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8 Posts

black
Forum Senior

Topics: 10
Posts: 29

08/10/06 - 05:20 PM

33. A 60-year-old man comes to the physician for a follow-up examination. He had a myocardial infarction of the right ventricle 3 weeks ago. Physical examination shows an accumulation of free fluid in the peritoneal space. Which of the following mechanisms is the most likely cause of this finding?

A. Decreased capillary colloid osmotic pressure
B. Increased capillary hydrostatic pressure
C. Increased capillary permeability
D. Increased lymphatic colloid osmotic pressure
E. Lymphatic obstruction

rolling eyes

thinkpositive
Forum Newbie

Topics: 10
Posts: 24

08/13/06 - 12:34 PM

HERE what i think is increase hydrodtatic pressure , as this is a case of CHF which had transduate in it. so oncotic pressue is not increased!
tell me whatz the ans ?????

drpkaur
Forum Guru
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Topics: 195
Posts: 808

08/17/06 - 09:43 AM

B???

anu_usmle
Forum Senior

Topics: 17
Posts: 65

08/25/06 - 10:00 AM

i think B is correct answer but not sure, can you please post correct answer???

Thanks

muzammil
Forum Guru
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Topics: 16
Posts: 658

08/25/06 - 01:42 PM

hey guys its a right heart failure and i was just wondering cant it be damged liver producing less protien.

fox
Forum Guru
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Topics: 70
Posts: 727

08/25/06 - 02:38 PM

Its classic CHF, there is increase pressure in the venules with resultant backpressure on cappillaries, causing inc hydrostatic pressure. This will result in a transudate in peritoneal cavity & all dependent areas of the body like feet / sacral region etc..

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docswapna
Forum Senior

Topics: 61
Posts: 229

09/14/06 - 09:02 PM

yes B is the right ans

ManuNastai
Transilvanian..
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Topics: 55
Posts: 838

09/15/06 - 05:33 AM

@ muzammil:

stasis liver does not produce such a severe damage. It raises a little bit the transaminases because of the fatty change but otherwise the liver function is normal.. but PAINFULL. don't try to look only in one direction (what writes in the books is just one side of the whole problem). while answering a Q try to see the whole picture. Try to remember how the disease looks like live in the patient (remember the cases that you saw in the hospitals) and if you didn't see any of that, while learning about diseases try to make an image inside your head and add to that image some more details each time you come across it again!

Best of luck

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"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca

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