Introduction to Pathophysiology Flashcards

1
Q

Pathophysiology

A

Physiology of altered health

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2
Q

Difference b/w signs and symptoms.

A

Signs - measured/detected

Symptoms - what the patient feels

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3
Q

Etiology

A

Cause/reason for the disease

  • Congenital/Acquired
  • Idiopathic/Iatrogenic (caused by treatment; i.e. meds)
  • Risk factors
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4
Q

Pathogenesis

A

Evolution of a disease from the initial stimulus to the ultimate expression of the disease manifestations

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5
Q

Clinical manifestations

A

Clinical course of a disease

  • Signs or symptoms, or both
  • Incubation, prodrome, illness, convalescence
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6
Q

Diagnosis

A

The designation to the nature/cause of a health problem.

History taking&raquo_space; Physical examination&raquo_space; Diagnostic tests

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7
Q

Reliability

A

Repeated observation/same result

Precision

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8
Q

Validity

A

Measurement tool measures what it’s intended to measure

Accuracy

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9
Q

Predictive value (PV)

A

How much the observation/result is able to predict the presence of a disease/condition
- Depends on sensitivity + specificity

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10
Q

Epidemiology

A

Study of disease in populations

  • How disease is spread, controlled, prevented, eliminated
  • Morbidity, mortality
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11
Q

Explain the importance of the natural history of a disease.

A
  • Used as a predictor of outcome for diseases that have no effective treatment
  • Provides direction for preventive measures
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12
Q

Cross-sectional studies

A

Simultaneous collection of info for classifying exposure + outcome status

  • Used for comparing prevalence of a disease
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13
Q

Prevalence

A

of diseases in the population at a particular point in time

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14
Q

Incidence

A

of diseases occurring within a specified time period

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15
Q

Case-control studies

A

Case vs Control subjects

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16
Q

Cohort studies

A

People born at the same time or share some factor

17
Q

Levels of Prevention

A

Primary: before the onset
- Ex. modifiable RF

Secondary: immediate intervention
- Ex. screening, tests, etc.

Tertiary: post-problem; minimizing bad effects
- Ex. rehab

18
Q

Labile cells

A

High turnover rate (regular proliferation + replacement of dead cells)
- Ex. skin, mucous membrane, epithelial cells

19
Q

Stable cells

A

Only proliferates under stimulation, not in normal situation

20
Q

Permanent cells

A

Never grow new cells again

- Ex. nerve cells

21
Q

Cellular regulation

A

All the functions carried out within a cell to maintain homeostasis
- Intracellular responses to extracell. signals

22
Q

Apoptosis

A

Programmed cell death

  • Eliminates cells that are: worn out, excess production, improperly developed, genetic damage, embryogenesis
  • One of the regulators of cell proliferation
23
Q

What happens to cells during aging?

What are possible causes of this?

A

Aging is a progressive decrease in proliferative + reparative capacity of cells.
- Exposure to environmental factors, DNA + metabolic damage

24
Q

Dysplasia

A

Abnormal development of cells within tissues/organs

- Disorderly growth

25
Q

Metaplasia

A

A conversion of cell types

- Organized growth

26
Q

What does tissue renewal + repair involve?

A
Cell proliferation (division) 
- Regulated by contact inhibition + apoptosis 

Cell differentiation (specialization)

  • Embryonic cells must differentiate
  • Abnormal conditions: well, poorly, undifferentiated

Cell growth
- Controlled by growth promoting + suppressing proto-oncogenes

27
Q

Contact inhibition

A

The physical contact of plasma membranes of one cell to another that signals stop to growth
- One of the regulators of cell proliferation

28
Q

Neoplasia

A

Abnormal cell growth + differentiation

29
Q

List genes that control cell growth + replication.

A
  • Proto-oncogenes
  • Tumor suppressor genes
  • Genes that control apoptosis
  • Regulators of repair of damaged DNA
30
Q

Proto-oncogenes

A

Normal, non-mutant gene that codes for cellular growth (frequency of cell division)

31
Q

Oncogenes

A

Mutated form of proto-oncogenes

- Cell divides too quickly

32
Q

Tumor suppressor genes

A

aka “anti-oncogenes”

  • Encodes proteins that in their normal state, negatively regulate proliferation
  • Is inactivated during cancer
33
Q

How are neoplastic cells killed off in normal conditions?

A

NK cells, cytotoxic T-cells, ABs

34
Q

Carcinogenesis

A

When carcinogenic agents convert normal cells into cancer cells

35
Q

Molecular factors of neoplasm

A
  • Family history, genetic defects (cancer susceptible genes)*
  • Large doses of tumor cells
  • Cell modulation
  • Chemicals, radiation
36
Q

What enhances neoplastic growth?

A

Inappropriate suppressor T-cell activity + blocking ABs