Exam 1: Cardiovascular pathology Flashcards

1
Q

Atherosclerosis

A

a variant of arteriosclerosis,
build up of plaque or fatty substances

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2
Q

Arteriosclerosis

A

hardening of arteries, causes hypertension

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3
Q

aneurism

A

outpocketing in weakened vessel wall

ruptured aneurism is what kills you

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4
Q

fibroblast

A

a type of cell that contributes to the formation of connective tissue, a fibrous cellular material that supports and connects other tissues or organs in the body

Fibroblasts show a variety of morphologies, both in shape and size, depending on the organ they are found and on their cellular activity level. Generally, they are elongated (Figures 1 and 2) or star-like cells, with cytoplasmic projections that can be short and wide, or long, thin and branched. These last cell protrusions allow physical contact between close fibroblasts. Gap junctions can be found in these contacts. They can also physically contact other cells, such as neurons, muscle cells, endothelial cells, leukocytes, and others. Fibroblasts also communicate with other cells by using the extracellular matrix as an intermediate and by releasing molecules.

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5
Q

cytokines

A

Cytokines are an exceptionally large and diverse group of pro- or anti-inflammatory factors that are grouped into families based upon their structural homology or that of their receptors. Chemokines are a group of secreted proteins within the cytokine family whose generic function is to induce cell migration. Other cytokines include interleukins, interferons, tumor necrosis factor, TGF and Granulocyte-macrophage colony-stimulating factor

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6
Q

granulation tissue

A

fibroblasts come in and lay down collagen, new blood vessels and such… it is immature scar to mature scar

has three main functions: immune, proliferative, and being a temporary plug

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7
Q

pericytes

A

cells present at intervals along the walls of capillaries (and post-capillary venules). In the CNS, they are important for blood vessel formation, maintenance of the blood–brain barrier, regulation of immune cell entry to the central nervous system (CNS) and control of brain blood flow.

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8
Q

granulocytes

A

a type of white blood cell that has small granules inside them. These granules contain proteins. The specific types of granulocytes are neutrophils, eosinophils, and basophils. Granulocytes, specifically neutrophils, help the body fight bacterial infections.

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9
Q

prostaglandins

A

a group of lipids made at sites of tissue damage or infection that are involved in dealing with injury and illness. They control processes such as inflammation, blood flow, the formation of blood clots and the induction of labour.

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10
Q

ischemia

A

an inadequate blood supply to an organ or part of the body, especially the heart muscles.

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11
Q

extracellular matrix (ECM)

A

an intricate network composed of an array of multidomain macromolecules organized in a cell/tissue-specific manner. Components of the ECM link together to form a structurally stable composite, contributing to the mechanical properties of tissues.

a point to think of in disease

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12
Q

growth factor

A

A growth factor is a naturally occurring substance capable of stimulating cell proliferation, wound healing, and occasionally cellular differentiation. Usually it is a secreted protein or a steroid hormone. Growth factors are important for regulating a variety of cellular processes.

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13
Q

Steroid hormone

A

A steroid hormone is a steroid that acts as a hormone. Steroid hormones can be grouped into two classes: corticosteroids and sex steroids. Within those two classes are five types according to the receptors to which they bind: glucocorticoids and mineralocorticoids and androgens, estrogens, and progestogens.

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14
Q

Epidermal Growth Factor (EGF)

A

Epidermal growth factor (EGF) is a single polypeptide of 53 amino acid residues which is involved in the regulation of cell proliferation. Egf exerts its effects in the target cells by binding to the plasma membrane located EGF receptor. The EGF receptor is a transmembrane protein tyrosine kinase. Binding of EGF to the receptor causes activation of the kinase and subsequently receptor autophosphorylation.

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15
Q

interleukins

A

Interleukins are a group of cytokines that are expressed and secreted by white blood cells as well as some other body cells.

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16
Q

cytokines

A

Cytokines are proteins made in response to pathogens and other antigens that regulate and mediate inflammatory and immune responses.

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17
Q

hyperplasia

A

the enlargement of an organ or tissue caused by an increase in the reproduction rate of its cells, often as an initial stage in the development of cancer.

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18
Q

artherosclerosis

A

a variant of arteriosclerosis, hardening or thickening of arteries made up of deposits of fatty substances.

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19
Q

embolism

A

obstruction of an artery, typically by a clot of blood or an air bubble.

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20
Q

zygomycetes

A

umbrella term for types of fungi

can eat through lumen wall and reach mucosa (opportunity comes when high concentration feed lowers ph and causes ulcers) and get to blood vessels

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21
Q

fomites

A

objects or materials which are likely to carry infection, such as clothes, utensils, and furniture.

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22
Q

pathognomonic

A

(of a sign or symptom) specifically characteristic or indicative of a particular disease or condition.

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23
Q

ovine herpesvirus-2 infection

A

Also known as malignant catarrhal fever (MCF).

Virus replicates in their Type II pneumocytes
Transmitted via nasal and ocular secretions, airborne

Causes lymphoproliferative necrotizing vasculitis
Viral infection detected in leukocytes, vascular endothelial cells, smooth muscle of tunica media, fibroblasts of tunica adventitia.

sheep are the resrvoir host but unaffected by the virus.

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24
Q

CAUSES OF TYPE II PNEUMOCYTE HYPERPLASIA:

A

Type II pnuemocytes secrete surfactant.

causes:
pneumonia
sepsis (diffuse alveolar damage)
pulmonary embolus with infarction
chemotherapeutic drugs
radiation therapy
inhalant damage (e.g., oxygen toxicity)
interstitial lung disease

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25
Q

Histophilus somni

A

a gram-negative, nonmotile, nonsporeforming, nonencapsulated, pleomorphic coccobacillus

Initially, septicemia is likely required for most forms of histophilosis. Strains of H somni that cause disease adhere to the endothelium of vessels, resulting in contraction, exposure of collagen, platelet adhesion, and thrombus formation.

26
Q

Epizoootic Hemorrhagic Disease Virus/Bluetongue Virus (Orbivirus)

what’sthe pathology it causes?

A

Sheep (BTV), Cattle (BTV), Deer (EHD and BTV)
Transmitted by biting Culicoides midges
Heavy losses in sheep, deer, lower morbidity in cattle
Virus infects erythrocytes and endothelial cells
Endo damage->microthrombi form->clotting factors and platelets get used up->DIC

Fibrinoid necrosis of arterioles and venules
Ischemic necrosis of tissues downstream of necrotic vessels

DIC: disseminated intravascular coagulation

27
Q

Equine Viral Arteritis

A

Global disease
Induces hemorrhage, edema, and abortions
Fever, anorexia, hindlimb and dependent abdominal edema common in symptomatic animals
Many animals asymptomatic
Transmitted in respiratory secretions, semen, and fomites

Edema in several tissues
Petechiation

Virus found in endothelium, tunica media and pericytes
Induces fibrinoid necrosis of vessels

28
Q

African Swine Fever

A

Asfarviridae
Tick-transmitted
Induces apoptosis of T, B, and endothelial cells
Hemorrhagic fever with cutaneous hyperemia, sudden death

**Marked splenomegaly due to congestion
Degeneration of vascular endos and extensive thrombosis and hemorrhage

Fibrinoid necrosis and thrombosis
Hemorrhages everywhere**

29
Q

Swine Erysipelas

A

Bacterial, Gram +, anaerobic
Healthy pigs are carriers
Pregnant sows and younger pigs (2-12 months) most susceptible
Erysipelothrix rhusiopathiae
“Diamond Skin Disease”
Anorexia, fever, cyanosis, abortions

Septicemia and bacterial emboli cause systemic vasculitis, thrombosis, ischemia and infarction

30
Q

Death due to ischemia is called…

A

infarct

31
Q

Where can OHV-2 be found?

A

OHV-2 is consistently found in peripheral blood leukocytes and lymphoid tissues in cases of MCF in bison and cattle.

32
Q

post mortem vs actual thrombus

A

post mortem is shiny
actual has tail, texture, and is adhesive

chicken fat clots is post mortem

33
Q

what are 3 causes of thrombosis

A

Abnormal intimal surface
Changes in flow pattern – stasis or turbulence
Hypercoagulability, shock

34
Q

What is an embolus?

A

an emboli is bits of thrombus that moved.

emboli can be: objects, tumor cells, air bubbles, pieces of thrombi, bacteria.

35
Q

name some specific endothelial tumors

A

hemangioma in dermis
hemangiosarcoma

sarcoma: malignant
oma: benign

36
Q

What are some causes of arthersclorosis is dogs?

A

hypothyroidism with hypercholesterolemia

they get fatty subtances built up

37
Q

what are foamy cells?

A

macrophages filled with lipids (and maybe muscle cells filled with lipids?)

38
Q

what cell type is the tunica media made of?

A

smooth muscle

39
Q

What are three outcomes of

A
40
Q

what can strongylus vulgaris cause?

A

this is a blood worm, it can cause
cranial mesenteric arteritis and thrombosis

google: Migrating larvae cause arteritis of the anterior mesenteric artery, iliac arteries, and base of aorta as well as occasionally cerebral, renal, or coronary arteries. This is a major cause of arteritis and associated clinical disease in horses.

41
Q

What is our type III hypersenstivity?

A

immune complex deposition

42
Q

mycobacterium avium paratuberculosis (johne’s disease) signs

A

can lead to bottlejaw from hypoproteinemia due to the segmental thickening of the ileum, cecum, and proximal colon.There is also mesenteric lymphadenopathy and you will see foamy macrophages.

43
Q

define stenosis

A

a narrowing, can either be in blood vessels or spine

44
Q

what are the three layers of the artery?

A

the tunica intima, the tunica media, and the tunica adventitia.

45
Q

True or False:
Endocardiosis of the heart valve immediately points to congestive heart failure

A

FALSE

look to the other organs

46
Q

what causes eccentric hypertrophy

as opposed to concentric

A

hypertrophy due to volume overload

47
Q

what causes concentric hypertrophy

as opposed to eccentric

A

hypertrophy due to pressure overload

48
Q

what is a saddle thrombus?

A

a blood clot (called a “thrombus”) that lodges at the base of the aorta just as it branches into two distinct arteries, thereby obstructing blood flow to the hind limbs. It is so named because of the saddle-like shape it roughly resembles once it takes up residence in this location.

can be seen in concentric hypertrophy

49
Q

three morphological changes to the heart during concentric hypertrophy

A
  • Saromeres added in parallel in response to pressure overload
  • Increase in wall thickness
  • Narrowing of the heart chamber
50
Q

three morphological changes to the heart during eccentric hypertrophy

A
  • Sarcomeres added in series in response to volume overload
  • Relative thinning of wall
  • Dilation of the heart chamber
51
Q

stenotic

A

abnormally constricted body canal or passage. synonyms: stenosed constricted. drawn together or squeezed physically or by extension psychologically.

52
Q

casual class convo

when do we get fibrosis?

A

usually during chronic events, during regeneration when laying down new tissue

53
Q

Traumatic reticulopericarditis

A

hardware disease

Fibrinous early goes to purulent and chronic fibrinous with fibrosing

Consequences: decreased diastolic filling due to fluid and fibrosis 🡪 right heart failure

Bacteremia

Myocardial abscesses

54
Q

myocardial necrosis

A

myocytes are not like skeletal muscle, the healing response is scar tissue, “fibrosis”.

cleaned up and fibroblasts lay down scar tissue.

55
Q

What is tetralogy of fallot?

A

high VSD, over riding aorta, pulmonic valve stenosis, RV hypertrophy

vsd=ventricular septal defect

56
Q

paraneoplastic syndrome

A

NIH/Google: Paraneoplastic syndromes are a group of rare disorders that occur when the immune system has a reaction to a cancerous tumor known as a “neoplasm.”

57
Q

Define shock

name and describe the five forms

A

A state of systemic tissue hypoperfusion due to reduced cardiac output and/or reduced effective circulating blood volume

The five types are:
Cardiogenic
Hypovolemic
Neurogenic
Anaphylactic
Septic

58
Q

What are the clinical findings in cardiogenic shock?

A

Decreased CO
Increased SVR

Hypotension, tachycardia
weak thready pulse
cool, pale moist skin
U/O <30 ml/hr
crackles, tachypnea

59
Q

What are the clinical findings in neurogenic shock?

A

Decreased CO
Benous and arterial vasodilation
Loss of sympathetic tone

Hypertension, BRADYCARDIA, Warm dry skin

60
Q

What are the clinical findings in hypovolemic shock?

A

Decrease CO
Increase SVR

Hypotension, tachycardia
Weak thready pulse
cool, pale moist skin
U/O decreased

61
Q

What are the clinical findings in anaphylactic shock?

A

Decrease CO
Decrease SVR

hypotension, tachycardia
cough, dyspnea
pruritis, urticaria
reslestness, decreased LOC

loc: loss of consciousness

62
Q

What are the clinical findings in septic shock?

A

Decreased CO
Decreased SVR

hypotension, tachycardia
full bounding pulse, tachypnea
pink, warm, flushed skin
Decreased U/O, fever