Unit 2 - Week 1 - Savici 1 and 2, Moffat 2, Stein 2, Amack 2 Flashcards
What tests might you perform with someone who has intermittent, triggered episodes of SOB?
Pulmonary Fx test
Methacholine challenge test
What is the length of time covered by an acute cough?
< 3 weeks
3-8 weeks = subacute
>8 weeks = chronic cough
What is the worst case scenario for hemoptysis?
Exsanguination
What is pectus carinatum?
Pidgeon chest, prominent sternal protrusion
What is the scientific term for funnel chest?
Pectus excavatum, indentation of the lower sternum above the xiphoid process
In what diagnosis is Barrel chest commonly seen?
Emphysema
What challenges to kyphosis and scoliosis pose?
They can have adverse effects on lung and breathing.
What are 3 adventitious lung sounds?
- Wheezing
- Crackling
- Ronchi
What is egophany?
E to A sounds present in consolidation, auscultation
When is wheezing heard?
Wheezing is heard on inspiration and expiration. Common in airway obstruction, asthma, interstitial edema
When is crackling heard?
Heard on inspiration, common in pulmonary edema, pneumonia
When are ronchi heard?
Heard on inspiration and expiration, clears with cough, common with secretions in the large airways
What are some causes of decreaing breathing rate?
Narcotic overdose myasthenia gravis CNS lesions alkalosis obesity
With what diagnoses might you see clubbing of fingers?
Lung cancer
CF
cirrhosis
congenital heart diseases
What is PND?
Paroxysmal Nocturnal Dyspnea, SOB relieved when sitting up
What is orthopnea?
SOB when laying flat, ask the patient how many pillows do you use at night?
What are causes of chronic cough?
Asthma
Post-nasal drip, “Acute upper airway syndrome”
Chronic bronchitis
GERD
What is the difference between tachypnea and hyperventilation?
Hyperventilation is both deep and fast (>20 bpm) breathing
What is Kussmaul breathing?
Rapid, deep and labored
What is Biot breathing?
Disorganized pattern with periods of apnea
What is Ataxic breathing?
Irregular and varying depth of breathing
What are causes of dyspnea?
Interstitial lung disease Metabolic acidosis Upper airway obstruction Asthma COPD PE CHF Pulmonary vascular disease Psychogenic
Fun fact!
40% of human genes are present in flies and worms
Define a homologous gene, or homolog:
A gene similar in structure and evolutionary origin (and likely function) to a gene in another species. For example, drosophila gene for brain development can be inserted into mice lacking that gene, and those mice can develop brains more or less normally.
How do genes drive development:
The genetic material is identical in every cell, but different cells express different sets of genes. This is the concept of genome equivalence.
Somatic nuclear transfer is another term for:
cloning
What is the concept of differential gene expression?
Only a small percentage of the genome is expressed in each cell type
Gene expression is regulated at several levels. Name four:
- Differential gene transcription
- selective nuclear RNA processing
- selective mRNA translation
- Differential protein modification
RNA in situ hybridization is used to detect ______.
mRNA expression in cells or tissues
The expression of different sets of genes in different cells coordinates development by controlling four essential cellular processes by which the embryo is constructed:
- Cell proliferation: producing many cells from one.
- Cell specialization: creating cells with different characteristics at different positions.
- Cell interactions: coordinating the behavior of one cell with that of its neighbors
- Cell movement: rearranging the cells to form structured tissues and organs.
Name the two minimum components to every inductive interaction:
- Inducer - the tissue that provides a signal that changes the behavior of the target tissue
- Responder - the tissue being induced. The responder must have the ability to respond to the signal, referred to as “competence”
Explain the example of induction by the optic vesicle in the Xenopus frog embryo.
The optic vesicle is able to induce lens formation in the anterior portion of the ectoderm, but not in the trunk or abdomen of the embryo. If the optic vesicle is removed, either no lens, or a malformed lens, will develop. **Most other tissues are not able to substitute for the optic vesicle as an inducer
__1__ is a transcription factor that is important in providing competence to respond to the inducer signals from the optic cup. This is an example showing that __2__ is actively acquired. __1__ makes ectoderm competent to respond to __3__ signals from the optic vesicle. Therefore, __1__ is considered a __4__.
- Pax6
- competence
- inductive
- Competence factor
What is the cause of aniridia?
Aniridia is an autosomal dominant condition in which Pax6 has undergone a mutation. Aniridia causes problems that affect the iris, intraocular pressure, lens, cornea and optic nerve. Homozygotes for this condition do not survive.