3/16/16 Flashcards
Three types of professional APCs; they can activate T-lymphocytes…1) MHC recognition and 2) CD28/B7 interaction
Dendritic cells
Macrophages
B-lymphocytes
Seminoma (most common testicular neoplasm ages 15-35)
- Painless and radiosensitive
- Large cells in lobules with watery cytoplasm (fried egg appearance)
Precocious puberty in boys, gynecomastia, Reinke crystals, non-germ cell tumor
Leydig cell tumors
Defect in lysosomal emptying of phagocytic cells due to microtubular dysfunction; Autosomal Recessive, Recurrent streptococcal and staphylococcal infections
Chediak-Higashi disease
Multiple cold (non-inflamed) skin abscesses and high levels of IgE due to reduced production of interferon gamma by helper T-cells→Failure of neutrophils to respond to chemotactic stimuli (not activated)
Job syndrome
Number one cause of viral gastroenteritis and fatal diarrhea in children
Rotavirus (Reovirus family): naked, linear-segmented ds-RNA
Down Syndrome associations:
Congenital heart defects: especially endocardial cushion defects
Acute lymphocytic leukemia (“we ALL fall Down”
Alzheimer changes in brain after 35
Duodenal atresia
What is used to prevent the nephrotoxic effects of cyclosporine?
Mannitol diuresis
Progressive gait and truncal ataxia with onset between ages 1-4 years
Defective DNA repair enzymes (ATM kinase)
Associated with IgA deficiency
Cerebellar problems (ataxia)
Spider angiomas (telangiectasias)
Ataxia-telangiectasia
B-blockers decrease the oxygen demand on the heart how?
Decrease HR, contractility, afterload (increased diastolic filing)
Decreased CO and BP
Drug that can be used in both ectopic pregnancy and gestational choriocarcinoma
Methotrexate
Belligerence Impulsiveness Fever Psychomotor agitation Vertical and horizontal nystagmus Tachycardia Homicidality Psychosis and delirium
PCP intoxication
Alpha-galactosidase A enzyme deficient
Ceramide trihexoside→ lactosyl cerebroside
Fabry’s Disease
Lysosomal storage disease in which patients cannot degrade sulfatides
Deficient in Arylsulfatase A (sulfatides to galactocerebroside)
Cerebroside sulfate in both neuronal and non-neuronal tissues
Metachromatic granules on histology
Widespread loss of myelination in CNS and peripheral nerves
Metachromatic leukodystrophy (AR lysosomal storage disease)
Beta-Galactocerbrosidase enzyme deficient
Galactocerebroside→Cerebroside
Krabbe’s disease