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92 Cards in this Set

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Wound dehicsents:
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.
Stenosis
occur in hollow structure, scar tissue.
Contractures:.
fixation of joint.
muscle fibers shorten w/burn victims.
joint will stay in contracted position
granulation tissue
New tissue that growing
example, pale and tender, high supply of blood present.
Different types tissue in body are going to have different rates.
___________________ tissue have the highest rate....paper cut dont scar because
Connective tissue, campilary tissue, endothelial
epathelial.
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.
Anytime we have disease they occur at ___________...Some mild, some cause death to cell.
cellular level
Adhesions. Keloid:
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.
cell damage: Hypoxia
low oxygen
Cell damage: anoxia
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).
Cell damage: Toxic injury-
poison, produced by living system. Not all poisons are toxins. Any chemical.
Cell damage :Microbes
damage and destroy cells.
Cell damage: Apoptosis
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.
Cell damage: Metabolic-
Diabetes: loss of vision, poor circulation, heart.
Cell damage: Genetic disorders:
Ksaks disease: cells distroyed in CNS. Genetic diseases.
Types of cell death:
Degeneration
cytoplasm of a cell is replaced by abnormal substances, shouldn't be there.
cloudy swelling Degeneration-
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.
Fatty degeneration
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.
Mucoid degeneration:
mucus build up in cell.
Edema.
See when tumors break down as well as cyst desolving.
Colloid degeneration:
Cytoplasm in cell becomes sticky and fluid like.
See in formation of cyst (thyroid).
Hyaline degeneration:
occur in connective tissue. Cytoplasm becomes brittle. Part of aging process-accounts for aging process.
See in Arteriosclerosis- cells are brittle.
Presbyopia:
Changes in vision when aging because cells in eye.
Presbycucis:
Hearing decreases because of changes in ear drum itself.
Amaloid degeneration-
build up of waxy starches in cells.
Ususally occur in vascular and lymphatic system.
Occurs in lupus: autoimmune disease to attack vessels, tissues.
Fatty are usually _________
reversable
Endogenous
Change in level of normal body pigments
1. Melanosis-tan, moles, freckles
2. Biliary pigmentation- bruise, jaundice
3. Depigmentation-Vitiligo, albinism
Any inflamatory process: Chemical mediators:
chemicals released in body:
histamine
prostaglandins
bradykinins: produce in first stage: Too much damages cells.
2nd cellular injury
Chloasma-
hormonally caused, if pregnant. Butterfly face, mask of pregnancy
Exaginous
externally caused rather than resulting from inside
Pneumoconeoses
affects lungs
inhilation foreign substance causes discoloration of lung.
Anthracosis
aka black lung.
Asbastosis Silicosis-
inhaling sand like substances. Fiberglass.
Siderosis-
inhalation of iron particles
occupational disease.
Heavy metal poisoning
lead poisoning, medical term is plumism
one of signs is dark blue discoloration in teeth and gums,
dark blue line.
argyria
silver poisoning,
ingested-ashy grey discoloration all over body.
contact- will turn almost black
mercury
greyish discoloration
*Anything that would result in dyes, medications, foods, ex: tattoos
calcification
calcium deposited in body tissue, bone spurs (to much calcium being deposited), arteries,
TB-tubricals deposits calcium.
lithopedian
stone baby
in or out the uterus
fetus dies but doesnt come out and body calcifies it.
Necrosis
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.
coagulation necrosis
proteins consolidating and form a firm solid mass.
strokes and heart attacks
caseation necrosis
tissue crumbling when it dies, TB.
they damage tissue around them.
liquefaction necrosis
tissue liquifies, cysts, eboli.
dry gangrene
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)
Gas gangrene
clostidium perfrengens, extreme odor
touch hear cracking sound because of gas.
Mostly gas is communicated. But wet is possible.
wet gangrene
decreased venus return. Swollen in appearance,
purple and yellow is color
moist and oozing
more odor than dry
defuse patern, no line of demortation.
Progressive tissue changes:
>Aplasia.
>hypertrophy
>contensifory
>hyperplasia-plasia
>metaplasia
>Dysplasia
> neoplasia
atrophy
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.
Hypoplasia
can contract atophy with hypoplasia

was always small, never reached normal size.
Aplasia
lack of development...another name for aplasia: agenesis.
hypertrophy
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.
neoplasia
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.
Dysplasia
cells of different size and differnet shape.
A woman has papsmeer.
metaplasia
growth of normal body cells but in abnormal location:
in epathial with smokers you have squamous not 5 dollar word.
hyperplasia
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.
contensifory
if one gets larger other to compensate.
usually occurs in paired organs, if you are paraplegic, upper body gets larger.
Inflammation: Signs and symptoms
heat
pain
redness
swelling
loss function
Adhesions
fibrous band of scar tissue that binds together normally separate anatomical structures
steps in inflammation
congestion
exudation
resolution
congestion
brief vasoconstriction
visodilation
increased permeability
leukocytosis
fever
exudation
diapedesis
phagocytosis
exudate formation
antibody production
fibriogen
types of exudation
serous
fibrinous
perulant
hemorrhagic
resolution
return to normal if all bacteria is destroyed.
suppuration
comes before resolution if pyogenic bacteria is present
first leukocytes produced....associated with congestion
neutaphils
ulcer
erosion
Inflamation and repair
usually a local reaction to any type of injury and Repair (occurs simultaneously)
Characteristics of inflammation
* Physical injury (splinters)
* Exposure (extreme heat or cold)
* Chemical irritants (strong acids or alkali substances)
* Bological irratants
* Temperature extremes
* Ends in –itis
Symptoms of Inflammation
* Rubor - redness
* Calor - warmth
* Tumor-swollen
* Dolor-pain
* Fuctio lasea- loss of function
1. Congestion and characteristics
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
2. Exudation and characteristics
* 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
3. Resolution
(should be)

* A return to normal

* Any damaged cell has to be autolyzed, and all bacteria destroyed
4. Suppuration
happens if resolution doesn’t occur

* Formation of large amounts of pus
Lesions of inflammatory
>Absess
>Fistula
>Boils
>Carbuncles
>Ulcers
>Granuloma
Tubercles
walled off bacteria
Gumma
in syphilis, it destroys genital tissue
Vesicle
fluid inside ex) blister
Pustule
contains pus , pimples
Phlegmon
general inflam process- cellulitis -- inflam spread thru muscle+facia

**Can result gangrene
Repair and stages
(occurs simultaneously)

* Regeneration
* Primary union
* Secondary
* Replacement
Regeneration
adjacent health tissue grows over area
Primary union
where edge of inflam are in close proximity to eachother .
lack of scar tissue
Secondary
edges not close, scar tissue
Replacement
formation of scar tissue
Catarral exudate
consists of mucous, ex) a cold
Pseudomenbranous exudate
coagulated fiber, ex) diphtheria
Hemmoroagic exudate
consists of red blood cells ex) blood blister
Perulant exudate
consists mainly of pus (White blood cells, dead and living bacteria)
Fibrinous exudate
large amounts throid

outer surfaces of organs

possible adhesion
Serous exudate
consists of mainly fluid, very few cells

>>Occurs in pneumonia, viruses
Diapedisis
Swell+pain+loss of function
Increase produce of fibrin (blood clotting), basis 4 repair
taking products out of vascular system to the tissues
Iatrogenic
condition that arrives from treatment
Alopecia
hair loss due to treatment (chemotherapy and radiation)