Edema Flashcards

1
Q

Edema def , pathophysiology

A
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2
Q

Causes of localized edema

A

• Venous&raquo_space;> DVT, vascular insufficiency or tumour
• Lymphatic&raquo_space;> lymphedema (tumor or filarial worms)
• Inflammatory&raquo_space;> trauma, infection, thermal injury
• Allergy

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3
Q

Mention causes of edema

A

A) 个个个 Hydrostatic pressure
• Heart failure (Cardiac edema)
• Renal failure and GN&raquo_space;> retention of water and salts
• Liver cirrhosis&raquo_space;> Salt & water retention
SAL
SAMA
B) JJ L Oncotic pressure (Albumin < 2.5 gm/di)
• & intake&raquo_space;> malnutrition (Nutritional edema)
• & absorption&raquo_space;> malabsorption (GIT edema)
• & synthesis&raquo_space;> liver cell failure (Hepatic edema)
• T loss in kidney&raquo_space;> nephrotic syndrome (Renal edema)
• T loss in GIT&raquo_space;> protein loosing enteropathy (GIT edema)
S
C) 个个个 Capillary permeability
• Allergic&raquo_space;> anaphylaxis + angioedema (Allergic edema)
+perin
• Inflammatory&raquo_space;> Trauma + thermal “burn” + infection “cellulitis”
• 1 histamine, bradykinin and cytokines&raquo_space;> VD
S
D) Lymphatic obstruction&raquo_space;> Lymphedema
• Carcinoma blocking lymphatic drainage
• Filarial worms
Myxedema
• Puffiness of eyelids
• Firm non pitting
Causes of localized edema
• Venous&raquo_space;> DVT, vascular insufficiency or tumour
• Lymphatic&raquo_space;> lymphedema (tumor or filarial worms)
• Inflammatory&raquo_space;> trauma, infection, thermal injury
• Allergy

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4
Q

Mention drugs, causing edema

A

Nonsteroidal anti-inflammatory drugs
Antihypertensive agents
Direct arterial/arteriolar vasodilators
Hydralazine
Clonidine
Methyldopa
Guanethidine
Minoxidil
Calcium channel antagonists
o-Adrenergic antagonists
Thiazolidinediones
Steroid hormones
Glucocorticoids
Anabolic steroids
Estrogens

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5
Q

Compare between cardiac edema, renal edema hepatic edema is the points of comparison or characters and and the area more affected associated with

A
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6
Q

Causes of non-fitting edema

A

Lymphedema Miedema

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7
Q

Describe the work for edema

A
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8
Q

Causes of unilateral idiom

A

Blood Venus obstruction DVT
Bone trauma
Lymphatic obstruction lymphedema Baker cyst
Skin cell lights

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9
Q

Causes of cardiac causes of ascites precox

A

Cardiac constructive pericarditis
Pericardial effusion
Tr ts

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10
Q

Localizing factors af cardiac edema

A

Increased capillary, hydrostatic pressure due to decrease Venus return
Effect of gravity

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11
Q

Causes of localizing factors in hepatic edema

A

Hepatic lymphrea
Increased portal, capillary hydrostatic pressure

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12
Q

Generalize it anasarca

A

Lower limb edema
Ascites
Plural effusion
Pericardial effusion

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13
Q

Meigs syndrome

A

Ovarian rumor
Right sided pleural effusion
Ascites

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14
Q

The hydrostatic pressure within the vascular system and the colloid oncotic
pressure in the interstitial fluid tend to promote movement of fluid from

A

vascular to the extravascular space.

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15
Q

the colloid oncotic pressure contributed by plasma proteins and the
hydrostatic pressure within the interstitial fluid promote the movement of fluid int

A

vascular compartment

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16
Q

Interstitial FLUID Balance
Depens on

A

Chp
Thp
Pop
Top
Lymphatics
Capillary premeability

17
Q

Chp depends on

A

arterial pressure , venous pressu

18
Q

Thp depends on

A

represents pressure developed in interstitial compartment outside
capillary wall & is determined by volume of fluid in the interstitial space and
by distensibility of space

19
Q

Describe the process of filterstion

A
20
Q

Difference between generalized edema dute hypoprotenimia and fluid overload

A

At fluid positive jvp

21
Q

At edema we do fecal fatestimation why?

A

To rule out malbsorbtion