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Pathophysiology Intro
Test #1
83
Physiology
Undergraduate 2
02/05/2009

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Term
pathogenesis
Definition
the sequence of events that lead to a disease

begins with the etiology
Term
morphology
Definition
the changes in the body/ organs that reflect the disease

what is actually happening to the person
Term
histology
Definition
changes in the cells
Term
epidemiology
Definition
study of diseases in populations
Term
primary prevention of a disease
Definition
stop the disease before it starts, vaccines, life style changes, stop the causes of the disease
Term
secondary prevention of a disease
Definition
actions taken to detect the disease early and stop progression, mammograms, pap smears, tb skin tests
Term
tertiary prevention of a disease
Definition
clinical interventions to stop the course of a disease and prevent complications
Term
Nursing’s Goal in Pathophysiology
Definition
1. recognize there is an abnormality
2. understand etiology
3. understand pathogenesis and course
4. utilize prevention
5. understand and implement treatment
Term
cellular functions
Definition
movement, conductivity, metabolic absorption, metabolism, secretion, excretion, respiration, reproduction, communication
Term
protoplasm
Definition
cytoplasm within the cell membrane, outside the nucleus === water, protein, CHOs
Term
Electrolyte Levels in the Blood
Definition
Na+= 135-145 mg/ dl
K-= 3.5-5 mg/dl
Ph in cell= 7.2 , in blood= 7.35-7.45
Term
Membrane Proteins ( Receptors)
Definition
Activate Cells, Antigens so the immune system does not destroy itself, adhesion to other cells, attach to cytoskeleton,
Term
passive transport
Definition
NO ENERGY, differences on sides of membranes, always moves downhill
Term
Diffusion
Definition
movement from higher--> lower concentration
Term
Filtration
Definition
Movement of water and solutes through the membrane because the pushing power on one side is stronger then the other side
Term
osmosis
Definition
movement of WATER down a concentration gradient, from high --> low
Term
osmolality
Definition
concentration of particles per weight of water
Term
Simple passive diffusion
Definition
movement of water OR solute into the cell, must be lipid soluble to get through by-layer ( small , no charge)

**O2, urea, CO2, N**
Term
ION channels
Definition
water filled channel formed by proteins, any small CHARGED molecule, only DOWN gradient

Na+ --> IN
K- --> OUT
Term
Mediated Transport System
Definition
passive or active, HIGHLY SPECIALIZED
GLUCOSE = passive
Na+ --> active
Term
Passive Facilitated Diffusion
Definition
passive, down the gradient, transported with the help of a protein--> SPECIFIC

GLUCOSE --> into cells
Term
Active Transport
Definition
energy required
Exo/Endocytosis
Term
Enzyme Pumps
Definition
Against the gradient, in and out at ONE time,
symport--> 2 molecules in same direction
antiport--> 2 molecules in opposite direction
Term
Na+ K- ATPase pump
Definition
constantly pumping out Na+
3 Na+ and 2 K- move for every molecule of ATP
Term
Receptors on the membranes
Definition
Ion-linked--> muscles, nerves
G-linkied--> on off receptors
Enzyme linked--> hormones
Term
Cell to Cell Communication - 6 types
Definition
Hormonal - body wide- travels in blood
Paracrine--> local message, within small group of cells
Autocrine --> to itself
Neurotransmitter--> between neurons
Neural- neurotransmitter triggers electrical transmisson
Neurohormone- nerve to gland to target
Term
Metabolism
Definition
process to create ATP
from glucose, fatty acids, amino acids, can not store much, needs to constantly be produced
Term
Glycolysis
Definition
splitting glucose in the cytoplasm,
end product ==pryuvate ( enters Kreb)AND 2 ATP
Term
Citric Acid Cycle (Kreb's)
Definition
PRODUCES --> acetyl CoA, 2 ATP, NAD and FAD, CO

happens in mitochondria
Term
oxidative phosphorylation ( electron transport)
Definition
Aerobic, uses NAD and FAD

PRODUCES 32 molecules of ATP
Term
Messenger RNA
Definition
template for protein synthesis, produced by transcription , 3 bases pairs make a codon
Term
Transfer RNA
Definition
carries amino acids to ribosomes, 2 receptor sites one for protein one for codon
Term
ribosomal RNA
Definition
on ribosomes on the rough ER, directs tRNA to right amino acid
Term
Translation
Definition
protein synthesis mRNA passes through ribosome, acts as template for amino acids to be added by tRNA

creates sequences of amino acids becoming a protein DA
Term
Specialized Cell junctions
Definition
cells need to adhere together for the formation of organs and tissue

- desmosomes- bands/belts
-Tight junction- barrier to diffusion, prevents molecules from passing through
- gap junctions- clusters of communicating tunnels
Term
Loose (Areolar)
Definition
holds organs in place and fluid transport
Term
Dense Tissue
Definition
Irregular- dermis of skin
Regular- tendons, ligaments,
Term
Hypoxia
Definition
lack of oxygen causes:
- decreased O2 in air
-blocked vessels
-decreased Hbg
- lung problems
- circulation problems
-poisoning
Term
immunological reactions
Definition
immune system destroys own tissues
Term
STRESS ON CELLS
Definition
- hypoxia
- physical agents
-infectious agents
- immunological reactions
- genetic derangement
- nutritional imbalances
Term
Atrophy
Definition
decrease in size of cells--> shrinkage of organs
Term
hypertrohpy
Definition
increase in size of cells
Term
hyperplasia
Definition
increase in number of cells
Term
metaplasia
Definition
replacement of one type of cell for another of the same type (Epithelial cells)

**reversible**
Term
dysplasia
Definition
abnormal change in size, shape, organization of cells
** can be reversible, sometimes precancerous**
Term
vacuolation
Definition
cellular swelling

oncosis--> death of cell rt water accumulation
Term
Von Gierke's Disease
Definition
glycogen in liver and kidneys that can not become glucose
Term
Tay Sach's
Definition
Lipids in the Brain
Term
dystrophic calcification
Definition
Ca+ deposits in injured tissues --> valves
Term
metastatic calcifications
Definition
Ca+ deposits in normal tissues due to hypercalcemia
Term
asphyxial
Definition
choking
Term
Radiation
Definition
Ionizing- knocks electrons off atoms == free radicals
UV - free radicals, DNA damage
non-ionizing- vibration and rotation of molecules causing thermal energy (burns)
Term
Chemical Injury
Definition
Biochemial rx with plama membrane, makes membrane more permeable = free radical damage

**lipid accumulation in cytoplasm
Term
Lead injury
Definition
anemia, convulsions, paralysis, kidney dysfunction, N &V, weight loss, cramping
Term
3 mechanisms of Cellular Damage
Definition
Hypoxia
Free Radicals
Impaired Ca++ balances
Term
Free Radicals in normal cellular metabolism
Definition
superoxide--> SOD = hydrogen peroxside and oxygen
hydrogen peroxide --> decomposed by catalase into water and O2
hydroxyl radicals--> generated by hydrolysis of water
Term
protection from free radicals
Definition
SOD, Catalase, Glutathione peroxidase

antioxidants ( vitamins C, E, beta carotene)
Term
Apoptosis
Definition
cellular self-destruction
normal death of cells
Term
gangrene
Definition
A LOT OF NECROSIS
- visible death of tissue, usually on the feet ( rt diabetes)
Term
gas gangrene
Definition
clostridium bacteria- liquefies tissues,

hydrogen sulfide gas forms in tissues
Term
somatic death
Definition
respiration and circulation stops
Term
roles of Chromosomes
Definition
replication of identical cell, instruction for cell function, protein synthesis
Term
gene induction
Definition
process that increases expression
Term
karyotype
Definition
orderly display of chromosomes based on SIZE
Term
genotype
Definition
genetic constitution of an individual
Term
penetrance
Definition
person who inherits a dominant trait, but fails to express it--> reduced penetrance
Term
Autosomal Dominant Genes
Definition
parents will have the disease, both sexes will exhibit the trait, all generations will have the disease
Term
Marfan's Syndrome
Definition
CT disorder--> causes changes in skeleton, eyes, CV systerm
Term
Huntington's Disease
Definition
late onset brain atrophy causes abnormal movements, mental decrease, FATAL
Term
Neurofibromatosis
Definition
neurogenic tumors--> nerurofibromas develop in late childhood
Term
lipid metabolism
Definition
High cholesterol, settle beneath blood vessels, narrows lumen--> cant dilate== ISCHEMIA
Term
4 Autosomal Dominant Disoders
Definition
1. Marfan's Syndrome, 2. Huntington;s disease, 3. Neurofibromatosis 4. Lipid Metabolism
Term
Cystic Fibrosis
Definition
lack CFTR which allows Cl- into cells, causes increase in Na+ reabsorption, water follows which thinkens secretions
Term
Tay Sachs
Definition
lysosomal storage disease --> progressive muscle weakness, flaccidity, mental deterioration, seizures FATAL
Term
Autosomal Recessicve Disease
Definition
Tay-Sachs, Cystic Fibrosis
Term
Fragile X
Definition
long arm of X chromosome breaks off and gaps--> will only be expressed in males

--- causes mental retardation
Term
Inversion
Definition
2 breaks in a chromosome and piece is replaced inverted
Term
Translocation
Definition
broken pieces of chromosome are exchanged
Term
Turner's Syndrome
Definition
Monosomy- only one X chromosome - only monosomy someone can live with
Term
Klinefelter's Syndrome
Definition
2 X's and a Y, most common genetic abnormality

---enlarged breasts, less hair, small testes, infertility, overweight, tall
Term
Jacob's Syndrome
Definition
Extra Y (XYY) , usually not a problem

-- more acne, more testosterone, taller
Term
Vulnerability with Pregnancy
Definition
First 2 weeks- no implantation
15-60 days-- structure affected
rest of pregnancy-- FUNCTION
Term
Infectious Agents
Definition
TORCH
Toxoplasmosis
Other
Rubella
Cytomegalovirus
Herpes II
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