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Pathophysiology
unit 1
28
Nursing
Undergraduate 1
01/14/2012

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Term
Algor Mortis
Definition
cooling of the body, changes 1-1.5 degrees F until it reaches ambient temp.
Term
Livor Mortis
Definition
(Lividity) gravitational pooling of blood, clots become "fixed" by 12 hrs post-mortem
Term
Rigor Mortis
Definition
stiffening of the body, stiffening becomes maximum at 12 hrs and then decreases until body is flaccid again, approx 24 hrs post-mortem
Term
Cellular Injury-Hypoxia
Definition
O2 deprivation resulting in interruption of oxidative metabolism and generation of ATP.
Term
Cellular Injury- Physical Agents
Definition
mechanical forces, temperature extremes, and electrical injuries that cause cell and tissue injury.
Term
Cellular Injury-Chemical agents and drugs
Definition
ethylene alcohol (ETOH), prescription, OTC, and street drugs that can injure cells and tissues.
Term
Cellular Injury-Biologic Agents
Definition
Virus', bacteria and parasites can replicate and continue tissue disruption.
Term
Cellular Injury-Ionizing Radiation
Definition
Can cause ionization of atoms/molecules in cells, directly hit target molecules or aid in free radical production.
Term
Mechanisms of cellular injury-Hypoxic injury
Definition
causes depletion of ATP
Term
Mechanisms of cellular injury-Free Radical Injury
Definition
caused by unstable chemical w/ an unpaired electron in the outer orbit, causing lipid perioxidation, oxidative modification of proteins, and DNA effects. Vitamins E,A, and C protect against free-radicals.
Term
state the steps of cell injury
Definition
Cell injury-decreased ATP production, acidosis develops, then either intracellular edema or free radical formation occurs. Both lead to organelle damage and cell destruction.
Term
Liquefactive Necrosis
Definition
liquid exudates from center of absess.
Term
Coagulative Necrosis
Definition
Gray, firm mass, characteristic of hypoxic injury and seen in infarcted areas.
Term
Caseous Necrosis
Definition
a form of coagulative necrosis, presents with a "cheese-like" center, cheesy material from fat-like infiltrate.
Term
Dry gangrene
Definition
form of coagulation necrosis, from an interference of arterial blood flow.
Term
Wet Gangrene
Definition
Dry can be converted to wet, it's an interference of venous return and is a form of liquifactive necrosis.
Term
Gas Gangrene
Definition
special type, that results from infection of already devitalized tissues or from Clostridium bacterium. Bacteria produces toxins that dissolve cell membranes, causing death of muscle cells, massive spreading edema, hemolysis of RBC's, and renal failure.
Term
Apoptosis
Definition
"Cell suicide", eliminating cells that are worn out, in excess, have developed improperly, or have genetic damage.
Term
Cellular aging
Definition
apoptosis, , normal cell turnover, cellular dysfunction, tissue atrophy, increased loss of cells are normal with aging.
Term
cell types involved in the inflammatory process:
Definition
Endothelial cells, platelets, Leukocytes (neutrophils, eosinophils, basophils, mast cells, monocyte/macrophages, lymphocytes, plasma cells).
Term
Endothelial Cells roll in inflammatory response
Definition
produce vasodilators/vasoconstrictors, , provide selective permeability barrier to inflammatory stimuli, regulate leukocyte extravasation, regulate immune cell proliferation via secretion of colony-stimulating factors (CSFs), involved in repair process of inflammation by producing growth factors.
Term
Platelets roll in inflammatory process
Definition
activated platelets release potent inflammatory mediators, increasing vascular permeability.
Term
Neutrophils
Definition
first cells to arrive at inflammation site, can engulf bacteria/debri via phagocytosis. are granulocytes, that contain enzymes that destroy engulfed microbes and dead tissue.
Term
Eosinophils
Definition
Are granulocytes, granules are toxic to parasitic worms, 2nd to arrive at inflammation site. in allergic rxn's they control release of chemical mediators.
Term
Basophils
Definition
Are granulocytes, important in allergic rxn's, IgE binds and release histamine and vasoactive agents from the granules, are precursors to Mast cells.
Term
Mast Cells
Definition
prevalent along mucosal surfaces of lung, GI tract, dermis of skin. when activated, histamine,proteases, cytokines, and serotonin are released. Histamine/serotonin are among the first to be released in acute inflammatory rxn's.
Term
Monocyte/Macrophages
Definition
monocytes turn into macrophages after they get to inflammation site. they produce potent vasoactive mediators like prostaglandins and leukotrienes, platelet-activating factor, inflammatory cytokines and growth factors. macrophages destroy causative agent, aid in signaling process of immunity, resolve inflammatory process and initiate healing.
Term
Lymphocytes
Definition
participate in immune/non-immune-mediated inflammation caused by infectious agents associated with cell injury and death.
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