Principles of Pathology 2 Flashcards

(47 cards)

1
Q

inflammation

A
  • localizes or eliminates the cause of injury
  • removes injured tissue components
  • leads to repair
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2
Q

inflammation mediated by

A
  • extracellular molecular signals that activate humoral and cellular inflammatory pathways
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3
Q

role of inflammation mediators

A
  • causes the movement of fluid and leukocytes from blood into extravascular compartment
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4
Q

double edged sword of inflammation

A
  • usually is beneficial

- but can cause morbidity and mortality

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5
Q

four cardinal signs of inflammation

A
  • rubor (redness)
  • tumor (swelling)
  • calor (heat)
  • dolor (pain)
  • functio laesa (loss of function)
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6
Q

what acute inflammation looks like in the cell

A
  • has densely packed polymorphonuclear neutrophils with MULTI LOBED nuclei
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7
Q

what chronic inflammation looks like in the cell

A
  • has mononuclear leukocytes, including lymphocytes, monocytes, macrophages, and plasma cells
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8
Q

acute inflammation result

A
  • much more vascular of a response
  • vasodilation
  • activation of humoral mediators
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9
Q

acute inflammation vasodilation

A
  • resulting in increased blood flow causing redness and transudation of fluid causing edema
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10
Q

acute inflammation activation of humoral mediators

A
  • causing pain, exudation of plasma proteins, and transmigration of neutrophils
  • influx of numerous neutrophils
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11
Q

chronic inflammation

A
  • much more cell mediated
  • influx of mononuclear leukocytes
  • increased extracellular matrix (collagen)
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12
Q

mononuclear leukocyte example

A
  • lymphocytes
  • monocytes
  • macrophages
  • plasma cells
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13
Q

response to injury

A
  • incised wound
  • erythema and scab
  • erythema and purulent exudate
  • scab with erythema and hemosiderin staining
  • separated scab, hemorrhage, and granulation tissue
  • re-epitheliazed granulation tissue (young scar)
  • scar
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14
Q

incision with hemorrhage

A
  • injury initiates a response to injury that leads to complete restitution of tissue or chronic changes such as scarring
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15
Q

coagulation stops hemorrhage

A
  • early events

- humoral and cellular activation

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16
Q

inflammation humoral example

A
  • coagulation
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17
Q

inflammation cellular example

A
  • platelet
  • mast cell
  • neutrophil
  • endothelial
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18
Q

how do nutrients get to sites of injury

A
  • follow chemotactic gradients
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19
Q

monocytes in inflammation

A
  • enter sites of acute inflammation and initially release factors similar to neutrophils
  • transform into macrophages
20
Q

macrophages in inflammation

A
  • phagocytic and secrete cytokines that attract lymphocytes
21
Q

fibroblast proliferation

A
  • growth/proliferation factors produced by lymphocytes, macrophages, fibroblasts and endothelial cells mediate repair
22
Q

endothelial proliferation

A
  • new capillaries grow into devitalized tissue to supply oxygen and nutrients for repair
23
Q

new small vessel in granulation tissue

A
  • this state of repair is characterized by granulation tissue
24
Q

granulation tissue

A
  • new capillaries in young fibrous tissue
25
residual (excess) collagen at site of injury
- scar | - excess collagen (fibrosis, scar) may remain at sites of repair
26
fibrosis and dysfunction
- fibrosis caused by cell/tissue injury can contribute to long term morbidity (dysfunction)
27
fibrosis with hematoxylin and eosin staining
- it is pink
28
fibrosis with Masson trichrome staining
- it is blue
29
thrombosis
- activation of circulating platelets and coagulation factors
30
when does thrombosis occur
- occurs when endothelial function is altered - endothelial continuity is lost - blood flow is reduced
31
cause of hemorrhagic disease
- inadequate thrombosis
32
cause of ischemic diseases
- thrombosis that obstructs adequate flow
33
cause of thromboembolic disease
- embolization
34
possible causes of DVT
- stasis (most common) - vascular injury - hypercoagulability - advanced age - sickle cell disease
35
possible outcomes DVT
- lysis - propagation - keeps getting bigger - organization - endothelial cell grow over it. Form a plug - recanalization - endothelial cells form new blood vessels - embolization
36
what does PTT used for
- partial thromboplastin time - find cause of abnormal bleeding or bruising - check for low levels of blood clotting factors that may cause bleeding disorders - check for conditions that cause excess clotting problems - check if it is safe to do a procedure or surgery that might cause bleeding - check how well liver is working
37
agenesis
- complete absence of an organ or component of an organ
38
aplasia
- persistence of an underdeveloped organ anise without the mature organ
39
hydroplasia
- reduced size caused by incomplete development
40
atresia
- incomplete formation of a lumen
41
dysplasia
- abnormal tissue differentiation during development
42
ectopia
- normally formed organ that is outside normal anatomic location
43
genetic abnormal morphogenesis
- ADPKD | - autosomal dominant polycystic kidney disease
44
teratogenic abnormal morphogenesis
- microcephaly induced by maternal zika virus infection
45
teratogen
- a factor that causes malformation of an embryo
46
cause of cystic fibrosis
- defective chloride channel - cystic fibrosis transmembrane conductance regulator - CFTR
47
CF characterized by
- chronic pulmonary disease - deficient exocrine pancreatic function - other complications of inspissated (thick) mucus in multiple organs, including small intestine, liver, and reproductive tract