Exudate

Exudate

__NOTOC__An exudate is any fluid that filters from the circulatory system into lesions or areas of inflammation. Its composition varies but generally includes water and the dissolved solutes of the blood, some or all plasma proteins, white blood cells, platelets and (in the case of local vascular damage) red blood cells.

Etymology

Exudate is derived from "exude", "to ooze," [cite web |url=http://www.merriam-webster.com/dictionary/exuded |title="Exuded" Merriam-Webster Online Dictionary |accessdate=2008-07-04 |date=2008 |publisher=Meriam Webster] from the Latin "exsūdāre", "to (ooze) out like sweat" ("ex-" "out" and "sūdāre" "to sweat"). [cite book |title=Chambers Dictionary of Etymology |editor=Robert K. Barnhart |year=1988 |publisher=Chambers Harrap Publishers |location=New York |isbn=0-550-14230-4 |pages=363]

Types

*Pus is an example of exudate found in infected wounds that also includes bacteria and high concentrations of white blood cells. Clear blister fluid is an example of an exudate that contains water (and solutes) together with some plasma proteins, but not many blood cells.

*Serous exudate is usually seen in mild inflammation, with little protein content. Its consistency resembles that of serum, and can usually be seen in certain disease states like tuberculosis.

*Purulent or suppurative exudate consists of plasma with both active and dead neutrophils, fibrinogen, and necrotic parenchymal cells. This kind of exudate is consistent with more severe infections, and is commonly referred to as pus.

*Fibrinous exudate is composed mainly of fibrinogen and fibrin. It is characteristic of rheumatic carditis, but is seen in all severe injuries such as strep throat and bacterial pneumonia. Fibrinous inflammation is often difficult to resolve due to the fact that blood vessels grow into the exudate and fill the space that was occupied by fibrin. Often, large amounts of antibiotics are necessary for resolution.

*Hemorrhagic exudate is seen in injury that causes rupture of blood vessels.

*Pleural exudate has a specific gravity greater than 1.020. Certain conditions produce exudative pleural effusions such as infections, pulmonary infarctions, rheumatoid arthritis, lupus erythematosus, and certain malignancies.

*Catarrhal exudate is seen in the nose and throat and is characterized by a high content of mucus.

Exudates vs. transudates

There is an important distinction between transudates and exudates. Transudates are caused by disturbances of hydrostatic or colloid osmotic pressure, not by inflammation. Medical distinction between transudates and exudates is through the measurement of the specific gravity of extracted fluid. Specific gravity is used to measure the protein content of the fluid. The higher the specific gravity, the greater the likelihood of capillary permeability changes in relation to body cavities. For example, the specific gravity of the transudate is usually less than 1.012 and a protein content of less than 2 gm/100mL (2 gm%).

ee also

*transudate

References


Wikimedia Foundation. 2010.

См. также в других словарях:

  • Exudate — Ex*u date, v. t. & i. [See {Exude}.] To exude. [Obs.] Sir T. Browne. [1913 Webster] …   The Collaborative International Dictionary of English

  • Exudate — Ex*u date, n. A product of exudation; an exuded substance. [Webster 1913 Suppl.] …   The Collaborative International Dictionary of English

  • exudate — [eks′yo͞o dāt΄, eks′yo͞odit; egz′yo͞odāt΄, egz′yo͞odāt΄] n. [L exudatus, pp. of exudare: see EXUDE] matter exuded …   English World dictionary

  • Exudate — A fluid rich in protein and cellular elements that oozes out of blood vessels due to inflammation and is deposited in nearby tissues. The altered permeability of blood vessels permits the passage of large molecules and solid matter through their… …   Medical dictionary

  • exudate — noun A fluid that has exuded from somewhere; especially one that has exuded from a pore of an animal or plant. The whitish lines of exudate seem at times to penetrate even between the straight tubes …   Wiktionary

  • exudate — exude ► VERB 1) discharge or be discharged slowly and steadily. 2) display (an emotion or quality) strongly and openly. DERIVATIVES exudate noun exudation noun exudative adjective. ORIGIN Latin exsudare, from sudare to sweat …   English terms dictionary

  • exudate — I noun a substance that oozes out from plant pores • Syn: ↑exudation • Derivationally related forms: ↑exude (for: ↑exudation), ↑exude • Hypernyms …   Useful english dictionary

  • exudate — noun Date: 1876 exuded matter …   New Collegiate Dictionary

  • exudate — n. [L. exsudo, discharge by sweating] Any flow from the body or organ through pores or openings by natural discharge …   Dictionary of invertebrate zoology

  • exudate — /eks yoo dayt , ek seuh , eg zeuh /, n. a substance exuded; exudation. [1875 80; EXUDE + ATE1] * * * …   Universalium


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