Vocab Flashcards
Pathology
the study and diagnosis of disease though the examination of organs, tissues, cells, and bodily fluids
Physiology
study of mechanical, physical, and biochemical functions of living organisms
Pathophysiology
study of abnormalities in physiologic functioning of living beings
Idiopathic Etiology
Cause is unknown
Iatrogenic Etiology
Cause is a result of an unintended or unwanted medical treatment
Primary Levels of Prevention
Altering susceptibility, reducing exposure for susceptible persons
Ex: Education, immunizations, condoms
Secondary Levels of Prevention
Early detection and screening; prevent further complications
Ex: Breast cancer screening, PAP smears
Tertiary Levels of Prevention
Individual has the disease; looking to get them back to better quality of life
Ex: rehabilitation (PT), supportive care, outreach programs
Incidence
New cases over a time period
Prevalence
Existing cases over a time period
Reliability
Same results when repeated
Validity
Measuring what was intended
Sensitivity
Correctly identifies a condition
Specificity
Correctly excludes a condition
Predictive Value
Ability to predict disease or condition
Morbidity
Causes disease, illness, consequences
Diffusion
Passive transport
Movement of area of high concentration to low concentration
Osmosis
Passive transport
Movement of water via osmotic pressure from high to low concentration
Facilitated diffusion
Passive transport that requires a protein carrier, such as glucose
Ischemia
Lack of blood flow
Hypoxic
Lack of oxygen –> cannot produce ATP
What is the first manifestation of most forms of reversible cell injury?
Hydropic swelling
What is Hydropic Swelling?
Cell swelling due to excess water from sodium/potassium pump malfunction (not receiving enough energy/ATP)
Pump malfunction –> sodium ions build up inside the cell –> water always follows salt –> cells swell
What is Intracellular Accumulation?
Build up of substances due sometimes to faulty metabolisms
- Normal body substance buildup (melanin, lipid)
- Buildup due to metabolic dysfunction (Tay-Sachs disease)
- Exogenous products (black lung filled with coal dust)
How does free radical formation (UV/radiation) cause damage?
Lipid preroxidation by attacking fat
Attacks proteins disrupting transport channels
What is Necrosis?
Tissue destruction that occurs as a consequence of ischemia or toxic injury
Characteristics: cell rupture, spilling of contents into ECF, and inflammation
Coagulative Necrosis etiology
Ischemia –> loss of energy –> inefficiency of sodium potassium pump –> salt build up inside cell –> swelling –> rupture (triggers inflammatory response)
Liquefactive Necrosis etiology
spilled contents –> stimulates inflammatory response –> eaten up by lysosomes –> but healthy tissue gets eaten too –> forms abscesses –> liquid-filled cysts
Fat Necrosis
death of adipose tissue as a result of trauma
Caseus Necrosis
lung damage secondary to tuberculosis
-clumpy cheese appearance in granulomas
What is a gangrene?
Cellular death in a large area of tissue that results in interruption of blood supply to a particular part of the body
Describe Dry Gangrene
- Form of coagulative necrosis
- Blackened, dry, wrinkled tissue separated by a line of demarcation from healthy tissue
- Spreads slowly
Describe Wet Gangrene
Form of liquefactive necrosis (abscesses) typically found in internal organs but also can be seen outwardly
- No strict demarcation
- Spreads quickly
Describe Gas Gangrene
Results from infection of necrotic tissue by Clostridium (anaerobic bacteria)
-Formation of gas bubbles in damaged tissue
What does Apoptosis do?
Intracellular cascade that activates cellular suicide response
- Does NOT cause inflammation
- Neat clean matter through cascade signaling
- No further damage
- Removes dead cells, leaving room for new, better functioning cells
Component Acquired Capability - leading up to cancer
- Self sufficiency in growth signals (autonomous)
- Insensitivity to antigrowth signals
- Evading apoptosis
- Limitless replicative potential
- Sustained Angiogenesis
- Tissue invasion and metastasis
How do Mutator Genes lead to cancer?
Increases the rate of mutation of one or more other genes
What are proto-oncogenes and how can they lead to cancer?
Proto-Oncogenes are normal genes for proliferation (cell differentiation)
Thus when they mutate, they turn into oncogenes, enabling cells for autonomy
What is an oncogene?
An oncogene is a mutated proto-oncogene, aka CANCER CAUSING GENE
What are Tumor-Supressor Genes and how can they lead to cancer?
They are the genes that suppress tumors –> however if they are mutated, they no longer can inhibit the growth of tumors
What are other genes that when mutated, can lead to cancer?
Genes that control apoptosis, genes that regulate repair of DNA damage
Are mutations that occur in somatic cells passed down to progeny?
No
Are mutations that occur in gremlin (stem) cells passed to future generations?
Maybe!
GERD can lead to what type of cancer?
Esophageal cancer
Chronic Pancreatitis can lead to…
Pancreatic cancer
How can viruses cause cancer?
Viruses can insert their own DNA structure/genes –> change the existing genes –> leads to cancer
What are the local effects of tumors?
- Pain (which can be absent until late stages –> late diagnosis)
- Tissue Integrity (compressed and eroded blood vessels, ulceration, necrosis, hemorrhage, frank bleeding)
What are the systemic effects of (malignant) tumors?
- Weight loss and cachexia (anorexia, fatigue, pain, stress due to the increased demands from tumor cells on the body)
- Anemia (lack of RBC)
- Severe fatigue (due to inflammatory changes, cachexia, anemia, stress of treatment schedule, psychological factors)
- Effusions from the inflammation
- Infections (as a result of immunodeficiency)
- Paraneoplastic syndrome (tumor cells release substances that affect neurologic function and may have hormonal effects)
Cachexia
Weakness and wasting of body
Effusions
Fluid buildup in body cavities
How does the TNM Classification System work?
TX = primary tumor, number is based on size N = regional lymph nodes and the number of lymph nodes involved M = distant metastasis; 0 = no metastasis, 1 = metastasis present
For what type of cells is radiation therapy most effective?
Rapidly dividing cells
What are adverse effects of radiation therapy?
Bone marrow depression, epithelial damage, infertility, GI upset
What type of drugs does chemotherapy use?
Antineoplastic drugs
How can a diagnosis of malignancy be confirmed?
Biopsy
Remission of cancer is generally defined as a period in which….
An individual no longer has any detectable signs or symptoms of cancer
What is margination?
Margination is the process of neutrophils and macrophages sticking and accumulating to the blood vessel wall in the area of injury
How do the marginated WBC stick?
They stick via selections which are released by endothelial cells when trigger by cytokines
What is emigration and diapedesis?
The movement of leukocytes out of the circulatory system towards the site of tissue damage or infection
What is chemotaxis and how is it created?
Chemical gradient that promotes leukocytes out of the circulatory system towards the site of injury.
The gradient is created by proteins of the complement system + chemokines
What are the elements of cellular stage of the inflammatory response?
margination, emigration/diapedesis, chemotaxis, phagocytosis
What are the elements of the vascular stage of the inflammatory response?
Bradykinin –> vasodilation –> parin receptors –> mast cells/basophils –> histamine –> (eventually prostaglandins and leukotrienes)
How does increased vascular permeability effect osmotic pressure?
Increased vascular permeability –> outpouring of protein-rich exudate into extravascular spaces –> loss of proteins –> reduces capillary osmotic pressure and increases the interstitial osmotic pressure
What are inflammatory exudates and what are their functions?
Inflammatory exudates: the fluid that leaks out of blood vessels and into nearby tissues in the inflammatory response
- Transport leukocytes and antibodies
- Dilutes toxins and irritating substances
- Transport nutrients for tissue repair
Serous inflammatory exudate =
watery
Sanguinous inflammatory exudate =
bloody
Serosanguinous inflammatory exudate
mostly serous (mostly watery)
Fibrinous
sticky, thick, very high cell content
Purulent
pus, thick, yellow-green, high in WBC and microorganisms
What plasma proteins would show increased levels in diagnostic findings for inflammation?
Fibrinogen and Prothrombin
What is C-Reactive Protein and what does it indicate?
It is a protein not normally in the blood but appears with acute inflammation and necrosis within 24-48 hours
-Inflammatory marker
What is different about RBC when there is inflammation?
They have an increased ESR (erythrocyte sedimentation rate) due to the elevated plasma protein count
-Inflammatory marker
Local effects of inflammation
Redness, swelling, heat, pain, loss of function
Systemic effects of inflammation
Mild fever = pyrexia Malaise Fatigue Headache Anorexia or weight loss