9.19 Injury, Inflammation, Healing 1 Flashcards

1
Q

The overall health of the cells impacts its ability to

A
  • resist microorganisms

- recover from injury

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2
Q

Age-associated deterioration of cells leads to

A

tissue/organ deficiencies

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3
Q

Aging cells are less resistant to

A
  • injury

- disease

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4
Q

Pathologic changes associated with aging vary widely from person to person, but usually involve:

A

a lack of functional reserve due to tissue or organ atrophy

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5
Q

What are the three theories on cellular aging?

A
  • free radical theory
  • telomere aging clock theory
  • wear and tear theory
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6
Q

free radical theory

A
  • oxidative process damages DNA

- produces an excess of free radicals

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7
Q

telomere aging clock theory

A

molecular clock signals senescence

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8
Q

What is senescence?

A

cells entering a dividing state

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9
Q

What can telomere dysfunction potentially tell us?

A

could be used as a malignancy marker

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10
Q

What may act as antioxidants? Why is this important?

A
  • diet, exercise, hormones

- enhance the ability to resist aging

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11
Q

implications of research on improving aerobic capacity on aging?

A

increase in mitochondrial capacity in skeletal and cardiac muscle

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12
Q

wear and tear theory

A

heart and brain (organs with less regenerative capacity), signs of aging occur with use over time

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13
Q

What are the mechanisms of cell injury?

A
  • ischemia
  • infection
  • immune
  • genetic
  • nutritional factors
  • physical factors
  • mechanical factors
  • chemical factors
  • psychosocial
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14
Q

ischemia

A

blood flow insufficient to maintain metabolic function

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15
Q

ischemia can result in

A

necrosis

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16
Q

What is a danger with infection?

A

sepsis can occur

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17
Q

What is sepsis?

A
  • microorganisms or toxins have reached the level that they have spread through the body
  • In the bloodstream
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18
Q

mechanisms of cell injury: immune

A
  • allergy

- autoimmune disorder

19
Q

What are examples of immune contributing to cell injury?

A
  • anaphylaxis

- type I diabetes

20
Q

Type I diabetes: What is happening?

A

antigens produce T-lymphocytes to attack islet cells

21
Q

mechanisms of cell injury: genetic

3 separate mechanisms

A
  • chromosones
  • proteins
  • mutations

interact with environment

22
Q

Examples of genetic mech of cell injury

A
  • Down’s syndrome
  • sickle cell anemia
  • diabetes (Type II greater than Type I)
  • HTN
23
Q

genetic considerations: proteins

A

single mutation in a gene causes an abn folding of a proteins

24
Q

mechanisms of cell injury: nutritional factors

A
  • malnutrition limits cell replication

- vitamin or mineral deficiencies

25
Q

Kwashiorkor caused by

A

protein deficiency

26
Q

Marasmus caused by

A

general calorie deficiency

27
Q

mechanisms of cell injury: physical factors

A
  • trauma
  • temperature

i.e. brain injury, sunburn, frostbite

28
Q

mechanisms of cell injury: mechanical factors

A

adaptation vs. injury

  • repeated stress
  • single high load stress
29
Q

mechanisms of cell injury: repeated stress

A

load, rate, forces (torsion, shear)

  • hypertrophy
  • atrophy
30
Q

Examples of repeated stress causing cell injury

A

chronic tendinosis

31
Q

What about chronic tendinitis suggests that acute inflammation phase has passed?

A

anti-inflammatory mediators are present

32
Q

single high load stresses

A
  • bone fx
  • tendon ruptures
  • etc.
33
Q

mechanisms of cell injury: chemical factors

A

toxic substances in/outside the body

34
Q

How are free radicals formed?

A
  • in the body

- byproduct of metabolism

35
Q

positive free radicals

A

part of the immune system

36
Q

negative free radicals

A

in excess, can cause cell injury, including heart disease, CVA, diabetes

37
Q

What are negative free radicals caused by?

A
  • excessive exercise
  • UV light
  • pollutants
  • tobacco smoke

etc.

38
Q

What do antioxidants do?

A

neutralize free radicals

39
Q

some antioxidants

A
  • vitamins
  • minerals
  • moderate exercise
40
Q

Fear, tension, and anxiety can influence

A

individual thresholds for tissue adaptation and injury

41
Q

There is a correlation between job satisfaction and

A

injury risk

42
Q

FABQ

A

fear avoidance belief questionnaire

43
Q

There is a relationship between FABQ and

A

pain

44
Q

Mechanical/psychosocial factors have been identified in

A

acute and chronic pain responses