Hemodynamic LE9
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Questions and Answers

What is the primary cause of edema?

  • Muscle contractions
  • Increased hydrostatic pressure (correct)
  • Lymphatic obstruction
  • Decreased blood flow
  • What is the term for the formation of a thrombus?

  • Infarction
  • Hyperemia
  • Thrombosis (correct)
  • Emboli
  • What is the result of blood supply blockage to tissues?

  • Hyperemia
  • Necrosis
  • Congestion
  • Infarction (correct)
  • What is the term for the obstruction of pulmonary arteries by thrombi?

    <p>Pulmonary thromboembolism (PTE)</p> Signup and view all the answers

    What is the term for increased blood flow, often seen during exercise?

    <p>Hyperemia</p> Signup and view all the answers

    What is the term for the passive, impaired outflow often seen in liver cirrhosis?

    <p>Congestion</p> Signup and view all the answers

    What is the term for the formation of a blood clot in a blood vessel?

    <p>Thrombosis</p> Signup and view all the answers

    What is the term for the obstruction of a blood vessel by a detached mass?

    <p>Emboli</p> Signup and view all the answers

    What is the term for the congestion of the liver due to right heart failure?

    <p>Nutmeg liver</p> Signup and view all the answers

    What is the term for the fluid displacement visible on pressure in edema?

    <p>Pitting edema</p> Signup and view all the answers

    What is the term for the excess fluid accumulation in interstitial spaces or cavities?

    <p>Edema</p> Signup and view all the answers

    Which of the following is an example of hyperemia?

    <p>Exercise-induced skeletal muscle hyperemia</p> Signup and view all the answers

    What is the term for the formation of a solid mass in circulation?

    <p>Thrombosis</p> Signup and view all the answers

    What is the term for the obstruction of a blood vessel by a mass carried in circulation?

    <p>Embolism</p> Signup and view all the answers

    What is the term for the ischemic necrosis due to arterial supply or venous drainage blockage?

    <p>Infarction</p> Signup and view all the answers

    Which of the following is NOT a mechanism of edema?

    <p>Increased body temperature</p> Signup and view all the answers

    What is the term for the passive process that impairs outflow from tissue, causing the tissue to appear blue-red?

    <p>Congestion</p> Signup and view all the answers

    What is Virchow’s Triad?

    <p>Endothelial injury, abnormal blood flow, hypercoagulability</p> Signup and view all the answers

    What is the fate of a venous thrombus?

    <p>Propagation, dissolution, embolization, organization, and recanalization</p> Signup and view all the answers

    What is the main difference between hyperemia and congestion?

    <p>Active process vs. passive process</p> Signup and view all the answers

    Which of the following is an example of a passive process?

    <p>Congestion</p> Signup and view all the answers

    What is the main mechanism of edema formation due to decreased plasma oncotic pressure?

    <p>Lymphatic obstruction</p> Signup and view all the answers

    What is the term for the formation of a solid mass in circulation that can cause obstruction?

    <p>Thrombosis</p> Signup and view all the answers

    What is the result of blocked arterial supply or venous drainage to tissues?

    <p>Infarction</p> Signup and view all the answers

    What is the term for the obstruction of a blood vessel by a detached mass?

    <p>Embolism</p> Signup and view all the answers

    What is Virchow's Triad composed of?

    <p>Endothelial injury, hypercoagulability, and blood flow alterations</p> Signup and view all the answers

    What is the result of excess fluid accumulation in interstitial spaces or cavities?

    <p>Edema</p> Signup and view all the answers

    What is the term for the obstruction of a blood vessel by a thrombus?

    <p>Thrombosis</p> Signup and view all the answers

    What is the outcome of a blocked arterial supply or venous drainage to organs like the heart, brain, and intestines?

    <p>Infarction</p> Signup and view all the answers

    What is the process of dissolution of a thrombus?

    <p>Dissolution</p> Signup and view all the answers

    What is the primary etiology of infarction?

    <p>All of the above</p> Signup and view all the answers

    What is the characteristic of a congested liver?

    <p>Enlarged, congested center of lobules</p> Signup and view all the answers

    What is the term for the formation of a thrombus influenced by endothelial injury, abnormal blood flow, and hypercoagulability?

    <p>Thrombosis</p> Signup and view all the answers

    What is the difference between red and white infarcts?

    <p>Tissue and blood supply</p> Signup and view all the answers

    What is the primary cause of pulmonary thromboembolism?

    <p>Deep vein thrombi</p> Signup and view all the answers

    What is the result of impaired outflow from tissue?

    <p>Congestion</p> Signup and view all the answers

    What is the term for the obstruction of a blood vessel by a detached mass?

    <p>Embolism</p> Signup and view all the answers

    What is the characteristic of pitting edema?

    <p>Fluid displacement visible on pressure</p> Signup and view all the answers

    What is the primary function of normal hemostasis?

    <p>Maintaining fluid state and producing hemostatic plug</p> Signup and view all the answers

    What is the common consequence of systemic thromboembolism?

    <p>Infarction in various organs</p> Signup and view all the answers

    Study Notes

    Hemodynamic Disorders

    • Hyperemia, congestion, hemorrhage, edema, thrombosis, embolism, and infarction are types of hemodynamic disorders.

    Hyperemia and Congestion

    • Hyperemia is an active process characterized by increased tissue inflow due to arterial dilation, causing the tissue to appear red.
    • Congestion is a passive process characterized by impaired outflow from the tissue, causing the tissue to appear blue-red (cyanosis).

    Edema

    • Edema is the accumulation of excess fluid in interstitial spaces or cavities, such as ascites, pleural effusion, and pericardial effusion.
    • Mechanisms of edema include increased hydrostatic pressure, decreased plasma oncotic pressure, lymphatic obstruction, sodium/water retention, and increased capillary permeability.
    • Morphology of edema includes gross (e.g., subcutaneous edema) and microscopic (cell swelling, extracellular matrix separation) changes.

    Virchow's Triad and Thrombosis

    • Virchow's Triad consists of endothelial injury, abnormal blood flow, and hypercoagulability, which contribute to thrombus formation.
    • Thrombosis is the formation of a solid mass (thrombus) in circulation, which can occur in the heart valves, chambers, arteries, veins, and capillaries.

    Thrombosis and Embolism

    • Thrombosis is the formation of a thrombus in circulation.
    • Embolism is the obstruction by a mass carried in circulation, which can be solid (thrombi, tumor cells), liquid (fat, amniotic fluid), or gas (air, nitrogen).

    Fates of Venous and Arterial Thrombi

    • Venous thrombi can propagate, dissolve, embolize, organize, and recanalize.
    • Arterial thrombi can affect organs like the heart, brain, and intestines.

    Infarction

    • Infarction is ischemic necrosis due to arterial supply or venous drainage blockage.
    • Etiologies of infarction include thrombotic or embolic arterial occlusion, cardiac causes, arterial obstruction, venous drainage blockage, and microcirculation occlusion.

    Morphology of Congested Organs

    • Congested lungs (left heart failure) show brown induration and heart failure cells.
    • Congested liver (right heart failure) appears as nutmeg liver with an enlarged, congested center of lobules.
    • Congested spleen shows congestive splenomegaly with Gamna-Gandy bodies.

    Edema Types

    • Pitting edema shows fluid displacement visible on pressure.
    • Non-pitting edema shows no indentation on pressure (e.g., myxedema).

    Hemostasis and Thrombosis

    • Normal hemostasis maintains a fluid state and produces a hemostatic plug at injury sites.
    • Thrombosis is influenced by endothelial injury, altered blood flow, and hypercoagulability.

    Embolism Types and Effects

    • Pulmonary thromboembolism (PTE) is common and fatal, causing thrombi from deep veins to occlude pulmonary arteries.
    • Systemic thromboembolism causes emboli in the arterial circulation, leading to infarctions in various organs (brain, intestines, limbs).

    Infarction Types and Etiologies

    • Types of infarction include red (hemorrhagic) and white (anemic) infarcts, depending on tissue and blood supply.
    • Etiologies of infarction include cardiac output issues, arterial obstruction, venous blockage, and microcirculation issues.

    Hemodynamic Disorders

    • Hyperemia, congestion, hemorrhage, edema, thrombosis, embolism, and infarction are types of hemodynamic disorders.

    Hyperemia and Congestion

    • Hyperemia is an active process characterized by increased tissue inflow due to arterial dilation, causing the tissue to appear red.
    • Congestion is a passive process characterized by impaired outflow from the tissue, causing the tissue to appear blue-red (cyanosis).

    Edema

    • Edema is the accumulation of excess fluid in interstitial spaces or cavities, such as ascites, pleural effusion, and pericardial effusion.
    • Mechanisms of edema include increased hydrostatic pressure, decreased plasma oncotic pressure, lymphatic obstruction, sodium/water retention, and increased capillary permeability.
    • Morphology of edema includes gross (e.g., subcutaneous edema) and microscopic (cell swelling, extracellular matrix separation) changes.

    Virchow's Triad and Thrombosis

    • Virchow's Triad consists of endothelial injury, abnormal blood flow, and hypercoagulability, which contribute to thrombus formation.
    • Thrombosis is the formation of a solid mass (thrombus) in circulation, which can occur in the heart valves, chambers, arteries, veins, and capillaries.

    Thrombosis and Embolism

    • Thrombosis is the formation of a thrombus in circulation.
    • Embolism is the obstruction by a mass carried in circulation, which can be solid (thrombi, tumor cells), liquid (fat, amniotic fluid), or gas (air, nitrogen).

    Fates of Venous and Arterial Thrombi

    • Venous thrombi can propagate, dissolve, embolize, organize, and recanalize.
    • Arterial thrombi can affect organs like the heart, brain, and intestines.

    Infarction

    • Infarction is ischemic necrosis due to arterial supply or venous drainage blockage.
    • Etiologies of infarction include thrombotic or embolic arterial occlusion, cardiac causes, arterial obstruction, venous drainage blockage, and microcirculation occlusion.

    Morphology of Congested Organs

    • Congested lungs (left heart failure) show brown induration and heart failure cells.
    • Congested liver (right heart failure) appears as nutmeg liver with an enlarged, congested center of lobules.
    • Congested spleen shows congestive splenomegaly with Gamna-Gandy bodies.

    Edema Types

    • Pitting edema shows fluid displacement visible on pressure.
    • Non-pitting edema shows no indentation on pressure (e.g., myxedema).

    Hemostasis and Thrombosis

    • Normal hemostasis maintains a fluid state and produces a hemostatic plug at injury sites.
    • Thrombosis is influenced by endothelial injury, altered blood flow, and hypercoagulability.

    Embolism Types and Effects

    • Pulmonary thromboembolism (PTE) is common and fatal, causing thrombi from deep veins to occlude pulmonary arteries.
    • Systemic thromboembolism causes emboli in the arterial circulation, leading to infarctions in various organs (brain, intestines, limbs).

    Infarction Types and Etiologies

    • Types of infarction include red (hemorrhagic) and white (anemic) infarcts, depending on tissue and blood supply.
    • Etiologies of infarction include cardiac output issues, arterial obstruction, venous blockage, and microcirculation issues.

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    Identify and understand the differences between congestion and hyperemia, including their causes, symptoms, and examples in various medical conditions.

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