HEMODYNAMIC

DISORDERS I
R. HUGO MARTÍNEZ LOZANO, M.D.

SEP-05, 2006
 LEARNING OBJECTIVES: K & U
 GENERAL FEATURES
 - NORMAL FLUID COMPARTMENTS.
 EDEMA: --- PATHOGENESIS

--- ASSOCIATED DISEASES

 HYPEREMIA AND CONGESTION

 HEMORRHAGE: HEMATOMA, PETECHIA,

PURPURA, ECCHYMOSIS, CAVITIES

ACCUMULATIONS.
MEDICAL SIGNIFICANCE!!!
Ref: pp. 119-124 & lecture’s information
 Hemodynamic Disorders
Normal regulation of fluid movement

Extravascular fluid
(little protein or pressure)

Hydrostatic Oncotic

pressure pressure
 HEMODYNAMIC DISORDERS.
PATHOGENESIS OF EDEMA:
 INCREASED HYDROSTATIC P.
 REDUCED OSMOTIC P.
 LYMPHATIC OBSTRUCTION.
 SODIUM RETENTION.
 INFLAMMATION.
Non-Inflammatory Edema
Increased Hydrostatic Pressure

EDEMA -TRANSUDATE
(protein content low - specific gravity <1.012)

Hydrostatic Oncotic

pressure pressure
CARDIOMEGALY &
CONGESTIVE
CARDIAC FALURE
Non-Inflammatory Edema
Decreased Oncotic Pressure

EDEMA -TRANSUDATE
(protein content low: specific gravity <1.012)

Hydrostatic Oncotic

pressure pressure
KWASHIORKOR
ASCITIS
ELEPHANTIASIS
ATOPIC
DERMATITIS
GLOSITIS
COMPLICATED ERYSIPELA
LEPROSY
S.L.E.
 HEMORRHAGES
 DIFFUSE
 ENCLOSED
SUBARACHNOIDAL HEMORRHAGE
BERRY
ANEURYSM
SUBDURAL HEMATOMA
 HEMORRHAGES
 “SPECIAL” FORMS:
- PETECHIA
- PURPURA
- ECCHYMOSIS
- ACCUMULATIONS IN CAVITIES
PETECHIA
HENOCH
SCHONLEIN’S
PURPURA
ECCHYMOSIS
HEMOTHORAX
HEMARTHROSIS
QUESTIONS?