11.10.08(c): Circulatory Derangements I

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Slideshow is from the University of Michigan Medical School's M1 Cardiovascular / Respiratory sequence

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11.10.08(c): Circulatory Derangements I

  1. 1. Author(s): Gerald Abrams, M.D., 2009License: Unless otherwise noted, this material is made available under the terms ofthe Creative Commons Attribution-Non-commercial-Share Alike 3.0 License:http://creativecommons.org/licenses/by-nc-sa/3.0/We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize yourability to use, share, and adapt it. The citation key on the following slide provides information about how youmay share and adapt this material.Copyright holders of content included in this material should contact open.michigan@umich.edu with anyquestions, corrections, or clarification regarding the use of content.For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use.Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosisor a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Pleasespeak to your physician if you have questions about your medical condition.Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  2. 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicyUse + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (USC 17 § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation LicenseMake Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (USC 17 § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC 17 § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  3. 3. Circulatory Derangements I M1 – Cardiovascular/Respiratory Sequence Gerald Abrams, MDFall 2008
  4. 4. Circulatory Derangements•  I -Congestion, Edema•  II -Hemorrhage•  III-Thrombosis•  IV-Embolism, Ischemia, Infarction•  V –Atherosclerosis, Ischemic Ht. Disease
  5. 5. CONGESTION Too much blood in an areaWithin the cardiovascular system (unlike hemorrhage)Vessels engorged with blood
  6. 6. ACTIVE CONGESTION (hyperemia) Increased flow into the area -erythema-PASSIVE CONGESTION Decreased outflow from area -cyanosis-
  7. 7. Source Undetermined
  8. 8. Normal LungDepartment of Pathology, University of Michigan
  9. 9. Congested LungDepartment of Pathology, University of Michigan
  10. 10. Normal LungG.D. Abrams, University of Michigan Medical School
  11. 11. Congested LungG.D. Abrams, University of Michigan Medical School
  12. 12. Congested Lung Hemorrhage by DiapedesisG.D. Abrams, University of Michigan Medical School
  13. 13. Congestion erythrophagocytosisG.D. Abrams, University of Michigan Medical School
  14. 14. Early CPCG.D. Abrams, University of Michigan Medical School
  15. 15. Advanced CPCG.D. Abrams, University of Michigan Medical School
  16. 16. Normal liverG.D. Abrams, University of Michigan Medical School
  17. 17. Liver – Outflow ObstructionG.D. Abrams, University of Michigan Medical School
  18. 18. Liver – Outflow ObstructionG.D. Abrams, University of Michigan Medical School
  19. 19. Liver – Outflow ObstructionG.D. Abrams, University of Michigan Medical School
  20. 20. Liver Central Hemorrhagic NecrosisG.D. Abrams, University of Michigan Medical School
  21. 21. Liver Central Hemorrhagic NecrosisG.D. Abrams, University of Michigan Medical School
  22. 22. Liver Cardiac FailureDepartment of Pathology, University of Michigan
  23. 23. Nutmeg LiverDepartment of Pathology, University of Michigan
  24. 24. Esophageal Varices Samir (Wikimedia Commons)
  25. 25. Portal Circulation Gray’s Anatomy Original image here: http://1.bp.blogspot.com/ _DJHKI52rMWA/SfaTtEF0jqI/AAAAAAAAADw/ 6X0s8peMvOo/s320/shared_7303_HM-06.jpg
  26. 26. Liver - CirrhosisDepartment of Pathology, University of Michigan
  27. 27. Esophageal VaricesDepartment of Pathology, University of Michigan
  28. 28. Esophageal VaricesDepartment of Pathology, University of Michigan
  29. 29. EDEMAAccumulation of excess fluid in the interstitial spaces / body cavities
  30. 30. EffusionFluid accumulation in a body cavity Pleural Effusion Pericardial Effusion Peritoneal Effusion = AscitesAnasarca – Generalized edema, a water-logged body
  31. 31. Source Undetermined
  32. 32. Fluid Collections•  Inflammatory collection = Exudate•  Non-inflammatory collection = Transudate
  33. 33. Edematous Connective TissueG.D. Abrams, University of Michigan Medical School
  34. 34. Peripheral Edema miss pupik, (flickr)
  35. 35. Pitting Edema (1)Department of Pathology, University of Michigan
  36. 36. Pitting Edema (2)Department of Pathology, University of Michigan
  37. 37. Pitting Edema (3)Department of Pathology, University of Michigan
  38. 38. Chronic LymphedemaSource Undetermined
  39. 39. Pulmonary EdemaG.D. Abrams, University of Michigan Medical School
  40. 40. Pulmonary EdemaDepartment of Pathology, University of Michigan
  41. 41. Pulmonary EdemaDepartment of Pathology, University of Michigan
  42. 42. Laryngeal EdemaDepartment of Pathology, University of Michigan
  43. 43. Cerebral EdemaDepartment of Pathology, University of Michigan
  44. 44. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicySlide 7: Source UndeterminedSlide 8: Department of Pathology, University of MichiganSlide 9: Department of Pathology, University of MichiganSlide 10: G.D. Abrams, University of Michigan Medical SchoolSlide 11: G.D. Abrams, University of Michigan Medical SchoolSlide 12: G.D. Abrams, University of Michigan Medical SchoolSlide 13: G.D. Abrams, University of Michigan Medical SchoolSlide 14: G.D. Abrams, University of Michigan Medical SchoolSlide 15: G.D. Abrams, University of Michigan Medical SchoolSlide 16: G.D. Abrams, University of Michigan Medical SchoolSlide 17: G.D. Abrams, University of Michigan Medical SchoolSlide 18: G.D. Abrams, University of Michigan Medical SchoolSlide 19: G.D. Abrams, University of Michigan Medical SchoolSlide 20: G.D. Abrams, University of Michigan Medical SchoolSlide 21: G.D. Abrams, University of Michigan Medical SchoolSlide 22: Department of Pathology, University of MichiganSlide 23: Department of Pathology, University of MichiganSlide 24: Samir, Wikimedia Commons, http://en.wikipedia.org/wiki/File:Esophageal_varices_-_wale.jpg
Slide 25: Gray’s AnatomySlide 26: Department of Pathology, University of MichiganSlide 27: Department of Pathology, University of MichiganSlide 28: Department of Pathology, University of MichiganSlide 31: Source UndeterminedSlide 33: G.D. Abrams, University of Michigan Medical SchoolSlide 34: miss pupik, flickr, http://www.flickr.com/photos/miss_pupik/2418359498; CC:BY 2.0, http://creativecommons.org/licenses/by/2.0/deed.enSlide 35: Department of Pathology, University of MichiganSlide 36: Department of Pathology, University of MichiganSlide 37: Department of Pathology, University of MichiganSlide 38: G.D. Abrams, University of Michigan Medical SchoolSlide 39: G.D. Abrams, University of Michigan Medical SchoolSlide 40: Department of Pathology, University of MichiganSlide 41: Department of Pathology, University of MichiganSlide 42: Department of Pathology, University of MichiganSlide 43: Department of Pathology, University of Michigan

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