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35 Cards in this Set

  • Front
  • Back
The Cardiovascular System and Lymphatic Systems
Blood vessels and heart

Moved blood in closed circuit

Aka circulatory system

Provides tissues with oxygen and nutrient and carries away carbon dioxide and waste products

Lymphatic system helps to filter parts of circulatory system that you don’t want
The heart
Divided into two halves
-each half divided into upper and lower chamber

Upper chamber: atria
Lower chamber: ventricles

Covered by pericardium

Three layers to the wall of the heart (outer an dinner)
-epicardium (visceral pericardium around heart)
-myocardium (muscular tissue in heart middle)
-endocardium (tissue that lines ventricles and atria)
Lymphatic System
One way passage

Returns fluids from the tissues to the cardiovascular system

Build up of fluid called edema- lymphatic system removes the fluid

Lymph nodes have lots of white blood cells- nodes are how things get filtered
Defenses of the cardiovascular and lymphatic systems
Cardiovascular:
-highly protected
-if microbes do invade, they gain access to every part of the body

defenses in the blood stream =leukocytes
What kind of infections are blood stream infections?
Systemic infections

Often with suffix –emia
-viremia
-fungemia
-bacteremia
-septicemia (can lead to septic shock)
Normal Biota of the Cardiovascular and Lymphatic Systems
None

Some microorganisms may be present transiently (filtering out of tissues) but they do not colonize the systems in the healthy state
Diseases
Colonize the valves of the heart

Endocarditis:
-inflammation of the endocardium
-infection of the valves of the heart
-acute (quick onset) and subacute (shorter onset, last longer)

through cuts in skin- can get in

treated with penicillin

symptoms:
-fever
-anemia
-abnormal heart beat
-similar symptoms to heart attack

abdominal or side pain maybe

petechiae (small skin redness) over the upper half of the body and under the fingernails maybe

subacute cases:
-maybe enlarged spleen
Septicemias
occurs when organisms are actively multiplying in the blood

many different bacteria and a few fungi can cause it

symptoms:
-fever
-appears very ill
-may have altered mental state
-chills
-gastrointestinal symptoms
-low blood pressure

exhibits increased breathing rate
=respiratory alkalosis
Plague
Form of septicemia

Three possible manisfestations:
-pneumonic plague (respiratory disease)
-bubonic plague (flea vector inject bacteria)
-septicemic plague (case progresses to massive bacterial growth in the blood)
Bubonic Plague
-flea vector inject bacteria
-enters lymph, filtered by a lymph node
-infection causes inflammation and necrosisss of node
-swollen lesions called a BUBO usually in the groin or axilla
-incubation (2-8 days)

symptoms:
-fever
-chills
-weakness
-tenderness of bubo
What are the biggest vectors for the plague?
Mice
Flea
Chipmunks

Yersinia pestis (plague life cycle starts with animals)
Lyme Disease
Non fatal

Arthopod- borrelia burgdorferi (tick is vector for the bacteria)

Evolves into a progressive syndrome
-mimics neuromuscular and rheumatoid conditions

early symptoms:
- rash at site of tick bite
- fever
- headache
- stiff neck
- dizziness

Second stage
-cardiac and neurological symptoms
Infectious Mononucleosis
Epstein-Barr virus (EBV)

Also caused by cytomegalovirus (CMV)

Symptoms:
-sore throat
-high fever
-cervical lymphadenopathy (nodes found in heard and neck)

30-50 days incubation (remains latent)

maybe grey/white exudates in the throat, skin rash, enlarged spleen, liver

sudden leukocytosis

fatigue
What is leukocytosis?
Increase in white blood cells

Can cause inflammation
Hemorrhagic Fever Diseases
all caused by viruses

hemorrhages from nose, ect.

Viruses in one of four families:

-arenaviridea

-filoviridae

-flaviviridae

-bunyaviridae
Yellow Fever
Hemmorhagic

Capillary fragility

Disrupts the blood clotting system

Symptoms:
-fever
-headache
-muscle pain

progresses to:
-oral hemorrhage
-nosebleed
-vomiting
-juandice (increase in bile substances in blood, increased iron)
-liver and kidney damage
Dengue Fever
Hemorrhagic

More mild

Progress to dengue hemorrhagic shock syndrome

Causes severe pain in muscles and joints
Ebora and Margurg
Cause similar symptoms

Capillary fragility and disruption of clotting

Bleed from orifices, mucous membranes, massive internal and external hemorrhage

Manifest a rash on the trunk in early stages
Lassa Fever- Arenaviridae
Most asymptomatic

20% cases= severe hemorrhagic syndrome

symptoms:
chest pain
hemorrhaging
sore throat
back pain
vomiting
diarrhea
encephalitis

many times if they survive they become deaf
Nonhemorrhagic Fever Disease
Caused by bacteria

Brucellosis
-on CDC list of possible bioterrorist agents

bacteria carried into bloodstream by phagocytic cells
-create focal lesions in liver, spleen, bond marrow, kidney

fluctuating pattern of symptoms:
-fever
-chills
-sweating
-headache
-muscle pain
-weakness
-weight loss

gram negative brucella abortus
(comes from cow hydes)
Q Fever
Coxiella burnetii

Forms endospore structures

Abrubpt onset
-fever
-chills
-head and muscle ache
-someitmes rash

complicated by
pneumonoitis (infection of lungs)
hepatitis (infection of liver)
endocarditis (infection of endocardium)
Cat-Scratch Disease
Bartonella henselae

Symptoms start after 1-2 weeks

Cluster of small papules at site of inoculation (from cat scrath)

Lymph nodes swell and can become puss filled

1/3 of patients get high fever
Trench Fever
Highly variable symptoms

5-6 day fever
leg pains (tibial shin region)
headache
chills
muscle aches
macular rash
endocarditic can develop
HGA and HME
HGA- (human monocitic ehlichia) Ehlichia chaffenesis, affects granulocytes

HME (human monocitic) affects monocytes (parts of your immune system)

Similar symptoms

Acute febrile state

Headache
Muscle pain
Rigors
Malaria
Dominant protozoan disease

10-16 day incubation

malaise
fatigue
aches
nausea
with or without diarrhea

next:
chills
fever
sweating

symptoms occur 48 or 7 hour intervals

intervals, length and regularity of symptoms reflect the type of malaria
Plasmodium Life Cycle
Mosquito injects a saliva that keeps blood from coagulating

Plasmodium has sexual and asexual life cycle (asexual in human, sexual in mosquito)
-injected in human
-travels to liver cells
-infects liver cells
-undergoes transformation
-divides to merozyte (sp?) state
-these cells rupture liver cells and infect red blood cells
-make diet out of hemoglobin
-divides a bunch of times and forms new merozyte cells
-lyses rbc’s and this repeats every 48-72 hours

or forms gomitozytes
-can be taken up my mosquito and forms sporozyte and can then be injected into human
Rocky Mountain Spotted Fever (RMSF)
rickettsii rickettsii

2-4 days incubation

symptoms:
-sustained fever
-chills
-headache
-muscular pain

2-4 days after prodrome: spotted rash

enlarged lesions merge and become necrotic in severe cases

-cardiovascular disruption
-restlessness
-delirium
-convulsion
-tremor
-coma
Leukemia
general name for at least four different malignant diseases of the WBC forming elements originating in the bone marrow
Adult T Cell Leukemia and Hairy Cell Leukemia (Human T cell lymphotropic virus)
acute or chronic

two retroviral causes (there are other causes as well):
-adult t cell leukemia by HTLV-I
-hairy cell leukemia by HTLV-II

signs and symptoms:
-easy bruising
-easy bleeding
-paleness
-fatigue
-recurring minor infections
HIV and AIDS
retrovirus: human immunodeficiency virus
-hybrid virus, generic sequences from two separate monkey SIVs

Acquired immunodeficiency syndrome (AIDS)
What are the two things that the symptoms of HIV and AIDS are tied to?
the level of virus in the blood

the level of T cells in the blood
Symptoms of HIV and AIDS
vague, mononucleosis-like symptoms that disappear
-within days, about 50% of the T helper cells with memory for the virus are destroyed

asymptomatic period-infection from 2-15
-during this, number of T cells in body is steadily decreasing
-once T cells reach low enough levels, symptoms of AIDS ensue

initial symptom of AIDS:
-fatigue
-diarrhea
-weight loss
-neurological changes

as disease progresses:
-opportunistic infections or neoplasms
-severe immune deregulation (hormone inbalances, metabolic disturbances)
-wasting of body masses
-protracted fever, fatigue, sore throat, night sweats
-lesions in brain, meninges, spinal column, peripheral nerves
CCR5-delta32 A Potential Cure
Berlin- claimed they cured a man of AIDS
-gave him transplanted blood stem cells from a person naturally resistant to the virus

UCLA: working on RNA hairpin scissors to cut out the bits of genetic material in blood stem cells that code for the receptors
What are the most common modes of transmission for HIV and AIDs?
direct contact (sexual), parenteral (blood, borne), vertical (perinatal and via breast milk)
How do you treat HIV and AIDS?
HAART

reverse transcriptase inhibitors plus protease inhibitors