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Mech Test 2a
mech
50
Medical
Undergraduate 2
11/02/2009

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Term
Viruses (Tumors)
(benign or malignant)
Definition
*common wart-HPV
*carcinoma of cervix-HPV
*Kaposi's Sarcoma-cancer blood vessels
*Burkett's Lymphoma
*Liver Cancer-hepatitis B&C virus
*Prostate Cancer
Term
Types of Cancer Associated with Radiation
Definition
skin cancer
leukemia
lung cancer
thyroid cancer
granulocytic cancer
Term
Examples of Organ Tropism
Definition
cancer of bowel (liver
carcinoma of kidney (thyroid gland)
stomach cancer (ovary)
prostate cancer (bone)
Term
Steps of Metastasis
Definition
1-enter circulation
2-leave circulation
3-proliferate as a secondary colony
*less than .01% of circulating tumor cells ultimately initiate metastic colonies
Term
Main Routes of Spread of Cancer
Definition
1-lymphatic system
2-veins
3-transcoelomic cavities(stomach,liver)
4-cerebrospinal fluid
5-arteries
Term
Diagnosis of Cancer
Definition
-xray
-biopsy
-antigens
-DNA (most advanced techniques of analyzing cancer)
Term
Chemotherapy
Definition
-hematologic cancer
-disseminated disease(all over body)
-targets rapidly dividing cells
-tremendous side effects (hair loss, weight loss, etc)
Drug Resistant(1-intrinisic drug resistant 2-acquired drug resistant)
Term
Treatments of Cancer
Definition
-excision (surgery)
-chemotherapy
-radiotherapy (radiation)
-endocrine related treatment
-immunotherapy
Term
Erythropoiesis
Definition
red blood cell poduction
Term
Hemoglobin Synthesis
Definition
*carry oxygen to RBCs
*usually 4 molecule tetramers
(4 heme's and 4 globins)
*assembly of hemoglobin occurs in mitochondria of erythrocytes precursor in the bone marrow
Term
Anemia
Definition
a reduction either in concentration, quality of Hb in the blood, or in the numbers of circulating RBCs
Term
Principle Causes of Anemia
Definition
1-defective Hb synthesis
2-diminished RBC production
3-excessive RBC destruction
4-blood loss
Term
Hypoxia
(definition and symptoms)
Definition
*low oxygen in tissues
*symptoms-breathing difficulty,weakness,fatigue,insomnia,inability to concentrate, and dizziness
Term
Defective Hb Synthesis Due to:
Definition
1-enzymatic failure
2-iron deficiency in absorption or diet
(must have iron in diet to make Hb)
3-globin(protein part) chains synthesis is defective
Term
Microytic Anemia
Definition
result in production of smaller RBCs, which contain reduced amount of Hb
Term
Hypochromic Anemia
Definition
change in color of RBCs (less color)
Term
Iron Absorption
(Where it's absorbed)
Definition
in the small intestine and stored in the intestinal epithelial cells in the liver and the spleen
Term
Point Mutation
Definition
single nucleotide change, which results in one amino acid substitution
Term
Sickle Cell Anemia
Definition
in the Beta chain of globulin, glumatic acid replaced by valine amino acid
-distort cells resembling sickles
-life span of RBC is 20 days
-trapped in microcirculation
Term
Diminished RBC Production
Definition
1-nutrient lack of vitamin B12 and folic acid (essential for DNA synthesis)
2-Bone marrow hypoplasia
3-ineffective erythropoiesis
4-malignant tumors
5-chronic diseases (renal failure)
Term
B12 Deficiency
Definition
Pernicious Anemia
Macrocytic Anemia (RBCs become huge)
Megaloblastic Anemia (RBCs=huge)
Term
Bone Marrow Hypoplasia
Definition
low growth of RBCs
Term
Aplastic Anemia
Definition
due to reduced hemopoietic activity
Term
Panocytopenia
Definition
reduction in all elements of bone marrow cells
-cytoxic drugs
-radiotherapy
Term
Ineffective Erythropoiesis
Definition
RBCs precursors do not develop to maturity, destroyed in the bone marrow,usually by chemotherapy or radiation
Term
Erythropoietin
Definition
hormone produced by the kidney
necessary for optimal RBC production
Term
Hemolytic Disorders
Definition
1-intrinsic factors
2-Structural defects/deficiency in intracellular enzymes
3-defect in RBCs membrane
4-Extrinsic destruction
Term
Pyruvate Kinase
Definition
causes defect in RBC
Term
Spectrin
Definition
part of the cytoskeleton
Term
Autoantibodies
Definition
cause destruction of RBCs
Term
Acute Blood Loss
Definition
usually compensated within a few weeks
Term
Normocytic
Definition
normal size, shape, and color
Term
Prolonged Chronic Blood Loss
Definition
-usually insufficient iron to compensate for the loss
-end up with iron deficiency
Term
Coronary Heart Disease
Definition
a major cause of death-more than any other
Term
Atherosclerosis
Definition
hardening of the arteries, which is caused by atheroma
Term
Atheroma
Definition
degenerative accumulation of lipid, collagen, smooth muscles, and fibers in the inner surface of the artery
Term
Thrombus (Blood Clot)
Definition
solid mass of blood formed by endothelial cells, platelets, and coagulation cascade
Term
Embolus
Definition
intravascular solid, liquid, or gaseous mass carried in the blood from origin to lodge in another site
Term
High Risk Factors for Atherosclerosis
Definition
*hypertension *smoking
*diabetes *high cholesterol
-obesity -lack of exercise
-sex(M/F) -age
-type A personality
Term
Normal Human Artery
Definition
1-Tunica Intima (endothelial cells)
2-Tunica Media (smooth muscle cells)
3-Tunica Adventia (conn. tissue cells)
Term
Lipid Hypothesis
Definition
*lipoprotein-fat protein-carries fat
*chylomicrons-carry triglycerides to liver
*very low density lipoprotein(VLDL)
*LDL-very bad
*HDL-healthy
Term
Lipoprotein
Definition
fat protein that carries fat
Term
Chylomicrons
Definition
carry triglycerides
Term
Accumulation of LDL
Definition
1-apolipoprotein B100 receptor
2-endocytosis-internalize
3-phagocytosis-macrophages and monocytes(foam cells)
Term
Apolipoprotein B100 Receptor
Definition
gets LDL out of cell
Term
Endothelial Cells Injury
Definition
1-fatty streak
2-fibrous plaque
3-complicated rupture of fibrous plaque
*high force, high pressure with injury forms clots, which stops blood, which causes a heart attack
Term
Fatty Streak
Definition
early stage of Atherosclerosis
Term
Plasmin
Definition
dissolves clots
Term
Vasoconstriction
Definition
vessels narrow
Term
Atrophy
Definition
shrinkage
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