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Diseases/Disorders
Diseases and Disorders of Exam 1
29
Medical
Graduate
10/15/2011

Additional Medical Flashcards

 


 

Cards

Term
Amyloidosis
Definition

Any condition where a change in secondary protein structure leads to abnormal deposition of protein.

 

Ex: Alzheimers, Parkinson's, Atherosclerosis

Term
Prion Disease
Definition

Conformational change in prion protein.

 

PrP(c) (alpha helix)---> PrP(sc) (beta sheet)

 

 Beta sheet form is insoluble leading to aggregates

 

 

Term
Non-disjuntion during meiosis I
Definition
trisomy with 3 unique copies of chromosome
Term
Non-disjunction during meiosis II
Definition
trisomy with 2 identical chromosomes and one unique
Term
Mosaicism
Definition

most frequently occurs by non-disjunction in mitosis.

 

All women (normal) are mosaics due to x-inactivation

Term
What are the survivable aneuploides?
Definition

13 (Patau), 18 (Edwards), 21 (Down)

 

13- Heart defects, nervous system, skeletalmuscular (polydactyly)

18- Kindney malformation, heart defects

21- Mental deficiencies, present with typical facial features

Term
Prenatal screening
Definition

Amniocentesis - gold standard, low risk, 15-16 wks, amniotic fluid draw

Chorionic villus sample - 0.5% risk, 10-12 wks, cells from placenta

Cordocentesis - relavtively high risk, 18 wks, umbilical chord blood

Term
Hereditary Non-polyposis Colorectal Cancer
Definition
Lynch Syndrome, mutation in DNA mismatch repair mechanism. Accumulation of errors.
Term
Xeroderma Pigmenosum
Definition
DNA repair defect. Cannot excise damage caused by UV radiation. 1000x risk of cutaneous cancers.
Term
Thalassemia
Definition
Varying impact. Too little or no globin proteins in RBCs. Decreases O2 carrying capacity
Term
B-Thalassemia
Definition
Not enough Beta hemoglobin made. Most commonly caused by mutation in invariant splice sequence.
Term
E. Coli O104:H4
Definition
Carries Shiga toxin (RNA glycosidase). Damages 28s ribosome. Eliminates enzymatic activity and halts protein synthesis
Term
Hereditary Persistence of Fetal Hemoglobin
Definition
fetal hemoglobin is not down-regulated, persists throughout life
Term
I-cell Disease
Definition
Enzymes are not targeted to lysosomes. Lack n-acetylglucosamine phosphotransferase (M-6-P) activity. Detection of lysosomal enzymes on blood workup.
Term
Sickle Cell Anemia
Definition
E6V (glutamate-hydrophilic to valine-hydrophobic). In deoxy state, valine residue buries into hydrophobic pocket at E-F corner. Precipitation of HbS in RBC.
Term
Zellweger Syndrome
Definition
Absense of peroxisomes. Mutation in PAX genes. Accumulations of long chain fatty acids in cells and tissues.
Term
Kartagener Syndrome
Definition
Immotile Cilliary Syndrome, Primary Ciliary Dyskinesia. Absence of dyneim arms in axoneme. Cilia fail to clear respiratory tract, bronchitus, sinusitis, pneumonia.
Term
Situs Inversus
Definition
25% = Failure of nodal cilia to beat (twirl) in embryonic development due to primary ciliary diskinesia.
Term
Creutzfeldt-Jakob disease
Definition
Prion disease of the brain (Human mad-cow). spongiform encephalopathy
Term
Alzheimer's Disease
Definition
Accumulation of amyloid plaques in the nervous system. Thought to be due to protein misfolding.
Term
a-antitrypsin deficiency
Definition
alpha-antitrypsin is a protease inhibitor. Disease is marked by a lack of a-antitrypsin (lack of transport from rER) and uninhibited tissue breakdown (esp in lungs!). Emphysema
Term
Ehlers-Danlos syndrome
Definition
Defect in the synthesis of collagen (types I or III). Gly->Cys in collagen. Joint hypermobility, skin hyperelasticity.
Term
Marfan's syndrome
Definition
Fibrillin-1 defect. Affects formation/maintenance of elastic fibers in the ECM. Tall, thin limbs, long fingers.
Term
Polycystic Kidney Disease (PKD)
Definition
disorder of primary cilia that are linked to mechanoreceptors in kidneys. Leads to expanding cysts in kidneys and renal cortex destruction.
Term
Laminopathies
Definition
defect in lamin structure (progeria, dilated cardiomyopathies, etc). Disrupted nuclear shape, poor anchoring of chromatin to nuclear membrane.
Term
Retinoblastoma
Definition
Rapid developing cancer of the retina due to disfunction of the cancer inhibitor retinoblastoma (RB1)
Term
Anaphylaxis (shock)
Definition
Hyper-immune response. Release of massive amounts of histamine by mast cells. Bronchoconstriction and vasodilation. Treat with epinephrine.
Term
Scleroderma
Definition
Systemic autoimmune disease. Excessive depostion of collagen in the dermis, changes in vasculature (Reynaud's phenomenon).
Term
Kleinfelter's
Definition
XXY in males. Failure of puberty, feminine distribution of fat.
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