Chapter 1 - Introduction to Pathophysiology Flashcards
Pathophysiology
Functional changes in the body that result from disease
Think physiology - study of the function of the body, this is just abnormal function
Pathology
Structural changes in the body caused by a disease
Think anatomy - study of the structure, this is just abnormal structure
Homeostasis
“The body’s ability to detect change, activate mechanisms that oppose it, and thereby maintain a relatively stable internal environment.” - Saladin pg 15
Feedback loop requirements
Set point - “ideal” setting
Sensor - detects changes (actual value of what is being assessed)
Control center - compares the actual value to the set point and activates mechanisms to correct, if necessary
Effector - activated by the control center, will change the actual value to better align with the set point
Negative feedback loop
The response from the effector will oppose the change
Positive feedback loop
The response from the effector will amplify the change
Health
“…a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity.” - WHO
Disease
”…any deviation from the normal structure and function of any part, organ, or system…” – Hubert, et al pg 2
Primary prevention
Goal is to protect people from getting the disease or injury in the first place
Secondary prevention
Goal is to slow the progress of the disease or injury and to limit disability
Tertiary prevention
Goal is to prevent progression and maximize quality of life
Gross level
Can be seen with the naked eye
Microscopic level
Can’t be seen without aids, ie a microscope
Autopsy
To view for oneself. Gross viewing of a body and its parts after death
Biopsy
To view life. Excision of small amounts of tissue to be viewed with a microscope
Atrophy
Decrease in the size of cells
Hypertrophy
Increase in the size of cells
Hyperplasia
Increase in the number of cells
Metaplasia
One mature cell type is replaced with another mature cell type
Dysplasia
Cells vary in size and shape
Anaplasia
Undifferentiated cells (immature) with varying nuclear and cell structures
Neoplasia
Tumor
Malignant tumor
“Cancer.” Usually metastasizes and is more serious
Benign tumor
Less serious tumor, usually does not metasize
Apoptosis
Programmed cell death (autodigestion)
Necrosis
Non-programmed cell death
Pyroptosis
Cell lysis leads to digestive enzymes being released into the cell. Results in inflammation
Hypoxia
Reduced oxygen to the cells
Severe hypoxia decreases ATP production which leads to decreased function of sodium-potassium pump. Build up of Na in the cell leads to cell swelling and eventual death