Circulatory Failure Overview
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Heart Failure

A condition where the heart's ability to pump blood effectively is compromised, leading to inadequate blood flow to the body's tissues.

Circulatory Failure

A condition where the heart's ability to pump blood effectively is impaired, leading to inadequate blood flow to the body's tissues.

Vasomotor Vascular Tone

The ability of vascular muscles to contract in response to vasomotor nerve influences. It's a phylogenetically young and fast-acting mechanism, responding to sympathetic alpha-adrenergic influences.

Basal Vascular Tone

The intrinsic ability of smooth muscle cells in vascular walls to exhibit spontaneous activity and propagate excitation. This maintains vascular wall tension even in the absence of external influences.

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Hypotension

A decrease in arterial pressure.

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Hypotonia

A decrease in vascular tone.

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Primary Arterial Hypertension

A chronic condition characterized by persistent increase in arteriolar tone, leading to elevated blood pressure.

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Symptomatic Arterial Hypertension

A condition where hypertension is a symptom of another underlying disease.

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Atherosclerosis

A chronic inflammatory disease of large and medium arteries characterized by thickening of the inner layer due to lipid deposits, fibrous tissue formation, and subsequent narrowing of the vessel lumen.

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Atherogenesis

The process of lipid accumulation in the intima of arteries, leading to the formation of atheromatous plaques.

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External Respiratory Insufficiency

A type of respiratory failure where the body's ability to maintain normal gas composition in arterial blood is impaired.

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Hypoxemia

Reduced partial pressure of oxygen (pO₂) in arterial blood.

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Hypercapnia

Increased partial pressure of carbon dioxide (pCO₂) in arterial blood.

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Ventilatory Respiratory Insufficiency

A type of respiratory insufficiency that involves a disturbance in the mechanics of breathing, making it difficult to move air in and out of the lungs.

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Diffusion-related Respiratory Insufficiency

A type of respiratory insufficiency that involves problems with the diffusion of gases across the alveolar-capillary membrane, preventing proper gas exchange.

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Perfusion-related Respiratory Insufficiency

A type of respiratory insufficiency that involves problems with blood flow to the lungs, reducing the amount of gas exchange that can occur.

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Difficulty Exhaling

Breathing with difficulty during the expiratory phase.

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Difficulty Inhaling

Breathing with difficulty during the inspiratory phase.

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Stridor Breathing

Breathing with a high-pitched whistling sound, often associated with obstruction of the upper airway.

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Tachypnea

Frequent, shallow breathing.

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Bradypnea

Rare, deep breathing.

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Restrictive Ventilation Disorders

A type of respiratory insufficiency where the lungs are stiff and don't expand enough during breathing.

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Obstructive Ventilation Disorders

A type of respiratory insufficiency where airways are narrowed or blocked, making it difficult to move air in and out of the lungs.

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Shortness of Breath

A feeling of air hunger accompanied by changes in breathing patterns.

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Periodic Breathing

Rapid breathing with an altered ratio between inhalation and exhalation, often associated with respiratory distress.

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Cheyne-Stokes Breathing

A type of periodic breathing characterized by alternating apnea with breathing movements that gradually increase in depth and then decrease.

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Asphyxia

An acute or subacute condition of significant hypoxemia and hypercapnia, often caused by obstruction or inadequate ventilation, resulting in a life-threatening condition.

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Adult Respiratory Distress Syndrome (ARDS)

A severe complication of respiratory insufficiency characterized by widespread damage to lung capillaries and alveolocytes, leading to severe hypoxemia and respiratory failure.

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Anorexia

Lack of appetite.

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Bulimia

Excessively increased appetite.

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Dysmasesis

Chewing disorder.

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Dysphagia

Difficulty swallowing.

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Hypochlorhydria

Reduced stomach acidity.

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Gastric Achilia

Complete absence of hydrochloric acid and enzymes in gastric juice.

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Hyperchlorhydria

Increased hydrochloric acid production by gastric parietal cells.

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Malabsorption Syndrome

A complex and multifaceted condition characterized by impaired digestion and absorption of essential nutrients.

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Pancreatic Insufficiency

A condition that involves multiple and severe symptoms related to impaired pancreatic function, including steatorrhea, loss of appetite, and weight loss.

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Reduced Intestinal Peristalsis

A condition characterized by a decrease in intestinal peristalsis (wave-like muscle contractions that propel food through the digestive tract), resulting in slowed movement of food through the intestines, leading to constipation.

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Increased Intestinal Peristalsis

A condition characterized by an increase in intestinal peristalsis, often leading to frequent and watery stools.

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Study Notes

Circulatory Failure

  • Circulatory failure is caused by primary cardiac dysfunction, peripheral circulatory disorders, vascular tone disturbances, combined heart and blood vessel dysfunction, hypovolemia, and compensatory myocardial hypertrophy.
  • Chronic circulatory failure (CCF) can be categorized into degrees (I, IIA, IIB, and III). Each degree presents different symptoms.
  • Tachycardia and shortness of breath are common symptoms associated with circulatory failure.
  • Heart failure is characterized by decreased myocardial contractility, decreased stroke volume, reduced cardiac output, and decreased residual systolic blood volume.
  • Myocardial infarction, cardiosclerosis, acute myocarditis, acute decompensation of hypertrophied myocardium, and attacks of paroxysmal tachycardia are among the causes of acute heart failure.
  • Arterial hypertension of the systemic circulation, and arterial hypertension of the pulmonary circulation, and infarction of the left ventricle are causes of right ventricular failure.

Right Ventricular Failure

  • Right ventricular failure is often characterized by ascites, swelling of jugular veins, swelling of lower extremities, hepatomegaly, and pulmonary edema.

Cardiogenic Pulmonary Edema

  • Cardiogenic pulmonary edema develops due to either right or left ventricular failure.
  • Left ventricular failure can be caused by mitral valve insufficiency, infarction of the left ventricle, and pulmonary hypertension.
  • The causes of left ventricular failure often include mitral valve insufficiency, anterior wall infarction of the left ventricle, and pulmonary artery hypertension.

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Description

This quiz covers the key concepts of circulatory failure, including its causes, symptoms, and classifications. Learn about chronic circulatory failure categories and the relationship between myocardial contractility and heart failure. Test your understanding of acute heart failure and its contributing factors.

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