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Coughing up blood arising from larynx, trachea, bronchi or lung
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Hematemesis
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Vomiting blood
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Melena
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Evacuation of tar-like stools of altered blood
Indicate blood in GI |
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Causes of hemorrhage
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Local: trauma, infectious, degenerative, neoplasia
General: hemorrhagic diathesis |
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Anemia
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Reduction in number and/or volume of erythrocytes per unit volume of blood
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Causes of anemia
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1. decreased production/ increased loss of RBC
2. rapid blood loss (internal or external hemorrhage) |
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What are the consequences of anemia?
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Pallor
Reduced oxygen transport |
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Ischemia
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A temporary deficiency of blood flow (partial or complete) to an organ or tissue.
Result in hypoxia or anoxia of tissue |
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Infarct
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a focus of necrosis, usually coagulative necrosis, resulting from ischemia/ stenosis so severe that the tissue can't survive
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Morphology of hyperemia
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1. Organ or tissue appear redder
2. Blood remain within the vessel 3. Vessels dilated, full of RBCs, but not damaged 4. Edema is not required but may be part of it |
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Examples of physiological hyperemia and pathological hyperemia
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1. physiological - blushing
2. pathological - sunburn |
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Types of infarct
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1. anemic, "white," "pale
2. hemorrhagic, "red" |
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Morphology
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1. muscle necrosis
2. neutrophil infiltration 3. macrophaes 4. fibroblasts and capillaries 5. collagen Infarcts are often wedge-shaped |
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What is reperfusion injury?
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Causing more tissue damage to the surrounding area when ischemia is resolved
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Definition of heart failure
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Failure of pump function of heart
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Two types of pathophysiology of heart failture
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1. "backward" failure- failure to pump ot veins (congestive heart failure)
2. "forward" failure- failure to pump enough blood to meet needs of body |
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True or false:
Congestive heart failure can be right-sided, left-sided or both. |
True
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True or false:
Plueral effusions can be manifestations of only left-sided heart failure |
False. It can be of both left- or right-sided failure.
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