Oedema Flashcards
Starling forces
Favour filtration at arteriolar end and reabsorption at venular end
Oedema
Accumulation of fluid in the interstitial space
Pulmonary oedema
Accumulation of fluid in interstitial and intra-alveolar lung spaces
Diffusion distance increases, gas exchange compromised
Causes of oedema
Raised capillary pressure
Reduced plasma osmotic pressure
Lymphatic insufficiency
Changes in capillary permeability
Left ventricular failure causes
Pulmonary oedema
Right ventricular failure causes
peripheral oedema
Heart failure shifts Frank Starling curve
to right
Normal plasma protein
65-80
Oedema if
< 30g/l
Clinical signs of Pulmonary Oedema
SOB
Crepitations in auscultation of lung bases
CXR = haziness in perihilar region
Pitting oedema found in
ankle
sacrum