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Pathology
PCC's pathophys Midterm
84
Biology
Undergraduate 2
10/14/2012

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Term
What is the difference between an organic and a function disease?
Definition
Organic is associated with structural changes whereas functional is associated with the disturbance of the bodys function
Term
What is Inflammation?
Definition
a nonspecific response to any agent that causes cell injury.
Term
What are the stages of Inflammation?
Definition
1-Capillary dilation & increase BF
2-increased capillary permeability
3-attraction of leukocytes
4-systemis response
Term
What are the cell mediators involved in inflammation?
Definition
Mast cells, prostagadins, leukotineses, bradykinins and the complement in blood.

these are released when tissue damage occurs to signal the inflammation process to begin
Term
What is Lymphsngitis?
Definition
an innflammation of lymph vessels draining a site of infection
Term
What is Lymphadenitis
Definition
an inflammation of lymph nodes draining a site
Term
What is an atopic person?
Definition
someone who is prone to allergies
Term
What do Plasma cells do?
Definition
make antibodies
Term
What is hypertropy?
Definition
an increase in the size of cells
Term
What is dysplasis?
Definition
abnormal maturation of cells
Term
What is Hyperplasia?
Definition
an increase in the number of cells
Term
What causes Toxoplasmosis?
Definition
toxoplasma gondii (Parasite)
Term
What causes Cryptosporidasis?
Definition
cryptosporidum parvum

infects the intestinal tract causing dirrhea
Term
What is Pneumocystic Pneumonia?
Definition
caused by pneumocystic carnii

only causes pneumonia is immunocompromised people
Term
What is Monosmy?
Definition
the absence of a chromosome in a cell
Term
What is Trisomy?
Definition
the presence of an extra chromosome
Term
Explain Turner's Syndrome
Definition
it is the absence of one X chromosome in females, and results in a decreased mental intellect and looks female, is also sterile
Term
Explain Triple X Syndrome
Definition
It is when a female has an extra X chromosome and looks and is female
Term
Explain Kleinfelters Syndrome
Definition
It is when a male has an extra X chromosome, results in a sterile male and a decreased intellect
Term
Explain XXY Syndrome
Definition
When a male has an extra Y chromosome, usually mentall retarded
Term
What is Fragile X Syndrome?
Definition
it is associated with the abnormality of the X chromosome, usually mentally retarded
Term
What is Neoplasia?
Definition
(New growth)
is an overgrowth of cells that serves no useful purpose
Term
How do you name a benign tumor?
Definition
-oma

ex: angioma
Term
How do you name a malignant tumor?
Definition
add omas

ex: sarcomas
Term
what are Polyps/Papillomas?
Definition
benign tumor or stalk arising from an epithelial surface
Term
What is a Carcinomas?
Definition
a malingant tumor arising from a surface, glandular or parenchymal epithelium
Term
What is a Sarcomas?
Definition
malignant tumor arising from any tissue other than surface,glandular or parenchymal epithelium
Term
Explain Hodgkin's Lymphoma
Definition
-occurs in young adults
-starts in a single lymph nose and the spreads
-cancer of the lymph
-Histology: has sternberg cells (giant cells)
Term
Describe Salmonella
Definition
gram -
GI upset
from food/water
Term
Describe Anthrax
Definition
-bacillus anthracis
-germinate within the pulmonary alveoli
-spores
-difficult to get rid of
Term
What are the three steps in coagulation?
Definition
1) thromboplastin -> thrombin
2)Prothrombin -> thrombin
3)Fibrin -> fibrongen
Term
What is Thrmbocytopenia? And what causes it?
Definition
a decrease in the # of platelets caused by:
-Injury/disease of bone marrow
-bone marrow cancer
-antiplatelet antibodies
-abnormal functioning of platelets
Term
Describe von Willebrand's Disease
Definition
-bleeding in tissues ( not the joints)
-deficency of factor 8 in phase 1
-treated with factor concentrates
Term
Where are clotting factors made?
Definition
-in the liver
- Vitamin K is required for the synthesis
Term
What is DIC?
Definition
-Disseminated Intravascular Coagulation Syndrome

-a disturbance of blood coagulation results because of the activation of the coagulation mechanism and lysis at the same time.
Term
What is a Thrombosis?
Definition
A blood clot formed within the vasular system
Term
What is an Embolism?
Definition
a condition in which a plug composed of a detached clot, mass of bacteria or other foreign material occludes a blood vessel
Term
Explain a Pulmonary Emboli, and how is it treated
Definition
-When a clot blocks the main pulmonary artery or its two major branched and occlude the blood flow to the lungs
-BP falls
-SOB
-possible death

Tx: anticoagulants or surgical removal
Term
Describe the two types of Angina?
Definition
stable- midsternal pain caused by myocardial ischemia with exertion. Decreases with less activity and Nitro

unstable - severe decrease if the diameter of the coronary arteries, and episodes of pain that occur frequently, longer and are not better with Nitro
Term
What does Rheumatic Fever do to the heart?
Definition
It can lead to Valvular Heart Disease
Term
What is Stroke Volume?
Definition
the amount of blood ejected from a ventricle by a single ventricular contraction
Term
Explain Ejection Fraction
Definition
the volume of blood ejected from a ventricle in systole expressed as a % of the total volume of blood within the ventricle in diastole. (SV/EDV)
Term
What is Congenital Heart Disease, and what can cause it?
Definition
-"Faulty Pump Construction"
-can be caused by measles, down syndrome, malformed cardiac valves, abnormal communication between vessels and atria/ventricles.
Term
What are the risk factors of heart disease?
Definition
-increased blood lipids
-high BP
-cig smoking
-diabetes
-obesity
type a personality
Term
What is a Myocardial Infarction?
Definition
-a necrosis of the heart muscle
-caused by a sudden blockage of a coronary artery usually from a blood clot or coronary thrombosis, hemorrhage, arterial spasm and an increase in myocardial oxygen requirements.
Term
What are the complications that follow a MI?
Definition
-arrhythmias
-heart failure
-intracardial thromi
-pericarditis
-cardiac rupture
-papillary muscle dysfunction
-ventricular anerysm
Term
Describe a Transmural Myocardial Infarction
Definition
-a full thickness of the muscular wall of extending from the endocardium to the epicardium
-usually from a thrombosis of a major corornary artery
Term
What does the heart release during a MI?
Definition
Enzymes and proteins are released when the tissue is necrotic, and these are released into the blood stream:

-Troponin
-Creatine Kinase
-LDH
-Myoglobin
Term
What is the relationship between Asprin and MI's?
Definition
A small amount of asprin inhibits the platelet function, making it less likley to have platelets adhear to roughened atheromatous plaques that can initiate thromosis
Term
What are the three drugs used for treating Heart Failure?
Definition
-ACE Inhibitors
-Digitalis
-Diiuretic drugs
Term
What are ACE inhibitors?
Definition
-they are drugs that block an enzyme called angiotensin converting enzyme
-it promotes the excretion of salt and Water resulting in a lowered blood pressure.
Term
What is an Aneurysm?
Definition
dilation of a wall of an artery or outpouching of a portion of the wall

-in the aorta this is very dangerous because it can rupture and needs to be treated with a graft above and below the segment.
Term
Explain Neutophils
Definition
-most numerous leukocyte
-involved in phagocytosis
-inflammatory reaction
Term
Describe Monocytes
Definition
-Phagocytic
-an increase in #'s is seen with chronic infection
Term
Describe Eosinophils
Definition
-involved in allergy reactions
-animal/parasite infections
Term
Describe Lymphosytes
Definition
-second most common
-involved in cell mediated/humoral immunity
Term
What is hypochromic anemia?
Definition
a decrease in Hb content
Term
What is microcytic anemia?
Definition
when the RBC's are smaller than normal
Term
What causes Hypochromis microcytic anemia?
Definition
iron deficiency
Term
What causes Macrocytic anemia?
Definition
Vitamin B 12 or Folate deficiency
Term
Explain Pernicious anemia
Definition
-Vitamin B12 deficiency due to the lack of intrinsic factor because the immune system attacks the mucosal cells in the stomach and no B12 is absorbed
Term
What is Polycythemia?
Definition
-it is an increase in the number of RBC's and Hb
-above the normal level

Two Causes:
Primary= hyperplasia of bone marrow
Secondary= Increase in EPO in response to decreased arterial O2 concentrations
Term
Describe Hemochromatosis
Definition
-it is a genetically recessive traint
-the body becomes overloaded with iron
-the increased iron levels result in organ damage
Term
What is a Reticulocyte? What would cause the #'s of this cell to increase?
Definition
-It is a young RBC that still has some things on the inside
-The count would be high if there is a lot of blood loss or hemolysis
Term
What is AFP?
Definition
-Alpha Fetoprotein
-is the first test on a fetus
-levels are high when the fetus has a neural tube disorder or Down Syndrome
Term
What is Hereditary Spherocytosis?
Definition
-the structural framework of a RBC is defective
-they form a spherical shape to accomodate the decrease in SA to V ration
-end of getting stuck or removed
Term
Clostridia
Definition
Gram Positive
anaerobic
spore forming
bacilli
gas gangrene
tetanus
botulism
GI infection
Term
What dissolves the fibrin in blood clots?
Definition
Plasmin
Term
Can coagulation disturbances from Liver disease be corrected by IM Vitamin K shots?
Definition
NO
Term
What occurs in the third phase of coagulation?
Definition
-fibrinogen is converted into fibrin
Term
What are people with hemophelia deficient of?
Definition
factor 8
antihemophilic globulin
Term
True or False:
Most Embryos lacking an X chromosome are aborted spontaneously
Definition
True
Term
What is histoplasma capsulatum?
Definition
a highly infectious fungus that causes an acute pulmonary infection
Term
What causes most cases of lobar pneumonia?
Definition
strepococcus pneumonia
Term
What are E. Colis affects on the body?
Definition
-bloody diarrhea
-hemolytic anemia
-kidney failure
Term
What are the two types of specific immunity?
Definition
-Humoral = Ab's formed

-Cell-mediated = lymphocytes attack
Term
IgM
Definition
very efficient combining with fungi
Term
IgG
Definition
formed in response to most infectious agents
Term
IgA
Definition
In the respiratory and GI tract
forms Ag/Ab complexes that cannot be absorbed
Term
IgD
Definition
Found on B lymphosytes
Term
IgE
Definition
greatly increased in allergic individuals
Term
What does Rickettsiae and Ehrlichiae cause?
Definition
-rocky mountain fever
-Typhus
Term
What causes Malaria?
Definition
Plasmodium
Term
What is nondisjunction?
Definition
the failure of homologous chromosomes in germ cells to separate in either the first or second meiotic divsion
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