Principals Of Disease Flashcards
Plieomorphism
Different sized cells
Paraneoplasia
Systemic manifestation of neoplasia not related to local or metastatic growth effects
Anaplasia
Lack of cell differentiation
Cell injury
Any change that reduces the ability to maintain normal or adapted homeostasis
Hypoxia
Lack of oxygen
Free radicals
Substances with unpaired electrons
Ischemia
Inadequate blood supply to an organ or tissue
Oncosis
Swelling of cells
Pyknosis
Condensation of chromatin in the cell nucleus
Karyolysis
Dissolution of a cell nucleus
Apoptosis
Programmed cell death
Necrosis
Lethal cell injury
Coagulative necrosis
Pale, often haemorrhagic, firm dead tissue. Cells are still visible histologically as shadows of their former selves. Usually acute injury
Liquefactive necrosis
Liquified tissue after rapid autolysis
Caseous necrosis
Cheese like tissue. Associated with chronic bacterial infection
Exothetic
Growing outward
Endothetic
Growing inward
Sarcoma
Malignant neoplasm derived from mesenchyme (spindle cell)
Carcinoma
Malignant neoplasm of epithelial origin (clumpy cells)
Adenoma
Neoplasm of glandular tissue
DIC
Disseminate intravascular coagulation
Haematogenous
Spread through blood vessels
Transceolomic spread
Spread of mets in body cavity
Anisokaryosis
Different sizes of nucleus
Scirrhous response
Excessive connective tissue (scarring)
Aplasia
Failure of development
Congenital
An abnormality of structure of function present at birth, but not necessarily detected at birth
Tumour
An abnormal mass
Neoplasm
New abnormal uncontrolled growth
Cancer
Any malignant cellular tumour
Hypertrophy
Increased cell size
Atrophy
Decrease in cell size and number
Hyperplasia
Increase in cell number. Can be physiological or pathological
Metaplasia
Replacement of one cell type with another.
Eg epithelium: conversion to stratified squamous
Mesenchyme: fibrous tissue to bone
Dyplasia
Proliferation of disorganised epithelial cells. Often a consequence of prolonged hyperplastic change and are verging on uncontrolled. This is therefore a pre-neoplastic change
Aplasia
Complete failure of an organ to develop
Hypoplasia
Organ developed but did not reach normal size
Benign
Not malignant. Tend to be solitary, slow growing, well circumscribed, rounded mass.
Malignant
Tending to become progressively worse, leading to death. Tend to have in distinct borders, ulcerated, necrotising, and fast growth. Cells are anaplastic, plieomorphic and have high numbers of mitotic bodies.
Metastasis (pl; metastases)
The transfer of disease from one site in the body to another unconnected part. Can transfer through lymphatics, vessels or in body cavities.
Stroma
Proliferation of supporting tissue in a tumour
Proto-oncogenes
Produce proteins that control normal cell division
Tumour suppressor genes
Products of these genes suppress cell division (opposite of proto-oncogenes)
Oncogene
Mutated cell that promotes uncontrolled cell division
Carcinogen
Agent capable of inducing mutation. May be; chemical, physical, and biological
Angiogenesis
Growth of blood supply
Papilloma
Epithelial neoplasm growing outward on a peduncle
TOO gland
B: adenoma
M: adenocarcinoma
TOO squamous epithelium
B: papilloma
M: squamous cell carcinoma
TOO Basal cell of epidermis
B: basal cell epithelioma
M: basal cell carcinoma
TOO
fibroblast
B: fibroma
M: fibrosarcoma
TOO
blood vessel epithelium
B: haemangioma
M: haemangiosarcoma
TOO
bone (osteoblasts)
B: osteoma
M: osteosarcoma
TOO
blood vessel pericyte
M: haemangio-percytoma
Atrophy
Wastage of tissue (decreased cell size)
Cachexia
Wasting of body
TOO
lymph node
B: lymphoma
M: lymphosarcoma
Cytology
Microscopic examination of a stained smear of cells taken from a mass. Cheap and quick, great for cell features but cannot classify a neoplasm
Histopathology
Examination of a stained section taken from a biopsy of a mass. Allows margins to be examined, preserves tissue structure so can be used to classify neoplasms
Grading (neoplasm)
Measuring the features of a neoplasm which are presumed to predict it’s behaviour
Staging (neoplasms)
Measuring the behaviour of a neoplasm
Aetiology
Cause of disease
Inflammation
The reaction of vascularised living tissue to local injury. Is given the suffix “-itis”
Cardinal signs of inflammation
Heat, swelling, redness, pain and impaired function
Host defence/immunity
The capacity of an organism to resist and respond to disease causing agent
Host response
Part if the host defence/immunity that includes important mechanisms of innate and adaptive immunity
Innate immunity
Mechanisms that are primarily inherited and not dependant on exposure to specific antigens, but rather to foreignness. Fast but non specific
Adaptive immunity
Specific foreign antigen defence system
Peracute
Rapid response. Includes heamodynamic and permeability changes
TLR
Toll like receptors. Recognise conserved molecules on the surface of pathogens and alert the host to the invasion
PAMPs
Pathogen associated molecular patterns. Molecules on the surface of pathogens that are recognised by TLRs. These molecules are similar throughout pathogens.
Eicosanoids
Prostaglandins and leukotrienes which cause pain and vasodilation in inflammation. Eg COX and LTB4
Vasoactive amines
Stored in the granules of tissue mast cells, basophils and platelets. Have a role in vascular permeability and control of smooth muscle cells. Eg Histamine
Tachykinins
Vasoactive neuro peptides released from peripheral and central nerves in response to stimuli. Stimulate pain, vasodilation and permeability.
Clotting cascade
Formation of fibrin from fibrinogen after exposure of collagen, basement membrane or activated platelets. Also produces thrombin. Forms a fibrin clot to trap pathogens
Kinin cascade
Initiated by factor 11a to produce bradykinin which induces pain, vasodilation and vascular permeability. Also produces plasmin which lyses fibrin, balancing the clotting cascade, and activates the complement cascade
Complement cascade
Complex cascade that produces, amongst other products, the membrane attack complex, anaphylotoxins, and pathogen opsonisors
Hyperaemia
Increased blood in an area
Transudate
Low protien ultrafiltrate of the blood. Consists of water, small protiens and dissolved electrolytes.
Exudate
Extra vascular fluid with high content of protiens cellular debris and leucocytes
Modified transudate
Middle ground between transudate and exudate
Opsonisation
Process by which opsonins make pathogens more susceptible to phagocytosis
Chemostaxsis
Movement of an organism, or cell, to respond to a chemical stimulus. Eg neutrophils responding to infection
Diapedesis
Passage of blood cells through intact walls of capillaries
Infiltrate
Cellular phase of exudate
Humoral immunity
Branch of adaptive mediated by antibodies
Interleukin
Group of cytokines that mediate communication between cells
Mast cells
Granulocyte of tissues that release histamine other allergic responses
Ig immunoglobulin
Antibodies. Y shaped molecule produced by plasma cells to identify and neutralise foreign objects
Interferon gamma IFN
Protein that inhibit viral infection and stimulate the entire immune system
Sentinel cells
Cells within tissues that recognise threats. Mast cells, granulocytes, macrophages and dendritic cells are examples
Oncosis
Swelling of cells
Malacia
Soft to touch
Autolysis
Self digestion of a cell after death
Congestion
Excess blood in vessels of a tissue as a result of diminished venous outflow
Congestive heart failure
Circulatory congestion caused by hearts inability to pump blood adequately
Hyperaemia
Excess blood in vessels of a tissue due to active arteriolar mediated engorgement of the vascular bed
Ischemia
Local reduction of blood supply to a tissue due to obstruction of inflow of arterial blood or vasoconstriction
Shock
A complex syndrome where blood supply to tissues becomes inadequate
Thrombus
Blood clot formed in vessels during life
Embolus
Matter in the blood stream
Infarct
Localised necrosis due to inadequate blood flow
DIC
Disseminated intravascular coagulation. Complex clotting disorder developed as a complication of disease where thromboemboli form in capillaries and venues in many tissues.
Anasarca
Generalised oedema with fluid accumulation in serous cavities
Ascites
Accumulation of oedematous fluid in peritoneal cavity
Effusion
Accumulation of any fluid in a body cavity
What causes post mortem changes to occur at a faster rate?
- High ambient temperature
- Animal’s body temperature high prior to death e.g. fever, convulsions
- Excessive fat or wool slows cooling of carcasse
Petechiae
Multiple pin-head sized haemorrhages
Ecchymoses
Multiple irregular haemorrhages, about 20mm across
Epistaxis
nose bleed
Cardinal signs of inflammation
- heat
- swelling
- redness
- pain
- loss of function