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Human Body & Health

In a patient with heart failure, which mechanism explains the accumulation of fluid in the lower extremities, specifically involving the lymphatic system?

A)Decreased oncotic pressure reduces absorption
B)Increased red blood cell concentration enhances viscosity
C)Reduced venous return elevates oncotic pressure
D)Elevated capillary hydrostatic pressure overwhelms drainage

💡 Explanation

Heart failure increases venous pressure, therefore raising capillary hydrostatic pressure, which forces more fluid into the interstitial space; the lymphatic system's drainage capacity is then exceeded, leading to edema because the system cannot compensate, rather than oncotic changes directly causing fluid shifts.

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