Exam 1 Material Flashcards

(50 cards)

1
Q

What is pathology?

A

the study of disease conditions sickness illness disorders syndromes

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2
Q

What is etiology?

A

the origin of disease (why) genetics environmental exposure risk factors

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3
Q

What is pathogenesis?

A

the development of disease (how) how etiologic factors produce cellular change

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4
Q

What is homeostasis?

A

the tendency to maintain internal stability, health

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5
Q

What was BJ Palmer referring to when he said homeostasis?

A

the human body’s innate intelligence

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6
Q

What are the 3 T’s in Chiropractic?

A

Trauma, toxins, and thoughts

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7
Q

What are 4 main adaptations to cellular stress?

A

hypertrophy atrophy hyperplasia metaplasia

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8
Q

What is hyperplasia?

A

increase in amount of fibers

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9
Q

What is metaplasia?

A

cell that is stressed switches to be a completely different more resilient type of cell

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10
Q

Does homeostasis affect health?

A

Yes, viability and optimal function of health, as well as adaptable to daily stressors

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11
Q

What is hypertrophy and where is it usually found?

A

increase in size and is incapable of division

due to overloading or increased growth factors

found in skeletal muscle

phys=weight lifting, pregnant uterus

path=ventricular hypertrophy

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12
Q

What is hyperplasia?

A

increase in number of cells

due to compensatory factors and gene activation, hormonal factors

phys=liver donation, breasts and uterus

path=HVP

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13
Q

What is atrophy?

A

decrease in cell size, decrease in protein synthesis, increase in protein breakdown

due to:

disuse, denervation, ischemia, endocrine disruption, and aging

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14
Q

What is Senile Atrophy?

A

lots of atrophy in the subcutaneous areas of the forearms and is normal age related

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15
Q

What is metaplasia?

A

change of one cell type into another that is more resilient

typically is reversable in early stages, but once prolongued, irreversible

risk for cancerous transformation

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16
Q

When does cell injury and death occur?

A

when a stressor exceeds ability to adapt, damage is directly induced, or intrinsic abnormality is present

due to trauma, ischemia, hypoxia, poisons, infections, immune rections, malnutrition, and aging

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17
Q

What is a reversible injury?

A

transient or mild stressor

minimal membrane damage

nucleus is intact

swelling and fatty accumulation occur

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18
Q

What is an irreversible injury?

A

prolonged or severe stressor

irreparable mitochondrial damage with damage to the membrane

Necrosis : trauma, toxins, ischemia (inflammatory)

Apoptosis: decreased growth factors or damage to DNA protein (non-inflammatory)

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19
Q

What are the nuclear changes of necrosis?

A

Pyknosis: solid shrunken mass

Karyorrhexis: fragmentation

Karyolysis: fading and dissolution

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20
Q

What occurs during necrosis?

A

enlarged cell size due to swelling

P-K-K path

plasma membrane is disrupted

cellular content leaks out

frequent inflammation

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21
Q

What occurs during apoptosis?

A

reduced cell size, shrinking

gragmentaqtion occurs

plasma membrane is intact

cellular content is intat

non-inflammatory

22
Q

What is necrosis?

A

death of living tissue, loss of membrane integrity, and inflammatory

Coagulative (gangrenous)

Liquefactive

Caseous (tuberculosis)

Fat (enzymatic)

Fibrinoid (cannot see with the naken eye)

23
Q

What is coagulative necrosis?

A

sever ischemia, or death of solid organ tissue (infarction/infarct)

typically occurs in organs with solid walls, and can be firm for days/weeks at a time

ex. myocardial infarction: loss of blood supply due to clotting

1/3 of heart attacks are lethal

24
Q

What is gangrenous necrosis?

A

gangrene= coagulative necrosis in extremities

peripheral vascular disease or frost bite

can be dry, wet, or gas type

25
What is liquefactive necrosis?
dead cells are completely digested CNS ischemia/hypoxia and bacterial or fungal infections
26
What type of necrosis is this?
coagulative necrosis
27
What type of gangrene is this?
dry gangrene
28
What type of gangrene is this?
gas gangrene
29
What type of necrosis is this?
liquefactive necrosis
30
Which pathway is this?
apoptosis
31
Which pathway is this?
necrosis
32
What is caseous necrosis?
cheese like texture, yellow/white color, related to tuberculosis
33
What is fat necrosis?
Saponification, and can disrupt the pancreas
34
What is fibrinoid necrosis?
autoimmune reactions, not visible to the naked eye, found in arterial walls
35
Define apoptosis
programmed cell death, involving breakdown of apoptotic bodies caused by: mutated cells, viral infections HIV and can accompany atrophy
36
How does apoptosis work?
by activation fo caspase
37
What are the two pathways in apoptosis?
Mitochondrial pathway Intrinsic DNA damage, or misfolded proteins activates CASPASE 9 Death receptor pathway Extrinisc infection of cells activates CASPASE 8
38
What is the difference between autophagy and apoptosis?
Autophage is not dead, but is self eating Apoptosis is programmed cellular death
39
Ischemia and hypoxic injury process
little O2 = little ATP & lots of ROS With persistance, can become irreversible
40
What is a characterist of oxidative stress on a cell?
accumulations of ROS, inflammation, aging
41
What are dietary anti-oxidants?
ACES acronym Vitamin A C E selenium, and beta carotene
42
Is direct or latent injury more common?
Latent injury
43
What is Steatosis?
fatty change, excessive lipid accumulation in the heart, liver, skeletal muscles, and kidneys Macro = hepatomegaly Micro = fat vacuoles Alcoholic Liver Disease or Nonalcoholic Fatty Liver Disease
44
Hepatocellular Carcinoma can be caused by:
chronic HBV infection, HCV infections, or Cirrhosis More common in males 3:1 ration
45
What are the two types of calcification?
Dystrophic and Dysfunctional Fibrodysplasia Ossificans Progressiva
46
Define dystrophic calcification
calcification of damaged tissue due to injury, aging, or necrosis
47
Define fibrodysplasia ossificans progressiva
dysfunctional soft tissue repair, autosomal mutation on chromosome 4, and is very rare excessive amount of heterotopic ossificiation and fusion LIFE THREATENING
48
What is metastic calcification?
calcification of normal tissues, with abnormal amounts of calcium (hypercalcemia) Casues boen cancer, multiple myeloma, leukemia
49
Explain how cellular aging works
Reduced functional capacity of cells Due to: DNA damage Replicative senescence Defective Protein
50
Bloom Syndrome and Werner Syndrome are types of \_\_\_\_\_\_
progeroid syndromes