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          is  a lipid‐soluble essential  vitamin whose   and these join to form larger vessels resem-
                                                  bling veins. The direction of lymph flow is
          normal intestinal absorption requires bile
  VetBooks.ir  salts. If the liver is diseased or the bile duct   from small lymphatics to large ones. The
                                                  largest of the lymphatic vessels join with
          is obstructed, the resultant lack of bile in
          the gut reduces the absorption of lipids   large veins just cranial to the heart, and
          and vitamin K. Bacteria in the mammalian   here all lymph returns to the blood. Edema
          intestine also synthesize absorbable vita-  is an abnormal accumulation of fluid
          min K.                                  within  the  interstitial space.  Blockage  of
            Dicumarol is a toxic form of a general   lymphatic vessels can produce edema
          class of compounds known as coumarins.   within the area normally drained by those
          Dicumarol, found in spoiled sweet clover   lymphatics.
          hay or silage, is antagonistic to vitamin K   Lymph is a clear, colorless liquid some-
          and reduces the synthesis of vitamin K‐  what similar to blood plasma, from which
          dependent clotting factors, including   it is derived. Lymph usually contains
          prothrombin. Dicumarol inhibits the     numerous lymphocytes, inorganic salts,
          clotting of blood and sweet clover poisoning   glucose, proteins, and other nitrogenous
          is the hemorrhagic condition resulting   substances. Neutrophilic leukocytes are
          from  excessive  dicumarol  ingestion.   not normally present in great numbers
          Clinical signs are related to reductions in   except during acute infections.
          the ability of blood to clot. Small cuts or   Lymph derived from the intestine during
          bruises may result in bleeding that is   digestion may contain large quantities of
          difficult to stop.  Warfarin is another   lipids, giving it a milky appearance. This
          coumarin and vitamin K antagonist that   milky lymph, called chyle, results from the
          is used commercially in rodent poisons.  absorption of lipids into the lacteals, the
                                                  small lymphatics of the intestine.

          Lymph
                                                  Serous Fluids
          Normally there is very little net egress of
          fluid as blood flows through capillaries.   Serous fluids in the body cavities include
          Recall that the capillaries are relatively   peritoneal, pleural, and pericardial fluid.
          impermeable to plasma proteins, and these   Normally, these fluids are present as a thin
          generate an effective osmotic force to   film that reduces friction between apposed
          retain fluid within the vessels. However,   surfaces and lack any significant cellular
          there is a relatively small net loss of both   content. Inflammation or infection of the
          protein and fluid from capillaries. These   serous membranes causes increased pro-
          are normally taken up by a system of small   duction of serous fluids and can result in a
          lymphatic vessels, and the resultant fluid   cellular exudate in the body cavity associ-
          is lymph.                               ated with the serous membrane. Examples
            Lymphatic vessels begin as blind‐ending   are  pleuritis (pleurisy),  peritonitis, and
          vessels similar in structure to capillaries,   pericarditis.
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