medic patho Flashcards

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
Abnormal cell death
``` 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
3 lines of defense
* anatomical barriers * immune response * inflammation responce
27
anatomical barriers
skin hair chemical; nose, lining of lower respiratory tract (cilia), acid in stomach
28
Immune response
response to foreign invaders slow onset, specific long term immunity lymphocyte (WBC)
29
inflammatory response
response to tissue to irritation and injury rapid onset, general response lasts only as long as needed several kinds of cells involved
30
immunity types
natural acquired antigen immunogen
31
natural
genetic immediate response against pathogens species specific
32
acquired
active- tgt invader after exposure | passive- mom to child
33
antigen
protein on cell self or non self? does it "belong" to you? ( allergic reaction kicks in, tachyphylaxis)
34
immunogen
antigen that activates the immune response
35
antibody (immunoglobulins)
``` 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
T-lymphocytes
direct attack on invader cell mediated response cell to cell combat
37
immune response - slow
B-lymphocytes antigen/ antibody specific no memory of antigen- B cells created w/ memory humoral response- B cells live in body fluid (plasma)
38
ABO blood groups
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
Transfusion reactions s/s
``` RBC ANTIGEN headache alt LOC N/V facial flushing dyspena tachy- weak thready fever, chills chest pain cynpsos ```
40
Transfusion TX
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
ABO compatibility
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