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61 Cards in this Set
- Front
- Back
- 3rd side (hint)
watershed areas
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splenic flexure, ACA/MCA
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kidney hypoxic-susceptible
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proximal tubule (cortex), thick ascending limb (medulla)
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liver hypoxic-susceptible
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around central vein
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hemorrhagic infarcts
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tissues with collaterals
liver, lungs, intestine following reperfusion (free radicals) |
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pale infarcts
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solid tissues, single blood supply
heart, kidney, spleen |
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hypovolemic/cardiogenic shock
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low output
incr TPR |
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septic shock
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high output
decr TPR dilated arterioles, high venous return |
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chronic inflamm
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mononuc,blood vessel prolif, fibrosis
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leukocyte extravasion
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rolling: selectins
binding: ICAM (v), LFA-1 (L) diapedesis: PECAM migration: C5a, IL8, LTB4, Kallikrein |
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proliferative wound healing
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2-3 days after. fibroblasts, myofibroblasts, endothelial cells
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granulation tissue and collagen, angiogen, epithelial cell prolif, dissolution of clot, wound contraction (myofibroblasts)
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remodeling wound healing
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1 wk after. fibroblasts. type III collagen replaced by type I collagen, incr tensile strength of tissue
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granulomatous diseases
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histoplasmosis, berylliosis
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Th1s secrete gamma IFN, activ macros. TNF from macros induce and maintain granuloma. anti-TNF drugs can break down and disseminate dz
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ESR
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fibrinogen coats RBCs and aggregates them, making them fall faster
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decr in sickle, polycythemia, CHF
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iron poisoning
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peroxidation of membrane lipids
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acute - gastric bleed
chronic - metab acid, scar leads to GI obstruct |
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amyloidosis
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bence jones (AL, light chain, MM)
secondary (AA, acute phase) senile cardiac (transthyretin, AF is for Fogies) |
DM2 (amylin, AE for Endocrine)
medullary carcinoma of thyroid (A-CAL for Calcitonin) Alz is APP, amyloid precursor protein Dialysis is beta 2 microglobulin (MHC I) |
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carcinoma in situ
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high N/C and clumped chromatin
neoplastic cells encompass entire thickness |
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pre-invasive
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BM invaded. collagenase, hydrolase. can met if reach vessel
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metastasis
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seed (tumor embolus) soil is target organ
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dysplasia
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abnormal growth with loss of cellular orientation, shape, size in comparison to normal tissue maturation. often preneoplastic
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anaplasia
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resemble primitive cells of same tissue
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neoplasia
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clonal prolif of cells uncontrolled and excessive. benign or malig
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desmoplasia
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fibrous tissue formation in response to neoplasm
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malignant teratomas
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immature, and mature in men
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cachexia
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mediated by TNFa, IFNg, IL6
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Tuberous sclerosis neoplasm
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astrocytoma, angiomyolipoma, rhabdomyoma
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plummer vinson
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atrophic glossitis, esoph webs, anemia (d/t iron def)
SCC of esoph |
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pagets dz of bone neoplasm
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osteosarcoma & fibrosarcoma
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immunodef neoplasm
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malignant lymphomas
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AI neoplasm
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lymphoma
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acanthosis nigricans neoplasm
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visceral malignancy (stomach, lung, breast, uterus)
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radiation exposure neoplasm
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sarcoma, papillary thyroid cancer
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oncogene MOA
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need to damage only 1 allele. Gain of fxn
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erb-B2
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breast, ovarian, gastric
tyrosine kinase |
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ret product
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tyrosine kinase
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c-kit product
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cytokine receptor
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Rb tumors
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retinoblastoma, osteosarcoma
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p53 syndrome
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Li-Fraumeni
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BRCA1 tumors
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breast, ovarian
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DPC tumors
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pancreatic
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DCC tumors
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colon
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CEA
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CRC and panc CA, also breast, gastric, thyroid medullary
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aFP
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yolk sac tumor
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S-100
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melanoma, neural tumors, astrocytomas
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alk phos
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obstructive biliary dz
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bombesin
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neuroblastoma, lung, gastric ca
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TRAP
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hairy cell leuk (B cell)
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CA-19-9
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panc adenoCA
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EBV CA
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Hodkins
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H pylori CA
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lymphoma
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vinyl chloride
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liver angiosarcoma
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CCl4
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liver centrilobar necrosis, fatty change
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nitrosamines (smoked food)
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gastric CA
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smoking
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renal cell CA
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arsenic
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SCC in skin, liver angiosarcoma
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naphthalene (aniline) dyes
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bladder CA
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alkylating agents
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leukemia
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PTHrP, TGFb, TNF, IL1
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SCC lung, renal, breast
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erythropoeitin
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RCC, hemangioblastoma, heptaocellular carcinoma, pheo
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Lambert Eaton
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thymoma, SCLC
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gout
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leuk/lymph
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PSaMMoma
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Papillary thyroid
Serous ovary Meningioma Mesothelioma |
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