medic patho Flashcards

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1
Q

Patho

A

suffering

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2
Q

Physio

A

Nature, origin

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3
Q

-ology

A

study of

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4
Q

communication within the body

A

Cellular lvl

chemical lvl

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5
Q

Negative feedback

A

“off” switch, inhibits the original stimulus. usually good

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6
Q

Positive feedback

A

intensifies signal, enhances the original stimuli. can be bad

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7
Q

adaption

A

cells exposed to adverse conditions will protect themselves from injury

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8
Q

atrophy

A

decrease in cell size

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9
Q

hypertrophy

A

increase in cell size

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10
Q

hyperplasia

A

increase in number of specific cells (cell division)

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11
Q

dysplasia

A

change in size, shape, organization

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12
Q

metaplasia

A

change type of cell

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13
Q

hypoxemia

A

most common cause of cell injury

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14
Q

most common cause of hypoxemia

A

low 02 in air
loss of hemoglobin
down number of RBC
respiratory or cardio DZ

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15
Q

ischemia

A

reversible

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16
Q

irreversible

A

necrosis

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17
Q

chemical injuries

A

poison- cyanide, pesticides
lead- brain injury
carbon monoxide- hemoglobin affinity 200x than 02
pharmacologic agent- drugs

18
Q

virulence (toxicity)

A

measures potential of microorganism to cause DZ
invades and destroys cells
produces toxins
immunosuppressed- less able to defend

19
Q

bacteria

A
normal flora,
prokaryotic (no organized nucleus),
 capsule-protects
rely on host - environment, nutrition
gram + blue
gram- red (most)
antibiotics
septicemia- sepsis, gram -
20
Q

exotoxin

A
gram neg and gram pos
released from inside cell during growth
many types of exotoxins
heat labile
specific effects on host
vaccines
highly poisonous/ toxic  
(not common in people)
21
Q

endotoxin

A
gram neg only
integral part of cell wall, released during lysis 
one type endotoxin
heat stable
diverse effects on host
no vaccine
pyrogenic/ inflammation 
primary cause of sepsis, disseminated intravascular coagulation, ARDS
22
Q

Virus

A

most common in humans
smaller, more adept than bacteria
Capsid- enclosed genetic material
replication occurs inside host cell; hides inside, from body’s defense.
no endo or exo toxins
evoke immune response; memory of virus, defense against future attacks.
host cell must die w/ virus
antiviral Rx; tgt infected cells, few available, tamiflu, relenza
vaccines; live, dead, or antigens
mutate

23
Q

infectious

A

fungi- yeast, molds on skin, mucous membranes
protozoa- malaria
parasites- endoparasites- tape worms, pinworms, ringsworms; ectoparasites- ticks, lices, fleas
prions- protein-brain&nervous system; transmissible spongiform encephalophy (mad cow DZ); Creutzfeldt Jakob in humans (mad cow in people)

24
Q

apoptosis

A
cant live forever
normal cell death
genetically programed into cell
aging, early development, menses, lactating breast tissue, thymus involution, and RBC turnover 
damaged cell- autolysis
25
Q

Abnormal cell death

A
necrosis
irreversible cell injury
always from pathological cause
gangrene
dry- shrivels, dries, brown or black
wet-tissue liquefied 
gas- clostridium perfringens: food born, bubbles inside cells RBC, tissue gas in dead person
26
Q

3 lines of defense

A
  • anatomical barriers
  • immune response
  • inflammation responce
27
Q

anatomical barriers

A

skin
hair
chemical; nose, lining of lower respiratory tract (cilia), acid in stomach

28
Q

Immune response

A

response to foreign invaders
slow onset, specific
long term immunity
lymphocyte (WBC)

29
Q

inflammatory response

A

response to tissue to irritation and injury
rapid onset, general response
lasts only as long as needed
several kinds of cells involved

30
Q

immunity types

A

natural
acquired
antigen
immunogen

31
Q

natural

A

genetic
immediate response against pathogens
species specific

32
Q

acquired

A

active- tgt invader after exposure

passive- mom to child

33
Q

antigen

A

protein on cell
self or non self?
does it “belong” to you?
( allergic reaction kicks in, tachyphylaxis)

34
Q

immunogen

A

antigen that activates the immune response

35
Q

antibody (immunoglobulins)

A
binds w/ antigen to destroy it
induces an allergic or inflammatory response 
T-lymphocytes-thymus
B-lymphocytes- bone marrow
(both live in lymph nodes)
exposure antigen
chemotaxis
36
Q

T-lymphocytes

A

direct attack on invader
cell mediated response
cell to cell combat

37
Q

immune response - slow

A

B-lymphocytes
antigen/ antibody specific
no memory of antigen- B cells created w/ memory
humoral response- B cells live in body fluid (plasma)

38
Q

ABO blood groups

A

blood type= antigen present in RBC
antibody= opposite of antigen present (present in plasma)
universal donor= O-
universal recipient= AB+
Rh factor; Pos (+) have antigen, Neg (-) does not

39
Q

Transfusion reactions s/s

A
RBC ANTIGEN
headache
alt LOC
N/V
facial flushing
dyspena
tachy- weak thready
fever, chills
chest pain
cynpsos
40
Q

Transfusion TX

A

stop transfusion
prime IV line-IV boluses NS
( may need to do Epi IV, diphehydramine 25-50mg, furosemide diuresis, doapmine 2-5 mcg/kg/min

41
Q

ABO compatibility

A

don’t give an antigen to someone who doesn’t need already own it.
type O has no antigen to give
type AB+ owns all antigen
antibodies present in the plasma