Cell Death and Perfusion Disorders II Flashcards

1
Q

what is a thrombus

A

blood clot

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2
Q

what is an embolus

A

piece of free-floating foreign material in the blood

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3
Q

thromboembolus

A

an embolus derived from a thrombus

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4
Q

watershed area

A

a region of the body that receives dual blood supply from the distal branches of two large arteries

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5
Q

end-artery

A

an artery that is the only supply of oxygenated blood to a portion of a tissue

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6
Q

examples of tissues that receive end-artery supply

A

regions of kidney, spleen, liver, intestine, heart, brain

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7
Q

sequela

A

condition that is a consequence of a previous disease or injury

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8
Q

amorphous

A

no clearly defined shape or form

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9
Q

what percentage of body weight is water

A

60%

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10
Q

what is the distribution of water in the intracellular and extracellular environment

A

2/3 intra
1/3 extra

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11
Q

what is the distribution of plasma and interstitial fluid

A

80% interstitial; 20% plasma

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12
Q

causes of edema (4)

A
  1. increased MICROvascular permeability
  2. increased hydrostatic pressure inside vessels
  3. decreased oncotic pressure inside vessels
  4. decreased lymphatic drainage
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13
Q

causes of increased HP inside vessels

A

hyperemia or congestion

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14
Q

causes of decreased OP inside vessels

A

decreased production of or excessive loss of albumin

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15
Q

gross morphology of edema

A

swelling of tissues; extra fluid in a cavity; can be clear or yellow

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16
Q

histologic morphology of edema

A

amorphous, pale eosinophilic fluid

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17
Q

how does pulmonary edema appear

A

foamy

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18
Q

edema in the chest cavity is called

A

hydrothorax

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19
Q

edema in the abdominal cavity is called

A

ascites

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20
Q

what region of tissue will get edema first

A

subcutaneous layer (takes path of least resistance)

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21
Q

what are two consequences of edema

A

fibrosis and compression of the organs in the space the fluid occupies

22
Q

severity of edema depends on (2)

A

duration and location

23
Q

what is hyperemia

A

increase in blood supply to an organ or tissue

24
Q

what does hyperemia indicate

A

an adaptive circulatory response (increased oxygen demand, inflammation, heat dissipation)

25
clinically what is hyperemia important
it indicates an underlying condition (ex. why we check the sclera of an animal for redness)
26
what is congestion
accumulation of blood in a vascular bed die to reduced or obstructed OUTFLOW
27
what is an example of congestion that is an artifact and not a significant finding
hypostatic congestion
28
are arteries or veins the first to get congested in intestinal torsion
veins (thinner walled)
29
congestion in the intestines due to torsion would cause what pattern
segmental
30
how does right sided heart failure cause ischemic necrosis in the liver
right-sided heart failure -> congestion in systemic circulation -> elevated central venous pressure -> congestion in zone 3 -> ischemic necrosis
31
what pattern does ischemic necrosis in the liver cause
zonal (nutmeg liver)
32
how does left-sided heart failure impact the lungs
left-sided heart failure -> congestion in lung circulation -> blood accumulates in alveoli -> RBC breakdown in alveoli -> pigments accumulate in macrophages (ex. hemoglobin)
33
what does congestion predispose to (3)
thrombosis (due to abnormal blood flow), edema (due to increased HP), tissue hypoxia (dilution of oxygenated blood entering tissue since deoxygenated blood cannot leave)
34
what is involved in hemostasis (3)
endothelial cells, platelets, coagulation factors
35
what conditions are caused by altered hemostasis
hemorrhage or thrombosis(2)
36
what is hemorrhage
extravasation of blood
37
gross appearance of hemorrhage
free blood in space or cavity; appears bright red to red-blue in tissue and does not conform to a vascular pattern
38
does congestion conform to a vascular pattern
yes! (how you can tell whether it is congestion or hemorrhage)
39
histologic appearance of hemorrhage
RBCs outside of blood vessels; may see macrophages breaking them down
40
hemorrhage that is 1-2 mm is called ___________ whereas hemorrhage that is 1-2 cm is called __________
petechiae; ecchymoses
41
a palpable mass of hemorrhage is called
hemotoma
42
a pattern created by some forms of hemorrhage is
paintbrush
43
hemopericardium can cause
cardiac tamponade
44
a black mass of clotted blood indicates
exposure to acids (ex. bleeding ulcers in the stomach due to erosion of the mucosa)
45
localized and/or slow hemorrhage causes (2)
hematoma; anemia
46
widespread and/or fast hemorrhage causes (4)
anemia; decreased perfusion; shock; death
47
what is virchow's triad
predisposing factors to thrombosis: 1. abnormal blood flow 2. endothelial injury 3. hypercoagulability
48
name 2 causes of hypercoagulability
enhanced platelet activity, increased clotting factor activation
49
name 2 causes of abnormal blood flow
aneurysm, cardiac disease, local stasis, hypovolemia
50
name 2 causes of endothelial injury
toxins (ex. endotoxin), viruses, bacteria
51
sequela of thromboembolism
sepsis if infected; distant infarction
52
name 4 fates of a thrombus
lysis, incorporation, recanalization, embolization