Patho Quiz 1

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primary prevention

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93 Terms

1

primary prevention

preventing a disease from occurring

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2

secondary prevention

early detection of disease by screening

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3

tertiary prevention

rehab of PT to prevent progression of disease

  • try to minimize whats happening to PT

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4

Cellular Adaptation

cellular response to stress

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5

what is atrophy?

decrease in cell size

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6

what is hypertrophy?

increase in cell size

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7

what is hyperplasia?

increase in the cell #

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8

what is dysplasia?

  • aka: atypical hyperplasia

change in cell

  • size

  • shape

  • uniformity

  • arrangement

  • structure

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9

what is metaplasia?

reversible replacement of one mature cell type by another less mature cell

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10

Pathology

  • Atrophy

occurs as a result of decreased

  • workload

  • pressure

  • use

  • blood supply

  • nutrition

  • hormonal/nervous stimulation

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11

What is muscle atrophy due to?

  • lack of use

  • nerve loss

  • chronic malnutrition

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12

Cerebral Atrophy

  • decrease in size of cells in the cerebrum of the brain

  • decrease in size of neurons

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13

focal cerebral atrophy

localized to a particular region

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14

global cerebral atrophy

affecting entire brain

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15

Pathology

  • Hypertrophy

caused by specific hormone stimulation

  • Increased functional demand

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16

Hypertrophy in Body Builders

increase in functional demand = increased size in skeletal muscles

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17

Hypertrophy due to hypertension

increase functional demand of cardiac muscles DUE TO need to pump against high pressure

  • excessive cardiac workload

  • genetic trait

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18

Cardiac Hypertrophy Clinical Manifestations

  • SOB

  • Chest Pain

  • Syncope (fainting)

  • impaired cardiac function

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19

cells that DO NOT regenerate

  • nerve

  • skeletal muscles

  • myocardial

  • lens cells of eyes

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20

Pathology

  • Dysplasia

abnormal changes in size, shape & organization of mature cells

  • precursor to cancer

  • occurs in epithelial tissues in cervix & respiratory tract

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21

Pathology

  • metaplasia

substitution of cells that are better able to survive under certain circumstances

  • function of cell changes

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22

Cervical Metaplasia & Dysplasia Pathophysiology

cellular adaptation of the squamous & columnar epithelial cells in the transformation zone of the cervix

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23

Cervical Metaplasia Risk Factors

  • sexual activity

  • multiple partners

  • smoking

  • HPV

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24

Cervical Metaplasia Treatment

  • Ablation→ removal of superficial cells

  • Cold coagulation & electrocoagulation

  • Surgical Excision

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25

Mechanisms of Death

  • Apoptosis

programmed cell death

  • body send signals → cells kill themself

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26

Mechanisms of Death

  • Necrosis

irreversible cell damage

  • death of cell

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27

Cellular Injury & Death

  • Causes of Injury

  • physical

  • mechanical

  • thermal

  • chemical

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28

What is Cellular Proliferation?

new daughter cells generated from division of parent cells

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29

meiosis

results in oocytes & sperm

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30

mitosis

division & proliferation of all other nongerm cells

  • is continuous

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31

What is Cellular Differentiation?

orderly process of cellular maturation to achieve a specific function

  • differentiated cells have a specific function

    • undifferentiated cells respond to the needs of the body

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32

What are stem cells?

cells that haven’t decided what they wanted to be

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33

what are progenitor cells?

cells that have an assignment / they know what they wanna do

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34

Altered Cellular Proliferation & Differentiation

gene malfunction goes unrepaired (makeup of cell got damaged)

  • cell is allowed to grow uncontrollably (altered proliferation)

    • cells lose ability to carry out its specified function (altered differentiation)

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35

Genetic Mutations

  • mutator genes

repair gene & protect genome

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36

Genetic Mutations

  • oncogenes

code for proteins involved in cell growth

  • non stop growth

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Genetic Mutations

  • tumor suppressor genes

prohibits growth of cells & regulates apoptosis

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38

Carcinogens

  • radiation

  • tobacco

  • hormones

  • chemicals

  • microbes

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39

Carcinogenesis

origin & development of cancer

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40

Initiation-Promotion-Progression Theory

  • initiation

EXPOSURE of cells to a carcinogenic agent//

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41

Initiation-Promotion-Progression Theory

  • Promotion

a promoter agent activates oncogenes

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42

Initiation-Promotion-Progression Theory

  • Progression

independent growth

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43

Impact of Cancer on Tissue, Organs & Organ system

  • Autonomy

unregulated proliferation of neoplasm

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44

Impact of Cancer on Tissue, Organs & Organ system

  • Anaplasia

loss of cell differential & function

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45

Impact of Cancer on Tissue, Organs & Organ system

  • Angiogenesis

development of new blood vessels to meet nutrient demands of tumors cells

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46

Benign Tumors

  • remain localized

  • slow growing

  • closely resemble

  • easy to treat

  • cells are mature & “stick” together to prevent spread

  • may function as normal cells & produce hormones

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47

Malignant Tumors

INVASIVE & DESTRUCTIVE

  • proliferate rapidly

  • spread to other sites (metastasize)

  • does NOT resemble tissue of origin

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48

What is a neoplasm?

new growth

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49

Nomenclature for benign tumor

add “oma” to the tissue type

  • bone→ osteoma

  • fatty tumor→ lipoma

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50

Nomenclature for malignant tumor

add “sarcoma” to the end

  • bone→ osteosarcoma

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51

Cancer Spread

  • local spread

within tissue or organ

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52

Cancer Spread

  • direct extension

adjacent tisue/organ

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53

Cancer Spread

  • seeding

colonize to secondary site

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54

Cancer Spread

  • metastasis

spread to distant site

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55

Cancer Spread

  • tropism

primary tumors have affinity for a secondary site

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56

Treatment of Cancer

  • surgery

  • chemo

  • radiation

  • bone marrow transplant

  • hormones

  • palliative care (provide best quality of life)

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57

Lung Cancer Patho

leading cause of cancer deaths

  • due to smoking & industrial exposure

  • tumors originate in epithelial lining of bronchi, bronchioles, & alveoli

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58

Lung Cancer Clinical Manifestations

  • SOB

  • persistent cough

  • chest pain

  • hemoptysis (coughing up blood)

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59

Lung Cancer Treatment

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60

Leukemia Pathophysiology

malignant neoplasm of blood & blood forming organs

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61

Leukemia Clinical Manifestations

  • anemia

  • bone pain

  • weight loss

  • fever

  • lymph node enlargement

  • bleeding

  • nausea

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62

Leukemia Treatment

  • chemo

  • radiation

  • bone marrow or stem cell replacement

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63

3 lines of defense

  • skin & mucous membrane

  • inflammatory response

  • immune response

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64

First Line of Defense

Healthy skin

  • healthy tissue in the mucosal lining of resp, GI,GU tracts

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65

If the invader penetrates the 1st line of defense

  • sloughs off skin

  • vomit from stomach

  • cough up mucus

  • flushes out in urine

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66

What do normal flora do?

eradicate pathogens

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67

Second Line of Defense

VASCULAR RESPONSE

  • increased capillary permeability → allows plasma & cells to be released into the tissue

  • tissue creates a barrier to prevent spread

  • inflammatory mediators help widen/loosen the blood vessel

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68

Inflammatory Mediators within WBC’s

messenger → tells body to start defense process

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69

Mast Cells

secrete histamines

  • body vasodilates

  • histamines turn ON inflammatory response

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70

Basophils

has enzymes that are released during allergic reactions & asthma

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71

Cytokines

signaling proteins

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72

Monokines

type of cytokines

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73

Cell derived Inflammatory Mediators

  • WBC

  • PLT

  • Endothelial/damaged tissue cells

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74

Plasma derived Inflammatory Mediators

  • Complement System

  • cleans up damaged cells

  • helps your body heal after injury/infection

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75

Plasma derived Inflammatory Mediators

  • Kinin System

system in control of pain

  • prostaglandins causes pain

    • give NSAIDS for pain

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76

Plasma derived Inflammatory Mediators

  • clotting system

clots around the problem so it doesn’t spread

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77

What is a histamine?

MOST IMPORTANT VASODIILATOR

  • Increase vascular permeability

  • produced by mast cells

    • seen early in inflammation

  • counteracted w/ histamines

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78

Clinical Manifestations of Acute Inflammatory Response

  • what does it result in?

Begins seconds after injury

  • first sign of inflammation

  • arterioles constrict briefly then dilate

  • rubor

  • tumor (swelling)

  • hyperemia

  • dolor (pain)

  • color (heat)

  • altered function

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79

The Cardinal Signs of Inflammation

  • heat

  • redness

  • swelling

  • pain

  • loss of function

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80

Mnemonic “DOCTOR”

Dolor

lOss of function

Calor

Tumor

lOss of function

Rubor

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81

Treatment for inflammation

RICE

  • reduce blood flow

  • decrease pain

  • decrease swelling

  • block the action of chemical mediators

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82

Healing & Tissue Repair Phases

  • Inflammatory Phase

  • seal wound

  • acute inflammatory response

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83

Healing & Tissue Repair Phases

  • Proliferative Phase

  • clear the debris

  • restore structural integrity

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84

Healing & Tissue Repair Phases

  • Remodeling Phase

  • restore functional integrity

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85

Primary Intentions

  • less risk of infection

  • less scarring

  • wound edges are lined up

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86

Secondary Intentions

  • increased risk for infection

  • increased risk for scarring

  • slower healing

  • wound is open & heals from wound to floor up

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87

Complications of Healing

  • infection

tissue has a tough time healing

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Complications of Healing

  • ulceration

resistant to healing

  • redness

  • inflamed

  • edges are rough

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89

Complications of Healing

  • dehiscence

wound reopened

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90

Complications of Healing

  • Keloids

too much collagen

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91

Complications of Healing

  • Adhesions

fibrous connection between cavities & tissues

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92

Chronic Inflammation

persistent

  • lasting several weeks or longer

  • formation of granulomas

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93

Acute Inflammation

the response to sudden body damage

  • ex: cutting your finger

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