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Pathophysiology 1
Pathophysiology
102
Pathology
Undergraduate 2
08/26/2011

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Term
Pathophysiology
Definition
Underlying changes in the body. It explains structural and functional changes that occur during disease and also describes the responses of the body to these alterations.
Term
Epidemiology
Definition
Study of the cause and distribution of disease.
Term
Incidence
Definition
The number of new cases occuring in a specific area.
Term
Prevalence
Definition
The number of existing cases within a population during a specific period.
Term
Etiology
Definition
Study of the cause of the disease including genetic(inherited factors); acquired (environmental influences); and multifactoral (a combination of both genetic and acquired).
Term
Idiopathic
Definition
Diseases that have no known cause.
Term
Iatrogenic
Definition
Disease that occur as a result of medical treatment. Ex. some antibiotics can injure the kidney and cause renal failure.
Term
Clinical manifestations: Signs
Definition
Physical findings that the healthcare professional sees during a physical examination or through various testing.
Term
Clinical Manifestations: Symptoms
Definition
What the patient tells us.
Term
Diagnosis
Definition
The naming or identification of a disease.
Term
Prognosis
Definition
The expected outcome of the disease.
Term
Acute disease
Definition
The sudden appearance of signs and symptoms that last only a short time.
Term
Chronic Disease
Definition
Disease that develops slowly and the signs and symptoms last for a long time, perhaps a lifetime.
Term
Adaptation
Definition
Protection. The cell is constantly making changes to a hostile environment in an attempt to keep the organism functioning at a normal state. May be temporary or permanent.
Term
Morbidity
Definition
Disease rates
Term
Co-morbidity
Definition
What other disease accompanies an already exisiting disease.
Term
Mortality
Definition
Death
Term
Risk Factors
Definition
Predisposing factors that increase the probability of developing a disease. Include biologic, immune, lifestyle, chemical, physical, familial tendancies, and genetic.
Term
General systems theory
Definition
The body functions as an open system; meaning the environment has an affect on the body.
Term
The 8 chief cell functions
Definition
1. Movement, 2. Conductivity, 3. Metabolic absorption, 4. Secretion, 5. Excretion, 6. Respiration, 7. Reproduction, 8. Communication.
Term
Cell Function: Movement
Definition
Muscle cells generate force that produce motion.
Term
Cell Function: Conductivity
Definition
An electrical impulse that passes along the surface of the cell to reach its other parts. Nerve cells
Term
Cell Function: Metabolic Absorption
Definition
All cells can take in and use nutrients and other substances from their surroundings.
Term
Cell Function: Secretion
Definition
Mucous gland cells
Term
Cell Function: Excretion
Definition
All cells can rid themselves of waste products.
Term
Cell Function: Respiration
Definition
Cells absorb oxygen whish is used to transform nutrients into energy in the form of ATP. Occurs in the mitochondria.
Term
Cell Function: Reproduction
Definition
Tissue growth occurs as cells enlarge and reproduce themselves. Also to replace cells that are lost because of cell death.
Term
Cell Function: Communication
Definition
Communication is vital for cells to survivie as a society of cells.
Term
Mitochondria
Definition
The battery of the cell. Provides energy for various activities.
Term
Lipid Bilayer
Definition
Allows cell membrane to act as a barrier restricting loss of cell material and being selective on what material enters the cell.
Term
Proteins: Imbedded membrane proteins
Definition
Intergral membrane proteins
Term
Proteins: Peripheral membrane proteins
Definition
Live on the surface, attached to an intergral protein.
Term
3 major types of protein
Definition
Collagen, elastin, fibronectin
Term
Collagen
Definition
Breakdown decreases strength in cartilage; occurs in osteoarthritis.
Term
Elastin
Definition
Responsible for stretching and recoiling in organs such as the lung. (Think balloon)
Term
Fibronectin
Definition
Promotes cell adhesion; lack of this occurs in some cancers which allows cancerous cells to travel to other parts of the body. (metastasizes)
Term
Cell junction
Definition
The communication of cells via direct physical contact.
Term
Desmosomes
Definition
Hold cells together by forming either continuous bands or belts of epithelial cells or button-like points of contact.
Term
Tight junctions
Definition
Barriers to diffusion, prevent the movement of substances through transport proteins in the plasma membrane, and prevent the leakage of small molecules between the plasma membranes of adjacent cells.
Term
Anabolism
Definition
The energy using process of metabolism.
Term
Catabolism
Definition
The energy releasing process of metabolism.
Term
Adenosine Triphosphate
Definition
Stores energy and transfers it from one molecule to another. Approximately 95% is formed in the mitochondria.
Term
Each enzyme has a need for a _________ in order for a specific substance to be converted to a product of the reaction.
Definition
Substrate
Term
Glycolysis
Definition
The breakdown of sugar. Produces 2 molecules of ATP per glucose molecule.
Term
The phases of mitosis.
Definition
Prophase, metaphase, anaphase, and telophase.
Term
Prophase
Definition
The first appearance of of chromosomes.
Term
Metaphase
Definition
Reproduction. Microtubules called spindle fibers are formed in the cytoplasm. As they radiate from two centrioles located at opposite poles of the cell and pull the chromosomes to opposite sides of the cell.
Term
Anaphase
Definition
Centromeres are starting to split. Begins when the the centromeres split and the sister chromatids are pulled apart.
Term
Telophase
Definition
The final stage.Two identical cells are formed. New nuclear membrane is formed around each group of 46 chromosomes.
Term
Cellular Atrophy
Definition
Decrease of shrinkage in cell size. Causes can be disuse, denervation, decreased endocrine stimulation, decreased nutrition, and ischemia.
Term
Physiologic atrophy
Definition
Occurs with early development. An example is the thymus gland in children.
Term
Pathologic atrophy
Definition
Occurs as a result in the decrease in workload. An example is the loss of decrease in skeletal muscle as a result of a fracture.
Term
Hypertrophy
Definition
An increase in the size of cells. NOT NUMBER! Commonly seen in cardiac and skeletal muscle tissue.
Term
Hyperplasia
Definition
An increase in the number of cells.
Term
Compensatory Hyperplasia
Definition
An adaptive mechanism that that enables certain organs to regenerate. An example is when part of the liver is removed, the remaining liver cells regenerate to compensate for the loss.
Term
Dysplasia
Definition
Abnormal changes in size, shape, and organization of mature cells. Strongly associated with growth of cancer cells, but if stimulus is removed, may be able to reverse.
Term
Metaplasia
Definition
A reversible conversion from one adult cell type to another adult cell type. An example is the substitution of stratified squamous epithelial cells for ciliated columnar cells in the airways of a person who smokes. It is reversible.
Term
Cell injury
Definition
Occurs if the cell is unable to maintain homeostasis in the face of injurious stimuli. This can include chemical agents, hypoxia, and free radicals.
Term
Ischemia
Definition
Reduced blood flow. The most common cause of hypoxic injury. Can occur because of arteriosclerosis, thrombosis(blockage by blood clots), or embolus(traveling blood clot).
Term
Hypoxic injury
Definition
Lack of sufficient oxygen. The single most common cause of cell injury.
Term
Reperfusion injury
Definition
When O2 is restored to an area, chemical reactions can cause the formation of O2 free radicals. More white cells, especially neutraphils, go into the injured area and become trapped and may cause more injury.
Term
Pathogenicity
Definition
Virulence
Term
Hemosiderin
Definition
A yellow brown pigment derived from hemoglobin.
Term
Necrosis
Definition
Cell dissolution. The sum of cellular changes and self digestion (autolysis)
Term
Coagulative Necrosis
Definition
Commonly results from hypoxia. Involves protein especially albumin. Seen mainly in kidneys, heart, and adrenal glands.
Term
Liquefactive Necrosis
Definition
Commonly results from ischemic injury to neurons and glial cells in the brain.Tissues become soft (liquefies) and are walled off from other healthy tissue forming cysts. Can be caused by bacterial infections especially staph, strep, and E coli.
Term
Caseous Necrosis
Definition
A combination of coagulative and liquefactive necrosis. The dead cells disintegrate, but the debris is not completely digested by enzymes. Tissue resembles cottage cheese. Usually seen in TB infections.
Term
Fatty Necrosis
Definition
Caused by lipases which break down fatty tissue. Releases free fatty acid through a chemical reaction and produces a soap type substance. Seen in breast, pancreatic and other abdominaal tissue.
Term
Gangrenous Necrosis
Definition
Death of tissue resulting from severe hypoxic injury. Two types: Wet and dry.
Term
Dry Gangrene
Definition
Usually a result of coagulative necrosis. Skin becomes dry and shrinks. Color changes to dark brown or black.
Term
Wet Gangrene
Definition
Develops when neutraphils invade the site. (liquefactive necrosis). Usually occurs in internal organs. Area is cold, swollen, and black with a foul odor.
Term
Wet Gangrene
Definition
Develops when neutraphils invade the site. (liquefactive necrosis). Usually occurs in internal organs. Area is cold, swollen, and black with a foul odor.
Term
Gas gangrene
Definition
Infection of injured tissue by clostridium. Forms gas bubbles in the muscle tissue. Fatal if the enzymes break up red blood cell membranes--> decreases O2 carrying capacity.
Term
Apoptosis
Definition
An important distinct type of cell death that differs from necrosis. It is an active process of cellular self-destruction that is also called programmed cell death. Unlike necrosis, it affects acattered, single cells, and results in shrinkaage of a cell rather than swelling.
Term
Physiologic Apoptosis
Definition
Important in the development of body tissue. It is responsible for the deletion of cells during normal tissue turnover and normal embryonic development.
Term
Pathologic Apoptosis
Definition
The result of intracellular events or adverse exogenous stimuli.
Term
Algor mortis
Definition
The reduction of body temperature.
Term
Livor mortis
Definition
Gravity causes blood to pool in the lowest tissues.
Term
Rigor mortis
Definition
Muscle stiffening.
Term
Postmortem Autolysis
Definition
Bloating rotting body.
Term
Hormonal Signaling
Definition
Specialized endocrine cells that secrete hormone chemicals released by one set of cells that travel through the tissue through the bloodstream to produce a response in another set of cells.
Term
Neurohormonal Signaling
Definition
Hormones released into the blood by neurosecretory neurons.
Term
Paracrine signaling
Definition
Cells secrete local chemical mediators that are quickly taken up, destroyed, or immobilized. The mediators only act on nearby cells.
Term
Autocrine signaling
Definition
Signaling molecules may act back on the cells of origin.
Term
Blunt-force injury
Definition
Most common type of injury seen in health care settings. A result of MVA of a fall. Result in tearing, shearing, or crushing of tissues.
Term
Contusion
Definition
Bleeding into the skin and/or underlying tissues that squeezes or crushes soft tissues and ruptures blood vessles without breaking the skin. A Bruise.
Term
Hematoma
Definition
A collection of blood in soft tissues or an enclosed space.
Term
Abrasion
Definition
Removal of superficial layers of skin (scrape). Caused by friction between the skin and the injuring object.
Term
Laceration
Definition
A tear or rip in the skin. More jagged and irregular, depth is irregular.
Term
Physiologic Hypertrophy
Definition
Observed in uterine tissue and mammary glands during pregnancy.
Term
Pathologic Hypertrophy
Definition
Occurs when the endometrium enlarges because of excessive estrogen production.
Term
Free Radicals
Definition
An atom or group of atoms with an unpaired electron, which makes the atom or group unstable. In order to gain stability, it either gives up an electron or steals one.
Term
Damage caused by Free radicals.
Definition
1. Liquid peroxidation, which destroys unsaturated fatty acids, 2. Fragmentation of polypeptide chains within porteins, 3. Alteration of DNA by breakage of single strands.
Term
Adaptation Continuum
Definition
Refers to how the body attempts to achieve, maintain, or regain a state of optimal function.
Term
Lysosomes
Definition
Contain enzymes that digest most cellular material. Cell injury results in the release of these enzymes that cause destruction of the cell.
Term
Oxidative Phosphorylation
Definition
Occurs in the mitochondria and is the mechanism by which the energy produced from carbs, fats, and proteins is transferred to ATP.
Term
Cell receptors
Definition
Protein molecules on the plasma membrane, in the cytoplasm, or in the nucleus that can recognize and bind with smaller molecules called ligands.
Term
Ligands
Definition
Smaller molecules (hormones, neurotransmitters, drugs, etc) that bind with cellular receptors.
Term
Extracellular Matrix
Definition
Binds cells together; acts like glue. Provides a pathway for diffusion of nutrients and wastes between blood and tissues.
Term
Gap Junctions
Definition
Clusters of communicating tunnels that allow ions and molecules to pass from the inside of one cell to another.
Term
The production of cellular energy has 3 phases.
Definition
Digestion, Glycolysis and oxidation, and the citric acid cycle(Kreb's cycle)
Term
Physiologic Hypertrophy
Definition
An example is the increased growth of the uterus and mammary glands during pregnancy.
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