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    Fluid Shift From Intracellular To Extracellular Space Surgical Trauma

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    Kyla Barrera Tabungar
    This document describes signs and symptoms of a 51-year-old patient presenting with abdominal distension and discomfort. Key findings include bilateral leg edema, enlarged abdomen, diminished breath sounds, and lab results consistent with fluid shift, anemia, and inflammation. Surgical drainage was performed and fluid analysis revealed an exudative pleural effusion, suggesting a diagnosis of ovarian cancer with malignant ascites and pleural effusion.

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    Fluid Shift From Intracellular To Extracellular Space Surgical Trauma

    Uploaded by

    Kyla Barrera Tabungar
    30 views4 pages
    This document describes signs and symptoms of a 51-year-old patient presenting with abdominal distension and discomfort. Key findings include bilateral leg edema, enlarged abdomen, diminished breath sounds, and lab results consistent with fluid shift, anemia, and inflammation. Surgical drainage was performed and fluid analysis revealed an exudative pleural effusion, suggesting a diagnosis of ovarian cancer with malignant ascites and pleural effusion.

    Original Description:

    pathophys 1

    Original Title

    Pathophsyiology Ovarian Cancer

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    This document describes signs and symptoms of a 51-year-old patient presenting with abdominal distension and discomfort. Key findings include bilateral leg edema, enlarged abdomen, diminished breath sounds, and lab results consistent with fluid shift, anemia, and inflammation. Surgical drainage was performed and fluid analysis revealed an exudative pleural effusion, suggesting a diagnosis of ovarian cancer with malignant ascites and pleural effusion.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    30 views4 pages

    Fluid Shift From Intracellular To Extracellular Space Surgical Trauma

    Uploaded by

    Kyla Barrera Tabungar
    This document describes signs and symptoms of a 51-year-old patient presenting with abdominal distension and discomfort. Key findings include bilateral leg edema, enlarged abdomen, diminished breath sounds, and lab results consistent with fluid shift, anemia, and inflammation. Surgical drainage was performed and fluid analysis revealed an exudative pleural effusion, suggesting a diagnosis of ovarian cancer with malignant ascites and pleural effusion.

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    © All Rights Reserved
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    Surgical trauma Fluid shift from intracellular

    to extracellular space

    2+ bipedal edema

    Capillary leakage ↓ affinity of RBC to O2

    ↑ abdominal girth
    (102 cm)

    discomfort Prolonged hospitalization


    Fatigue

    ↑ pH, ↑ paCO2, ↑ HCO3- ↑ loss of albumin Monotonous environment

    Use of loop diuretics


    Abdominal girth: 105 cm Flattened/ inverted
    diaphragm

    (+) fluid wave

    Compromised breathing

    Dull upon percussion on


    all four quadrants

    Soft, globular, non- ↓ Hgb, Hct TAHBSO


    tender abdomen
    Diminished breath sounds ↑ CEA, CA-125 Jackson-Pratt drain
    bilateral lower lung fields insertion

    Asymmetrical chest ↑ neutrophils


    expansion; lag on left chest Chest tube thoracostomy

    Asymmetrical tactile ↓ lymphocytes


    fremitus

    Dull upon percussion at ↑ platelet count


    bilateral lower lung fields

    dyspnea ↑ bacteria, mucus thread

    Urinary frequency; ↑ pH, ↓ paCO2, ↓ HCO3-


    urgency

    Feeling of heaviness in ↓K
    pelvic area

    Pale palebral conjunctiva ↓ Ca

    2+ bipedal edema ↓ albumin

    Muscle cramps Yellow, slightly hazy


    pleural fluid

    General weakness ↑ total protein, RBC, WBC

    Muscle cramps ↑ respiratory rate


    Age: 51 y/0 Immunocompression ↑ thoracic cavity size and ↓
    lung size

    Maternal history: 65P5


    Compression of stomach Lung tissue compression

    (-) contraceptive use

    Low socioeconomic status


    Loss of appetite ↓ lung expansion

    Improper diet causing


    nutritional deficiencies
    ↓ intake of Vit B ↓ partial pressure of PaCO2
    stress

    Hormonal imbalances ↓ Intake of Vit B12 ↑ bicarbonate concentration


    to PaCO2

    Suppression of FSH and LH Proliferate to lining of ↑ pH level


    that helps mature ovarian peritoneum
    follicles

    Altered maturation of Blockage of lymphatic ↑ intracellular shifts of ions


    system in exhange for H＋ions
    ovarian follicles

    Abnormal proliferation of Irritation of peritoneal lining ↑ binding of calcium ions to


    ovarian follicles plasma proteins

    Follicles fail to ovulate and Accumulation of fluid in the ↓ percentage of ionized


    undergo atresia peritoneal cavity calcium

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