Chapter 1 - Introduction to Pathophysiology Flashcards

1
Q

Define Pathophysiology

A

A convergence of pathology and physiology that seeks to explain the physiological processes /mechanisms associated with or resulting from disease/injury

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2
Q

Define:

1) Pathology

2) Physiology

A

1) A medical discipline that describes conditions typically observed during a disease state
2) A biological discipline that describes processes/mechanisms operating within an organism

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3
Q

Define Pathobiology

A

The study or practice of pathology with greater emphasis on the biological aspects than on the medical aspects

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4
Q

Define etiology then name/explain the 3 categories

A

Studies the causative agents (contributing factors) that cause disease = why a disease happens.

1) Causative - what causes the disorder and how to proceeds
2) Predisposing - intensifies and promotes effects of causative factors (ex. age, sex, lifestyle, environment, heredity, preventitive health care)
3) Precipitating (triggers predisposition)

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5
Q

What are the 4 etiological causative factors?

A

Micro-organism, environmental, social factors, personal habits

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6
Q

What are extrinsic (environmental) etiological factors?

A

Biological, physical and chemical factors, and nutritional imbalance

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7
Q

Define the 4 intrinsic (internal body) etiological factors.

A

1) Genetic: Genes are responsible for structural or functional defects
2) Congenital: Genetic information is intact but intrauterine environment interferes with development
3) Immunological (N/A)
4) Psychological factors (N/A)

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8
Q

Define the 5 Etiological Classifications of Disease

A

1) Idiopathic: Unknown cause
2) Iatrogenic: The cause is resulting from unintended or unwanted medical treatment
3) Genetic: Genetic cause
4) Congenital: Cause interferes with intrauterine development
5) Acquired: Cause encountered after birth (i.e. biological, physical, chemical factors)

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9
Q

Define Pathogenesis and explain the 3 general rule(s)

A
  • Sequence of events in the development of (evolution) of a disease = Etiological > Physiological > Clinical Manifestations

1) Damage and Anti-Damage Responses - damages occur when harmful insults attack the body and anti-damage responses occur to restore the body to its normal situation
2) Alternation of Cause and Result - Cause of the disease can produce a result, and in turn the result can produce another cause of the evolution of the disease
3) Local-Systemic Relationship - Diseases are generally systemic, whereas, local pathological alterations caused by insults are representatives of systemic diseases

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10
Q

Define clinical manifestations and distinguish between a sign, symptom, and syndrome

A
  • Indications that the person is sick
  • Sign: Objective or observed manifestation of disease (measurable traits)
  • Symptoms: Subjective feeling of abnormality in the body (non-measurable)
  • Syndrome: etiology of signs/symptoms has not been determined (combination of sign/symptoms associated with particular disease)
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11
Q

Define Latent/Incubation Period

A

Time between exposure of tissue to injurious agent and first appearance of sign and/or symptom

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12
Q

Define Prodromal Period

A

Time during which first sign and/or symptoms appear indicating onset of disease
- If nothing is done = proceeds to acute phase

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13
Q

Define Acute Phase

A

Disease/illness reaches its full intensity

- Important to reach diagnosis

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14
Q

Define Subclinical Stage

A

Patient functions normally; disease processes are well established

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15
Q

Define the 2 Clinical Courses

A

1) Acute: Short-lived; may have severe manifestation
2) Chronic: may last months-years; sometimes follows acute course
- Disease itself can be chronic but can have acute episodes (ex. cancer or depression)

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16
Q

Define exacerbation

A

A sudden increase in severity of disease or signs or symptoms

17
Q

Define remission

A

Decrease in severity, signs, symptoms; may indicate disease is cured
- Ex. Cancer - why? - after 10 years it has the change of re-occuring (in remission)

18
Q

Define Convalescence

A

Stage of recovery after a disease, injury, or surgical procedure

19
Q

Define sequela

A

A subsequent pathologic condition resulting from an illness

- Ex. Scar from surgery - it is permanent

20
Q

Define Complication

A

A new or separate process that may arise secondarily because of some change produced by the original problem
- Ex. Flu leaves you with a decreased immune response; exposure to bacteria will become problematic and secondary bacteria can cause complications

21
Q

What are treatment implications?

A

The understanding of the etiological, pathogenesis, and clinical consequences of a particular disorder/disease/illness may determine which treatments could be helpful

22
Q

List and define the levels of prevention

A

1) Primary: altering susceptibility or reducing exposure for susceptible persons
- Ex. vaccines
2) Secondary: early detection, screening, and management of disease
- Ex. Annual checkup
3) Tertiary: rehabilitation, supportive care, and restoring effective functioning
- Ex. Patients who previously suffered a disease/condition and come in for support/further treatment

23
Q

What are the synonyms for the term pathophysiology?

A
  • Physiopathology
  • Physiology of Disease
  • Physiology of Disordered Function
24
Q

What are the 5 mechanisms of pathogenesis?

A
  • Neural Mechanism: The neural system is regulating entire life activities - disorders in CNS affect responding PNS
  • Humoral Mechanism: Factors include hormones, cytokynes, and chemical mediators
  • Cellular Mechanism
  • Molecular Mechanism