1. Copyright 2008, Gerald Abrams
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Copyright 2008, Gerald Abrams
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2. Circulatory Derangements
I -Congestion, Edema
II -Hemorrhage
III-Thrombosis
IV-Embolism, Ischemia, Infarction
V –Atherosclerosis, Ischemic Ht. Disease

3. CONGESTION Too much blood in an area
Within the cardiovascular system
(unlike hemorrhage)
Vessels engorged with blood

4. ACTIVE CONGESTION (hyperemia)
Increased flow into the area
-erythema-
PASSIVE CONGESTION
Decreased outflow from area
-cyanosis-

5. Image of capillary beds with active and passive congestion removed

6. Normal Lung

7. Congested Lung

8. Normal Lung

9. Congested Lung

10. Congested Lung Hemorrhage by Diapedesis

11. Congestion erythrophagocytosis

12. Early CPC

13. Advanced CPC

14. Normal liver

15. Liver – Outflow Obstruction

16. Liver – Outflow Obstruction

17. Liver – Outflow Obstruction

18. Liver Central Hemorrhagic Necrosis

19. Liver Central Hemorrhagic Necrosis

20. Liver Cardiac Failure

21. Nutmeg Liver

22. Esophageal Varices Endoscopic View
By: Samir (en.wikipedia.org)

23. Portal Circulation
Source: Gray’s Anatomy (wikimedia.org)

24. Liver - Cirrhosis

25. Esophageal Varices

26. Esophageal Varices

27. EDEMA
Accumulation of excess fluid in the interstitial spaces / body cavities

28. Effusion Fluid accumulation in a body cavity Pleural Effusion
Pericardial Effusion
Peritoneal Effusion = Ascites
Anasarca – Generalized edema,
a water-logged body

29. Image of capillary with acute inflammation removed

30. Fluid Collections Inflammatory collection = Exudate
Non-inflammatory collection = Transudate

31. Edematous Connective Tissue

32. Peripheral Edema BY: miss pupik (flickr)

33. Pitting Edema (1)

34. Pitting Edema (2)

35. Pitting Edema (3)

36. Chronic Lymphedema
Source: Undetermined

37. Pulmonary Edema

38. Pulmonary Edema
Source: Undetermined

39. Pulmonary Edema
Source: Undetermined

40. Laryngeal Edema

41. Cerebral Edema