Pathophysiology Flashcards

1
Q

Define Pathophysiology. What is it and why is it important?

A

It is the study of the disease of living beings
-it shows what happens when normal anatomy and physiology go wrong
It is important because it is the why that unlocks all mysteries of the human body & the response medical and nursing interventions (provides insight on side effects, why patients look the way they do

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2
Q

Define Remissions

A
  • is when clinical manifestations subside (they become less intense/ go down)

Ex: can see with heart failure or cancer

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3
Q

Clinical Manifestations

A
  • effects or evidence of a disease
    signs or what can be “seen or Heard” :Objective measures

What a patient “says” : Subjective feeling

Ex: a temp of 101 (can be measured)
a rash ( can see that)
a heart murmur (can hear that)
someone tells you that they have a fever or are in pain

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4
Q

Treatment

A

is going to help control or cure a disease

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5
Q

Etiology
nosocomal
idiopathic
iatrogenic

A
  • cause of a disease
  • a hospital-acquired cause
  • an unknown cause
    -cause results from unintended or unwanted adverse effects of medical treatment
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6
Q

Sequela

A

is an unwanted outcome of having a disease/ a disease that can cause something else

Ex: someone that had a stroke( acute) the sequela of a stroke could be paralysis which is a long term chronic condition

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7
Q

Stress

A
  • can negatively affect our body’s homeostasis or well- being
    can contribute to the the development of disease & the exacerbation of disease and negative behavior s
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8
Q

Allostatsis

A

short- term adaptation/ stability through change

Ex: you’re put in a difficult situation & your body will go through physiological changes due to this heightened stress situation & your body will secrete hormones

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9
Q

Adaptation

A

there is an overactivation of adaptive regulatory systems (autonomic, immune, neural, &endocrine)

short- term: our bodies will adapt to the stress by decreasing & bringing the body back to homeostasis

chronic- long term dysfunction & compromise your health which can cause us to go into allostatic load

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10
Q

general adaptation syndrome

A

systemic manifestations to help the body cope with stress

alarm stage/ fight or flight
- ur HPA (hypothalamic pituitary adrenal) is triggered & activated SNS (sympathetic nervous system

response: epinephrine and norepinephrine & cortisol are released

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11
Q

Risk factors

A

tendencies that put an individual at risk for developing certain diseases

Ex: dietary imbalances; identifying the risk factors can be important by looking at certain populations that may be at risk & putting preventive measures so that over time they don’t develop the disease

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12
Q

precipitating factor

A

a condition or event that cause a pathologic event or disorder to occur

Ex: someone has asthma & they r exposed to an allergen & r allergic to that allergy can do is precipitate an asthma attack

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13
Q

iatrogenic

A

cause results from unintended or unwanted adverse effects of medical treatment

Ex: someone getting chemo treatment and they need the chemotherapy b/c of the cancer but the chemo (unwanted effects) can lower WBC; which can cause us to be more susceptible to infection

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14
Q

exacerbation

A

the clinical manifestations increase or become worse

Ex: patients w/ heart failure

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15
Q

complications

A

New problems that arise b/c of the disease (chronic condition)

Ex: type 2 diabetes, a complication of it is renal failure

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16
Q

Localized reaction

A

they originate & are confined to 1 area/organ/ part of the body

Ex: someone w/ a small rash on the upper part of their body

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17
Q

systemic reaction

A

affect a # of organs or tissue or can affect the whole body

Ex: sepsis or anaphylaxis

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18
Q

Pathogenesis (2)

A

is how a disease develop

Ex: acute/ resolve ( self- limiting ) short term sudden appearance of signs and symptoms <2 weeks

Ex: strep throat or cold

chronic/ don’t resolve: cause cause irreversible or reversible changes & damages >2 weeks

Ex: diabetes or HTN

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19
Q

etiologic disease classification ( Iron deficiency anemia, fungal infection, degenerative arthritis, fever of unknown origin)

A

iron deficiency anemia - caused from a nutritional lack of iron (intrinsic- nutritional )

fungal infection- a fungus is outside & alive (animate extrinsic )

degenerative arthritis- inside the body cause of disease (intrinsic)

fever of unknown origin- (idiopathic) we may think this is how it happens , but we may not know the real cause of the disease

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20
Q

Dr. Hans Selye

A

first to describe bodily changes associated with stress
(GAS)- the body responds to a stressor w/ a series of nonspecific events

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21
Q

Walter cannon

A

discovered the fight or flight reaction (1900s) physiologic reactions to sress
increased heart rate
increased blood supply to muscle
increased respirations
pupils will dilate, gastric secretions will stop

22
Q

individualized influences on stress response (5)

A

Age , Gender, Biological cycles , culture, personality characteristics

23
Q

Atrophy

A

decrease in cellular size

Ex: taking a cast off their arm and it gets smaller b/c they haven’t used it in a while

24
Q

hypertrophy

A

increase in cellular size

Ex: biceps get larger and become hypertrophy/ heart failure increases demand on heart

25
Q

hyperplasia

A

increase number of cells

26
Q

metaplasia

A

replacement of 1 cell type with another

27
Q

dysplasia

A

deranged cellular growth > of the same cell but disorganized

28
Q

Apoptosis

A

eliminating unwanted cells

29
Q

Necrosis

A

premature death of cells living in tissue

30
Q

cellular adaptation

A

is the body response to physiologic / normal condition or pathologic disease state

31
Q

ischemia

A

inadequate blood flow
occurs when cells have been deprived of oxygen & then receive oxygen

32
Q

catecholamines

A

can be released during stress (epi & noreppi):
-increase blood flow
-increase glucose metabolism in the brain
increase rate & force of contraction of the heart
-have peripheral vasoconstriction in cardiovascular system
-have bronchodilator In the pulmonary system

increases proclamatory cytokine production

33
Q

cell injury

A

if the cell is unable to maintain homeostasis

34
Q

hypoxic injury

A

is the most common cause of cellular injury
reduced amount of oxygen in the air
loss of hemoglobin (RBC transports oxygen)

35
Q

arteriosclerosis

A

narrowing of arteries

36
Q

thrombosis

A

complete blockage by blood clots

37
Q

unintentional and intentional injuries (3 examples)

A

blunt force: injury resulting from impact w/ object
Ex: hammers, baseball bat, fists

sharp force: occurs when a sharp-edged or pointed object comes into contact w/ the skin or underlying tissues
Ex: stab wounds, incised wounds, chop wounds

gunshot wounds: when a bullet is projectile/ shot into or through the body

38
Q

asphyxial injuries

A

caused when the failure of cells to receive or use oxygen
Causes choking , hanging , drowning

39
Q

infectious injury

A

is the ability of bacteria & viruses to produce toxins to damage the cell walls and agin entry

40
Q

endogenous

A

abnormal metabolism & synthesis

41
Q

exogenous

A

infectious agents or minerals

42
Q

necrosis

A

if cell injury continues, the premature death of cells in living tissue by autolysis

43
Q

coagulative necrosis

A

results: from interruption of blood flow
causes: ischemia, protein denaturation
location: kidney, heart, adrenal glands

44
Q

liquefactive necrosis

A

occurs from ischemia
location : the brain
if it comes from a bacterial infection, its likely e coli, streptococci, straphylocci

45
Q

caseous necrosis

A

occurs from TB pulmonary infection
dead cells disintegrate but r not completely digested/ looks like cottage cheese
location: lungs

46
Q

fat necrosis

A

occurs when lipase enzymes break down triglycerides and they get broken down into free fatty acids
looks: bubbly/ chaky
location: breast & pancreas

47
Q

gangrenous necrosis

A

impaired blood flow and bacterial invasion
occurs when bacteria presence is minimal & the skin has a dry dark brown/black appearance

wet gangrenous occurs with liquefactive necrosis

48
Q

algor mortis

A

the body temps falls to 1-1.5 degrees per hour until after 24 hrs
reaction: skin becomes pale, cheeks will remain red

49
Q

livor mortis

A

purplish discoloration in the most dependent areas

50
Q

rigor mortis

A

the muscle stiffen
begins 6 hrs in the small muscles
12-14hrs it’ll began to diminish and the body becomes soft (flaccid)

51
Q

cortisol

A

its secreted during stress
location : tissue
stimulates gluconeogenesis

elevates: diabetes, obesity , HTN

52
Q

HPA axis

A

hypothalamus
- is the control center of our brain and body
- it realizes corticotropin-releasing hormones (CRH)

pituitary gland
- releases adrenocorticotrophic hormone (ACTH)

adrenals secrete
-release cortisol & catecholamines