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First Aid 2012 pp244-246
32
Medical
Graduate
02/09/2013

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Term
hypoxia:
watershed areas, heart, kidney, neurons, liver
Definition
watershed areas -- splenic flexure, ACA/MCA
heart (1-2hrs) -- subendocardial tissue
kidney -- PCT (cortex), TAL (medulla)
liver (1-2hrs) -- around cental vein
neurons (3-5min!!)
Term
brain mets
Definition
lung > breast > kidney > skin (melanoma)
Term
liver mets
Definition
colon > stomach > pancreas
Term
bone mets
Definition
prostate (blastic), breast (lytic and blastic) > lungs (lytic) > thyroid, testes
Term
cancer incidence and mortality
Definition
Incidence
men: prostate > lung > colon/rectum
women: breast > lung > colon/rectum

Mortality
men: lung > prostate
women: lung > breast
Term
psammoma bodies
Definition
PSaMMoma
Papillary (thyroid)
Serous (ovary)
Meningioma
Mesothelioma
Term
cacexia
Definition
TNF-alpha
Term
angiogenesis
Definition
VEGF, FGF
Term
dysplasia
anaplasia
neoplasia
desmoplasia
Definition
dysplasia = reversible!!
anaplasia = undifferentiated
neoplasia = clonal prolif
desmoplasia = non-neoplasic fibrous tissue formation in response to neoplasm
Term
metalloproteinases
Definition
invasion!!
Term
amyloidosis
Primary, Secondary, Senile cardiac, DMII, medullary thyroid, Alzheimer's, Dialysis, Portuguese type polyneuropathy, Familial Mediterranean fever, Isolated atrial amyloidosis, Isolated pituitary amyloidosis
Definition
Primary -- Ig light chains --> AL
Secondary -- SAA --> AA
Senile cardiac -- AF --> transthyretin
DMII -- AE --> amylin
medullary thyroid -- calcitonin --> A-CAL
Alzheimer's -- APP --> beta-amyloid
Dialysis -- MHC I --> beta2-microglobulin
Portuguese type polyneuropathy -- transthyretin
Familial Mediterranean fever -- AA
Isolated atrial amyloidosis -- ANP
Isolated pituitary amyloidosis -- prolactin
Term
iron poisoning
Definition
peroxidation of membrane lipids --> cell death
acute -- GI bleed
chronic -- metabolic acidosis, GI obstruction from scarring
Term
beta-HCG and TSH
Definition
beta-HCG can bind TSH receptor --> hyperthyroidism!!!
Term
apoptosis
Definition
intrinsic:
lose bcl-2 --> increased mitochondrial permeability and cyt c release --> increase bax, bak
p53 --> increase bax/bak, decrease bcl-2

extrinsic:
Fas ligand bind Fas-R on cell
perforin (pore for delivery), granzyme, granulysin from CD8+ T cells/NK cells
Term
lipofuscin
Definition
2/2 free radicals and lipid peroxidation (aging)
Term
spleen, intestine -- 1 or 2 blood supplies?
Definition
spleen -- 1
intestine -- 2
Term
reversible or irreversible??
cellular swelling/hydropic change
Definition
reversible
Term
reversible or irreversible??
nuclear chromatin clumping
Definition
reversible
Term
reversible or irreversible??
fatty change
Definition
reversible
Term
reversible or irreversible??
ribosomal detachment
Definition
reversible
Term
reversible or irreversible??
myelin figures
Definition
reversible
Term
reversible or irreversible??
cell blebs
Definition
reversible
Term
reversible or irreversible??
nuclear pyknosis, karyolysis, karyorrhexis
Definition
irreversible
Term
reversible or irreversible??
Ca2+ influx
Definition
irreversible
Term
reversible or irreversible??
plasma membrane damage
Definition
irreversible
Term
reversible or irreversible??
lysosomal rupture
Definition
irreversible
Term
reversible or irreversible??
mitochondrial permeability/vacuolization
Definition
irreversible
Term
thromboses
Definition
arterial -- lines of Zahn
venous -- darker
post-mortum -- currant jelly + chicken fat, not attached to vessel wall
Term
leukocyte extravasation
Definition
1. margination
2. rolling -- selectins (endothelium) + Sialyl Lewis (WBC, LAD type 2)
3. tight binding -- ICAM-1 (endothelium) + LFA-1 (integrin on WBC; LAD type 1)
4. diapedesis -- PECAM-1
5. migration
Term
free radical damage
Definition
1. retinopathy of prematurity
2. bronchopul dysplasia
3. CCl4 --> liver fat and necrosis
4. acetaminophen
5. iron overload
6. reperfusion injury
Term
granulomas
Definition
1. Mycobacteria (TB, leprosy)
2. fungal
3. syphilis (gumma!!)
4. cat scratch
5. auto-immune -- sarcoid, Crohn's
6. berylloisis!!
Term
wound healing
Definition
1. inflammatory -- clot, neutrophils, macrophages (2 days in)
2. proliferative (2-3 days) -- granulation tissue, type III collagen, wound contraction
3. remodeling (1 wk) -- type III replaced by type I collagen
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