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Pathophysiology
Patho- UTA- Gonzales
46
Medical
Not Applicable
11/17/2005

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Term
Reactive Oxygen Species (ROS)
Definition
Forms of free radicals that can cause cellular damage
produced as a normal byproduct of cellular metabolism and mainly by the mitochondrai or by the absorption of high energy sources such as radiation or UV light
will overwhelm the mitochondria and intracelluar antioxidants are insufficent
Term
Lead
Definition
children more susceptible b/c they absorb lead more readily than adults
organs primarily affected: CNS, hematopoietic system, and kidneys
Term
Bilirubin
Definition
yellow,green pigment derived from porphyrin ring of hemoglobin
accumulation of this pigment.... ***causes JAUNDICE***
Term
Gout
Definition
due to an accumulation of urate(uric acid that is the end product of purine catabolism) or under secretion of uric acid
Term
Gout
-Etiology and Patho-
Definition
Liver may produce more uric acid than can't be eliminated

increased purines being roken down-> uric acid byproduct accumulates and not excreted renally-> leads to deposition in tissues of kidney, heart, earlobes and joints-> inflammation and pain

***most common join affect is the right great toe***
Term
Dystrophic Calcification
Definition
calcium accumulation that occurs in dying and dead tissues
EX: pulmonary tuberculosis, atherosclerosis, and heart valve injury
Term
Metastatic Calcification
Definition
consists of mineral deposits that occur in undamaged, normal tissues as a result of hypercalcemia due to hyperparathyroidism, hyperthyroidism, toxic levels of Vit D
Term
Hydrostatic Pressure
Definition
PUSHING force w/in the VASCULATURE (up against wall of arteries and veins=vasculature wall)
Term
Osmotic Pressure
Definition
PULLING force inside vasculature
pressure exerted by the concentration of the blood(Na+, plasma proteins, electrolytes,etc)
Term
Osmosis
Definition
process by which water moves between compartments from LOW TO HIGH PRESSURE
Term
Hypertonic
Definition
3 solutes in blood= heavily concentrated blood= water coming from tissues into blood to dilute it= water coming from cells into blood= cell dehydrates= shrinks= INCREASED OSMOTIC PRESSURE= pulling fluid from interstitial
Term
Hypotonic
Definition
1 solute in blood= DECREASED OSMOTIC PRESSURE= fluid move outside of vessel into tissue= hydrostatic pressure=same= water fills cells=cells enlarge
Term
Oncotic Pressure
Definition
portion of osmotic pressure that comes from plasma proteins
Term
Respiratory Acidosis/Alkolosis
pCO2
Definition
pH and Respiratory Rates=SEE-SAW
(decreased pH (in#)= increased pCO2)
Term
Metabolic Acidosis/Alkolosis
HCO3
Definition
pH and Metabolic Rates= ELEVATOR
(decreased pH (in #) = decreased HCO3)
Term
Normal pCO2 range
pCO2=ACID
Definition
35-45
***since pCO2 is an ACID it makes since that the higher the pCO2 # is, then it will correspond with a smaller pH b/c the pH becomes more acidic the smaller the # is***
(<35= alkalosis) ===> pH<7.35 and pCO2<35
(>45= acidosis) ===> pH>7.45 and pCO2 >45
Term
Normal HCO3 range
HCO3=BASE
Definition
21-28 (<21= Acidosis) ===> pH<7.35 and HCO3<21
(>28= Alkalosis) ===> pH>7.45 and HCO3>28
Term
Polyploidy
Definition
1 or more extra sets of chromosome pairs====>IMCOMPATIBLE W/ LIFE==>FETUSES ARE MISCARRIED
Term
Aneuploidy
Definition
alteration in the chromosomal #===> caused by a failure of the chromosomes to divide properly (NONDISJUNCTION)===>cells w/ UNEVEN # of chromosomes (45 or 47 instead of 46)
Term
Sex-Linked Monosomy
(Turner's Syndrome)
Definition
==>45 chromosomes... missing Y component===>
XO or X

only in WOMEN
lakc pubic hair, breasts, have wide chest and shoulders
Term
Autosomal Polysomy
(Down's Syndrome)
Definition
AKA Trisomy 21
condition in which the 21st chromosome set has 3 instead of 2
Term
Sex Linked Polysomy
(Klinefelter's Syndrome)
Definition
state of having 2(+) X chromosomes w/ 1 Y chromosome

XXXY
only in MEN
small genetalia, have male breast development
Term
Deletion
(Cri du chat Syndrome)
Definition
"Cry of the Cat" characterstic cry of a baby affected.
==> have development delays, low birth weight, mental retardation, heart defects and missing kidneys
===> jaw bone=displaced, abnormal distance between eyes
Term
Huntington's Disease
Definition
Autosomal Dominant Gene Disorder===>= will ALWAYS be present

Neuro degenerative disorder that is characterized by dementia and uncontrolled movements of the limbs(motor skills)
40-50 y/o diagnosis
Term
Cystic Fibrosis (CF)
Definition
Autosomal Recessive Gene Disorder
Term
X-Linked Recessive Sex Linked Disorders
Definition
Expressed in MEN only b/c women have two X chromosomes, in which the healthy X chromosome will compensate for the mutated one.
Term
Hemophilia
Definition
X-linked disorder
deficiency in clotting factors
Term
Complement

-Inflammation Process Function-
Definition
Lysis of bacteria
Attraction of neutrophils
opsonization-enhancement of phagocytosis
Term
Kinin & Bradykinin
Inflammation Process Function
Definition
Kinin->Bradykinin->

pain
increase vasodilation and permeability
attract neutrophils
Term
C-Reactive Protein
Inflammation Process Function
Definition
Enhances opsonization and complement
Blood levels are measured of C-Reactive Protein help identify the presence of an inflammatory condition or bacterial infection==>DOES NOT DIAGNOSE THE CAUSE
Term
Clottin System
Inflammation Process Function
Definition
Fibrin mesh surrounding the site of injury==>trapping of exudate, microorgs, and foreign bodies to minimize spreading
Term
Prostoglandins Functions
Definition
COX 1 Homeostatic Functions:
Gastroprotection
Platelet aggregation
Renal Function
Fluid/Electrolyte Balance

COX 2 Inflammatory Functions:
Pain, Fever, Renal Functions,
Tissue Repair, Reproduction,
Development
Term
Leukotrienes Functions
Definition
Causes smooth muscle contraction, increased vascular permeability, neutrophil and eosinophil chemotaxis (attraction of WBC to site)
stimulate a slower and more prolonged response than histamine
main cuase of prolonged bronchoconstriction present during asthma attacks causing wheezing
Term
Sepsis
Definition
systemic inflammatory response
gram - bacteria= most common cause
3 categories:
sepsis (mild)
severe sepsis (severe)
septic shock(extremely severe)
Term
Severe Sepsis
Definition
organ dysfunction (renal failure, hepatic failure, altered mentation)
Term
Septic Shock
Definition
final stage of sepsis
hypotension (all veins=dilated), and unresponsive to fluid replacement
Term
Sepsis
-Patho-
Definition
localized infection->bacteria invade blood and release their toxins into the blood stream->activates neutrophils and monocytes->relese inflammatory cytokines->start inflammatory process->inflammatory burst result in heodynamic changes->increased heart rate perfusion->organ dysfn
Term
Meningitis Incubation Period
Definition
1-10 days==>communicable during whole incubation period and up to 24 hrs post the initiation of antibiotic therapy
Term
Meningitis S&S
Definition
fever, headache, vomiting, photophobia, seizures, nausea, weakness, nuchal rigidity(stiff neck), meningococcemia infection accompanied by a rash(flat, red, then turns purple)
Term
Encephalitis
Definition
inflammation of the brain
caused by Herpes Simplex Virus 1 and arboviruses(spread by mosquitoes)
incubation period:5-15 days
NO human-human transmission
Term
Encephalitis
-clinical manifestations-
Definition
Meningeal Irritation: evidenced by Kernig and Brudzinski signs (+ = meningeal irritation)
Delirium, fever, cranial nerve palsies, abnormal reflexes, signs of IICP(increasing intracranial pressure= headache worse lying down)
Term
SARS
Definition
atypical
common cause of common cold
transmitted via airborne droplets, but not more than 3 ft away
incubation period: 2-10 days
causes severe inflammatory pneumonia in lungs=>alveolar damage
S&S: rigors(violent shaking),malaise, fever, chills
Term
Infective Endocarditis
Definition
most common cause: S. viridans from oral surgery
second most common: S. aureus from IV drug abusers
Term
Cellulitis
Definition
infection of the dermis and subcutaneous tissue
caused by Staphylococcus
result from extension of skin wound or ulcer
infected area=erythematous(area=red), swollen, painful
Term
Anthrax
Definition
necrotizing gram + disease
only get from exposure to infected animal by products(wool,etc) through inhalation, ingestion and broken skin
2-60 day incubation period
toxin=necrosis
S&S: elevated papule:enlarges and erodes into an ulcer=>necrotic tissue
Term
Small Pox
Definition
viral skin infection by variola virus
transmit via air droplets, direct contact w/ skin lesions or w/ clothes
3 week communicability period
rash w/ lesions all at same stage and start in the extremities and move toward the trunk
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