Body logistics conditions Flashcards

1
Q

What is chemical make up of gout and where does it appear?

A
  • Monosodium urate crystals

- Big toe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is polarised light microscopy used for?

A

Diagnosis of gout. Yellow when compared to compensatory ray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the chemical makeup of pseudo gout and where does it appear?

A

Calcium pyrophosphate Dihydrate crystals

Knee joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does vitamin C deficiency cause?

A

Scurvy due to less hydroxylation of the proline. Less hydrogen bonds between the alpha chains.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is marfan’s syndrome?

A

Autosomal dominant disorder. Expression of the fibrillin gene is abnormal so elastic tissue is abnormal. Sufferers are

  • Abnormally tall
  • Exhibit arachnodactyly
  • Catastrophic aortic rupture
  • Frequent joint dislocation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does static lymph fluid indicate?

A

Infection (cellulitis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does a splenectomy risk?

A

Increase in risk of infection from encapsulated bacteria and malaria
Increase risk of DVT and pulmonary embolism (threefold)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What cause lymphoedema?

A

Swelling as a result o obstruction of lymphatic vessels or lymph nodes and the accumulation of large amounts of lymph in affected region. Does not pit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where does oedema appear first and why?

A

The ankle. Gravity in the upright human body can cause vertical gradient of venous pressure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is cystic fibrosis?

A

The ion channel,cystic fibrosis transmembrane regulator, is not present in the apical membranes of the epithelial cell due to lack of CFTR gene. As a result chloride ion transport across the embrace is substantially compromised.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which regions are affected in patients with cystic fibrosis?

A
  • Pancreas: Secretions of exocrine pancreas contain too little water and become thicker with resultant blocking of ducts. Exocrine pancreas becomes painfully inflamed and fibrotic. There is insufficient pancreatic digestive enzymes and malabsorption results
  • Sweat gland: Poor reabsorption of chloride ions and sweat is rich in chloride and sodium ions. This is due to absence of CFTR molecule in apical membrane of epithelial cels
  • Gastrointestinal Tract: Mucus of the gastrointestinal tract like that of the respiratory tract can also become too viscous.
  • Respiratory tract: Water does not leave the epithelium in sufficient quantities to adequately hydrate the secreted mucus. Mucus becomes viscous and can less readily be moved for swallowing.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is osteoporosis?

A

Metabolic bones disease in which mineralised bone is decreased in mass to the point that it o longer provides adequate mechanical support. (bone formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the types of osteoporosis?

A
  • Type 1 osteoporosis occurs in postmenopausal women and is due to increase in osteoclast numbers as result of decreased oestrogen
  • Type 2 osteoporosis occurs in elderly persons of both sexes typically after 70 and is due to reduced osteoblast function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the risk factors of osteoporosis?

A
  • Genetic - peak bone mass is higher in black than white and Asians
  • Insufficient calcium intake - 800mg/day for post menopausal women
  • Insufficient calcium reabsorption and Vitamin D - decreased renal activation, confined indoors
  • Exercise - immobilisation
  • Cigarette smoking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can occur as a result of bed rest, limb immobilisation and sedentary behaviour?

A

Disuse atrophy. Reduced protein so reduced fibre diameter therefore loss of power.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What can cause atrophy?

A
  • Denervation
  • Disuse
  • Age
17
Q

What is used as emergency units assay of choice for cardiac ischaemia?

A

Troponin assays (Troponin I)

18
Q

What are sensitive ,d diagnostic markers for heart failure?

A

BNP and NT-pro-BNP

19
Q

What is a paroxysmal nocturnal dyspnoea?

A

An attack at night due to problems breathing

20
Q

What is orthopnea?

A

Sensation of breathlessness in the recumbent position, relived by sitting or standing.

21
Q

What can fill the pleural cavity?

A

Air - Pneumothorax
Blood - Haemothorax
Pus - Empyema
Water - Pleural effusion

22
Q

How can fluid be drained from pleural cavity?

A

Insert a wide bore needle through intercostal space(7th) a fraction above the superior border of the lower rib to avoid intercostal nerves and vessels.

23
Q

What can tumour impingement on the left or right phrenic nerve cause?

A

Paralysis of one side of the diaphragm.

24
Q

What can cancer in the apex of the lung (pancoast tumour) result in?

A

Impingement of the brachial plexus which can cause wasting of muscles in the lower arm. (thenar eminence)

25
Q

What is the cause of Horner’s syndrome?

A

Pancoast tumour pressure on the sympathetic trunk.

26
Q

What does impingement on the left recurrent laryngeal nerve by cancer of the lung cause?

A

Hoarse voice

27
Q

What is asthma?

A

Excessive bronchoconstriction can become excessive in asthma and cause more difficulty with expiration than inspiration.

28
Q

What is Clara cell protein a marker for?

A
  • Lung damage is lowered in bronchoalveolar lavage fluid

- Leakage across air blood barrier if raised in serum

29
Q

What is emphysema?

A

Destruction of alveolar walls and permanent engagement of air spaces which can result from smoking or alpha 1 antitrypsin deficiency. Bronchioles collapse as a result which makes it difficult for lungs to empty.

30
Q

What is pneumonia?

A

Inflammation of the lung caused by bacteria. Lung consolidates as alveoli fill with inflammatory cells. Streptococcus pneumonia.

31
Q

Why does the pineal gland appear white in an X ray of an adult?

A

It calcifies in adulthood.

32
Q

What is Poland syndrome?

A

A rare birth defect characterised by underdevelopment or absence of the chest muscle on one side of the body and usually also webbing of the fingers.

33
Q

What factors increase risk of breast cancer?

A
  • Woman
  • Age
  • Family history
  • Personal history of breast cancer
  • Genetics
  • Alcohol
  • Obesity
  • Radiation
  • High socioeconomic class
34
Q

What factors decrease risk of breast cancer?

A
  • First pregnancy before the age of 30
  • Breast feeding
  • Exercise
  • Healthy organic diet
35
Q

What is situs inversus?

A

Complete mirror-image viscera commonly resulting from immotile cilia.
Usually has no associated morbidity.

-Problems arise if there is both normal and mirror-image disposition.