Foundations of Pathophysiology – Flashcards

Unlock all answers in this set

Unlock answers
question
Pathology
answer
the study of the structural (physical) changes in cells, tissues, and organs, due to disease or injury
question
Pathophysiology
answer
the study of the physiological (functional) changes in cells, tissues, and organs, due to disease or injury
question
Pathologist
answer
- diagnoses disease based upon structural and/or functional changes to aid in treatment, prognosis, and patient care - tissue samples may be obtained VIA biopsy, post-mortem autopsy, and undergo laboratory microscopic, genetic, biological, or chemical diagnostic analysis - findings - the diagnostics; results of the laboratory and imaging tests utilized by the pathologist to determine diagnosis, prognosis, and treatment protocol
question
Disease vs. Illness
answer
the abnormal condition; variations of structure and/or function are outside of the normal range resulting in a loss of the homeostatic balance required for optimal cellular functioning. Illness suggests that the individual is aware of the imbalance
question
Pathogen
answer
- a disease causing organism/agent; relate to the etiology
question
Pathogencity
answer
the ability of an agent to produce disease - success depends on communicability, infectivity, extent of tissue damage, virulence, and host susceptibility
question
Etiology
answer
the cause of disease or injury 3 categories: genetic, congential, acquired
question
Genetic Etiology
answer
- chromosomal abnormality or genetic defect causes structural and functional change at the cellular level; often have developmental effects - inheritable disorder; passed from parent to offspring, thus may be able to trace familial history - genetic mutation - causes the gene coding for a particular protein to be defective -> biochemical changes occur e.g. cystic fibrosis, hemophilia, sickle cell disease - inheritable traits cause increased disease susceptibility e.g. UV skin damage in those with very fair or very dark complexions
question
Congenital Etiology
answer
- genetics is normal but embryonic/fetal intrauterine environment has resulted in damage to developing individual - disorders are normally present at birth e.g. trisomy 21 (down's syndrome) - includes first trimester intrauterine exposure to teratogen
question
Teratogen
answer
a substance or condition that impairs normal embryonic or fetal development, causing fetal deformity timing of exposure greatly influences susceptibility and resulting degree of malformation most severely damaged organs includes: brain, vascular system, and eyes common teratogens: alcohol, toxins, drugs, radiation is mutagenic and teratogenic T - toxoplasmosis O - other agents R - rubella (german measles) C - cytomegalo virus H - herpes simplex
question
Acquired Etiology
answer
- most common - genetics and embryonic development is normal; damage occurs later in life - general causes of acquired cellular damage: Infectious (biological, microbial) agents, microbes, microorganisms - may have direct or indirect (toxin production) effects on the HOST - INCLUDES: bacteria, viruses, fungi, chlamydia, rickettsiae, mycoplasma, parasites, protozoa, helminths, insect vectors bites and stings, prions (non living infectious proteins), food poisoning Physical agents INCLUDES: mechanical trauma e.g. compressions, MVA, temperature (thermal) trauma heat and cold, radiation (UV light, repetitive x-rays, radon gas), noise pollution, electric shock, aging Chemical agents INCLUDES: includes household and work related e.g. inhalants: poisons, toxins, heavy metals - neurologic damage, possible carcinogens Hypoxia
question
Nutrtional Imbalances
answer
Malnutrition - poor nutritional status Overnutrition - excessive consumption of 1 or more class nutrients; may cause toxicities; obesity Undernutrition - insufficient ingestion/production of 1 or more class nutrients; may cause specific deficiencies or more systematic effects (starvation, anorexia)
question
Fluid and Electrolyte Imbalance
answer
fluid = water + dissolved (Na+, K+, Cl-) Overhydration - excess fluid intake or insufficient fluid loss -> hypervolemia Underhydration - insufficient fluid intake or excessive fluid loss -> hypovalemia, dehydration
question
Edema
answer
excess tissue (interstital) fluid (i.e. swelling)
question
Third Spacing
answer
occurs when fluid shifts out of the bloodstream and in to a body cavity or interstitial space and is no longer part of the circulating blood plasma or lymph e.g. ascites
question
Acidosis
answer
decrease in physiological pH - respiratory acidosis - metabolic acidosis
question
Alkalosis
answer
increase in physiological pH - respiratory alkalosis - metabolic alkalosis
question
Abnormal Tissue Response
answer
hypersensitivities 'allergies' - immune system overreacts to relatively innocuous (not harmful) environmental agents/antigens Local effects - asthma Systemic effects - anaphylaxis
question
Autoimmunity
answer
immune system reacts to normal self (auto) antigens
question
Immunodeficiencies
answer
immune system does not elicit a normal response to foreign antigen
question
Psychological Agents
answer
general adaption syndrome (GAS) role of stress in disease - 'fight or flight' response
question
Idiopathic
answer
the cause of disease is unknown
question
Iatrogenic
answer
the cause of the disease and/or injury is related to a medical intervention e.g. surgery, drug side effects
question
Nosocomial
answer
disease acquired as a result of being in a hospital environment e.g. hospital borne infection
question
Pathogenesis
answer
the pattern of tissue changes associated with the development of disease normally begins with some form of initial tissue damage that causes cellular effects that can be subsequently produce broader effects in the tissues, organs, organ systems each stage of disease pathogenesis may produce characteristics signs and symptoms e.g. clinical manifestations
question
Predisposing (Risk) Factors of "Triggers"
answer
something that increase the probablity of developing a disease or injury modifiable - risk factors can be changed e.g. lifestyle non-modifiable - risk factors cannot be changed e.g. your age, gender, and genetics
question
Sequelae
answer
abnormal conditions that result from a disease, treatment, or injury e.g. diabetes mellitus increase risk of cardiovascular disease
question
Disease Onset
answer
the time over which the disease or conditions develops ACUTE condition: rapid onset of signs and symptoms, short duration (time frame is somewhat arbitrary, possibly hours, days) CHRONIC condition: rapid or slow (insidious) onset, longer duration (possibly weeks - months); possibly lifelong LATENT/DORMANT condition: asymptomatic period of quiescene before signs and symptoms manifest e.g. HIV, shingles SUBCLINICAL condition: not detectable; not producing effects that are detectable by clinical tests
question
Clinical Manitfestations
answer
the signs and symptoms of the disease/injury
question
Symptoms
answer
patient's subjective experiences provided as part of their MEDICAL HISTORY (patient's description of the problem)
question
Signs
answer
information that is detectable, often measurable by observation during a PHYSICAL EXAMINATION by a health care professional e.g. change in TPR, BP, heart rhythm, heart sounds
question
Syndrome
answer
disease condition with a defined group of lesions, S&S may be part of the disease name down's syndrome
question
Complications
answer
a disease or condition that occurs in addition to the original tissue damage may make original condition more difficult to treat and change products
question
Lesions
answer
sites of tissue damage/injury local or systemic LOCAL - damage is limited to a specific body part or region e.g. breast cancer FOCAL - damage is within a specific site within an organ DIFFUSE - damage is of uniform distribution within the organ SYSTEMIC - damage is widely distributed e.g. breast cancer with metastasis to 2nd sites
question
Parenchymal Cells
answer
the functional cells of an organ e.g. heptaocytes, nephrons, neurons, alveolar sacs
question
Stromal Cells
answer
the support or framework of an organ; includes connective tissues, blood vessels, lymphatics, and nerves
question
Morphogical Change
answer
Morphology - is the science of structure and form of cells including their shape and size damaged cells may undergo MORPHOLOGICAL CHANGE as they try to adapt to injury
question
Diagnosis
answer
the identification of the specific disease
question
Therapy/Therapeutics
answer
the method of TREATMENT of the disease/illness with the goal of curing or at least reducing the patient's S&S to a level of near normal function
question
Convalescence
answer
the time during which the individual is recovering from injury; the time required to become healthy, fully recovered (if possible)
question
Prognosis
answer
the prediction of the disease's outcome based upon the patient's response to therapy, knowledge of the disease, pathogenesis, and clinical experience of the medical professional
question
Remissions
answer
periods where clinical manifestations disappear completely or are significantly decreased
question
Exacerbations
answer
periods where clinical manifestations become more obvious and severe *flare-ups*
question
Clinical Infectious Disease Course
answer
1.) Incubation Period - time from initial exposure to the infectious agent to the onset of the first symptoms, micro-organisms have colonized, invaded and are multiplying but infected individual is still asymptomatic although they may be contagious 2.) Prodromal Stage - initial symptoms of infections occur usually mild such as tiredness, discomfort 3.) Invasion Period - microbial infection is multiplying quickly and spreading to other tissues/organs either locally or systemically, depending on the severity Clinical manifestations specific to the disease causing organism are present as inflammatory and immune responses are triggered to fight the infection - FEVER, pain, malaise, headache, generalized aching, loss of appetite, and other GI effects.
question
Portal of Entry
answer
the route by which the pathogen enters the body
question
Epidemiology
answer
the study of the distribution and determinants of health-related states or events in a specific populations and the application of this study is to control the health problems
question
Prevalence
answer
the number of existing cases in a population at a given point in time
question
INCIDENCE
answer
the number of new cases occurring in a populations during a specified period of time
question
Endemic
answer
diseases with relatively high but, constant rates of infection in a particular population e.g. tuberculosis is endemic in our northern communities
question
Epidemic
answer
the number of new infections is a particular population greatly exceeds the number usually observed; may be seasonal in occurrence e.g. Ebola in Western Africa 2014
question
Pandemic
answer
an epidemic that spreads over a large area - continental or global
question
Communicable (contagious)
answer
the infectious disease is easily transmitted from one individual to others and causes disease; measles, pertussis, cold and flu, diphtheria, amoebic dysentry, usually air borne or water borne
question
Notifiable (Reportable) Disease
answer
a disease that must be reported to public health authorities at the time it is diagnosed because it is potentially dangerous to human or animal health PHAC lists them
question
Mortality Rate
answer
the number of deaths in a given time or place; often stated as a percentage within a population; aka death rate
question
Morbidity Rate
answer
the incidence/rate of a particular disease in a specified population
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New