Cell Regulation and Genetics Flashcards
Genetics
The study of heredity
Genomics
The study of gene s and their functions and related techniques
Chloride levels normal
<29
Chloride levels that indicate possible CF
30-59
Chloride levels that indicate probable CF diagnosis
> 60
Order of daily CF treatment
- Albuterol by metered dose inhaler
- Hypertonic saline
- DNase and airway clearance therapy
- Other inhaled treatments
No available info on primary tumor
Tx
No evidence of primary tumor
T0
Only carcinoma in-situ on primary sites
TIS
<2cm
T1
2-4 cm
T2
> 4cm
T3
> 4cm, involvement of natrum, pterygoid muscles, base of tongue/skin
T4
Not assessed
Mx
No evidence
M0
Distant metastasis present
M1
Can’t be assessed
Nx
No clinical positive nodes
N0
Single, ipsilateral, <3cm
N1
Single, ipsilateral, 3-6cm
N2a
Multiple, ipsilateral, <6cm
N2b
Massive, ipsilateral/bilateral/contralateral
N3
Ipsilateral node, one or more than 6cm
N3a
Bilateral
N3b
Contralateral
N3c
External beam radiation
Ionizing radiation is directed to tumor site
Brachytherapy
Radioactive sources like ribbons/seeds/capsules are placed in the body in or near the tumor
Breast cancer risk factors (7)
- Ashkenazi jewish
- BRCA 1/2 mutation
- Family history of breast/ovarian cancer
- Oral hormone replacement therapy
- Ionizing radiation
- Obesity
- Alcohol
Menopausal side effects of tamoxifen
- Hot flashes
- Vaginal discharge
GINA
- Genetic information non-discrimination act of 2008
- Prohibits discrimination in health coverage/employment based on genetic info
Autosomal dominant
- Mutation of a single gene pair
- Heterozygous
- 1 copy of mutated gene needed to get disorder
Example of autosomal dominant disorders
- Breast/ovarian cancers d/t BRCA gene mutation
- Huntington’s Disease
- Neurofibromatosis
Autosomal recessive
- Mutation in 2 gene pairs
- Homozygous
- Need 2 copies of mutation to get disorder
Examples of autosomal recessive disorders
- CF
- Sickle cell
- Tay-sach’s disease
X-linked recessive
- Mutation of 1 or 2 gene pairs with 1 mutated gene on the x chromosome
Examples of x-link recessive disorders
- Hemophilia
- Duchenne muscular dystrophy
X linked dominant
Dominant gene is carried on the X chromosome and only 1 allele is needed to get the disorder
CF patio in lungs
Mucous builds up and clogs airways, trapping bacteria and causing damage
GI effects of CF (5)
- GERD
- Gallstones
- Pancreatitis
- Constipation
- Distal intestinal obstruction syndrome
Pancreas pathology for CF
Mucous plugs duct and impairing flow of bile and pancreatic enzymes
Pancreatic atrophy leads to
CF related diabetes
Maldigestion
Insufficient production of lipase, amylase, protease causes poor absorption of nutrients
Malabsorption
- Steatorrhea
- Protein
- Fat soluble vitamins
Vitamin deficiency in CF
- A
- E
- D
- K
Electrolyte imbalances in CF
- Hyponatremia
- Hypochloremia
Liver effects in CF
Bile thickens in gallbladder and causing obstruction
S/S of CF in infants (4)
- Meconium ileus
- Salty sweat
- Failure to thrive
- Intestinal obstruction