Exam 3 part 1 Flashcards
(51 cards)
Allograft
(homograft): same species
Isograft
identical twins
Autograft
one part of body to another
Xenograft
between different species
immunosuppressive drugs and
matching HLA/MHC’s are needed prior to performing which transplants
xenograft and allograft
What is the protocol
to minimize rejection
closely matched HLA/MHCs (7-10 matched) and immunosuppressive drugs if needed
Graft vs host disease
t lymphs in graft attack the host “the perfect storm” - 3 traits must occur at the same time for this to happen
Graft vs host disease perfect storm
- Transplant must have a functional cellular immune component
- Recipient tissue must have antigens foreign to the donor T-lymphocytes
- Recipient immune system must be compromised to the point where it cant destroy the transplanted T cells
heart murmur
Swooshing extra heart sound heard during stenosis (valve not opening all the way so blood shoots through narrow opening)
and regurgitation (valve doesn’t close all the way, will hear murmur of blood leaking back through valve)
cause of heart murmur
stenosis and regurgitation, prolapsed mitral valve.
What effect does a heart murmur, hypertension, aortic valve stenosis, mitral valve
regurgitation have on cardiac output?
decreased CO
True aneurysm
bound by a complete vessel wall, the blood is within the vascular compartment
False aneurysm
local injury to the vessel wall causing a tear in the vessel wall -extravascular hematoma (hematoma bound by extravascular CT)
Berry aneurysm
dilation that occurs where a blood vessel branches
fusiform aneurysm
involves entire circumference of vessel - gradual/progressive dilation of the vessel
saccular aneurysm
extends over part of the circumference of the vessel
dissecting aneurysm
hemorrhaging into vessel wall
Aortic aneurysm
abdominal aortic aneurysm, thoracic aneurysm
aortic dissection
bleeding into vessel wall with longitude tear
- Hypertension
- Marfan syndrome
main cause of aneurysms
Weakening of arterial walls from:
Congenital defects
Trauma
Infection
Atherosclerosis
atherosclerosis
has atheromas which are plaques having lipids, cells, fibrin and cellular debris; they often have an attached thrombus. The initiating factor may be endothelial cell damage (occurs at young age)
arteriosclerosis
general term for degenerative changes that occur with age - narrowing of small arteries and arterioles - ischemia
non modifiable risk factors of Atherosclerosis
Age
Gender
Genetics/family history
modifiable risk factors of atherosclerosis
- Obesity or diet
(Increase lipids/LDL) - Cigarette smoking
(Increase LDL/decreases HDL) - Sedentary life style
- Diabetes mellitus
- Hypertension