Random Things To Remember Flashcards
What are the most common sites that a tumour can metastasise to bone from?
Kidney, thyroid, prostate, Breast and bronchus
How does a carcinoma spread?
Fost by the lymphatics, then via the blood stream
How does a sarcoma spread?
By the blood stream
What do platelets produce which is proangiogenic?
VEGF
What is angiogenesis inhibited by?
Radiation - link - cancer.
What are the 2 processes of cell regeneration exploited by cancer cells?
Angiogenesis and contact inhibition
What is granulation tissue?
A specialised tissue only seen in areas of chronic inflammation and fibrous repair, in response to local hypoxia.
What are the components of granulation tissue?
Myo/fibroblasts
Blood vessels
Extracellular matrix
What does it mean if the edges of a wound are opposed?
They are close to each other
What are examples of thrombin inhibitors?
Anti-thrombin 3
Alpha 1 antitrypsin
Protein C/S
How does heparin act?
It is a co factor for anti thrombin 3
How does oral warfarin act?
It interferes with synthesis of vitamin K dependent clotting factors, but has a slower effect than heparin
Give an example of a widely used fibrinolytic therapy and how it works.
Streptokinase. It activates plasminogen, converting it to plasmin. Plasmin causing the breakdown of fibrin.
What is virchow’s triad?
It states that thrombosis depends on 3 things:
Changes in blood flow, changes in vessel wall and changes in blood components.
What are the outcomes of thrombosis?
LORPE Lysis Organisation Recanalisation Propogation Embolism
How do fat embolisms most commonly occur?
Due to fractures of long bones
What are the most common causes of cerebral embolisms?
Atrial fibrillation - stasis - thrombus.
If in left heart, can go to the brain and cause a stroke or TIA
What are the most common sites of blood metastasis?
Bone, liver, kidney, lungs, brain