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Test 5 Patho
Test 5 Doc C
97
Pathology
Undergraduate 3
11/29/2015

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Term
The cobra edema produces...
Definition
increased intracranial pressure. This disturbs normal functioning of the CNS.
Term
The cause of vasogenic cerebral edema
Definition
Capillary networks in tumors
Term
Describe the meaning and cause of cytotoxic cerebral edema
Definition
Means cellular swelling.
The cause is a decrease in energy and decrease in pumping ability.
Term
Describe the meaning of intracranial pressure
Definition
Pressure in cranial vault
Term
Describe the effect of an increase in intracranial pressure on arterial blood pressure
Definition
It would
-compress the arteries bringing blood to the brain
-stimulate the cardio regulatory center
-stimulate an increase rate/force in heat
-increase arterial blood pressure
Term
The effect of increased intracranial pressure on the respiratory center
Definition
Cheyne-Stokes ventilation
Term
The "herniation syndrome" is the result of...
Definition
shifting of the cranial contents due to abnormal pressures in the cranial vault
Term
Hydrocephalus is related to
Definition
the brain's ventricular volume
Term
Common mechanisms of hydrocephalus development
Definition
-Increase CSF production
-Decrease absorption of CSF into venous vessels
Term
What is aneurysm and what are the common causes
Definition
- Aneurysm= passive dilation of artery
- Due to...
---developmental reasons
---increase in pressure
--- trauma
Term
Common site of aneurysm in the cranial vault
Definition
Circle of Willis
Term
Describe the meaning of "cerebrovascular accident" (CVA)
Definition
Decrease in blood flow to brain which causes neurologic dysfunction
Term
Describe the meaning of "Transient Ischemic Attack" (TIA)
Definition
Short-term loss of flow (no longer than 24 hrs)
Term
Describe a thrombotic stroke
Definition
-growth of thrombus
-inadequate flow that causes necrosis
Term
Relate initial and later symptoms of stroke...
Definition
formation of edema
Term
What is the eventual fate of an area of cerebral necrosis in stroke
Definition
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Term
Describe an embolic stroke and the usual sources of emboli
Definition
- Blockage out to a circulatory mass
- Usually clot fragment from the heart
Term
Locate the site of infection in meningitis and what it is related to
Definition
-location: subarachnoid space
- CSF circulation, health and residual CNS deficits
Term
Varicella zoster is related to...
Definition
Chickenpox and shingles
Term
Describe shingles
Definition
The inflammation of varicella zoster
Term
Cytomegalovirus (CMV) is...
Definition
an agent that may infect the CNS
Term
Reyes Syndrome is...
Definition
an inflammation of the CNS following common viral infections in children
Term
Describe a cerebral abscess
Definition
The fluid filled space is infected and inflames??
Term
Voluntary motor pathways consist of...
Definition
-"upper motor neurons" passing from the brain to the spinal cord
-"lower motor neurons" passing from the spinal cord to the skeletal muscles
Term
Damage to the lower motor neurons will cause
Definition
a complete loss of function which produces "flaccid paralysis"
Term
Damage to the upper motor neurons will allow...
Definition
continued function of reflex pathways and tone, but no voluntary control
Term
"spastic paralysis" and "clasp-knife reaction" indicate
Definition
upper motor neuron damage
Term
Basal ganglia are
Definition
cerebral circuits that "smooth" voluntary muscle actions
Term
Abnormality of voluntary muscle movement-
Describe bradykinesia
Definition
- slowness in initiating movement
Term
Abnormality of voluntary muscle movement-
Describe dyskinesia
Definition
- involuntary, repetitive movements
Term
Abnormality of voluntary muscle movement-
Describe dystonia
Definition
- abnormal contractions producing distortions
Term
Abnormality of voluntary muscle movement-
Describe resting tremors
Definition
- slow (4 cps)
- disappear with movement
Term
Abnormality of voluntary muscle movement-
Describe essential tremors
Definition
- faster (8-12 cps)
- occur with movement
Term
Abnormality of voluntary muscle movement-
Describe chorea
Definition
- flicking movement of hands and face
Term
Abnormality of voluntary muscle movement-
Describe ballism
Definition
- flicking of extremities
Term
Abnormality of voluntary muscle movement-
Describe Parkinson's Disease
Definition
- bradykisnea
-resting tremor
-rigidity (decrease facial expression and movements)
Term
Cerebral palsy is
Definition
a brain injury around the time of birth with a wide variety of locations and symptoms
Term
Multiple sclerosis is
Definition
the result of demyelination in the CNS
Term
Alzheimer Disease affects who
Definition
- 6% of 65 year olds
- 50% of 85 year olds
Term
Common microscopic abnormalities
Definition
- Neurofibrillary tangles
- Neuritic plaque
Term
Describe a seizure
Definition
a rapid-evolving, disorderly discharge of cerebral neurons producing abnormal consciousness, sensation, and/or motor function
Term
Differentiate between partial and generalized seizures
Definition
- Partial- focal or local. Affects a small area
- Generalized- widespread, affecting both hemispheres
Term
Differentiate between a seizure and a convulsion
Definition
- Seizure- produces abnormal consciousness, sensation, and motor function
- Convulsion- seizure associated with uncontrolled motor activity
Term
Epilepsy
Definition
continuing seizures not initiated by obvious causes
Term
Status epilepticus
Definition
prolonged, generalized seizure (damage or death)
Term
Three types of rare genetic disorders of bone
Definition
- osteoporosis
- osteogenesis imperfecta
- achondroplasia
Term
Paget's Disease
Definition
common disorder in those over 60 producing excessive bone formation
Term
Osteoporosis
Definition
a loss of bone matrix producing spontaneous fracture
Term
Rickets/osteomalacia
Definition
inadequate mineralization of bone
Term
osteomyelitis
Definition
inflammation of bone, usually secondary to infection
Term
osteoarthritis (also known as degenerative joint disease)
Definition
a loss of cartilage at a joint producing inflammation and scarring
Term
rheumatoid arthritis (RA)
Definition
an autoimmune disease affecting connective tissue in a variety of places in the body, including joints
Term
Gout
Definition
a condition due to hyperuricemia which produces crystallization in the joints (especially the big toe)
Term
myositis
Definition
inflammation of muscle
Term
muscular dystrophy
Definition
a degenerative disease of muscle due to a variety of genetic abnormalities
Term
Three types of muscular dystrophy
Definition
-Duchenne
-Myotonic
-Facioscapulohumeral
Term
Two types of pathophysiologic processes in glomerular disease
Definition
-leakage of blood components
-blockage of filtration
Term
Globular disease is classified based on...
Definition
its developmental time course and the tissue damage that occurs
Term
Most common cause of glomerular disease
Definition
antigen/antibody complexes stuck in the glomerular filter and producing defense system activation
Term
Nephritic syndrome is characterized by
Definition
loss of protein into the urine
Term
Nephritic syndrome is characterized by
Definition
blood in the urine and hypertension
Term
Tubulointerstitial disease indicates
Definition
problems with the tubular parts of the nephron
Term
Pyelonephritis
Definition
an inflammation of the tubular parts of the nephron
Term
Interstitial nephritis
Definition
is inflammation of the kidney tissue not due to infection
Term
Any cause of decreased blood flow to the kidneys is likely to...
Definition
produce tissue damage
Term
Renal calculi (or urolithiasis)
Definition
stones forming from crystallization of calcium or other solutes
Term
Describe the renal calculi through the ureters
Definition
First, peristalsis which leads to abrasion. This results in bleeding. colic, and chills/fever
Term
In uremic (or renal failure), waste products...
Definition
accumulate and electrolyte balance is lost
Term
Six results of waste product accumulation
Definition
1. Nausea
2. Vomiting
3. Diarrhea
4. Uremic encephalopathy
5. Coagulation failure
6. Pruritis
Term
Most common type of kidney tumor
Definition
renal cell carcinoma (or "renal adenocarcinoma")
Term
A kidney tumor often seen in children
Definition
Wilms' tumor
Term
Creatinine
Definition
a by product of muscle metabolism that accumulates in kidney disease
Term
Blood Urea Nitrogen (or BUN)
Definition
is a test of kidney function
Term
To evaluate the rate of urine production,
Definition
a 24-hour urine sample may be collected
Term
What can be measured to evaluate the ability of the kidneys to form a concentrated urine?
Definition
Osmolarity or specific gravity of urine
Term
Only trace amounts of __________ are normally lost in the urine.
Definition
protein
Term
_______ in urine indicate leakage along the tract, while _____ indicate inflammation.
Definition
1. RBCs
2. WBCs
Term
The rate of appearance of ________, ________, or _______ in the urine might be used to measure kidney function.
Definition
1. creatinine
2. urea
3. insulin
Term
What affects the rate of enzyme function?
Definition
free hydrogen ions
Term
What can affect the biochemical assembly line?
Definition
abnormalities
Term
A pH less than 7.35 is called what?
A pH greater than 7.45 is called what?
Definition
1. acidosis (less than)
2. alkalosis (greater than)
Term
Carbon dioxide combines with water to form what?
Definition
forms carbonic acid and free hydrogen ions. This makes the pH more acidic.
Term
Free hydrogen ions produced by reactions other than those of carbon dioxide are called
Definition
metabolic acids
Term
What 3 methods of regulating acidity do animals have?
Definition
1. buffer chemicals
2. ventilation
3. renal regulation
Term
Buffers
Definition
chemical systems that serve as reservoirs for free hydrogen ions
Term
Ventilation affects free hydrogen ions due to its ability to adjust the...
Definition
carbon dioxide concentration
Term
What can secrete hydrogen ions when they are in excess?
Definition
The kidneys
Term
Acidosis will produce
Definition
Kussmaul ventilation (deep, gasping breathing)
Term
Alkalis produces
Definition
-light headedness
-paresthesia
-seizures
-death
Term
A relationship exists between free hydrogen ions and
Definition
other positive ions in a compartment
Term
A loss of water from the ECF...
Definition
increases the solute concentration of that fluid and creates an abnormal cellular environment.
Term
Those at risk for excessively concentrated ECF would be those who...
Definition
couldn't respond normally to thirst
Term
Differentiate between dehydration and volume depletion
Definition
-dehydration- loss of water from ECF and increase concentration of remaining solute
-volume depletion- loss of water and solute in proportion
Term
Third spacing or sequestration states are
Definition
situation in which fluid is accumulating in a compartment
Term
Hyponatremia and Hypernatremia
Definition
SODIUM
Imbalance between H2O and Na+
(remember the "na" in the terms means sodium)
Term
Hypokalemia and Hyperkalemia
Definition
POTASSIUM
1. Change in MP
2. Change in likelihood of AP
3. Changes in muscle contraction, electrical activity of heart
(remember the "k" in the terms means potassium)
Term
Hypercalcemia and Hypocalcemia
Definition
CALCIUM
Causes= Hormonal imbalances, kidney disease, excess bone reabsorption
Results= kidney stones and muscle contraction abnormalities
(the "ca" in the terms means calcium)
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