The pathophysiology of congestoin and oedema Flashcards

1
Q

congestion

A

excess blood in vessles of tissues or organs

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2
Q

what is an example of a local acute congestion of things which can causes odema in the legs

A

dvt,

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3
Q

what is an example of a local chronic congesion

A

hepatic cirrhosis

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4
Q

what is an example of gererlised acture congesion

A

congesitive heart failure

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5
Q

what is the effect of a dvt in the lges

A

blood backs up, thsu reducing oftflow of blood, cuasinga decrease in presure gradien and decreased flow acoss the system leading to ischemia and infraction

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6
Q

what causes hepatic cirrhosis

A

liver damage, alchol,

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7
Q

what is the effect of the portal vein as a result of hepatic cirrhosis

A

blocked portal vein, increased portal venous pressure, , atomoses occur

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8
Q

what is the main risk of a hepaic cirrahos

A

haemorgae

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9
Q

what tpe of tissue forms in hepatic cirrhosis

A

firbous

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10
Q

what are example of shunt of portal system

A

oesphageal varices, caput medusae

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11
Q

what is congestive cardiac failure

A

heart unable to clear blood in the right and left ventricles

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12
Q

why does congestive heart faiule cuaes odema

A

reduced cardiac output, reduced activtion of raas, increased an and h20 retion , increased body fluid, increased fluid overlad

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13
Q

why does congestive herat failure cause pulmonary odema

A

blood dams back into the lungsw

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14
Q

why does congestive heart failrue cause veneous congesstion

A

right heart failure,blooddams back into systemic ciruclaotn, jvp incares, increased hepatomeglay, increaedperipheal odema

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15
Q

what is the periccentral hepatocytes coloure wehn poolry oxgeneated

A

red in colour

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16
Q

what is the peripoatl hepatocye colour wehn poorly oxygenated

17
Q

name of liver where there is the name of the hepatic central venous congestion

A

nutmeg liver

18
Q

what pressure drive blood out of capilae

A

hydrostaic capily prssure and interstial oncotic pressure

19
Q

what pressure drives plood ingo cpapiles

A

capilly hydrostin oncotic presure and intersit collod onctoic pressure

20
Q

when is transudate odema often present

A

cardiac failreu, fludi overlaods

21
Q

when is exudate odema oftern present

A

allger, tumor or inflamation

22
Q

what physiological process causes exudate odema

A

iflamation due to reduced vascular permeabilidty

23
Q

what happens to left atrail pressure in left venticlre pressure

A

it increases

24
Q

what hapens to pulomary blood flow durign left vencre pressureincreaases

A

it increaes

25
what happens if here is increaed ulumary blood flow
means that theere is pulmonary odema in lungs
26
what type of heart failure cauesees peripheal odema
right
27
what type of heart faiure causes pulmnoary odeam
left
28
what is the proces bethen right heart failure and peripheral odema
heart cannot empty rv in systole, this leads to blood retained in the system veins. increase blood pressure in the capillers
29
what type of odeam is seen in congestive heart failrue
pulmonary odeam and periphel odema at hte same time
30
lymphoedema
blockage of lymphatic system
31
what ishte effect of odema in renal fucntion
results in salt and h20 retension, leading to secondary in heart falure
32
what caues nephrotic sysdnome
leaky renal glomerular basement memabre, meaing lose prtoin and gnearlsied odema
33
what is the effect of reduced protin levesl
transudate odema
34
is damage to endothel ling exudate or transudate
exudate - as incrases no.of porses in meamer, increase osmotic relection
35
what causes incfeard endotheal permibilty
burn, acutre inflation such as pneumoia
36
transudate caues
liver cheroiss sevre hypoproteialurea nephrotic syndrome
37
exucate causes
pulmonary embolism infection pulmonary infraction malignacy trauma