Edema, Congestion, Hemostasis Flashcards

1
Q

What is edema?

A

Increased fluid within interstitial tissues

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2
Q

What various pathophysiologies come with edema?

A
  1. Increased hydrostatic pressure
  2. Decreased venous return
  3. Lymphatic obstruction
  4. Na and water retention
  5. Inflammation
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3
Q

What is the difference between edema and effusion?

A

Edema: fluid buildup in tissues

Effusion: fluid buildup in a body cavity or space

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4
Q

What is the difference between transudate and exudate fluid?

A

Transudate: low protein fluid; typically not high injury/stress

Exudate: high protein fluid; high injury/stress

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5
Q

_________ is an active increase in tissue blood volume responding to neurogenic mechanisms or inflammation; _________ is a passive increase in tissue blood volume in response to impaired venous return.

A

Hyperemia; congestion

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6
Q

List the internal hemorrhaging from the highest scale to lowest scale.

A
  1. Hematoma
  2. Ecchymosis (bruise)
  3. Purpura (within 1 cm)
  4. Petechia (1-2mm)
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7
Q

Which common disease can lead to small petechie which can be seen on the skin?

A

Mononucleosis (Mono)

*Can often be seen orally and facially

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8
Q

What is hemostasis?

A

Stopping the loss of blood

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9
Q

What are the three major components of hemostasis?

A
  1. Endothelium: anticoagulant and procoagulant
  2. Platelets: adhesion - secretion - aggregation
  3. Coagulation cascade
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10
Q

What molecule is produced by endothelium to bind platelets to the site of injury?

A

von Willebrand factor (vWF)

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11
Q

What molecule creates a backbone to hold platelets together?

A

Fibrinogen

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12
Q

What are the three steps involved with platelet response?

A
  1. Adhesion: vWF from endothelium
  2. Secretion: ADP and Ca
  3. Aggregation: ADP, TXA2, thrombin -> fibrinogen
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13
Q

What activates the extrinsic pathway of the coagulation cycle?

A

Tissue factor released by endothelium

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14
Q

T/F: The extrinsic factor kicks off the coagulation pathway.

A

TRUE

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15
Q

Which molecule plays the largest role in the coagulation pathway?

A

Thrombin

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16
Q

What is the role of PGI2, NO, and ADPase on platelets?

A

Counters the platelet accumulation

17
Q

Antithrombin does what to the blood clot?

A

Disrupts thrombin and therefore the fibrin clotting

18
Q

How is plasmin important in blood clotting?

A

Cleaves fibrin to insure it doesn’t occlude the vessel

19
Q

T/F: Thrombin only plays a role in blood clotting.

A

FALSE

Plays many roles