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Pathology General 35d980e2

Edema is due to-

A
Increased capillary osmotic pressure
B
Decreased lymph flow
C
Decreased hydrostatic pressure in capillaries
D
Both of the above
High-Yield Explanation
Pathogenesis of edema Following conditions can cause edema :- 1) The increased hydrostatic pressure of capillaries, e.g. in CHF or DVT. 2) Decreased plasma osmotic pressure of capillaries: It results from Hypoproteinemia. When total plasma protein is below 5 gm/dl (normal 6-8 gm/dl) or albumin is below 2-5 gm/dl (normal 3.5-5 gm/dl) edema takes place. Conditions causing hypoproteinemia are nephritic syndrome, liver cirrhosis, protein-losing enteropathy, and PEM. 3) Defective removal of interstitial fluid by lymphatics: It is due to lymphatic obstruction, which may be inflammatory, neoplastic, post-surgical and post-irradiation. 4) Increased vascular permeability: It occurs in acute and chronic inflammation, and during angiogenesis (new vessels are leaky). 5) Sodium (salt) and water retention: The conditions responsible for this type of edema are ARF, acute glomerulonephritis, renal hypoperfusion, and increase renin angiotensin aldosterone system (RAAS) activity.

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