Microcirculation

 

 

 

 

 

  1. Capillary filtration pressure
    • Length of capillary: 35mmHg at start - 20mmHg at end
  2. Interstitial hydrostatic pressure
  3. Colloid oncotic pressure (osmotic)
    • 25mmHg
    • Exerted by albumin, gamma-globulins
  4. Interstitial oncotic pressure
    • Exerted by collagen, proteoglycans, hyaluronate

[Oedema][Lymphoedema]

 

Oedema

Abnormal accumulation of fluid in the intercellular spaces

May be

  1. Transudate
    • Imbalance in hydrostatic pressures
    • Fluid: low protein <30g/l; specific gravity <1.020
  2. Exudate
    • Inflammatory process
    • Fluid: high protein >30g/l; specific gravity >1.020
    • Classification - in terms of content or formation: (1) serous - pleural, pericardial, peritoneal (2) haemorrhagic - TB (3) Purulent - e.coli peritonitis (4) Fibrinous - pericarditis (5) Pseudomembranous

 

Classification

  1. Exudate
  2. Transudate