Immune dysfunctions and diseases Flashcards

1
Q

What are immunodeficiencies?

A

Failures of the immune response to protect the body from pathogens, causing increased risk of infections.

Some are present at birth, but most arise later in life.

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2
Q

What are hypersensitivities?

A

Allergic reactions in which the body responds to harmless agents called allergens as if they were harmful.

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3
Q

What are autoimmune diseases?

A

Diseases that occur from an inappropriate or excessive immune response. The body mistakenly attacks and destroys healthy tissue.

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4
Q

What is an allergen?

A

Substances that cause allergic reactions.

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5
Q

What is anaphylaxis?

A

Severe allergic reaction that is more common in food allergies, insect stings, and drug allergies.

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6
Q

What is HIV?

A

Human immunodeficiency viral infection caused by a virus that destroys a type of T-cell called CD4. CD4 cells fight infection.

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7
Q

What are opportunistic infections (OI)?

A

Infections that are more common or more severe because of a weakened immune system.

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8
Q

What are the three stages of HIV infection?

A
  1. Acute HIV Infection: Develops 2 to 4 weeks after infection.
  2. Chronic HIV Infection: HIV is still active but reproduces at low levels.
  3. AIDS: Final and most severe phase of HIV infection.
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9
Q

What is viral load?

A

A test measuring the amount of a virus in the blood. High viral loads are linked to disease progression and increased likelihood of opportunistic infections.

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10
Q

How is AIDS diagnosed?

A

When a person has a CD4 count of less than 200 cells/mm3 or develops opportunistic infections or diseases such as candida, pneumocystis carinii pneumonia, and certain cancers.

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11
Q

How should massage therapy be adjusted for clients with HIV/AIDS?

A

Determine if the client is robust or frail and adjust pressure accordingly. Consider areas to be avoided and follow facility guidelines when in direct contact with patients.

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12
Q

What is lymphedema?

A

Lymphedema is swelling caused by removed or damaged lymphatic structures.

Lymphedema usually affects a single limb, such as an arm or leg, and can be temporary or develop into a chronic condition.

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13
Q

What are common complications of chronic lymphedema?

A

Infections are common complications of chronic lymphedema, especially if left untreated. These complications include cellulitis (bacterial infection of the skin and underlying tissues) and lymphangitis (bacterial infection of the lymph vessels). A small cut or wound in the affected limb can be an entry point for infection.

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14
Q

What is edema?

A

Edema is swelling caused by fluids moving from blood vessels into the interstitial spaces but, unlike lymphedema, the lymphatic system is intact and undamaged.

Edema can occur anywhere in the body, but most cases are in the upper or lower extremities. Lymphedema and edema can be pitting or nonpitting.

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15
Q

What can cause edema?

A

Edema can occur from diet (salty foods or beverages), inactivity, recent injury, medication use (corticosteroids, nonsteroidal anti-inflammatories, antihypertensives, hormone replacement therapy [estrogens, insulin]), advanced pregnancy, or be a sign of underlying conditions such as liver, kidney, or cardiovascular disease.

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16
Q

What should be avoided in massage for lymphedema?

A

If you are not trained in lymphatic massage, avoid the area where lymph nodes have been surgically removed or damaged, and the area distal to this site. For example, if lymph nodes were removed or damaged in the left axillary region, do not massage the left arm, left forearm, or left hand. Massage pressure may exacerbate lymphedema.

Manual lymphatic drainage (MLD) techniques are beyond the scope of this book.

17
Q

What is Myalgic encephalomyelitis/chronic fatigue syndrome?

A

Myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS) is a disorder characterized by extreme fatigue that is not relieved by rest and may worsen with physical or mental activity.

ME/CFS is also called systemic exertion intolerance disease (SEID). The cause of ME/CFS is unknown, but it appears to be linked to an overactive immune response.

18
Q

What are some contributing factors to myalgic encephalomyelitis/chronic fatigue syndrome?

A

Emotional stress, anemia, history of allergies or viral infections (including COVID-19 and Epstein-Barr virus), and hormonal imbalances.

Gentle to moderate pressure is recommended to avoid fatigue after treatment.

19
Q

What is orthostatic hypotension?

A

Orthostatic hypotension is when the client may experience dizziness from a drop in blood pressure.

20
Q

What is systemic lupus erythematosus (SLE or lupus)?

A

Systemic lupus erythematosus is a chronic autoimmune, inflammatory disease affecting the body’s connective tissues.

21
Q

What are some common organs affected by SLE?

A

Skin, joints, brain, kidneys, lungs, and other organs are commonly affected by SLE.

22
Q

What are some blood-related complications of SLE?

A

Raynaud disease, anemia, neutropenia, and thrombocytopenia are common blood-related complications of SLE.

23
Q

What is another name for SLE?

A

Systemic lupus erythematosus is also called disseminated lupus erythematosus.

24
Q

When is massage contraindicated for individuals with lupus?

A

Massage is contraindicated during periods of exacerbation or fever.

During periods of remission, a gentle massage is indicated (Lupus Foundation of America [LFA]). Use emollient lubricants to combat dry skin and avoid products containing alcohol.

25
Q

What should be factored into the treatment plan for individuals with lupus?

A

Coexisting medical conditions such as Raynaud disease should be factored into the treatment plan.

26
Q

What are lymphangions?

A

The functional units of lymphatic vessels.

Example sentence: Lymphangions contract to propel lymph through the lymphatic vessels.