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92 Cards in this Set
- Front
- Back
Wound dehicsents:
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opposite keloid
Isnt strong enough to form scar tissue, break open. elderly who arent replacing tissue efficiantly, obese, diabetics, steroid. Any wound can become infected. Muscles spasm to point bones dislocate and breakage. You have to look at local area, chest area- lung function problem. |
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Stenosis
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occur in hollow structure, scar tissue.
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Contractures:.
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fixation of joint.
muscle fibers shorten w/burn victims. joint will stay in contracted position |
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granulation tissue
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New tissue that growing
example, pale and tender, high supply of blood present. Different types tissue in body are going to have different rates. |
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___________________ tissue have the highest rate....paper cut dont scar because
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Connective tissue, campilary tissue, endothelial
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epathelial.
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makes up skin
bone tends to genterate healthy young person. Muscle generates poorly. Nerve cells don't regenerate except newborns. Example: deliverly damage in facial nerves. 1 or 2 age is lost. >problems occuring in repair process: example- calcaphacation: bone injury: bone spurs: too much calcium building up. |
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Anytime we have disease they occur at ___________...Some mild, some cause death to cell.
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cellular level
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Adhesions. Keloid:
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Over growth of scar tissue. scar raised above surface of skin
rough texture darker than normal skin color. tend to form in darker skin ppl tends to form anytime have open skin. Can use laser treatments and may shrinken and lighten. |
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cell damage: Hypoxia
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low oxygen
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Cell damage: anoxia
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no oxygen
Causes: obstruction in resp system. Inadiquate transport of oxygen in lung: asthma, enphasma. Not enough oxygen in blood: shape of RBC (Sickle cell), and anemia (reduced hemoglobin). |
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Cell damage: Toxic injury-
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poison, produced by living system. Not all poisons are toxins. Any chemical.
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Cell damage :Microbes
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damage and destroy cells.
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Cell damage: Apoptosis
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programmed cell death.
phyiologic:>>> formation of hollow structures. >>> mostly fetus development. Pathologic: muscular distrophy: muscle cells die cuz underlying disease. Tumors develop in lack of apoptosis. |
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Cell damage: Metabolic-
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Diabetes: loss of vision, poor circulation, heart.
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Cell damage: Genetic disorders:
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Ksaks disease: cells distroyed in CNS. Genetic diseases.
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Types of cell death:
Degeneration |
cytoplasm of a cell is replaced by abnormal substances, shouldn't be there.
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cloudy swelling Degeneration-
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most common but least severe.
Some degree of CS is going to occur in any infection or trauma. Too much fluid/water inside cell. under microscope cloudy appearance due to water. Appear enlarged, cloudy, and pale grey in color. Almost always reversable. |
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Fatty degeneration
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Fat present in cytoplasm.
Liver is most commonly affected and heart after. much heavier than should be, yellowish in appearance due to fat, soft, rounded. Frequently seen in alcohol, drugs, poisoning in general because thats where booze is metabolism. Heart: fatty foods, cholestrol, death of heart tissue. Most not reversable but sometimes can be. |
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Mucoid degeneration:
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mucus build up in cell.
Edema. See when tumors break down as well as cyst desolving. |
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Colloid degeneration:
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Cytoplasm in cell becomes sticky and fluid like.
See in formation of cyst (thyroid). |
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Hyaline degeneration:
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occur in connective tissue. Cytoplasm becomes brittle. Part of aging process-accounts for aging process.
See in Arteriosclerosis- cells are brittle. |
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Presbyopia:
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Changes in vision when aging because cells in eye.
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Presbycucis:
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Hearing decreases because of changes in ear drum itself.
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Amaloid degeneration-
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build up of waxy starches in cells.
Ususally occur in vascular and lymphatic system. Occurs in lupus: autoimmune disease to attack vessels, tissues. |
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Fatty are usually _________
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reversable
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Endogenous
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Change in level of normal body pigments
1. Melanosis-tan, moles, freckles 2. Biliary pigmentation- bruise, jaundice 3. Depigmentation-Vitiligo, albinism |
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Any inflamatory process: Chemical mediators:
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chemicals released in body:
histamine prostaglandins bradykinins: produce in first stage: Too much damages cells. 2nd cellular injury |
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Chloasma-
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hormonally caused, if pregnant. Butterfly face, mask of pregnancy
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Exaginous
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externally caused rather than resulting from inside
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Pneumoconeoses
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affects lungs
inhilation foreign substance causes discoloration of lung. |
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Anthracosis
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aka black lung.
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Asbastosis Silicosis-
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inhaling sand like substances. Fiberglass.
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Siderosis-
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inhalation of iron particles
occupational disease. |
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Heavy metal poisoning
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lead poisoning, medical term is plumism
one of signs is dark blue discoloration in teeth and gums, dark blue line. |
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argyria
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silver poisoning,
ingested-ashy grey discoloration all over body. contact- will turn almost black |
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mercury
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greyish discoloration
*Anything that would result in dyes, medications, foods, ex: tattoos |
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calcification
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calcium deposited in body tissue, bone spurs (to much calcium being deposited), arteries,
TB-tubricals deposits calcium. |
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lithopedian
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stone baby
in or out the uterus fetus dies but doesnt come out and body calcifies it. |
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Necrosis
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another cellular change, death of cell in a living organism. Things that cause necrosis-any vascular side.
Damage of skin in spin chord. Any type of damage. |
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coagulation necrosis
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proteins consolidating and form a firm solid mass.
strokes and heart attacks |
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caseation necrosis
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tissue crumbling when it dies, TB.
they damage tissue around them. |
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liquefaction necrosis
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tissue liquifies, cysts, eboli.
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dry gangrene
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decreased artiero flow
black in appearance dry and shrivled feels leathery and cold decreased or no pulse line of demortation(draw a line right where it starts) |
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Gas gangrene
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clostidium perfrengens, extreme odor
touch hear cracking sound because of gas. Mostly gas is communicated. But wet is possible. |
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wet gangrene
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decreased venus return. Swollen in appearance,
purple and yellow is color moist and oozing more odor than dry defuse patern, no line of demortation. |
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Progressive tissue changes:
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>Aplasia.
>hypertrophy >contensifory >hyperplasia-plasia >metaplasia >Dysplasia > neoplasia |
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atrophy
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decrease size body part once normal size.
Classified physiological(expect it to occur) Decreased hormone levels age Examples: aging, thymus gland starting at puberty, mentral cycle the corpus leteum will ateophy and just disappear. pathologic: disuse, loss of intervation. Paraplegic, decreased oxygen or nutrition. |
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Hypoplasia
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can contract atophy with hypoplasia
was always small, never reached normal size. |
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Aplasia
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lack of development...another name for aplasia: agenesis.
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hypertrophy
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increase of the size of a body part due to increase of size of cells.
trophy refered to nutrion Physiologic-uterus when preggo breast during lactation: the cells increase in size. Pathologic: hypertation: heart enlarge. Cirrhosis: enlargement of the liver. |
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neoplasia
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growth of abnormal cells, tumor.
Associated with anaplasia: how tumors are graded in differentiation, you can see different structures in cells. can grade cancer by how badly differentiated cell. Treatment and prognosis. |
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Dysplasia
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cells of different size and differnet shape.
A woman has papsmeer. |
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metaplasia
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growth of normal body cells but in abnormal location:
in epathial with smokers you have squamous not 5 dollar word. |
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hyperplasia
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plasia- structure wasnt there, new cells.
Increase # of cells in structure due to increase size of single cells. Calis. Tumors. During mentral cycle, endometrium builds up new cells, physicological. |
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contensifory
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if one gets larger other to compensate.
usually occurs in paired organs, if you are paraplegic, upper body gets larger. |
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Inflammation: Signs and symptoms
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heat
pain redness swelling loss function |
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Adhesions
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fibrous band of scar tissue that binds together normally separate anatomical structures
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steps in inflammation
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congestion
exudation resolution |
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congestion
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brief vasoconstriction
visodilation increased permeability leukocytosis fever |
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exudation
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diapedesis
phagocytosis exudate formation antibody production fibriogen |
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types of exudation
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serous
fibrinous perulant hemorrhagic |
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resolution
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return to normal if all bacteria is destroyed.
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suppuration
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comes before resolution if pyogenic bacteria is present
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first leukocytes produced....associated with congestion
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neutaphils
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ulcer
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erosion
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Inflamation and repair
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usually a local reaction to any type of injury and Repair (occurs simultaneously)
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Characteristics of inflammation
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* Physical injury (splinters)
* Exposure (extreme heat or cold) * Chemical irritants (strong acids or alkali substances) * Bological irratants * Temperature extremes * Ends in –itis |
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Symptoms of Inflammation
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* Rubor - redness
* Calor - warmth * Tumor-swollen * Dolor-pain * Fuctio lasea- loss of function |
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1. Congestion and characteristics
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brief vaso constriction occurs (keeps it where it is) , followed vaso dilation (increased bloodflow to area to bring white blood cells
* Hyperemia * Leukocytosis- *Increased production of platelets – allows leukocytes to adhere *Fever is generalized |
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2. Exudation and characteristics
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* Diapedisis
* Swell+pain+loss of function * Increase produce of fibrin (blood clotting), basis 4 repair * Phagocytosis is occurring, lymphocytes start produce anti-bodies * Serous exudate >>Occurs in pneumonia, viruses * Fibrinous exudate >>Seen on outer surfaces of organs >>Can lead to adhesion – pulls structures together that shouldn’t be together * Perulant exudate * Hemmoroagic exudate * Pseudomenbranous exudate * Catarral exudate |
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3. Resolution
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(should be)
* A return to normal * Any damaged cell has to be autolyzed, and all bacteria destroyed |
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4. Suppuration
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happens if resolution doesn’t occur
* Formation of large amounts of pus |
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Lesions of inflammatory
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>Absess
>Fistula >Boils >Carbuncles >Ulcers >Granuloma |
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Tubercles
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walled off bacteria
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Gumma
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in syphilis, it destroys genital tissue
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Vesicle
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fluid inside ex) blister
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Pustule
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contains pus , pimples
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Phlegmon
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general inflam process- cellulitis -- inflam spread thru muscle+facia
**Can result gangrene |
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Repair and stages
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(occurs simultaneously)
* Regeneration * Primary union * Secondary * Replacement |
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Regeneration
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adjacent health tissue grows over area
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Primary union
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where edge of inflam are in close proximity to eachother .
lack of scar tissue |
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Secondary
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edges not close, scar tissue
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Replacement
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formation of scar tissue
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Catarral exudate
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consists of mucous, ex) a cold
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Pseudomenbranous exudate
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coagulated fiber, ex) diphtheria
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Hemmoroagic exudate
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consists of red blood cells ex) blood blister
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Perulant exudate
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consists mainly of pus (White blood cells, dead and living bacteria)
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Fibrinous exudate
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large amounts throid
outer surfaces of organs possible adhesion |
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Serous exudate
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consists of mainly fluid, very few cells
>>Occurs in pneumonia, viruses |
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Diapedisis
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Swell+pain+loss of function
Increase produce of fibrin (blood clotting), basis 4 repair taking products out of vascular system to the tissues |
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Iatrogenic
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condition that arrives from treatment
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Alopecia
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hair loss due to treatment (chemotherapy and radiation)
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