Pathophysiology Flashcards

(52 cards)

1
Q

Define Pathophysiology. What is it and why is it important?

A

It is the study of the disease of living beings
-it shows what happens when normal anatomy and physiology go wrong
It is important because it is the why that unlocks all mysteries of the human body & the response medical and nursing interventions (provides insight on side effects, why patients look the way they do

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2
Q

Define Remissions

A
  • is when clinical manifestations subside (they become less intense/ go down)

Ex: can see with heart failure or cancer

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3
Q

Clinical Manifestations

A
  • effects or evidence of a disease
    signs or what can be “seen or Heard” :Objective measures

What a patient “says” : Subjective feeling

Ex: a temp of 101 (can be measured)
a rash ( can see that)
a heart murmur (can hear that)
someone tells you that they have a fever or are in pain

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4
Q

Treatment

A

is going to help control or cure a disease

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5
Q

Etiology
nosocomal
idiopathic
iatrogenic

A
  • cause of a disease
  • a hospital-acquired cause
  • an unknown cause
    -cause results from unintended or unwanted adverse effects of medical treatment
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6
Q

Sequela

A

is an unwanted outcome of having a disease/ a disease that can cause something else

Ex: someone that had a stroke( acute) the sequela of a stroke could be paralysis which is a long term chronic condition

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7
Q

Stress

A
  • can negatively affect our body’s homeostasis or well- being
    can contribute to the the development of disease & the exacerbation of disease and negative behavior s
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8
Q

Allostatsis

A

short- term adaptation/ stability through change

Ex: you’re put in a difficult situation & your body will go through physiological changes due to this heightened stress situation & your body will secrete hormones

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9
Q

Adaptation

A

there is an overactivation of adaptive regulatory systems (autonomic, immune, neural, &endocrine)

short- term: our bodies will adapt to the stress by decreasing & bringing the body back to homeostasis

chronic- long term dysfunction & compromise your health which can cause us to go into allostatic load

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10
Q

general adaptation syndrome

A

systemic manifestations to help the body cope with stress

alarm stage/ fight or flight
- ur HPA (hypothalamic pituitary adrenal) is triggered & activated SNS (sympathetic nervous system

response: epinephrine and norepinephrine & cortisol are released

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11
Q

Risk factors

A

tendencies that put an individual at risk for developing certain diseases

Ex: dietary imbalances; identifying the risk factors can be important by looking at certain populations that may be at risk & putting preventive measures so that over time they don’t develop the disease

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12
Q

precipitating factor

A

a condition or event that cause a pathologic event or disorder to occur

Ex: someone has asthma & they r exposed to an allergen & r allergic to that allergy can do is precipitate an asthma attack

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13
Q

iatrogenic

A

cause results from unintended or unwanted adverse effects of medical treatment

Ex: someone getting chemo treatment and they need the chemotherapy b/c of the cancer but the chemo (unwanted effects) can lower WBC; which can cause us to be more susceptible to infection

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14
Q

exacerbation

A

the clinical manifestations increase or become worse

Ex: patients w/ heart failure

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15
Q

complications

A

New problems that arise b/c of the disease (chronic condition)

Ex: type 2 diabetes, a complication of it is renal failure

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16
Q

Localized reaction

A

they originate & are confined to 1 area/organ/ part of the body

Ex: someone w/ a small rash on the upper part of their body

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17
Q

systemic reaction

A

affect a # of organs or tissue or can affect the whole body

Ex: sepsis or anaphylaxis

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18
Q

Pathogenesis (2)

A

is how a disease develop

Ex: acute/ resolve ( self- limiting ) short term sudden appearance of signs and symptoms <2 weeks

Ex: strep throat or cold

chronic/ don’t resolve: cause cause irreversible or reversible changes & damages >2 weeks

Ex: diabetes or HTN

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19
Q

etiologic disease classification ( Iron deficiency anemia, fungal infection, degenerative arthritis, fever of unknown origin)

A

iron deficiency anemia - caused from a nutritional lack of iron (intrinsic- nutritional )

fungal infection- a fungus is outside & alive (animate extrinsic )

degenerative arthritis- inside the body cause of disease (intrinsic)

fever of unknown origin- (idiopathic) we may think this is how it happens , but we may not know the real cause of the disease

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20
Q

Dr. Hans Selye

A

first to describe bodily changes associated with stress
(GAS)- the body responds to a stressor w/ a series of nonspecific events

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21
Q

Walter cannon

A

discovered the fight or flight reaction (1900s) physiologic reactions to sress
increased heart rate
increased blood supply to muscle
increased respirations
pupils will dilate, gastric secretions will stop

22
Q

individualized influences on stress response (5)

A

Age , Gender, Biological cycles , culture, personality characteristics

23
Q

Atrophy

A

decrease in cellular size

Ex: taking a cast off their arm and it gets smaller b/c they haven’t used it in a while

24
Q

hypertrophy

A

increase in cellular size

Ex: biceps get larger and become hypertrophy/ heart failure increases demand on heart

25
hyperplasia
increase number of cells
26
metaplasia
replacement of 1 cell type with another
27
dysplasia
deranged cellular growth > of the same cell but disorganized
28
Apoptosis
eliminating unwanted cells
29
Necrosis
premature death of cells living in tissue
30
cellular adaptation
is the body response to physiologic / normal condition or pathologic disease state
31
ischemia
inadequate blood flow occurs when cells have been deprived of oxygen & then receive oxygen
32
catecholamines
can be released during stress (epi & noreppi): -increase blood flow -increase glucose metabolism in the brain increase rate & force of contraction of the heart -have peripheral vasoconstriction in cardiovascular system -have bronchodilator In the pulmonary system increases proclamatory cytokine production
33
cell injury
if the cell is unable to maintain homeostasis
34
hypoxic injury
is the most common cause of cellular injury reduced amount of oxygen in the air loss of hemoglobin (RBC transports oxygen)
35
arteriosclerosis
narrowing of arteries
36
thrombosis
complete blockage by blood clots
37
unintentional and intentional injuries (3 examples)
blunt force: injury resulting from impact w/ object Ex: hammers, baseball bat, fists sharp force: occurs when a sharp-edged or pointed object comes into contact w/ the skin or underlying tissues Ex: stab wounds, incised wounds, chop wounds gunshot wounds: when a bullet is projectile/ shot into or through the body
38
asphyxial injuries
caused when the failure of cells to receive or use oxygen Causes choking , hanging , drowning
39
infectious injury
is the ability of bacteria & viruses to produce toxins to damage the cell walls and agin entry
40
endogenous
abnormal metabolism & synthesis
41
exogenous
infectious agents or minerals
42
necrosis
if cell injury continues, the premature death of cells in living tissue by autolysis
43
coagulative necrosis
results: from interruption of blood flow causes: ischemia, protein denaturation location: kidney, heart, adrenal glands
44
liquefactive necrosis
occurs from ischemia location : the brain if it comes from a bacterial infection, its likely e coli, streptococci, straphylocci
45
caseous necrosis
occurs from TB pulmonary infection dead cells disintegrate but r not completely digested/ looks like cottage cheese location: lungs
46
fat necrosis
occurs when lipase enzymes break down triglycerides and they get broken down into free fatty acids looks: bubbly/ chaky location: breast & pancreas
47
gangrenous necrosis
impaired blood flow and bacterial invasion occurs when bacteria presence is minimal & the skin has a dry dark brown/black appearance wet gangrenous occurs with liquefactive necrosis
48
algor mortis
the body temps falls to 1-1.5 degrees per hour until after 24 hrs reaction: skin becomes pale, cheeks will remain red
49
livor mortis
purplish discoloration in the most dependent areas
50
rigor mortis
the muscle stiffen begins 6 hrs in the small muscles 12-14hrs it'll began to diminish and the body becomes soft (flaccid)
51
cortisol
its secreted during stress location : tissue stimulates gluconeogenesis elevates: diabetes, obesity , HTN
52
HPA axis
hypothalamus - is the control center of our brain and body - it realizes corticotropin-releasing hormones (CRH) pituitary gland - releases adrenocorticotrophic hormone (ACTH) adrenals secrete -release cortisol & catecholamines