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Pathophysiology
chapter 1 Intro to pathophysiology
59
Pathology
Undergraduate 2
02/12/2011

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Term
the types of etiology:
Definition
the factors or agents of a disease:
congenital
hereditary or genetic
infectious (pathogens)
immunologic dysfunctions (i.e. autoimmune)
metabolic derangements (catabolism, anabolism)
degenerative changes (wear and tear)
malignancy
physical damage (trauma, burns, etc.)
chemical agents (poisoning, toxins)
environment and occupational factors
nutritional
iatrogenic (treatment-caused)
idiopathic (of an unknown cause)
Term
predisposing factors
Definition
helps develop the disease. increase a patients probability of acquiring a disease. do not cause the disease directly. most of them are preventable.

The risk factors:
diet
smoking
sedentary lifestyle
exposure to asbestos
Term
disease classification

by the onset: Acute
Definition
sudden and obvious
Term
prevention
Definition
prophylaxis *elimination of the predisposing of the etiological factor *assisting the organisms immune system or helping change lifestyle. (i.e. vaccinations)
Term
pathogenesis
Definition
the course of the disease (all events along the disease duration, including tissue changes.)
Term
stages of pathogenesis
Definition
*injury

*necrosis

*inflammation

*repair and convalescene (recovery)
Term
Pathogenesis is expressed in or dealt with:
Definition
*onset
*manifestations
*diagnostics
*complications (if applicable)
*therapy
*outcome

(Old Men Do Not Come To Orgasm)
Term
disease classification

by the onset: insidious
Definition
gradual progression with mild signs and symptoms
Term
disease classification

by the progression: acute
Definition
short term, fact developed, with marked signs and symptoms (s&s)
Term
disease classification by the progression: chronic
Definition
long term, gradually developed, vague signs and symptoms, more tissue damage
Term
disease classification

by the progression: subacute (subclinical)
Definition
no OBVIOUS manifestation. harder to diagnose and treat.
Term
stages of a disease: 1. latent stage
Definition
silent with no visible clinical signs or symptoms - called incubation in infectious diseases.
Term
stages of a disease:

2. prodromal
Definition
signs are nonspecific
Term
stages of a disease:

3. manifestations
Definition
signs and symptoms present

local or systemic
Term
signs
Definition
objective, 'visible' by a medical professional
Term
symptoms
Definition
subjective, feelings of the patient
Term
a syndrome
Definition
a complex of signs and symptoms together.
Term
stages of a disease: 4. remission or exacerbation period.
Definition
disappearance or reappearance of the disease
Term
stages of a disease:

5. convalescence or complications
Definition
recovery or complications
Term
to establish a diagnosis, they have to study and determine:
Definition
* predisposing factors
*etiology
*pathogenesis
*clinical manifestations
*diagnostics tests and their interpretation
Term
to further study the disease, they consider:
Definition
*complications
*prognosis
Term
prognosis
Definition
probability of a recovery or other outcome

*usually determined as a result of statistical analysis of the disease
Term
diagnosis
Definition
naming (identification) of the disease
Term
etiology
Definition
the direct cause of the disease
Term
predisposing
Definition
risk factors contributing to the disease appearance
Term
prophylaxis
Definition
prevention
Term
onset
Definition
the start of the disease
Term
manifestations of the disease
Definition
the way the disease shows itself
Term
hyperplasia
Definition
increase in cell number
*either compensatory or pathological

*not a cancer, but the risk of cancer may be increased.
Term
metaplasia
Definition
replacement of one cell type with another

i.e.: squamous cell metaplasia in the upper respiratory tract in smokers.
barrett's esophagus in GERD
Term
dysplasia
Definition
tissue cells abnormally vary in size and shape, with large nuclei, and fast mitosis. confined in one place and are still mature tissue cells. results from chronic irritation or infection. definately pre-cancer. cells are atypical
Term
anaplasia
Definition
immature cells (cells that lost differentiation, look like embryonic)

-associated with malignancy (early cancer)
Term
neoplasia
Definition
a tumor, a 'new growth'
Term
types of tumors:
Definition
*benign (non cancer)

*malignant (cancer)
Term
complications
Definition
new problems secondary to the initial ones

-a result of the initial problems

-arise after the initial disease begins
Term
a precipitating factor
Definition
an event that triggers an acute episode
Term
epidemiology
Definition
deals with statistics

studies the behavior of disease in a population
Term
morbidity
Definition
disease rate within a population
Term
mortality
Definition
number of deaths within a population
Term
epidemics
Definition
a mass occurrence of the disease in a specific area.
Term
pandemics
Definition
high number of cases wide spread or worldwide
Term
incidence
Definition
the number of NEW cases within a population.
Term
prevalence
Definition
NEW and OLD cases of the disease
Term
communicable disease
Definition
spread from person to person. usually infectious.
Term
endemics
Definition
same disease displays itself in same population in history.
Term
cellular adaptation to injury:

atrophy (hypotrophy)
Definition
a decrease in cell size
Term
reasons for atrophy
Definition
*reduced use of the tissue
*insufficient nutrition or blood supply
*decreased neurological or hormonal stimulation
*aging (systemic atrophy)
Term
cellular adaptation to injury:

hypertrophy
Definition
increase in cell size
Term
reasons for hypertrophy:
Definition
*overworking the tissue
*excessive nutrition
*excessive hormonal stimulation

(i.e.: cardiac wall hypertrophy or increase skeletal muscle mass)
Term
apoptosis
Definition
programmed cell death
Term
necrosis
Definition
cell (tissue) death as a result of damage.
Term
cell injury is caused by:
Definition
1. hypoxia 2. physical agents (heat, cold, radiation, electricity) 3. chemical substances (poisoning, toxins, etc.)
Term
ischemia
Definition
insufficient blood supply
Term
hypoxia
Definition
oxygen starvation of a tissue; the most common cause of hypoxia is ischemia.
Term
steps of cell damage:
Definition

 outcome

^

repair (connective or scar tissue)

^

inflammation (local or systemic)

^

morphologic (structural) changes in the organ and the cells are LYSED (destroyed) with the lysomal enzymes

^

cell death (necrosis)

^

irreversble

^

loss of function

^

cell damage

Term
necrosis classification:

coagulative:
Definition
cell proteins are denatured (curdled, look dry and dark)

-cells (and the dead organ) retain their approximate shape (look empty)
Term
types of coagulative necrosis:
Definition
1. dry gangrene of an extremity.

2. (myocardial) infarction (heart attack)
Term
necrosis classification:

liquification:
Definition
the cells liquify.
Term
types of liquification of a cell:
Definition
1. fat necrosis
2. caseous (cheesy) necrosis (i.e.: TB)
3. wet gangrene (dead tissues are immediately invaded by bacteria)
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