Definitions and More Flashcards

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0
Q

What is Clinical Pathology?

A

Refers to the Pathology applied to the solution of clinical problems.

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1
Q

What is Pathology?

A

It is a branch of medicine that investigates the essential nature of disease, especially changes in body tissues and organs that cause or are caused by disease.

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2
Q

What is Pathogenesis?

A

Development of unhealthy conditions or disease.

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3
Q

What are the three types of illness?

A

Acute
Subacute
Chronic

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4
Q

What are three criteria for Acute Illness?

A

Rapid Onset
Short Duration
Ends in Full Recovery

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5
Q

How is Subacute Illness defined?

A

A time element between the acute illness and chronic illness.

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6
Q

Describe the criteria for Chronic Illness.

A

Permanent Impairment or Disability Occurs
Residual Physical or Cognitive Disability
There is a Need for Special Rehab. and/or Long Term Medical Management.

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7
Q

What is the definition of Health?

A

Being free from illness or injury.

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8
Q

What are the four States of Health?

A

Biologic
Psychologic
Spiritual
Sociologic

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9
Q

Define Acute Inflammation.

A

This is when the injury 1st occurs.

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10
Q

Define Chronic Inflammation.

A

Injury or Illness that occurs longer than a week or two.

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11
Q

What are the four signs of Acute Illness?

A

Signs are: pain, heat, redness and swelling

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12
Q

What are some of the Systemic Effects of Acute Illness?

A

Some Systemic Effects: Fever, Increased BP, Decreased Sweating, Malaise and Loss of Appetite

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13
Q

What are some signs and symptoms of Chronic Inflammation?

A

Ongoing, irritating Pain in the joints or muscles;
High BP or Sugar Probs.;
Constipation or Diarrhea;
Constant Fatigue or Lethargy;
Skin Irritation or Redness/ Blood Shot Eyes.

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14
Q

What are the four different Aderse Drug Reactions?

A

Mild Reaction: May require medicine DC’d or Change in Dosage
Moderate Reaction: Medicine has to be DC’d and New Med. Prescrib
Severe: Pt will have to have treatment to counter the reaction
Lethal: Untimely death of Pt

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15
Q

Name some medications that commonly cause adverse reactions.

A

Corticosteroids, Digoxin, Anticoagulants, Insulin Overdose, Aspirin, Tranquilizers, Sedatives, Antacids and Blood Sugar Pills

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16
Q

What are some adverse effects of Chemotherapy?

A

Hair loss, Significant GI issues, Fatigue, Cardiotoxicity, Renal Toxicity and Neuropathies (areas of nerve damage)

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17
Q

What are some factors that affect fluid and electrolyte imbalances in the aging?

A
Acute Illness
Bowel Cleansing/ GI Diagnostic Testing
Change in Mental Status
Constipation/ Diarrhea
Decreased Thirst Mechanism
Diff. Swallowing
Immobility
Laxatives
Medications
Urinary Incontinence
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18
Q

What are some mechanisms that cause cell injury?

A
Ischemia (lack of blood supply)
Infectious Agents
Immune Reactions
Genetic Factors
Nutritional Factors
Physical Factors
Chemical Factors
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19
Q

How does Ischemia (Lack of Blood Supply) cause tissue injury and/or death?

A

Ischemia causes tissue injury or death because if there is a lack of blood flow then there is a lack of oxygen to the tissue. If this issue continues than death of the tissue can occur.

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20
Q

How do Infectious Agents affect cell death?

A

Infectious Agents cause cell lysis (breakdown of cells)

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21
Q

How does immune reaction affect cells and tissue?

A

The immune reaction is how our bodies recognizes and defends itself from bacteria and other harmful or foreign object. If this response malfunctions it may no longer be able to distinguish between self and foreign substances, therefore it attacks its self causing cell and tissue injury and even death.

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22
Q

How do genetic factors affect cells and tissue?

A

Our genes may hold diseases and disorders that merely laid dormant in our parents genes but as they are passed on they become active. The disease or disorder that our body has actively running through our bodies could very well be attacking us from the inside. The results of these attacks could very well be cell death and tissue injury or death.

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23
Q

How do nutritional factors affect cells and tissue?

A

A lack of the proper nutrients can cause the membranes of the cells to become brittle and/or develop holes which causes cells to malfunction. This in turn can lead to complete cell death which in turn can cause tissue damage and/or death.

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24
Q

How do physical factors affect cells and tissue?

A

Exercise causes nerve cells to multiply, greater blood flow to the brain, Improved development and survival of neurons, decreases the risk of heart and blood vessel diseases and appears to slow the development of Alzheimer’s. Therefore the lack of physical factors can cause your brain function to slow allowing cells to be damaged which then leads to tissue damage and tissue death.

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25
Q

How do chemical factors affect cells and tissue?

A

Chemicals are a foreign substance to the body that can cause damage to cells by damaging the membranes, proteins or fats that make up the cell. This in turn can kill the cell which leads to tissue damage and/or death.

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26
Q

Define reversible cell injury.

A

It is reversible to a certain point
Alteration of homeostasis
Recovery and return to normal when the stressors or injurious stimuli are removed.

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27
Q

Define irreversible cell injury.

A

Membrane damage has occurred. No repair is possible.

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28
Q

What are the phases of healing?

A

Hemostasis and Degeneration: (A stop in blood flow and loss of cell function).

Inflammation: (Occurs days 1-6)[This is the bodies initial response. Signs: redness, heat, swelling pain and loss of function]

Proliferation and Migration: (rapid cell regrowth and movement of the cells return).

Remodeling and Maturation: (change in the structure and maturing of the cells).

29
Q

Define the steps of “Healing by Primary Intention”.

A

A. Incision with Blood Clot
B. Edges pulled together with sutures
C. Fine scar remains

30
Q

Define “Healing by Secondary Intention”.

A

A. Irregular, large wound with blood clot
B. Granulated tissue fills in wound
C. Large scar remains

31
Q

Define “Healing by Turshiary Intention”.

A

A. Contaminated Wound
B. Granulation tissue fills the wound
C. Delayed closure with suture

32
Q

List the four stages of fracture healing.

A

A. Hematoma formation
B. Granulation tissue and fibro cartilage formation
C. Soft callus replaced with bony callus
D. Remodeling phase with complete restoration of the medullary canal

33
Q

What are some factors that influence healing?

A
Physiologic variables
General health of an individual
Presence of co-morbidities
Tobacco, alcohol, caffeine
Nutrition
Local or systemic infection
34
Q

What are the primary organs of the immune system?

A

Red Bone Marrow

Thymus Gland

35
Q

What are the supporting organs of the immune system?

A

Spleen

Lymph Nodes

36
Q

What are the two types of immunity?

A

Innate: The first line of defense (What we are born with)

Acquired Immunity: Has a memory therefore it can distinguish foreign agents and destroy them.

37
Q

What are the two types of acquired immunity?

A

Active: (Received through environmental exposure like immunizations)
Passive: Developed by someone else and passed on to another. (Example: Mother passing immunities to baby through umbilical cord in the womb and from the breast after birth)

38
Q

What are two lines of defense?

A

Nonspecific: Generalized defense
Specific: Response when nonspecific fails

39
Q

Define Auto-immune disease.

A

The body’s inability to distinguish self from non-self causing to attack it’s self.

40
Q

Define Immuno-deficient disease.

A

A disorder caused by an inherited flaw in the immune system that increases the susceptibility to infections.

41
Q

Define Hypersensitivity.

A

Undesirable reactions produced by the normal immune system, including allergies and autoimmunity. (These reactions may be damaging, uncomfortable, or occasionally fatal.)

42
Q

Define Isoimmune.

A

Transplant rejection.

43
Q

List some common clinical manifestations of autoimmune diseases.

A

synovitis, pleuritis, myocarditis, endocarditis

also: fatigue, malaise and arthralgies (Pain in joints)

44
Q

Define Lupus.

A

Autoimmune disorder
Affects organs and systems of the body
No two people have the same exact symptoms
Most people have joint pain and arthritis

Signs and symptoms: fever, weight loss, malaise, fatigue, pain in chest, hair loss, butterfly rash on nose and cheeks. (All symptoms come and go)

45
Q

Define Fibromyalgia.

A

Chronic muscle pain syndrome (defined as pain that is widespread in at least 11 out of 18 tender points)
Considered as a rheumatological disorder
Affects 6 million americans (90% are women)
Risk factors: prolonged anxiety, emotional stress, trauma, rapid steroid withdrawal, viral or non-viral infections.

46
Q

Define Rheumatoid Arthritis

A

Chronic Inflammatory Disorder
Affects small joints of hands and feet (can lead to disfigured joints).
Can effect other organs such as: skin, eyes, lungs,blood vessels, etc
Onset occurs after age 40
More prevalent in women

47
Q

Define Primary Immunodeficiency.

A

Immune system failure that causes underlying diseases. (Genetic immunodeficiency)

48
Q

Define Secondary Immunodeficiency.

A

Underlying disease that blocks immune system. (Is a result of an earlier disease)

49
Q

What are the 3 stages of HIV?

A

Asymptomatic: CD4 count of 500 cells/mm or more
Early Symptomatic: CD4 count 200 to 500 cells/mm
HIV advanced disease: CD4 count 200 cells/mm and below

50
Q

Define Chronic Fatigue Syndrome.

A

Unexplained fatigue lasting longer than 6 mos and not improved by bed rest.
Other signs: Sore Throat, Muscle Fatigue, Muscle Pain, Muscle weakness and may become functionally impaired to some degree.

51
Q

What are the 4 types of hypersensitivity Disorders?

A

Type 1- Immediate hypersensitivity (allergic disorders/ anaphylaxis like hay fever,anaphylactic shock, etc)

Type 2- Cytotoxic reaction to self-antigens

Type 3- Immune Complex Disorder (antigen attaches to self then attaches to the kidney or muscle which causes an immune response and further tissue damage)

Type 4- Cell-mediated immunity (Takes 2-3 days to develop)

52
Q

What is exercise’s effect on neutrophils, machrophages, natural killer cells, Lymphocytes, Cytokines and Infection?

A

Moderate exercise is good for each of them and promotes their growth or healing. Strenuous exercise suppresses immune function.

53
Q

What are some signs and symptoms of Infectious disease in the systemic symptoms?

A

Fever, chills, malaise, enlarged lymph nodes.

54
Q

What are some signs and symptoms of Infectious disease in the Integumentary system?

A

Drainage from abscess, open wound or skin lesion
Skin rash/ red streaks
Bleedin from gums or into joints

55
Q

What are some signs and symptoms of Infectious disease in the GI System?

A

Nausea, Vomiting and Diarrhea

56
Q

What are some signs and symptoms of Infectious disease in the Cardiovascular System?

A

Little red dots on skin and in eyes
Tachycardia
Hypotension or hypertension
Change in pulse rate

57
Q

What are the signs and symptoms of an infectious disease of the Central Nervous System?

A
  • altered level of consciousness
  • confusion
  • seizures
  • Headache
  • Sensitivity to Light
  • Memory Loss
  • Stiff Neck
  • Muscle Pain
58
Q

What are the signs and symptoms of an infectious disease of the Genitourininary System?

A
  • Dysuria or flank pain
  • Blood in Urine
  • Decrease in Urine Output
  • Urgency/Frequency
59
Q

What are the signs and symptoms of an infectious disease of the Respiratory System?

A
  • Fast breathing *Nasal Drainage
  • Cough *Sputum Production
  • Dyspnea *Oxygen Desaturation
  • Hoarseness *Decreased Exercise Tolerance
  • Sore Throat *Prolonged Ventilatory System
60
Q

What are the 6 forms of transmission of infectious diseases?

A

Direct Droplet
Indirect Vector
Airborne Vehicle

61
Q

Define DIRECT transmission.

A

Microorganism is transferred through skin to skin contact.

62
Q

Define INDIRECT transmission of an infectious disease.

A

Microorganism is transferred from one person to an object (such as a door knob) then another person touches that same door knob and picks up the microorganism.

63
Q

Define AIRBORNE transmission.

A

Microorganism that stays suspended in the air for several hours. Comes from a cough or a sneeze. Another person contracts it through inhaling the contaminated air.

64
Q

Define DROPLET transmission.

A

Microorganism falls nor more than 3 ft from the host. It is released through a cough or a sneeze. Another person then picks it up when they come in contact with the droplet then rub there eyes (or through another opening on the body)

65
Q

Define VEHICLE transmission.

A

Affects many hosts at once. (Ex. contaminated food or water).

66
Q

Define VECTOR transmission.

A

Microorganism is sucked from one host, by an insect, and injected into another host.

67
Q

Define Infectious Disease.

A

Infection is a process in which an organism establishes a parasitic relationship with its host.

68
Q

What are the different types of organisms?

A
Viruses              Mycoplasmas
Bacteria             Rickettsiae
Chlamydiae       Protozoa
Fungi                 Helminths
Mycobacteria    Prions
69
Q

What are some of the different types of Bacterial Infections?

A
Clostridum Difficile (C-diff)
Stahphylococcal (Staph)
Streptococcal (Strep)
Streptococcus
Clostridal Myonecrosis (Gas Gangrene)
Pseudomonas
70
Q

How many types of herpes viruses are there?

A

8

71
Q

Which Hepatitis can not be prevented through a vaccine?

A

Hep C