Which condition, leading to decreased plasma proteins, is described as a major cause of edema and involves damage to the membranes of the renal glomeruli?

Correct answer: Nephrotic syndrome

Explanation

Nephrotic syndrome is a kidney disorder where the glomeruli become permeable to proteins, leading to significant protein loss in the urine (proteinuria). This depletes plasma proteins, reduces colloid osmotic pressure, and results in severe generalized edema.

Other questions

Question 1

What is the primary factor that determines the distribution of fluid between the intracellular and extracellular compartments?

Question 2

What is the calculated osmolarity in mOsm/L of a 0.9 percent sodium chloride solution, before applying the osmotic coefficient?

Question 3

What happens to a cell when it is placed in a hypotonic solution with a lower concentration of impermeant solutes?

Question 4

What is the primary difference between the terms 'isotonic' and 'isosmotic'?

Question 5

What is the main effect of adding an isotonic saline solution to the extracellular fluid compartment?

Question 6

According to the calculation example in the text, what is the approximate final extracellular fluid volume after infusing 2 liters of a 3.0 percent hypertonic sodium chloride solution into a 70-kg patient with an initial ECF volume of 14 liters?

Question 7

What is the primary cellular-level consequence of rapid hyponatremia, particularly in the brain?

Question 8

A condition characterized by the presence of excess fluid in the body tissues, which can involve both extracellular and intracellular compartments, is known as what?

Question 9

Which of the following conditions is a primary cause of intracellular edema?

Question 10

What are the two general causes of extracellular edema?

Question 11

What is the term for a solution that will cause cells to shrink because it has a higher concentration of impermeant solutes?

Question 12

What is the approximate osmolarity of a 5 percent glucose solution, making it nearly isotonic?

Question 13

What is the net effect of adding a hypertonic solution to the extracellular fluid?

Question 14

According to the text, what percentage of the total osmolarity of the interstitial fluid and plasma is due to sodium and chloride ions?

Question 15

What is the term for a reduced plasma sodium concentration, typically below 142 mEq/L?

Question 16

Which of the following conditions can cause hypernatremia, an elevated plasma sodium concentration?

Question 17

What is the primary physiological effect of hypernatremia on the body's cells?

Question 18

In the process of calculating fluid shifts after an infusion, what are the two fundamental principles that must be kept in mind?

Question 19

In which part of the body do the diseases nephrotic syndrome and cirrhosis of the liver cause edema?

Question 20

What is the approximate potential osmotic pressure that can develop across a cell membrane if the cell, with an intracellular osmolarity of 282 mOsm/L, is exposed to pure water?

Question 21

Lymphedema, a severe form of extracellular edema, is caused by the failure of which system?

Question 22

What is the term used to describe the type of edema where pressing a thumb against the tissue area leaves a pit for a few seconds?

Question 23

What is the total safety factor against edema, which represents the theoretical rise in capillary pressure that can be tolerated before marked edema occurs?

Question 24

What is the term for edema fluid that collects in a potential space like the abdominal cavity?

Question 25

What is the normal interstitial fluid hydrostatic pressure in the pleural cavity?

Question 26

What distinguishes nonpitting edema from pitting edema?

Question 28

What is the average interstitial fluid hydrostatic pressure in loose subcutaneous tissues, and how does this act as a safety factor against edema?

Question 29

The term for an effusion, or collection of excess fluid, specifically within the abdominal cavity is known as what?

Question 30

What is the reason that highly permeating substances like urea have little effect on intracellular volume under steady-state conditions?

Question 31

Why is plasma osmolarity a reasonable indicator of a patient's fluid status in many clinical conditions?

Question 32

A patient with adrenal insufficiency and overuse of diuretics is likely to present with which combination of conditions according to Table 25-4?

Question 33

In a patient with slowly developing hyponatremia, how does the brain attenuate swelling?

Question 34

What is the primary danger of correcting chronic hyponatremia too rapidly with hypertonic solutions?

Question 35

What is considered a common cause of hypernatremia associated with decreased extracellular fluid volume?

Question 36

Why might a patient with Cushing disease or primary aldosteronism develop hypernatremia-overhydration?

Question 37

Below what plasma protein concentration does serious generalized edema typically occur?

Question 38

How does liver cirrhosis contribute to the formation of ascites?

Question 39

What is the role of interstitial gel, formed by a proteoglycan meshwork, in normal tissues?

Question 40

What is the safety factor against edema provided by the 'washdown of interstitial fluid protein'?

Question 41

How does the increased ability of lymph flow act as a safety factor against edema?

Question 42

What is the osmotic coefficient of sodium chloride, and what does it account for?

Question 43

In heart failure, what is the consequence of the heart failing to pump blood normally from the veins into the arteries regarding edema formation?

Question 44

What is the definition of osmolality?

Question 45

Why does adding a hypotonic solution to the extracellular fluid cause a greater increase in intracellular volume than in extracellular volume?

Question 46

An infection with filarial nematodes (Wuchereria bancrofti) causes severe edema primarily by which mechanism?

Question 47

According to the principles of osmosis, if a solute like sodium chloride is added to the extracellular fluid, what is the immediate response of water?

Question 48

What is the primary reason for correcting the calculated osmolarity of a sodium chloride solution with an osmotic coefficient?

Question 49

Which of the following is NOT listed as one of the three conditions especially prone to cause intracellular swelling (edema)?

Question 50

In the summary of safety factors that prevent edema, what is the value of the safety factor caused by increased lymph flow?