MCB Lecture 55 Intro to Pathology Flashcards

0
Q

What is aetiology?

A

The cause of the disease

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1
Q

Outline the characteristics of disease

A
Aetiology
Pathogenesis
Clinical and pathological manifestations
Complications
Prognosis
Epidemiology
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2
Q

What is Pathogenesis?

A

The mechanism causing the disease

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3
Q

What are the clinical and pathological manifestations?

A

These are the structural and functional features of the disease

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4
Q

What are complications?

A

These are secondary or systemic consequences of the disease

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5
Q

What is prognosis?

A

This is the expected outcome of the disease

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6
Q

What is epidemiology?

A

Incidence, prevalence, distribution

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7
Q

Describe the characteristics of disease using the example of cancer

A

Aetiology: eg. UV radiation
Pathogenesis: radiation causes mutation in the DNA
Clinical and pathological manifestation: tumour
Complications: metastasis
Prognosis: death or remission
Epidemiology: eg. Men 1 in 12, women 1 in 23

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8
Q

What are some of the general causes of cell injury?

A
Hypoxia
Physical trauma
Chemical agents
Immunologic reactions
Infectious agents
Aging
Genetic defects
Nutritional imbalance
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9
Q

Describe how hypoxia can cause disease

A

Hypoxia damages tissue, because tissues require oxygen to perform all of their function.

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10
Q

What are the causes of hypoxia?

A

Pneumonia, anaemia, CO poisoning, occlusion

Occlusion -> ischemia -> hypoxia -> tissue damage

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11
Q

What is ischemia?

A

The reduction of blood flow to an area

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12
Q

What are some chemical agents that cause disease

A
Poison
Alcohol
Tobacco
Oxygen
Glucose, water-salt balance
Environmental toxins: lead, mercury
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13
Q

What did Paracelsus say about poisons?

A

“all substances are poisonous, the right dose separates a poison from a remedy”

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14
Q

What are some infectious agents that cause disease?

A
Bacteria
Viruses
Prions
Macroparasites
Fungi
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15
Q

What is the effect of alcohol on the body?

A

Alcohol causes changes in liver cells, leading to cirrhosis of the liver

Cirrhosis liver tissue has it’s structure and function interrupted

16
Q

What is the effect of prions?

A

Prions are protinaceous infectious particles.
These are mutant form of the proteins

Eg. Creurzfeld Jacob, bovine spongiform encephalitis
The prion causes vacuolation of tissue in the brain

17
Q

What are some causes of immunological reaction?

A
Hypersensitivity: allergy
Autoimmunity
Immune deficiency, acquired or genetic
Immune imbalance
Graft rejection
18
Q

Describe what is happening in rheumatoid arthritis

A

In rheumatoid arthritic, there is an autoreactive immune response concentrated in the joints.
Many immune cells are attracted to the joints
Joints become clogged
Tissue and cartilage is degraded

19
Q

Describe some ways that genetic defects can cause injury

A
  • single gene mutation, Tay Sachs

- congenital malformation, Trisomy 21

20
Q

Describe what is happening in Tay sachs disease

A

There has been a single base pair substitution, leading to a defective ganglioside degredation enzyme

Ganglioside builds up in neurons, damaging the nervous system

21
Q

Describe some ways that nutritional imbalance can lead to disease

A

Deficiency
Malnutrition, vitamin (a or b)

Excess
Obesity
Hypertension
Type 2 diabetes

22
Q

Describe how physical agents can cause disease

A
  1. UV radiation
  2. Pressure
  3. Heat/ cold
  4. Electrical
  5. Mechanical trauma
23
Q

Describe how aging can lead to disease

A

Decline in proliferative ability

Effect of exogenous factors
-> cause damage

24
Q

List some of the causes of injury that we are exposed to every day

A
Burns
Touching something in the freezer
Immune responses
Scratches, bruises
Smoking
UV
Insect bite
25
Q

Describe the mechanism of Tay sachs disease

A

The enzyme that breaks down GM2 gangliosides is dysfunctional.

This ganglioside builds up in the brain, leading to non functional neurons