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Chapter 3: Altered Cellular and Tissue Biology
Understanding Pathophysiology 4th Edition
75
Physiology
Undergraduate 3
09/16/2011

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Cards

Term
Cells ____ to their environment to escape and protect themselves from injury.
Definition
adapt
Term
What are the 5 significant cellular adaptive changes?
Definition
  1. Atrophy
  2. Hypertrophy
  3. Hyperplasia
  4. Metaplasia
  5. Dysplasia
Term
______ is the decrease/shrinkage in cell size.
Definition
Atrophy
Term
________ is the most common cellular adaptation in skeletal muscle, heart, secondary sex organs, and brain.
Definition
Atrophy
Term
_________ is the increase in size of cells and organs.
Definition
Hypertrophy
Term
_________ is the increase in number of cells; rate of cell division.
Definition
Hyperplasia
Term
_________ is the reversible replacement of cell type by another.
Definition
Metaplasia
Term

___________ metaplasia occurs when columnar ciliated epithelia are replaced with stratified squamous epithelia.

-Leads to decrease mucous

Definition
Bronchial Metaplasia
Term

Abnormal changes in size, shape, and organization of mature cells is termed ___________.

 

Definition
Dysplasia
Term
Dysplasia (not true adaptive process) is most common in ________ ________ and __________.
Definition
Cervical Cancer/ Respiratory
Term
Cellular injury results in the cells inability to maintain _________.
Definition
Homeostasis
Term

Extent of injury depends on:

 

Definition

Type, State, and Adaptive process of cell

Type, Severity, and Duration of injurious stimuli.

Term

Examples of injurious stimulants?

 

 

Definition
  • Chemical Agents
  • Hypoxia
  • Free Radicals
  • Infectious agents
  • Genetic factors
  • Mechanical factors
  • Immunologic Reactions
  • Nutritional Imbalances
Term
_______, or lack of suffcient oxygen, is the single most common cause of cellular injury.
Definition
Hypoxia
Term
The most common cause of hypoxia is________ (reduced blood supply).
Definition
Ischemia
Term
______ (total lack of oxygen) is caused by sudden obstruction from embolus.
Definition
Anoxia
Term
Due to hypoxia, there is a ________(decrease/increase) in ATP, causing failure of sodium-potassium pump and sodium-calcium exchange.
Definition
Decrease
Term
The increased ________ (due to hypoxia), activates enzyme systems, inflammation, degradation of DNA, loss of ATP, and leads to cellular death.
Definition
Calcium
Term
_________ injury results in tissue damage caused by return of blood supply after a period of ischemia.
Definition
Reperfusion
Term
A ____ ______ is an electrically uncharged atom or group of atoms that has an unpaired electron.
Definition
Free Radical
Term

Damaging effects of free radicals:

(there are 4)

Definition
  1. Lipid peroxidation
  2. Ion pumps/transport altered
  3. Alteration of DNA
  4. Damage mitochondria
Term

_________ block synthesis or inactivates free radicals.

Examples: Vitamin E, C, albumin, transferrin

Definition
Antioxidants
Term
_________ modify cellular destructive effects of free radicals.
Definition
Enzymes
Term
  • Hazardous to children (absorb better than adults)
  • Problems with behavior, neurologic problems, kidney dysfunction, production of blood cells.
Definition
Lead (heavy metal)
Term
  • Odorless, colorless, undetectable gas.
  • Binds with Hb, prevents binding of O2.
  • Risk Factors: Smoke, pipes, cigars, gasoline, fire fighting.

 

Definition
Carbon Monoxide
Term
________ ______ ______, caused by prenatal alcohol exposure, includes growth retardation, cognitive impairment, and facial abnormalities
Definition
Fetal alcohol syndrome
Term
Today, people are exposed to _______ from 3 major sources: fish consumption, dental amalgams, and vaccines.
Definition
Mercury
Term
Social or Street drug manifested by cognitive and psychomotor impairment?
Definition
Marijuana
Term
Social or Street drug manifested by irritability, agressive behavior, anxiety, hallucinations?
Definition
METH
Term
Social or Street drug manifested by euphoria, HTN, tachycardia, vasoconstriction?
Definition
Cocaine
Term
Social or Street drug manifested by tranquility, infections, septic embolism, pulmonary edema, or sudden death with overdose?
Definition
Heroin
Term
Leading cause of death between ages 1-34?
Definition
Unintentional Injuries
Term
Injuries by _____ _____ are caused by the application of mechanical energy to the body resulting in the tearing, shearing, or crushing of tissues.
Definition
Blunt Force
Term
A ________ (bruise) is bleeding into the skin or underlying tissues as a consequence of a blow that squeezes or crushes the soft tissues and ruptures blood vessels w/o breaking the skin.
Definition
Contusion
Term
A collection of blood in soft tissue or an enclosed space also may be referred to as a ________.
Definition
Hematoma
Term
An _________ (scrape) results from removal of the superficial layers of the skin that was caused by friction between the skin and the injuring object.
Definition
Abrasion
Term
A _________ is a tear or rip resulting when the tensile strength of the skin or tissue is exceeded.
Definition
Laceration
Term
A break in a bone is called a ________.
Definition
Fracture
Term

Cut that is longer than it is deep.

Straight or jagged; thin, narrrow, elliptic, gapping.

Significant external bleeding; minimal internal

Definition
Incised Wound (Sharp force injury)
Term

Penetrating injury; deeper than it is long.

Clean, distinct; no crush injury.

Significant internal bleeding; minimal external.

Definition
Stab Wound (Sharp force injury)
Term

Caused by object with sharp point; no sharp edges.

Ex: Stepping on nail

Deep wound, prone to infection.

Definition
Puncture Wound
Term

Heavy, edged objects (axes, hatchets)

Combination of sharp and blunt force

Associated with crushing of wound edges/tissues.

Definition
Chopping Wound
Term
________ injuries are caused by a failure of cells to receive or utilize oxygen.
Definition
Asphyxial
Term
Asphyxial injuries are grouped into what 4 categories?
Definition
  1. Suffocation
  2. Strangulation
  3. Chemicals
  4. Drowning
Term

_________, or oxygen failing to reach the blood, can result from a lack of oxygen in the environment or blockage of the external airways.

Ex: Child trapped in refrigerator, choking, compressed chest/abdomen

Definition
Suffocation
Term

__________ is caused by compression and closure of the blood vessels and air passages resulting from external pressure on the neck.

Ex: Hanging, Ligature, Manual

Definition
Strangulation
Term

__________ _________ either prvent the delivery of oxygen to the tissues or block its utilization.

Ex: Carbon Monoxide, Hydrogen Sulfide

Definition
Chemical Asphyxiants
Term
_________ is an alteration of oxygen delivery to tissues resulting from breathing in of fluid, usually water.
Definition
Drowning
Term

Lead, Corbon Monoxide, and Ethanol can all result in cellular injury.

 

TRUE or FALSE

Definition
TRUE
Term
What substance when combined with smoking, has shown to increase the risk for cancer?
Definition
Alcohol (Ethanol)
Term

Temperature Extreme

-Sodium imbalance, vasocontriction, increased blood viscosity, ischemia, infection, necrosis.

Ex: Frostbite

Definition
Hypothermic injury
Term

Temperature Extreme

-Excessive heat; varies in severity

Ex: burns, heat cramps, heat exhaustion, heat stroke.

Definition
Hyperthermic Injury
Term
The most common symptom of most infectious diseases is _______.
Definition
Fever
Term
The most common cause of glycogen accumulation is _______ ________.
Definition
Diabetes Mellitus
Term
Yellow-brown color to cells undergoing atrophic changes (usually due to aging) is ___________.
Definition
Lipofuscin
Term
________ accumulation has been found to prevent skin cancer.
Definition
Melanin
Term
Excessive storage of iron
Definition
Hemoprotein accumulation
Term

Yellow-brown pigment from hemoglobin

Ex: bruising, hemorrhage

Definition
Hemosiderin
Term
Yellow-green pigment derived from hemoglobin is caused by ____ _______.
Definition
Bilirubin accumulation
Term
________ is the sum of cellular changes after local cell death and the process of cellular self-digestion known as ________.
Definition

Necrosis

Autolysis

Term
Nuclear dissolution and chromatin lysis
Definition
Karyolysis
Term
Shrinking of nucleus
Definition
Pyknosis
Term
Fragmentation of the nucleus
Definition
Karyorrhexis
Term

______ necrosis

  • Results from hypoxia caused by severe ischemia or hypoxia caused by chemical injury.
  • Protein denaturation; albumin becomes firm.
Definition
Coagulative
Term

______ necrosis

  • Results from ischemic injury to neurons and glial cells in the brain.
  • Brain cells are affected because they are rich in the digestive hydrolytic enzymes and lipids and the brain contains little connective tissue.
Definition
Liquefactive
Term

_________ necrosis

  • Results from TB pulmonary infection.
  • Combination of Liq. and Coag. necrosis.
  • Tissues resemble clumoed cheese in that they are soft and granular.
Definition
Caseous
Term

_________ necrosis

  • Lipases break down triglycerides
  • Free fatty acids released
  • Tissue is hard, and chalk white.
Definition
Fat
Term

__________ necrosis

  • Death from severe hypoxic injury
  • Can be Dry or Wet

 

Definition
Gangrenous
Term
Programmed cellular death
Definition
Apoptosis
Term
Muscle stiffening occurring within 6 hours after death.
Definition
Rigor mortis
Term
Reduction in body temperature is which postmortem change?
Definition
Algor mortis
Term
Discoloration of tissue in dependent area is part of which postmortem change?
Definition
Liver mortis
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