Environmental Pathology Flashcards

1
Q

toxic agents will enter the body where

A

respiratory tract
gastrointestinal tract
through skin

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2
Q

exenobiotics

A

chemical agents - air pollutants, heavy metals, organic chemicals, tobacco, and alcohol

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3
Q

physical agents

A

mechanical, thermal, electrical, or radiation injuries

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4
Q

metabolism of exnobiotics

A

mainly by cytochrome p-450 enzymes (CYPs in the endoplasmis reticulum) with generation of reactive oxygen species (ROS) by products which promote inflammation

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5
Q

CYPs

A

cytochrome p-450 enzymes -ROS by products

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6
Q

main chemical/ xenobiotic agent

A

outdoor air pollutants

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7
Q

smog and its main sources

A

smoke + fog
combustion from fossil fuels like gasoline, oil, coal, wood, and natural gas
these are RESPIRATORY IRRITANTS that cause inflammation and lung damage, especially in asthma sufferers

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8
Q

outdoor air pollutants

A

sulfur dioxide, carbon monoxide (CO), groun-level O3 (ozone), and nitrogen dioxide
make smog

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9
Q

ozone

A

o3 - highly reactive oxidant which forms free radicals that promote inflammation and damage to lung epithelium

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10
Q

Carbon monoxide

A

from burning of carbon containing fuel
usually will rapidly oxidize to form Co2 but in high concentrations and in small vacinity (car fumes and closed door) will form carboxyhemoglobin and out compete oxygen –> hypoxia, dizziness, confusion

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11
Q

particulates

A

from coal, silica, and iron
too small for nasal epithelium to trap and elicit immune response - phagocytosed by alveolar macrophages and neutrophils - lung damage with chronic exposure

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12
Q

major indoor air pollutants

A

formaldehyde
asbestos fibers - silicate minerals
radon (radioactive gas from uranium)

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13
Q

formaldehyde

A

INDOOR AIR POLL.
from: insulation, glues, wood products
toxic effect - asthma, irritations, contact dermatitis

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14
Q

Asbestos fibers

A

INDOOR AIR POLL. AKA - silicate materials
From: insulation, floor and ceiling tiles
toxic effect : mesothelioma cancer of lining of pleural or abdominal cavity, lung fibrosis, lung cancer

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15
Q

Radon

A

indoor air pollut.
From: soil - high concentrations in some basement, URNANIUM MINES
Toxic effects :
Lung cancer

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16
Q

heavy metals

A
chemical toxins 
lead
mercury
arsenic
cadmium
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17
Q

lead

A

source - water, lead paints, gasoline
Effect: more effect in children
cognitive and physical development - poor remodeling of cartilage and bones - can see ‘lead lines’
blocks Ca metabolsim

18
Q

burtonian line

A

seen in the gums of people with lead poisoning - blue line due to deposition of lead sulfate

19
Q

mercury

A

source : contaiminated fish , old dental amalgams
effect: tremors, confusion, mental retardation
binds to sulfhydral groups in some proteins - especially CNS and kidney

20
Q

arsenic

A

chemical/heavy metal source is soil, water, wood, herbicides
effects: acute GI, cardio vascular and CNS damage, hyperpigmentation and hyperkeratosis - lung and bladder cancers

inhibits mitochondria function

21
Q

cadmium

A

chemical - heavy metal
sources - from batteries –>Into water, soil, food?
effect: obstructive lung disease, kidney damage, lung cancer

22
Q

uranium mind?

A

potential for development of radon poisoning later

radon is a derivative of uranium

23
Q

volatile organic compounds

A

chloroform, carbon tetrachloride (degreasing agents), benzene, and 1-3 butadine used in manufacturing of plastics, lubricants, rubbers, and dies

can enter through the lung

24
Q

chloroform, carbon tetrachlorate, benzene, and 1,3 - butadine are what

A

volatile organic compounds - mainly enter through the lung

25
Q

occupational/consumer manufactired products

A
PCB;s
Vinyl chloride
Phthalate
BPA
mainly enter through skin, GI, or respiratory tract
26
Q

characteristic manifestation from exposure to organochlorines

A

acne -like eruption with cysts, hyperpigmentation, and hyperkeratosis called CHLORACNE
these are from things like PCB, dioxin, and DDT

27
Q

Bisphenol A - BPA

A

estrogen mimic?

cause cancer- proliferative effect

28
Q

Nicotine

A

alkaloid - organic nitrogen containing base and binds to nicotinic acetylcholine receptors in the brain which will release catecholamines and increase HR, BP, and CO

other components like toxins and formaldehyde can lead to arthrosclerosis –>ischemia–> myocardial infarct

29
Q

smoking - what is the inflammatory response?

A

recruit neutrophiles and elastaces –> destroy the elastin and alveolar wall –> enlarged air spaces–> emphysema and COPD

30
Q

alcohol metabolism

A

through cytosolic alcohol dehydrogenase (ADH) which decreases NAD and generates a toxic acetylaldehyde

31
Q

acetylaldehyde

A

this is a carcinogen and interfers with DNA replication and repair

32
Q

depletion of NAD?

A

Fatty deposits in the liver because the liver uses the NAD for fatty acid oxidation, therefore its depletion results in accumulation of fatty acids

33
Q

NAD is used up for what when abusing alcohol?

A

used by the mitochindria to convert the acetylhyde into acetic acid and uses ALDH to do so

34
Q

slower ALDH?

A

slower removal of toxicity generated from alcohol

35
Q

abrasion

A

scraping/rubbing is an injury that removes the superficial layer of the skin

36
Q

contusion

A

bruise from blunt object - shows extravasation of blood into tissue

37
Q

laceration

A

tear or disruptive stretching from a blunt object BLOOD VESSELS ARE INTACT BRIDGING

38
Q

incised wound

A

from a sharp object - has severed bridging blood vessels (in contrast to incised wound)

39
Q

puncture

A

wound -pierced tissue from penetration of a long and narrow sharp object / or perforating if an exit wound is also formed

40
Q

full thickness burns

A

arent painful becuase kill nerve endings and kill the epidermis and dermis

41
Q

Heat exhaustion

A

caused by hypovelemia by dehydration- most common of hyperthermia characteristic

42
Q

hyperthermia and hypothermia temperature

A

hyper - body above 40 - 104 (prolonged core temp)
hypo milkd: 32-35 90/95
moderate 28-32/82-90
severe below 28/below 82 –>slow breathing and unconsciousness