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N220 Quiz 2
Pathophysiology Kwong
33
Pathology
Undergraduate 2
03/22/2011

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Term
Vancomycin (Vancocin)
Definition
- Class - Lincosamide
- Inhibits cell wall synthesis of the bacteria = bacteriocidal
- Adverse reactions: Ototoxicity (hearing loss), Nephrotoxicity (kidney damage)
- "Red Neck Syndrome" - if administer too quickly d/t release of histamine, chills, fever, tachycardia, pruritis.
- Dose: 7.5mg/kg ever 6 hours. *Infuse over one hour*
Term
Epidemiology
Definition
Study of:
Health events and diseases
Term
Colonization
Definition
Microorganism does not cause disease in host, but can be transmitted to others
Term
Chemical barriers
Definition
Saliva, mucus, tears, sweat contain a bacterial-killing enzyme
Sebaceous gland secretions are antifungals
Term
Immunosuppression
Definition
Stress associated with increased secretion of corticosteroids (believed to depress immune function)
Exogenous steroids and other immunosuppressive therapies
Term
herd immunity
Definition
Decrease number of susceptible hosts in the population
Term
Antimicrobial resistance
Definition
Microorganism’s ability to mutate in response to environment changes in host
Mutation allows successful host infection
Term
chemotaxis
Definition
Mobile appendages that allow bacterium to move or swim toward nutrients (sugar, amino acids) in a favorable environment
Term
Exotoxins
Definition
Polypeptides produced and released by organisms
Term
Endotoxins
Definition
Immunogenic part of bacterial cell wall that triggers a massive immune response when bacterium lyses
Term
Bacteria Groups
Definition
Gliding bacteria
Spirochetes
Mycoplasmas
Rigid bacteria
Actinomycetes
Unicellular forms: Intracellular obligate parasites—must live within host cell to survive & Free-living bacteria
Term
Free-Living Bacteria
Definition
Classified by morphology and response to Gram staining
Cocci
Bacilli
Spiral

Gram-positive appear dark purple under microscope
Gram-negative appear pink
Acid-fast resist staining (but once stained, resist decoloration)
Term
Bacteria through the body
Definition
Penetrate initial defense mechanism
Multiply and create colony
Cause inflammation to contain/eliminate invading bacteria
Move through body via fluid systems toward lymph nodes
Stimulate immune response
If they overwhelm lymph nodes, bacterial emboli can cause bacteremia, microabscesses
Term
Viruses
Definition
Totally dependent on host cell
Term
RNA Replicating Virus
Definition
If RNA single positive copy: Uses strand as direct template to create viral proteins and complementary RNA strand
If RNA negative copy, RNA must be transcribed to positive complementary copy
Term
Mycoses
Definition
Infections caused by fungi

Systemic
Inhalation of dust that contains fungus
Tend to be more serious
Usually host’s immune system is compromised
Term
Parasites
Definition
Protozoa
Helminths
Arthropods
Manifestations of parasitic infections vary (depending on organism and site of infection)
Common sites of infestation are skin and gastrointestinal tract
Term
Components of the Immune System
Definition
Skin and mucous membranes
Mononuclear phagocyte system
Lymphoid system: Spleen, Thymus gland, Lymph nodes
Bone marrow
Term
Leukocytes aided by chemical mediators:
Definition
Complement, kinins, clotting factors, cytokines, and chemokines
Term
Innate defenses
Definition
NK cells
Phagocytic cells: Neutrophils, Macrophages
Term
Specific defenses
Definition
B and T lymphocytes
Term
Mononuclear Phagocyte System
Definition
Composed of monocytes and macrophages
Monocytes migrate to organs to become macrophages
Alveolar - lung
Microglial - brain and spinal cord
Kupffer cells - liver
Histiocytes - connective tissue
Dendritic cells - monocytes derived cell type that specialize in capturing and presenting antigens to T cells

Macrophages and dendritic cells: First immune cells to encounter pathogen or foreign antigen. Secrete cytokines to communicate news of invasion to other cells
Macrophages are Powerful phagocytes that clean up dead neutrophils and inflammatory debris
Term
Primary and Secondary Organs in Lymphoid system
Definition
Primary: Bone Marrow, Thymus
Secondary: Lymph nodes, spleen, tonsils, peyers patches
Term
Hematopoiesis
Definition
formation of RBC
Term
Bone Marrow Functions
Definition
Primary: Hematopoiesis (form RBC)

Red (functioning) bone marrow - hematopoiesis: pelvis, sternum, ribs, cranium, ends of long bones, vertebral spine by adulthood

Yellow (fatty) bone marrow: found in remaining bones, can be recruited to become red marrow again.
Term
Lymphatic vessels
Definition
Small, closed-ended lymphatic capillaries in direct contact with interstitial fluid surrounding cells and tissues
Term
Lymph Nodes
Definition
Found primarily in neck, groin, axillae, thorax, abdomen. Become tender, palpable when responding to foreign invaders. Divided into compartments by trabeculae.
Contain large numbers of B cells, T cells, and macrophages.
Lymph fluid flows through for immune cells to filter, detect, and react to foreign material
Term
Spleen
Definition
Located under diaphragm on left side of body
Largest lymphoid organ
Macrophages in red pulp
Filter out foreign substances and old red blood cells
Lymphocytes in white pulp
Contact blood-borne antigens (then may migrate to other lymphoid organs)
Term
Neutrophils
Definition
60-80%. First to appear after an injury. Engulf and degrade invading bacteria. Shift to the left: too many neutrophils.
Term
Eosinophils
Definition
1-6%. Allergic reactions. Parasitic intestinal infections
Term
Basophils and Mast cells
Definition
0-2%. Basophils – vascular system. Mast cell – connective tissue. Contains granules that contain histamine and platelet factors. When granules burst open, these chemicals are released and trigger inflammation and allergic reaction.
Term
Monocytes and Macrophages
Definition
5%. Recognize antigens marked with antibodies. Try to phagocytize those antigens.
Term
Lymphocytes
Definition
20-30%, T and B cells are part of specific immune response → respond to specific antigens.

NK – innate, helps kill viruses and tumors.
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