Shared Flashcard Set

Details

Pathology
UNECOM
209
Medical
Graduate
04/13/2009

Additional Medical Flashcards

 


 

Cards

Term
5 Cellular Responses to Injury
Definition
1. Adaptation; 2. Acute cell injury; 3. Chronic cell injury; 4. Metabolic derangements; 5. Pathologic calcification
Term
Examples of Etiologic Agents of Cell Injury
Definition
hypoxia/ischemia; physical agents; chemical agents, infectious agents, immunologic reactions, genetic derangements; nutritional imbalances
Term
Physical Agents of Cell Injury
Definition
mechanical trauma
Term
Chemical Agents of Cell Injury
Definition
oxygen, for example, at too high a concentration; salt; smoke; medications
Term
Infectious Agents of Cell Injury
Definition
fungi; parasites, etc.
Term
Immunologic Reactions Causing Cell Injury
Definition
inappropriate response; anaphylaxis; auto-immune response; for example, Lupus, etc. acting against self-antigens
Term
Genetic Derangements Causing Cell Injury
Definition
for example, sickle cell
Term
Nutritional Imbalances Causing Cell Injury
Definition
for example, too much saturated fat, etc.
Term
Hypoxia/Ischemia Causing Cell Injury
Definition
ischemia causes cell injury faster b/c in hypoxic conditions blood can still flow just with reduced oxygen-carrying capacity
Term
General Mechanisms of Cell Injury
Definition
cell membrane attack (i.e. clostridia); aerobic respiration (i.e. cyanide); inhibition of protein synthesis; enzyme degradation; DNA disruption
Term
Cell Injury
Definition
the response of a cell to an injurious stimulus depends not only on the type of injury and its duration but on the adaptability of the cell itself
Term
Oxygen Derived Free Radicals
Definition
extremely reactive unstable molecules with single unpaired electron in outer orbital; attack cell membranes; attack DNA in mitotically active cells; may underlie aging
Term
Free Radicals are formed from what?
Definition
radiation; chemicals, inflammation; aging; reperfusion injury
Term
Effects of Free Radicals
Definition
1. lipid peroxidation of membranes; 2. oxidative modification of proteins/enzymes; 3. DNA disruption
Term
3 Most Biologically Important Free Radicals
Definition
1. superoxide; 2. hydroxyl ion; 3. hydrogen peroxide
Term
Ways to Inactivate Free Radicals
Definition
endogenous antioxidants (i.e. albumin, transferrin, enzymes); exogenous antioxidants (i.e. vitamins E, A, C, etc.)
Term
Increased Cytosolic Free Calcium activates:
Definition
phospholipases; proteases; ATPases; endonucleases
Term
Effects of Membrane Permeability Changes due to Free Radicals
Definition
ATP-depletion- pump dysfunction; calcium fluxes; direct damage- toxins, organisms; complement activation; cytolytic lymphocytes; chemical agents
Term
changes in mitochondrial function with free radicals
Definition
mitochondrial permeability transition pore; pore in mitochondrial membrane; disrupts functions- ATP declines
Term
reversible types of cell injury in an acute event
Definition
hypoxia; ATP levels drop; lactate builds up; anaerobic glycolysis ensues
Term
morphology of reversible cell injury leads to:
Definition
clumped chromatin; cellular edema; fatty change; bleb formation; myelin figures; detachments of ribosomes; mitochondrial swellings
Term
2 most important results of irreversible cell inury
Definition
1. permanent mitochondrial dysfunction; 2. permanent membrane damage
Term
Critical factor in cell death
Definition
permanent membrane damage (mechanisms include ATP depletion, free radicals, Ca++ activation of proteases, Ca++ activation of phospholipases)
Term
Types of Necrosis
Definition
1. coagulative necrosis; 2. liquifactive necrosis; 3. gangrenous necrosis; 4. caseous necrosis; 5. enzymatic fat necrosis
Term
histologic and gross changes of necrosis
Definition
early stage: gross pallor, congestion; middle stage: cytoplasmic eosinophilia, vacuolization, loss of nuclear detail; late stage: loss of nucleus
Term
coagulative necrosis
Definition
ischemic insult that causes irreversible damage; the body doesn't enzymatically digest cell; cells are denatured and become ghost-like remnants, eventually these cells will be lysed
Term
liquifactive necrosis
Definition
cells are abruptly and intensely degraded by enzymes to become liquified
Term
apoptosis
Definition
may be physiologic or pathologic; does NOT elicit an inflammatory response; regulation by BCL-2 gene; morphology: cell shrinkage, chromatin condensation, nuclear fragmentation, intense cytoplasmic eosinophilia
Term
physiologic apoptosis
Definition
embryogenesis; hormonal independent involution; cell deletion in proliferating cell populations;
Term
pathologic apoptosis
Definition
cytotoxic T cells in transplants; viral hepatitis; injurious stimuli like chemicals, chemo; atrophy in gland with blocked duct
Term
the subcellular alterations of chronic cell injury
Definition
lysosomal autophagy; cytoskeletal changes; lysosomal storage
Term
mallory's hyaline
Definition
damage in pre-keratin filaments which form eosin-bodies in hepatocytes
Term
3 types of intracellular accumulations
Definition
1. normal cell constituent (fatty liver); 2. abnormal endogenous substance (glycogen storage); 3. abnormal exogenous substance/ infectious particle (carbon, silica, virus)
Term
steatosis (fatty change)
Definition
found in liver, heart, muscle, or kidney; caused by triglyceride accumulation; and is a reversible form of cell injury; examples: alcohol decreases FA oxidation, anoxia inhibits FA oxidation, starvation increases TG synthesis
Term
causes of steatosis
Definition
alcohol leads to decreased fatty acid oxidation; CCL4/protein malnutrition leads to decreased lipoprotein synthesis; anoxia inhibits fatty acid oxidation; starvation increases triglyceride synthesis
Term
other causes of intracellular accumulations
Definition
cholesterol and cholesterol esters (atherosclerosis, xanthomas, areas of necrosis); proteins; glycogen; pigments
Term
4 types of cellular adaptation
Definition
1. hyperplasia; 2. hypertrophy; 3. atrophy; 4. metaplasia
Term
metaplasia
Definition
conversion of one benign cell type to another benign cell type
Term
compensatory hyperplasia
Definition
hyperplasia in the face of trauma (i.e. if a piece of the liver is cut out, most of it will grow back)
Term
infarct
Definition
death of tissue due to loss of blood supply
Term
what kind of necrosis do organ infarctions exhibit?
Definition
coagulative
Term
what kind of necrosis do brain infarctions exhibit?
Definition
liquifactive
Term
necrosis vs. apoptosis
Definition
necrosis: many cells, cell swelling, inflammation, mechanism- ATP depletion, membrane damage; apoptosis: single cells, chromatin condensation, no inflammation, cell shrinkage, mechanism- genes, endonucleases
Term
chronic cell injurt
Definition
low grade injury that doesn't kill the cell off, but alterations occur for survival
Term
lysosomal autophagy
Definition
continuous injury to cells and organelles within injured cell, they are degraded and then phagocytosed
Term
physiologic hyperplasia
Definition
hormonal (female breast); compensatory (hepatectomy- liver can grow back); prostate if asymptomatic
Term
pathologic hyperplasia
Definition
endometrial hyperplasia (due to unopposed estrogenic stimulation); warts; prostate if symptomatic
Term
hyperplasia
Definition
increased mitosis leads to increased cell numbers
Term
hypertrophy
Definition
increased cell size
Term
physiologic hypertrophy
Definition
uterus in pregnancy; weight lifter's muscles
Term
pathologic hypertrophy
Definition
decompensated heart in HTN
Term
atrophy
Definition
loss of cellular substance; cell shuts down; cell shrinks
Term
physiologic atrophy
Definition
gonads with decreased hormonal stimulation in age; sedentary lifestyle
Term
pathologic atrophy
Definition
muscle atrophy in nerve damage; vascular disease with chronic ischemia
Term
types of inflammation
Definition
1. acute; 2. chronic; and then repair
Term
acute inflammation
Definition
short duration (hours to days); involves exudation of fluids from intravascular into extravascular as well as emigration og neutrophils from blood into tissues
Term
chronic inflammation
Definition
long duration (days to weeks); mononuclear cells predominate
Term
repair reaction
Definition
involves angiogenesis/neovascularization and fibroblastic proliferation; areas where parenchymal cells cannot proliferate will be replaced solely with scar tissue of fibroblasts (i.e. heart) or with a mix if cells can proliferate (i.e. skin)
Term
initiators of inflammation
Definition
1. chemical factors; 2. tissue injury; 3. antigenic cross-reactivity
Term
Hageman factor
Definition
activated as a result of activation of agents associated with injury; itself activates plasminogen to plasmin which leads to fibrolysis and fibrin degradation products
Term
two results of plasmin activation
Definition
fibrin degradation products and complement activation which leads to anaphylatoxin
Term
kalikrein
Definition
results from activation of hageman factor, and leads to kinin generation
Term
activation of coagulation system
Definition
results from activation of hageman factor and leads to blood clotting
Term
metabolites of arachadonic acid activated in inflammation
Definition
1. COX pathway- prostaglandins (vasodilators, bronchodilators); 2. Lipooxygenase pathway- leukotrienes (chemotactic for phagocytes, adherence, permeability)
Term
complement cascade
Definition
leads to membrane attack complex, which causes cell lysis
Term
anaphylatoxins
Definition
C5a, C3a: chemotactic, stimulate immune response, activate tissues to produce COX and Lipoc products, stimulate mast cells to release histamine and leukotrienes which increase vascular permeability and cause edema
Term
3 components of acute inflammation
Definition
1. increased blood flow (blood flow decreases and pressure increases); 2. increased vascular permeability (leads to fluid to flow out into vessels); 3. emigration of leukocytes
Term
vasodilation
Definition
via prostaglandins, complement/anaphylatoxins, histamine (basophils/mast cells), platelet activating factor, bradykinin
Term
increased vascular permeability
Definition
via anaphylatoxins, leukotrienes (stimulated by C5a), histamine, platelet activating factor
Term
phagocytosis that involves recognition of FC receptor and C3b
Definition
opsonic
Term
phagocytosis that involves direct identification and destruction
Definition
non-opsonic
Term
phagocytosis that involves H2O2-MPO-halide system, in which primary and secondary granules are activated
Definition
superoxide and halogenation
Term
cause of inflammation-induced tissue injury
Definition
lysosomal enzymes; oxygen derived free radicals; prostaglandins/leukotrienes- perpetuate and amplify response; leukocyte-dependent tissue injury
Term
clinicopathologic results of inflammation
Definition
complete resolution; healing with fibrosis; abscess formation; progression to chronic inflammation
Term
genetic defect in leukocyte formation
Definition
defect in oxidative burst, microtubule formation, abset H2O2
Term
acquired defect in leukocyte function
Definition
defect in chemotaxis, adhesion, and phagocytosis
Term
chronic inflammation follows. . .
Definition
acute inflammation or de novo low grade persistent response can be subclinical for months or years
Term
pathogenesis of chronic inflammation
Definition
lymphocytes; plasma cells; tissue macrophages; tissue destruction; angiogenesis
Term
macrophages in chronic inflammation
Definition
respond to C5a, IL8, chemoattractants, and lead to epitheloid cell formation and elaboration of multinucleated giant cells called granulomas
Term
macrophage fate in inflammation
Definition
short lived in acute, can be long lived in chronic
Term
lymphocytes in inflammation
Definition
recruitment and activation by cytokines
Term
plasma cells in inflammation
Definition
do not cause damage directly
Term
eosinophils in inflammation
Definition
secrete major basic protein which is toxic to self as well as can lead to tissue damage
Term
neutrophils in inflammation
Definition
a minority cell type in persistent low-grade infections; present in chronic active inflammation
Term
common, inflammation product that walls off agent the host can't deal with, and lacks central necrosis within granuloma
Definition
non-caseating granuloma
Term
cheese-like, walls off agent host can't deal with, necrotic within
Definition
caseating granuloma (Tb only)
Term
fibroblast growth factor
Definition
produce angiogenesis or neovascularization
Term
vascular endothelial growth factor
Definition
produce angiogenesis or neovascularization
Term
fibroblast growth factor; vascular endothelial growth factor
Definition
components of angiogenesis
Term
platelet derived growth factor; fibroblast growth factor; transforming growth factor- beta
Definition
components of recruitment and activation of fibroblasts
Term
serous inflammation
Definition
inflammatory process producing thin, watery fluid (transudate)- i.e. blister
Term
fibrinous inflammation
Definition
acute inflammation produces large amounts of fibrin which flows out with edema fluid into tissues
Term
fibrinous exudate
Definition
a result of fibrinous inflammation; exudate lies on pleura of lungs, outer surface of bowel; causes pleuritis, pericarditis, peritonitis, etc.
Term
fibrinous pericarditis
Definition
causes pain, pericardial friction rub; leads to scarring, fibrosis; can lead to adhesive pericarditis- where visceral/parietal pericardium stick together, and constrictive pericarditis- which limits the correct contraction of the heart
Term
suppurative inflammation
Definition
intense recruitment of macrophages, causes abscess formation and liquifactive necrosis
Term
ulcerative inflammation
Definition
localized area of surface necrosis that can lead to perforation to open cavity
Term
acute systemic effects of acute inflammation
Definition
fever, anorexia, hypotension, hypoproteinemia, acute phase reactants (IL-1, IL-6, TNF) which increase protein levels (C reactive protein, ferrenin)
Term
leukocytosis
Definition
increased leukocytes in peripheral blood; normal level is 5-10K/cc blood
Term
"left shift"
Definition
cells shifted in peripheral blood toward left
Term
wound healing facilitated by mediators
Definition
leading to monocyte chemotaxis, fibroblast proliferation, angiogenesis, collagen synthesis from fibroblasts
Term
2 types of wound healing
Definition
1. primary union; 2. secondary union
Term
primary union
Definition
clean, straight wound, day 5 tissue fill, day 7 fibroblast proliferation, increased collagen, day 28 scar
Term
secondary union
Definition
large tissue, gaping wound; necrotic debris; myofibroblasts lead to wound contraction after it heals, leaving a big scar that contracts and is wrinkled
Term
edema
Definition
presence of excess fluid in the interstitial spaces either focally or diffusely
Term
inflammatory edem
Definition
high specific gravity of exudate with proteins
Term
non-inflammatory edema
Definition
alteration of hydrostaic balance leads to net change in the distribution of fluid resulting in edema
Term
pitting edema
Definition
diffuse edema associated with rnal disease; net outflow into interstitial tissues
Term
arteriolar dilation, increased venous pressue, hypervolemia (sodium retention, decreased renal function), heart failure lead to:
Definition
increased hydrostatic pressure
Term
hypoproteinemia (malnutrition, cirrhosis), chronic liver or renal disease leads to:
Definition
decreased oncotic pressure
Term
increased hydrostatic pressure leads to:
Definition
outflow of blood from blood
Term
decreased oncotic pressure leads to:
Definition
outflow of fluid from tissue to blood
Term
increased capillary permeability leads to:
Definition
edema
Term
lymphatic obstruction leads to:
Definition
outflow of fluid from tissue to blood
Term
12 mL/min flows from artery to veins, 2 mL/min flow from artery to interstitial tissue
Definition
normal hydrostatic situation
Term
subtypes of edema
Definition
subcutaneous- tissue has excess fluid; pulmonary- usually due to chronic heart failure; cerebral- multiple causes no place for expansion due to skull; effusions- pours into body cavities
Term
pink material, acellular at high power (so, not fibrinous exudate of bronchopulmonary pneumonia; fibrin would be more brightly eosinophilic whereas this is frothy and not as bright pink)
Definition
pulmonary edema
Term
how does chronic heart failure lead to hepatosplenomegaly and pitting edema?
Definition
heart dilates due to increased pressure in heart, which causes blood to back-up in the lungs, causing congestion in the lungs, which leads to pulmonary edema; if severe enough, pleural effusion results, leading to right-sided failure, and pressure backs up into the liver, causing congestion, necrosis, ascites, and eventually hepatosplenomegaly, causing a back up of blood and pitting edema
Term
hyperemia
Definition
increased amount of blood in a certain area
Term
active hyperemia
Definition
inflammatory states, increased vascular permeability, heat, and redness due to inflammatory mediators
Term
passive hyperemia
Definition
impaired venous drainage to the area or organ where pressues cause blood to back up into tissues leading to congestion; dark and blue-ish- cyanotic
Term
hemorrhage
Definition
bleeding into tissue, body cavity, or exterior
Term
hematoma
Definition
general term for collection of blood, may be interchanged with ecchymosis
Term
ecchymosis
Definition
hematoma; collection of blood
Term
petechiae
Definition
microhemmorhages in skin; minute, less than 1 mm.
Term
purpura
Definition
microhemmorhage; small, >3 mm.
Term
massive body cavity hemorrhage
Definition
bleeding into pericardial sac (cardiac tampanade); hemothorax (thoracic cavity); hemoperitoneum (abdominal cavity)
Term
aortic dissection
Definition
central tear which leads to a split through the middle of the aorta which can rupture
Term
acute pancreatitis
Definition
massive edema which leads to acute hemorrhagic pancreatitis
Term
predisposition to thrombosis
Definition
endothelial injury; alterations in blood flow (stasis, turbulence around abnormal valve, aneurism, genetic/acquired hypercoagulability)
Term
pieces of thrombi that break off and travel elsewhere in the body
Definition
emboli
Term
appearance of currant jelly and chicken fat
Definition
post-mortem clot (random mixture of RBCs, WBCs, and platelets
Term
Lines of Zahn (feature of thrombosis)
Definition
organized pattern of RBCs and platelets with fibrin layered in lines; more apparent in larger arteries and heart
Term
thrombi that is soft and bloody
Definition
venous thrombi
Term
thrombi that is firm, lighter-colored, and partly stuck to the wall
Definition
arterial thrombi
Term
5 possible fates of thrombi
Definition
1. dissolution & resolution; 2. organization & persistence, leading to bump of scar tissue; 3. recanalization to form new pathway through thrombis to restore blood flow; 4. embolization; 5. propagation, thrombus continues to get bigger and embolizes or blocks critical artery
Term
thrombosis in veins
Definition
thrombophlebitis
Term
pulmonary embolism
Definition
deep veins (95%) of lower extremity thrombose, and pieces or whole thing lodges in pulmonary artery
Term
saddle embolism
Definition
instant death due to pulmonary embolism
Term
fat emboli syndrome
Definition
fracture of long bone causes fat to embolise, leading to venular rupture with large amount of fat, 2-3 day latency and respiratory failure, 10% fatal
Term
amniotic fluid embolism
Definition
cervical or umbilical venous rupture
Term
infarct types
Definition
anemic/white (solid organs); hemorrhagic/red (loose tissues- lung, dual vascular supply- lung, bowel, venous occlusion); septic (bacterial with necrosis leading to abscess formation); bland (no bacteria)
Term
infarction
Definition
ischemic; usually coagulative necrosis due to hypoperfusion and resultant cellular anoxia; may be arterial or venous occlusion
Term
timeline of infarction
Definition
0-24 hr. poorly defined area; 24-72 hr. sharply demarcated region due to ongoing coagulative necrosis
Term
single vs. dual vascular supply and infarction
Definition
single supply leads to white infarction, dual to red
Term
rate of inclusion in infarction
Definition
slowly leads to adaptation and collateral vessel formation
Term
tissue vulnerability in infarction
Definition
doesn't die quickly from ischemia- embolism blocks but breakdown by fibrinolysis works to remove embolus soon enough to prevent infarction
Term
syndrome associated with various etiologies resulting from systemic hypoperfusion with resultant tissue and cellular hypoxia often culminating in multi-system organ failure and death
Definition
shock
Term
cardiogenic shock
Definition
poor tissue perfusion due to heart not pumping properly leading to cell and tissue death; can be due to MI, cardiac tamponade, arrhythmias, pulmonary embolism
Term
hypovolemic shock
Definition
poor tissue perfusion due to low blood volume leading to cell and tissue death
Term
septic shock
Definition
overwhelming bacterial infections: gram negative septicemia ("endotoxic shock"), or gram positive septicemia; peripheral vasodilation, pooling of blood, endothelial activation/injury
Term
myocardial dysfunction, hypotension, endothelial injury, DIC, ARDS (adult respiratory distress syndrome), hepato-renal failure, widespread multi-system organ failure are symptoms of what?
Definition
shock
Term
3 stages of shock
Definition
1. non-progressive stage- early shock where patients are not very sick; 2. progressive- severe hypotension, signs of organ failure, still reversible; 3. irreversible- anoxia, cell damage, tissue damage, patient death
Term
shock
Definition
mononuclear phagocyte system is largely responsible for the clinical syndrome of shock via its ability to secrete IL-1 and TNF-a thereby promoting intravascular coagulation and capillary thrombosis; they, in turn, activate other mediators causing vasodilation and hypotension
Term
development of antibodies against our own aberrant cells
Definition
tumor immunity
Term
cell mediated; reacts to foreign material by defense cells (NKs, macrophages, WBCs), not Abs
Definition
cellular branch of immunity
Term
toll-like receptors
Definition
family of proteins that respond to different antigens and activate NFkBwhich stimulates cytokines and phagocytes
Term
Ab-mediated, B and T cells; cytokines
Definition
humoral branch of immunity
Term
class of T cell with delayed hypersensitivity, macrophage activation, synthesis of IgG2b Abs; inhibited by IL-10; if dominance, more macrophage activation and activity against i.e. TB/HIV
Definition
Th1 subset of helper (CD4) T cells
Term
class of T cell which aids synthesis of other classes of antibodies including IgE (allergy, anaphylaxis); inhibited by IFNg; more allergic responses if dominant
Definition
Th2 subset of helpet (CD4) T cells
Term
maintains self-tolerance by suppressing activation and expansion of self-reactive lymphocytes
Definition
suppressors/regulators
Term
CD28/B7-1 costimulation
Definition
activates T helper cells (CD4); absence of costimulation results in T cell apoptosis or anergy
Term
CD40 ligand
Definition
helper T cell interaction with B cell via CD40 ligand is essential for B cell maturation and secretion of antibodies
Term
hyaluronic acid
Definition
gel-like matrix in the CT of most tissues; slows spread of many infectious agents
Term
lysozyme
Definition
enzyme found in saliva, tears, saliva, nasal secretions that breaks down bacterial cell walls
Term
membrane attack complex
Definition
causes cell lysis by interfering with the cell's ability to control intracellular Ca++
Term
diapedesis
Definition
transmigration of leukocytes through the endothelial cell wall
Term
4 steps of cell-mediated immunity
Definition
1. recognition; 2. proliferation and differentiation of activated T cells; 3. clone production; 4. elimination of pathogen
Term
antigen challenge
Definition
first encounter between an antigen and a naive lymphocyte
Term
major initiators of adaptive immunity that actively migrate to the lymph nodes and secondary lymphoid organs and present antigen to T and B cells
Definition
antigen-presenting cells
Term
natural killer cells
Definition
non-specific killers which respond to the lack of self-antigens; able to kill virus-infected body cells and some tumor cells by releasing various defense molecules (perforin)- NOT by phagoctosis
Term
TAP
Definition
Transporter associated with Antigen Processing; load endogenous antigens onto MHCI in endoplasmic reticulum
Term
IL-4
Definition
stimulates B cells to produce Ig-E in hypersensitive response
Term
TST; Tine Test; PPD Test; Mantoux Test
Definition
TB skin test
Term
2 phases in the development of autoimmune disease
Definition
induction phase; effector phase
Term
induction phase in the development of autoimmune disease
Definition
breakdown of self-tolerance
Term
effector phase in the development of autoimmune disease
Definition
tissue damage mediated by adaptive immune system
Term
clonal deletion; clonal anergy; peripheral suppression of Ag
Definition
3 mechanisms of self-tolerance
Term
leading cause of death in lupus patients
Definition
renal failure because of glomerulonephritis
Term
disorganized but mature mesenchymal or epithelial tissues found in their normal anatomic location; represents an aberrant differentiation, not a true neoplasia
Definition
hamartoma
Term
normal mature tissue located at an ectopic site
Definition
choristoma
Term
grossly visible nodule or mass projecting from a mucosal or epidermal surface; a hyperplasic response to chronic inflammation or irritation
Definition
polyp
Term
immortal; transformed; contact inhibition; need for solid support; requirement of growth factors and nutrition; can dislodge from cells and basement membranes; invasive capacity
Definition
malignant cells
Term
dysplasia
Definition
abnormal cell-form; disordered growth pattern (most often in relation to epithelium); loss of uniformity in individual cells; loss of architectural organization; nucleus/cytoplasm ratio- nucleus is larger
Term
Primary hemostasis
Definition
formation of the platelet plug.
Term
Secondary hemostasis
Definition
clotting factors
Term
Tertiary hemostasis
Definition
fibrinolysis
Term
prostacyclin
Definition
most potent platelet inhibitor
Term
thromboxane
Definition
most potent platelet activator
Term
Thromboplasmin
Definition
Helps blood clot quickly; tissue fluid.
Term
Factor 8 deficiency
Definition
Hemophilia A - bleed like stink.
Term
Factor 9 deficiency
Definition
Hemophilia B
Term
Thrombin
Definition
activates factor 13, which will strengthen the fibrin-fibrin ionic bonds and strengthen the platelet plug.
Term
Vitamin K dependent clotting factors
Definition
2, 7, 9, 10
Term
Lines of Zahn
Definition
red blood cells with strands of pink granular material streaking through the blood. These streaks are known as lines of Zahn and are seen in true thrombus materials
Term
Atrophy can be caused by several different things.
Definition
a. Diminished blood flow
b. Decreased workload
c. Loss of innervation
d. Inadequate nutrition
e. Loss of endocrine stimulation/signaling
f. Aging
g. Pressure
Term
Generalized Edema is also known as:
Definition
Anasarca
Term
A transudate:
Definition
has a low specific gravity.
Term
Inflammatory edema is associated with:
Definition
vasoactive inflammatory cell products.
Term
Passive hyperemia is associated with:
Definition
impaired venous drainage, pooled venous blood, congestive heart failure, and congestion of the tissues.
Term
pulmonary edema is associated with:
Definition
heavy, frothy lungs at autopsy; left heart failure; Extravasation of fluid across alveolar capillary walls; Intraalveolar fluid accumulation
Term
The most serious consequence of body cavity hemorrhage is:
Definition
shock.
Term
The Pathophysiology of SHOCK involves all of the following:
Definition
Vasodilatation and hypotension; Endothelial injury; Coagulation system activation; Multisystem organ failure
Term
Inappropriate Antigenic cross reactivity with circulating or inhaled antigens has been postulated to be the triggering stimulus for the inflammatory destruction of tissues in what kind of diseases?
Definition
Autoimmune disorders, certain pneumonitides and some renal diseases
Term
Type I Hypersensitivity reactions are orchestrated by:
Definition
Th2 type CD4+Helper T Cells
Term
Graves Diseases is a manifestation of:
Definition
Type II Hypersensitivity Reaction
Term
Graft versus host disease is due to:
Definition
Donor T cells.
Term
A patient with known AIDS presents with dysphagia and multiple distal esophageal ulcers. Endoscopic biopsy shows squamous epithelial cells with "ground glass" and eosinophilic nuclear inclusions, and some multinucleated cells. This cytopathic effect is diagnostic of:
Definition
Herpes simplex virus.
Term
A couple has three children, one of whom was recently diagnosed with a rare autosomal recessive genetic disorder. Linkage analysis using RFLPs has yielded the following results:
Mother: 34 bp segment; 92 bp segment
Father: 34 bp segment; 92 bp segment
Son: 34 bp segment; 34 bp segment
Daughter 1: 34 bp segment; 92 bp segment
Daughter 2: 92 bp segment; 92 bp segment

If one of the daughters is affected, the clinical status of the other children is:
Definition
The other daughter is a carrier, and the son is not a carrier and is not affected
Term
A 47-year-old smoker presents with cough, tachypnea, fever, and chest pain. Lab studies reveal
elevated white blood cell count (Leukocytosis) with a "left shift". Many Bands and scattered
metamyelocytes and some myelocytes are identified in the peripheral blood. What is the best explanation for this clinical scenario?
Definition
This is most likely a bacterial infection. Proceed to identify a source and consider antibiotic therapy once a source and organism are identified.
Supporting users have an ad free experience!