Respiratory Disease/Liver and Kidney Failre Flashcards

1
Q

What are the five causes of Premature Deaths In England?

A
Cancer 42 %
Cardiovascular Disease 22%
Other 21%
Respiratory Disease 9%
Liver disease 6%
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2
Q

Preventable Cancers

A

Smoking being the leading cause of cancer which can be prevented 19%

Excess Bodyweight : 2nd Largest Preventable cause of cancer 5%

Prevention:42% in preventable cases of cancer

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3
Q

What are the ways you could prevent cancer ?

A

Lifestyle

  • Be smoke free
  • Eat Five a day
  • Eat more Fruit and Veg
  • Exercise
  • Eat less salt
    Other
  • Breast Feed when needed
  • Minimise infections
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4
Q

Respiratory Tract

A

Smoking and pollution can decrease mucous production and destroy cilia

  • increasing the risk of respiratory infections.
  • Alcohol can paralyze cilia.

Importance of Lung Macrophages
keep the lungs clean by phagocytizing particulates.

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5
Q

Lung Cancer

A

Lungs provide optimum environment for tumour development and growth.

Carcinogens could be difficult to eliminate in the air passages and there is a rich blood source providing nutrients and access to metastasis.

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6
Q

Common Cancer -

A

53% More than half of cases are breast, prostate ,Lung

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7
Q

More common cancer for Men

A

Prostate ,Lung , Bowel

UK , 2014

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8
Q

Most common cancer for Females

A

Breast, Lung , Bowel

2014 UK

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9
Q

Why is high salt Intake dangerous ?

A

When cells are exposed to high levels of salt (sodium chloride) they lose water by osmosis and shrink. The cytoplasm condenses and the movement of cellular components, such as the cytoskeleton and organelles, stops.

Cells adapt to high salt by quickly importing salt in order to attract water and regain volume, at the expense of increased salt concentration.

Unlike cell volume, the movements of cellular components are slow to recover and, depending on the dose of salt, may not recover fully. (Images made in part with Servier Medical Art.)

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10
Q

Chronic Obstructive Pulmonary Disease

A

Chronic obstructive pulmonary disease (COPD) is a common lung disease. Having COPD makes it hard to breathe.

There are two main forms of COPD: Chronic
bronchitis, which involves a long-term cough with mucus.

Emphysema, which involves damage to the lungs over time.

Group of chronic disorders characterized by irreversible, progressive tissue degeneration and airway obstruction

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11
Q

What can Asthma be triggered by ?

A

Inflammatory Factors - Allergens
Irritants- Stress for example
Others -Polluants

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12
Q

What are some of the Functions of the Liver ?

A

Metabolism: carbohydrates, protein, and fat delivered through the portal circulation

-Synthesis: glucose, plasma proteins, clotting factors -

Storage: glucose, fats, vitamin B12 and release them -

Detoxification of blood and excretion of harmful chemicals, drugs and hormones

  • Produce bile
  • Remove old erythrocytes
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13
Q

What are some of the Liver function

A

Dual blood supply: -Hepatic artery carries oxygenated blood at 300 mL per minute

-The portal vein carries partially deoxygenated blood from the stomach, pancreas, spleen and intestines to the liver at 1000 mL per minute to process nutrients.

The liver cells are arranged in long interconnected plates called lobules

Liver cells nearest the central veins are much less supplied of oxygen and nutrients, making them more vulnerable to injury from toxic agents or circulatory disturbances.

The liver is on of the few organs that can regenerate: as much as 75% of the liver can be lost or removed, remaining liver tissue can regenerate into a whole new liver again. Hepatocytesare acting like stem cells.

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14
Q

What are some of the Primary Disorder of Liver ?

A

Alcohol Contributing to 24 %

Hepatitis C 24 %

Hepatitis B 11%

Disorders of the liver are usually serious and often life threatening. These disorders are often acquired through hepatotoxic substances or infections.

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15
Q

What are some of Liver Mechanism ?

A

Liver is susceptible to injury from drugs due to its unique metabolism and close relationship with the GIT -

75% of blood comes directly to the liver from GIT binging drugs in concentrated form

-Hepatic injury is caused by several mechanisms, primarily by mitochondrial damage and production of free radicals

The liver is on of the few organs that can regenerate: as much as 75% of the liver can be lost or removed, remaining liver tissue can regenerate into a whole new liver again. Hepatocytesare acting like stem cells.

Liver cells nearest the central veins are much less supplied of oxygen and nutrients, making them more vulnerable to injury from toxic agents or circulatory disturbances.

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16
Q

What is Cirrhosis ?

A

This is the chronic, irreversible, diffuse damage to the liver, resulting in liver failure.

Chronic alcohol abuse is the most common cause in developed countries.

Viral hepatitis is the most common etiology in developing countries.

The damage leads to fibrosis, nodule formation, impaired blood flow and bile obstruction that can result in liver failure.

17
Q

What can Cirrhosis lead to ?

A

Cirrhosis leads to portal hypertension> varicosities develop in the esophagus and abdomen.

This could lead to hemorrhages, esophageal bleeding has a high mortality rate.

Fluid accumulates leading to ascites because of lack of albumin production in the liver.

Changes in glucose metabolism, decreased protein clotting factors, hyperlipidemia, muscle wasting and jaundice.

18
Q

What other problems does Cirrohosis cause ?

A

Estrogen builds up in both sexes, the liver cannot inactive the hormone.
Toxins and waste products accumulate, the liver cannot detoxify blood.

Buildup of ammonia leads to neurological impairment.
Excessive protein levels leads to encephalopathy.

19
Q

What is Chronic Kidney Disease ?

A

Gradual loss of renal function that is irreversible, non-operational scar tissue replaces injured nephrons.

Clinical manifestations begin to appear when the renal function declines by 50%

Waste products begin to accumulate as renal function declines.

Kidneys lose the ability to concentrate the urine, maintain blood pressure and secrete erythropoietin.

Multiple systems are affected.

20
Q

What are some of the effects of Chronic Kidney Disease ?

A

Immune - Increases Risk of Infections

Gastorinstenial

  • Anorexia
  • Nausea
  • Bleeding through Gastroinstenial Tract
21
Q

Complications of Diabetes

A

Increased susceptibility to infections due to high levels of blood glucose (pathogens grow more quickly).

Greater incidence of arteriosclerosis (from unbalanced fat metabolism). This leads to strokes, heart attacks, and gangrene to the legs and feet as a result of poor circulation.

Small blood vessels of the retina of the eye degenerate leading to blindness.

Peripheral nerves also may degenerate causing peripheral neuritis, causing pain in the extremities.

The glomerular arterioles and capillaries undergo degenerative changes resulting in renal failure.

Degeneration is directly related to hyperglycaemia via protein glycosylation.

The liver cells are arranged in long interconnected plates called lobules