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Starling’s Law of Capillary Fluid Exchange
Starling’s Law explains how fluid moves across the capillary membrane based on
the balance between two main forces:
• Hydrostatic pressure: the force exerted by fluid within blood vessels that
pushes water out of the capillaries into the interstitial space
• Oncotic (colloid osmotic) pressure: the pulling force created by plasma
proteins (mainly albumin) that draws water back into the capillaries
In a healthy system, these forces are balanced, allowing proper fluid exchange.
Edema in Nutritional Deficiency
In malnourished individuals:
• There is a decrease in plasma proteins (especially albumin)
• This leads to reduced oncotic pressure
• Fluid is not pulled back into the capillaries effectively
• Fluid accumulates in tissues → resulting in edema (swelling)
,Homeostasis and Its Importance to Health
Homeostasis refers to the body’s ability to maintain a stable internal environment
despite external changes.
Key regulated factors include:
• Body temperature
• Blood glucose levels
• pH balance
• Electrolyte concentrations
Maintaining homeostasis is essential because:
• Enzymes require specific conditions to function
• Cells rely on stable conditions for metabolism
• Disruptions can lead to disease or organ failure
Innate Immunity vs Adaptive Immunity
Innate Immunity (First Line of Defense)
• Non-specific and immediate response
• Protects against all pathogens in a general way
• Includes:
o Physical barriers (skin, mucous membranes)
o Chemical defenses (stomach acid, enzymes in tears)
, o Cellular defenses (neutrophils, macrophages)
Adaptive Immunity (Specific Defense)
• Develops over time after exposure to pathogens
• Highly specific to particular antigens
• Involves:
o B lymphocytes (produce antibodies)
o T lymphocytes (destroy infected cells)
• Has memory, allowing faster response upon re-exposure
Interaction Between Innate and Adaptive Immunity
The innate and adaptive systems work together:
• Innate immunity activates adaptive responses by presenting antigens
• Adaptive immunity enhances innate defenses by:
o Producing antibodies
o Activating complement proteins
o Increasing efficiency of phagocytosis
Age-Related Differences in Infection Severity
• Children: have immature immune systems and lack memory cells, making
them more vulnerable
• Elderly: experience immune decline, including reduced naïve T cells, leading
to weaker responses
, The Inflammatory Response and Its Clinical Signs
Inflammation produces the classic signs: redness, heat, swelling, and pain
Mechanism
1. Injury occurs
2. Cells release chemokines (chemical signals)
3. Mast cells release histamine
4. Histamine causes vasodilation:
o Increased blood flow → redness and heat
5. Capillaries become more permeable:
o Fluid leaks into tissues → swelling
6. Chemical mediators stimulate nerves → pain
Genetic Disorders: Dominant vs Recessive Inheritance
• Dominant disorders require only one copy of a mutated gene
• Recessive disorders require two copies of the mutated gene
Carrier State
A carrier:
• Has one normal allele and one mutated allele
• Does not show symptoms
• Can pass the mutation to offspring