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Principles of Disease Terms
Key Terminology from Principles of Disease
117
Veterinary Medicine
Undergraduate 2
01/03/2012

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Term
Disease
Definition

structural or functional abnormality/disturbance of a tissue


may be from direct from agent of disease


and/or


from host response

Term
Pathogenesis
Definition

development of disease - includes reviewing relationship between:

  1. aetiological agent & lesion
  2. lesion & clinical sign

 

Term
Clinical Sign
Definition

physical manifestation of disease

 

found upon clinical examination of animal

Term
Aetiological (etiological) agent
Definition
pathogen/agent of disease creating the disease event
Term
Pathogen
Definition

aetiological agent/agent of disease (AOD)

includes: infectious, physical & chemical agents

Term
gross pathology
Definition

changes caused by (or causing) disease

 

visable to the naked eye

Term
Histopathology
Definition

studying changes caused by (or causing) disease

 

at  microscopic cellular/tissue level

Term
Lesion
Definition
structural or functional change to a tissue or organ as a result of disease
Term
Diagnosis
Definition

Name for a specific disease event - means the same thing to all vets.

May include reference to aetiological agent (aetiological diagnosis) OR

 

 

 

description of morphological changes evident (morphological diagnosis)

 

 

 

OR description of clinical signs

Term
Congestion
Definition

excess blood in blood vessels (BV) in a tissue

 

due to reduced venous outflow

Term
Congestive Heart Failure
Definition
circulatory congestion occurs due to failure of heart to pump proper amount of blood around the body
Term
Hyperaemia
Definition
excess blood in BV from active, arteriolar-mediated engorgement of vascular bed
Term
Ischaemia
Definition

LOCAL reduction of blood flow to a tissue


due to obstruction of inflow of arterial blood


OR


vasoconstriction

Term
Shock
Definition
  • complex syndrome
  • blood supply to tissue becomes progressively inadequate
  • leads to reversible, then irreversible cell injury
Term
Haemorrhage
Definition

escaping blood from BV

 

can happen by diapedesis through intact BV walls

 

or by flow through ruptured BVs

Term
Haematoma
Definition
defined, extravascular collection of blood, usually clotted.
Term
Haemopericardium; Haemothorax; Haemoperitoneum
Definition
haemorrhage into the relevant body cavity
Term
Haemarthrosis
Definition
haemorrhage into a joint
Term
Epistaxis
Definition
nose bleed
Term
Haemoptysis
Definition
coughing up of blood
Term
Petechiae
Definition
multiple pin-head sized haemorrhages
Term
Ecchymoses
Definition
multiple irregular haemorrhages, about 2cm across
Term
Thrombus
Definition
blood clot formed in the heart or BV while alive
Term
Thrombosis
Definition
the process of thrombus formation
Term
Embolus
Definition

something in the bloodstream,


e.g. part of a thrombus, bacteria/clumps of bacteria, fat, plaques, cancer cells

Term
Embolism
Definition

process of emoboli formation.


most derived from a thrombi =


thrombo-emboli AND/OR thrombo-embolism

Term
Infarct
Definition

localised necrosis from inadequate blood flow.


"infarction" is name of the process.


In non-human animals most often caused by obstruction of BV by thromboemboli.

Term
Haemophilia
Definition

hereditary disease


creating deficiencies in some clotting factors


characterised by haemorrhages

Term
Disseminated intravascular coagulation (DIC)
Definition

clotting disorder- micro-thrombi form in capillaries and venules in many body tissues.


multiple haemorrhages also develop because platelets & clotting factors are used up = "consumption coagulopathy'.

Term
Pathophysiology
Definition

"The physiology of a disordered function"


1. Causation = pathogenesis

2.development = pathogenesis

3. morphologic changes = Description/morphological diagnosis

4. functional outcome (sequelae of morphologic changes) = Pathophysiology

Term
Oedema
Definition
accumulation of excessive amount of EXTRA-CELLULAR H2O in interstitial space/s
Term
Anasarca
Definition
generalised oedema + fluid in serous cavities
Term
Ascites
Definition

accumulation of oedema fluid in peritoneal cavity.


Hydrothorax = accum. in thorax.


Hydropericardium = accum. in pericardium.

Term
Effusion
Definition
accum. of any fluid (e.g. blood, oedema, exudate) in a body cavity or tissue
Term
Tumour
Definition

abnormal mass.

 

often used interchangeably with NEOPLASM

Term
Neoplasm
Definition

"New Growth"

any new & abnormal cell growth

 

cell multiplication = uncontrolled & progessive

Term
Cancer
Definition
Any MALIGNANT cellular tumour
Term
Malignant
Definition

has escaped the basement membrane and metasticised.


prognosis for recovery unfavourable most often leads to death

Term
Anaplasia
Definition

loss of differentiation of adult cells


irreversible reversion to lower level of differentiation (embryonic morphology)

Term
Anaplastic
Definition
characterised by anaplasia
Term
Benign
Definition

not malignant

 

prognosis for recovery more favourable

Term
Differentiation
Definition
The extent to which cells resemble comparable normal cells morphologically and functionally
Term
Metastasis
Definition

transfer of disease from one place in the body to another not directly connected to it


usually via circulatory system or lymphatics


usally relates to neoplasia but can also be spread of infectious disease

Term
Metastatic
Definition
characterised by metastasis (plural metastases)
Term
Neoplasia
Definition
formation of a neoplasm
Term
Pleomorphism
Definition

variation in size & shape

eg some extremely large cells with large nuclei - others of same cell type small with small hyperchromatic nuclei

change in nuclear shape

prominent & multiple nucleoli

nuclear:cytoplasm ratio may approach 1:1 (normal 1:4)

Term
Abiotrophy
Definition

premature, progressive loss of vitality of tissues or organs


results in disorders or loss of function


usually nervous system

Term
Agenesis
Definition
absence of organ due to primordium in embryo not appearing
Term
Aplasia
Definition

defective development

or

complete absence of organ or tissue

Term
Atresia
Definition

congenital absence or closure of a normal body opening or tubular structure

 

e.g. atresia ani

Term
Congenital
Definition

present at birth

 

Congenital defects present at birth but not always immed. identified

Term
ductus arteriosus
Definition
connection between the pulmonary artery and the aorta
Term
ductus venosus
Definition

vascular connection between L umbilical vein & caudal vena cava in embryo

 

should close within a few days of birth

Term
ectopic
Definition
located/arising/produced away from normal position, or in a tissue it is not usually found
Term
hydranencephaly
Definition

deveopmental failure of neural paranchyma of cerebrum


creates enlarged lateral ventricle & thin layer of glial cells plus meninges

Term
hydrocephalus
Definition

accumulation of excessive CSF in head


usually due to blockage of the drainage of CSF from ventricles


mesencephalic aquaduct common site for obstruction

Term
hypoplasia
Definition
incomplete development of organ or tissue
Term
porto-systemic shunt
Definition

aka porto-caval shunt


connection between portal vein & systemic circ allows blood from gut to bypass liver


usally caused by ductus venosus not regressing

Term
schistosomus reflexus
Definition
failure of fusion of abdo. wall in midline
Term
spina bifida
Definition

failure of vertebral arch to form dorsally over vertebral foramen.


can be covered by tissue (occult) or open


usally in caudal lumbar or sacral regions

Term
teratogen
Definition
environmental agent that causes physical defects in developing embryo
Term
teratoma
Definition

neoplasm consisting of a number of types of different tissues


none of which would normally be found in area of  body  the neoplasm has formed in (eg. tooth in a teste)


all germinal layers represented


usually found in the ovary or testis

Term
Antigen
Definition

any substance which can elicit an immunological response (antibody or lymphocyte)


usually proteins and/or polysachharides

Term
Bacteraemia
Definition
bacteria within flowing blood
Term
Clinical disease
Definition

disease producing clinical signs

eg. vomiting, diarrhoea, jaundice

Term
Sub clinical disease
Definition

disease which has manifested so slightly that it is not noticable via clinical exam.


may be detected via lab based testing


may lead to clinical disease

Term
Commensals
Definition

parasites that have inoffensive relationship with host


usally no ill effects eg normal flora of skin


altered conditions/compromised host may lead to adverse effect on host

Term
Compromise
Definition

weakened or altered state of host

it becomes susceptible to agents of disease

Term
contagious disease
Definition

disease which is readily communicable.


organism/disease can be transmitted:


directly (animal to animal)


indirectly via inanimate objects (fomites)


or intermediate hosts

Term
Environment
Definition
external conditions which influence host and parasite
Term
Fungaemia
Definition
fungi in blood
Term
Fungus
Definition

group of eukaryotic organisms


no chlorophyll, a rigid cell wall


repro. by spores at some point in life cycle

Term
Hapten
Definition

small, usually non-protein molecule


MUST be attached to a carrier molecule


acts as an antigen

Term
Host
Definition

organic body (animal or plant)

 

which parasite lives in or upon

Term
Aetiology
Definition
study of the cause of diseases
Term
colonisation
Definition

outcome of infection


microbe exists and replicates on host surface


may progress to invasion and produce disease


primarily applies to microbes assoc. with mucosal & skin surfaces

Term
Exposure
Definition

the potential for contact between host and pathogen

 

@ point of contact exposure=infection

Term
Host immunity (defence)
Definition

attempt by host to resist and remove agent of disease


usually separated into innate & adaptive immunity


includes surface defences, inflammation & repair

Term
Infection
Definition

direct contact between host & organism

 

+- manifestation of disease

Term
Infectious agents of disease (AOD)
Definition

replicating AOD

 

i.e. bacteria, fungi, viruses, prions, protzoans, metazoans

Term
Invasiveness
Definition

capacity of AOD to penetrate cells or tissues

 

may include their ability to multiple in tissues

Term
Latency
Definition

organism persists in dormant state after invasion of host


sub-clin. or clin. disease occurs before latency is established


organism might emerge from latency to induce further disease


disease not progressive in latency

Term
Parasite
Definition

organism that lives on or in a host


obtains nourishment from host for part or all of life cycle


e.g. bacteria, protozoa, metazoans, algae, viruses


all parasites are potential pathogens

Term
pathogenicity
Definition

capacity of AOD to cause disease in host

 

low pathogenicity rarely = disease except in

compromised host

Term
saprophyte
Definition

environmental microbe that lives on dead or decaying organic matter

 

may cause disease in approp. HPEI conditions

Term
Virulent microbes
Definition

organisms with high liklihood of causing clinical disease


virulence usual means relative pathogenicity of strains within a species

Term
Inflammation
Definition

protective response(often localised)to AOD or damaged tissue



dilutes, destroys, or walls off the AOD and injured tissue

Term
opsonisation
Definition

humoral substances, esp. antibody,

 

enhances uptake of bacteria by phagocytes

Term
hypersensitivity
Definition

over-reaction by the immune system to antigen(s)

 

leads to excessive tissue damage/disfunction

Term
Septicaemia
Definition

host response can't contain bacteraemia

 

characterised by fever & widespread tissue damage

Term
Tissue tropism
Definition
microbe preference to infect particular tissues or organs
Term
Toxigenicity
Definition

micro-organisms ability to produce chemicals that damage or cause dysfunction of host cells/tissues.


cause disease & commonly referred to as 'toxins'

Term
Bacterial toxins
Definition

exotoxins - readily seperable from bacterial cell wall


endotoxins - lipid component in cell wall of gram neg. bacteria

Term
Viraemia
Definition

presence of virus in blood

 

can be as free virus or cell assoc. viraemia

Term
Virion
Definition

complete virus particle


extracellular


capable of surviving in metabolically inert state & then infecting living cells

Term
Virus
Definition

class of infectious agent


small unable to replicate outside living host cell


unique mode of replication


simple structure

Term
Contagious
Definition

transmissable by direct or indirect contact;

communicable

Term
Biosecurity
Definition

= protection from risks posed by AOD to the economy, environment, health

by exclusion, eradication & control.

Term

Transmissibility/

Communicability

Definition

ability to spread from infected to susceptible host

highly Vs lowly contatagious

Term
-'pathy'
Definition

denotes (in negative sense) a disease, or disorder

Ancient Greek

Term
-'osis'
Definition
a condition, disease or increase Greek
Term
-'oid
Definition

'resemblance to'

Greek

Term
-'oma' (singular) -omata (plural)
Definition

tumor, mass, collection

Greek

Term
-'penia'
Definition

deficiency

Greek

Term
-'plasia'
Definition

formation, development

Greek

eg Achondroplasia

Term
-'plasty'
Definition

surgical repair,

reconstruction

Greek

Term
-'plegia'
Definition

paralysis

Greek

Term
-'poiesis'
Definition
production
Term
-'rrhage'
Definition

burst forth

Greek

Term
-'rrhagia'
Definition

rapid flow of blood

Greek

Term
-'lysis'
Definition

Destruction,

separation

Greek

Term
-'ology'
Definition

academic study or practice of a certain field;

The study of

Ancient Greek

Term
-itis
Definition

inflammation

eg. Tonsillitis

Term
-ium
Definition

structure, tissue

eg. pericardium

Term
isch-
Definition

Restriction

Greek

Eg. Ischemia

Term

aden(o)-

aden(i)-

Definition

Of or relating to a gland

Ancient Greek

eg. Adenocarcinoma

Term
-aemia
Definition

blood condition Greek

eg. Anaemia

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