Disease & Illness Flashcards

(a) Define ‘pathology’, and discuss its relationship to other biomedical sciences. (b) Discuss key concepts in pathology, with reference to: etiology, pathogenesis, pathophysiology, histopathology, diagnosis, prognosis, prevention, and precision medicine. (c) Describe stages in the evolution of pathology as a medical science. (d) Contrast ‘disease’ and ‘illness’, with examples. (e) Using broad categories, list seven major mechanisms which operate in human disease.

1
Q

What are the 2 definitions of Pathology?

A

1) scientific study of disease

2) the medical speciality concerned with diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define etiology:

A

The cause of a disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define pathogenesis:

A

The development of a disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Define etiopathogenesis:

A

The cause and subsequent development of a disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name 2 biomedical sciences that investigate “structural alterations”:

A

1) anatomic pathology

2) histopathology - structure and organization of ‘diseased” tissue.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define pathophysiology:

A

Study of functional alteration due to disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define histopathology:

A

Study of structural alterations in diseased tissue.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define diagnosis:

A

The identification of a disease (based on history, examination and tests)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define prognosis:

A

The expectations of what a disease will do (how it will progress and how the patient will fare).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define prevention:

A

How to stop a disease from occuring (ie. screening tests like the Pap smear).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is disease?

A

Disease is a BIOLOGICAL concept. It affects cells, tissues, organs, bodies, etc. and can nearly always be sorted into a category.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is illness?

A

Illness is the sum total of the effects (of a disease) on a patient. Illness includes the feelings, thoughts and changes in functioning for a person.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What gets a disease, and what gets an illness?

A

Tissues/organs/bodies get disease.

People get illnesses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 4 developmental stages of PATHOLOGY as a medical science?

A

1) Prebiological
2) Anatomical pathology (1700s)
3) Cellular pathology (1800s)
4) Molecular pathology (2000s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the prebiological approach to disease?

A

Superstitions, caused by offending the Gods or because you did something bad. (Homeless have stigmatized mental illness because they are “bad”; this type of thinking is still present today).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What brought about anatomical pathology?

A

In the 1700s, we started dissecting.

17
Q

What brought about cellular pathology?

A

In the 1800s, started looking down microscopes. Pasteur and the germ theory of disease.

18
Q

What brought about molecular pathology?

A

Examination of molecules and/or submicroscopic elements (ie. the biochemistry). Using DNA sequencing to determine subtypes of cystic fibrosis, etc.

19
Q

What is Precision (personalized) Medicine?

A

Not all causes of one disease are the same (ie. alpha/beta thalasemia both cause anemia). By looking at the specifics of a disease (with molecular pathology ie. gene mutations/DNA etc.) we will tailor the intervention to the individual.

20
Q

What are the 7 major mechanisms (pigeon holes/categories) of human disease?

A
  1. Blood (vessels and perfusion)
  2. Inflammatory
  3. Infectious
  4. Immunologic
  5. . Neoplasms and growth disorders (cancers)
  6. Genetic
  7. Environmental (trauma, toxins, nutritrion)

BInInImNGE