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Bruise colors vary from red, blue, or almost black, depending on the severity of broken capillaries or blood vessels within the bruise site. Broken venules or arterioles often result in a deep blue or dark red bruise, respectively. Darker colored bruises may result from a more severe bleeding from both blood vessels.
The slow process of reabsorption of hematomas can allow the broken down blood cells and hemoglobin pigment to move in the connective tissue. For example, a patient who injures the base of their thumb might cause a hematoma, which will slowly move all through their finger within a week. Gravity is the main determinant of this process.
[citation needed] Extreme exercise can make capillaries vulnerable, with a breaking point similar to that of collagen. [23] Capillary permeability can be increased by the release of certain cytokines, anaphylatoxins, or other mediators (such as leukotrienes, prostaglandins, histamine, bradykinin, etc.) highly influenced by the immune system. [24]
A petechia (/ p ɪ ˈ t iː k i ə /; [1] pl.: petechiae) is a small red or purple spot (≤4 mm in diameter) that can appear on the skin, conjunctiva, retina, and mucous membranes which is caused by haemorrhage of capillaries. [2] [3] The word is derived from Italian petecchia ' freckle ', of obscure origin. [1]
Capillaries in the circulatory system are vital to providing nutrients and excreting waste throughout the body. There exist pressure gradients (due to hydrostatic and oncotic pressures) in the capillaries that control blood flow at the capillary level, and ultimately influence the capillary exchange processes (e.g. fluid flux). [21]
In continuous capillaries the endothelial cells are tightly spaced, allowing only small molecules like ions or water to diffuse through the intercellular clefts (the gaps between the endothelial cells). In fenestrated and sinusoidal capillaries there is more space between the cells, allowing the diffusion of macro-molecules and some proteins.
The dependence of upon the local has been called The Glycocalyx Model or the Michel-Weinbaum model, in honour of two scientists who, independently, described the filtration function of the glycocalyx. The Michel-Weinbaum Model explains how most continuous capillaries are in a steady state of filtration along their entire length most of the time.
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.