Immune System Flashcards

1
Q

What is the immune system?

A

Body’s defence mechanism

Response to invasion of foreign substances

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2
Q

Functional components of the immune system?

A

(Doesn’t need to be in order)

Primary-thymus,bone marrow

Secondary- Tonsils,adenoids, spleen, Peterson patches, appendix

Lymphoid
Lymphocytes

Antibodies

Macrophages

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3
Q

What is an adenoid?

A

Lymph nodes located in the throat and behind the nose

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4
Q

What is the Thymus?

A

Behind the sternum and between lungs

only active until puberty

involved in training and development of T cells

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5
Q

What is Peterson patches?

A

Aggregations of lymphoid tissue usually found in the lowest part of the small intestine (ileum)

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6
Q

Major functions of the immune system?

A

Protects body against foreign organisms

Maintains homeostasis by eliminating damaged cells

Battles infections

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7
Q

What is Immunocompetent?

A

Appropriate Response to an antigen; maintenance of homeostasis

Vs immunoincompetence (immunocompromised)

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8
Q

Inappropriate immune system responses?

A

Allergies-Excessive response

Immunodeficient (ex: AIDS) - inadequate response

Autoimmune(ex: Systematic Lupus)- Misdirect response to ones own tissues

Transplant Rejection- Attack to beneficial foreign tissues

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9
Q

T-cell and B -cell formation

A

Bone marrow= B cell

Thymus= T cell

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10
Q

T lymphocyte cells include:

A

Cytotoxic C cells: Destroys virus-infected cells or tumor cells

Helper T Cells: stimulate B cells and activate Cytotoxic T cells and produce more antibodies

Suppressor T cells: moderate immune response by inhibiting B and T cells

Memory T cells: are reactivated only by reposture to previous antigen

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11
Q

B lymphocyte cells include:

A

Remaining stem cells develop into B cells

B cells produce antibody-mediated immunity, protects body against bacterial and viral infections

Memory B cells: reactivated only by re-exposure to previous antigen

Plasma cells: Secrete antibodies that attach to antigens

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12
Q

Main difference between B & T cells?

A

B cells attack invaders outside cell VS

T cells attack invaders inside the cell

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13
Q

Immunodeficiency diseases?

A

B cell deficiency- more prone to bacterial infections

T cell deficiency- more prone to fungal & viral infections

Some conditions are genetic and present at birth or acquired

Etiology of acquired immunoincompetence: bacterial or viral insult; malnutrition; exposure to radiation or certain drugs

Severity depends on type of cells affected

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14
Q

What is AIDS?

A

Progressive impairment of the immune system caused by HIV

Affects many organ systems

Diagnosis: presence of HIV antibodies in the blood ( Common test- ELISA, confirmation- Western blot)

Etiology: HIV attacks helper T lymphocytes; reduces cell-mediated immunity, attacks nervous system directly

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15
Q

How is AIDS spread?

A

Direct contact of blood or semen

Transmitted through blood and blood products

Infants of mothers who are infected contract in utero;

Sharing needles

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16
Q

Signs and symptoms of AIDS?

A

Flu like symptoms within 1-4 weeks following exposure:
sore throat, fever, body aches

Weight loss, fatigue, diarrhea and night sweats with disease progression

Decrease in T cells- frequent infections including pneumonia, fever, malignancies

Later stages- encephalopathy and malignancy leads to dementia and death

17
Q

AIDS therapy?

A

Highly active antiviral therapy (HAART)

Many drug combinations can be used

Prophylactic antibodies used in the later stages of disease

Currently no cure; prevention is key

18
Q

Role of OT & PT with AIDS patient?

A

MMT

Pain management

Memory strategies

ADL modifications

Relaxation techniques

Energy conservation skills

19
Q

What is Autoimmune syndrome?

A

Lymphocytes and antibodies are sensitized to develop against the body’s own organs or tissues

May be triggered by disease, injury, metabolic changes, mutation in immunologically competent cells

May be caused by certain drugs or chemicals, trauma or viral infection

20
Q

What is Pernicious Anemia?

A

Impaired absorption of B12 and B12 deficiency due to decreased gastric production of hydrochloride acid

Etiology: associated with other autoimmune diseases; antiparietal cell antibodies which are cytotoxic to the parietal cells

Diagnosis: blood/lab tests

Treatment: consists of monthly intramuscular injections of vitamin B12 during the persons entire lifetime

21
Q

Symptoms of pernicious anemia?

A

Weakness/numbness/ tingling in extremities

Altered vision

Light headedness

Tinnitus

Palpations

Weight loss

Digestive disturbances

Sore tongue

22
Q

Signs of pernicious anemia?

A

Decreased red blood cells

Decreased hemoglobin levels

Jaundice

Optic nerve atrophy

Decreased amount of gastric acid

23
Q

What is a connective tissue disorder?

A

200+ types

Connective tissues support, bind and protect organs

Composed of elastin and collagen

Many connective tissue disorders feature atypical immune system activity with inflammation in tissues as a result of an immune system directed against ones own body tissues (autoimmunity)

24
Q

Connective tissue diseases?

A

Systematic lupus erthematosus

Scleroderma

Rheumatoid arthritis

Juvenile Rheumatoid arthritis

Polymyositis

25
Q

What is SLE( systematic lupus erthematosus)?

A

Commonly known as lupus

Chronic inflammatory autoimmune disorder

Affects any organ or body system

26
Q

Signs and symptoms of lupus?

A

Inability to produce antibodies against different types of tissues including red blood cells, platelets, lymphocytes or any organ or tissue in the body

Fevers

Fatigue

Joint pain and swelling

Butterfly rash

Protein or casts in urine

Hemolytic anemia

Abnormal blood antibodies

Leukocytes present in lab testing

27
Q

OTPT interventions?

A

Education: pacing and joint protection

Maintenance of skin integrity

Pain management

Cognitive remediation or compensation

ROM

ergonomic and postural education