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101 Cards in this Set

  • Front
  • Back
organs that have red infarct
- liver
- lungs
- intestine
things that promote neutrophils
"neutrophils love the feeling of CILK"
- C5a
- IL-8
- LTB4
- Kallikrein
mediate granuloma formation
IL-2 & IFNg
vitamins that are anti-oxidants
vit A, C, E
hypovolemic/cardiogenic shock characteristics
- LOW output failure
- ↑ TPR
- low CO
- cold, clammy
septic shock characteristics
- HIGH output failure
- ↓ TPR
- dilated arterioles, high mixed venous P
- hot
protein of primary amyloidosis
AL
(from Ig light chains; multiple myeloma)
protein of secondary amyloidosis
AA
(from SAA protein)
protein of senile cardiac amyloidosis
transthyretin
(from AF = old Fogies)
protein of DM 2 amyloid
amylin
(from AE = Endocrine)
protein of medullary carcinoma amyloid
A-CAL
(from CALcitonin)
protein of Alzheimer's amyloid
beta-amyloid
(from Amyloid Precursor Protein)
protein of dialysis-assoc amyloid
beta2-microglobulin
(from MHC I proteins)
define desmoplasia
fibrous tissue formation in response to neoplasm
tumor grade vs. stage
grade = histo
stage = TNM (usu more imp to px)
neoplasm a/w down's
ALL (& AML)
neoplasm a/w xeroderma pigmentosum & albinism
- melanoma
- basal cell CA
- esp SCC of skin
neoplasm a/w chronic atrophic gastritis
gastric adenoCA
neoplasm a/w pernicious anemia
gastric adenoCA
neoplasm a/w postsurgical gastric remnants
gastric adenoCA
neoplasm a/w tuberous sclerosis
(facial angiofibroma, seizures, MR, ash-leaf spots)
- astrocytoma
- angiomyolipoma
- cardiac rhabdomyoma (in 2/3rds)
neoplasms a/w actinic keratosis
SCC of skin
(tx w/5-FU)
neoplasm a/w Barrett's esophagus (chronic GI reflux)
esophageal adenocarcinoma
neoplasm a/w Plummer-Vinson syndrome
(atrophic glossitis, esoph webs, anemia; all d/t iron def)
SCC of esoph
neoplasm a/w cirrhosis (alcoholic, hep B/C)
hepatocellular carcinoma
(↑aFP)
neoplasm a/w ulcerative colitis
colonic adenoCA
neoplasm a/w Paget's dz of bone
- 2* osteosarcoma
- fibrosarcoma
neoplasm a/w immunodeficiency states
malignant lymphomas
neoplasm a/w AIDS
- aggressive malig lymphomas (non-Hodgkin's)
- Kaposi's sarcoma
neoplasm a/w autoimmune dzs (e.g., Hashimoto's thyroiditis, MG)
lymphoma
neoplasm a/w acanthosis nigricans (hyperpig & epidermal thickening)
visceral malignancy
(stomach, lung, breast, uterus)
(you see this in DM, but if >40 think about malig)
neoplasm a/w dysplastic nevus
malignant melanoma
neoplasm a/w radiation exposure
- sarcoma
- papillary thyroid cancer
neoplasm a/w achalasia
SCC of esoph
neoplasm a/w Sjogren's syndrome
B cell lymphoma
neoplasm a/w ataxia telangectasia
- lymphomas
- acute leukemias
CML oncogene
abl
Burkitt's lymphoma oncogene
c-myc
oncogene of follicular & undifferentiated lymphomas (inhibits apoptosis)
bcl-2
oncogene of breast, ovarian, & gastric carcinomas
erb-B2
oncogene of colon carcinoma
ras
oncogene of lung tumor
L-myc
(L for Lung)
oncogene of neuroblastoma
N-myc
(N for Neuroblastoma→ adrenal tumor→ has Homer Wright rosettes)
oncogene of MEN 2A & 2B
ret
oncogene of gastrointestinal stromal tumor (GIST)
c-kit
messed up Rb tumor suppressor
- retinoblastoma
- osteosarcoma
messed up BRCA1 tumor suppressor
- breast cancer
- ovarian cancer
messed up BRCA2 tumor suppressor
breast cancer
messed up p53 tumor suppressor
- most cancers
- Li-Fraumeni syndrome
messed up p16 tumor suppressor
melanoma
messed up APC tumor suppressor
colorectal cancer (a/w FAP)
messed up WT1 tumor suppressor
Wilms' tumor
messed up NF1 tumor suppressor
NF type 1
messed up NF2 tumor suppressor
NF type 2
messed up DPC tumor suppressor
pancreatic cancer
(DPC = "Deleted in Panc Cancer")
messed up DCC tumor suppressor
colon cancer
(DCC = "Deleted in Colon Cancer")
↑ PSA
- prostate CA (screening)
- can be ↑ in BPH & prostatitis
↑ prostatic acid phosphatase
prostate CA
↑ CEA
- carcinoembryonic antigen
- very NONSPECIFIC
- in ~70% of colorectal & panc cancers
- also w/ gastric & breast CA's
↑aFP
- normally made by fetus
- hepatocellular CA (hep B & C)
- nonseminomatous germ cell tumors of testis (YOLK SAC)
↑ b-hCG
("HCG")
- Hydatidiform moles
- Choriocarcinomas
- Gestational trophoblastic tumors
CA-125
- ovarian
- malignant epithelial tumors
(or any peritoneal irritation??)
S-100
- melanoma
- neural tumors
- astrocytomas
↑ alkaline phosphatase
- mets to bone
- obstructive biliary dz
- Paget's of bone (excess bony turnover)
Bombesin
- neuroblastoma
- lung cancer
- gastric cancer
TRAP
Tartrate-resistant acid phosphatase
→ in hairy cell leukemia (B-cell neoplasm)
("TRAP the HAIRY animal")
CA-19-9
pancreatic adenoCA
cancer a/w HTLV-1
adult T-cell leukemia/lymphoma
cancer a/w HBV/HCV
hepatocellular carcinoma
(& HCV a/w papillary???)
cancer a/w EBV
- Burkitt's lymphoma
- nasopharyngeal CA
- Hodgkin's (jenkins add)
(& oral hairy leukoplakia)
cancer a/w HPV
- cervical CA (16, 18)
- penile/anal CA
- VIN & vulvar cancer
cancer a/w HHV-8
- Keposi's sarcoma
- body cavity fluid B-cell lymphoma
organ affected by alfatoxins & cancer associated w/it
liver (hepatocellular CA)
organ affected by vinyl chloride & cancer associated w/it
liver (angiosarcoma)
organ affected by CCl4 & cancer a/w it
liver (centrilobular necrosis, fatty change)
organ affected by nitrosamines (smoked foods) & cancer a/w it
- esophagus
- stomach
(& colon?)
organ affected by cigarrette smoke & cancer a/w it
- larynx (SCC)
- lung (SCC & small cell CA)
- kidney (RCC)
- bladder (transitional cell CA)
organ affected by asbestos & cancer a/w it
Lung
- bronchogenic CA
- mesothelioma
organ affected by arsenic & cancer a/w it
- skin (SCC)
- liver (angiosarcoma)
organ affected by naphthalene (aniline) dyes & cancer a/w it
bladder (transitional cell CA)
organ affected by alkylating agents & cancer a/w it
blood (leukemia)
organ affected by radon & cancer a/w it
lung cancer
(coal miner w/lung cancer)
paraneoplastic effects of small cell lung CA
- ACTH secr → Cushing's syndrome
- ADH secr → SIADH (hyponatremia, ↓ osm)
- hyperuricemia d/t excess nucleic acid turnover (i.e. cytotoxic therapy)→ gout, urate nephropathy
paraneoplastic effects of SCC of lung
- PTH-related peptide
- TGF-beta
- TNF
- IL-1

causes → HYPERcalcemia
paraneoplastic effects of RCC
- PTH-related peptide
- TGF-beta
- TNF
- IL-1

causes → HYPERcalcemia
paraneoplastic effects of breast carcinoma
- secr PTH-related peptide, TGF-beta, TNF, IL-1→ HYPERcalcemia
- secr EPO→ polychthemia
paraneoplastic effects of hemangioblastoma
secr EPO → polycythemia
paraneoplastic effects of hepatocellular CA
secr EPO→ polycythemia
paraneoplastic effects of pheochromocytoma
secr EPO→ polycythemia

(secrs a bunch of catecholamines)
paraneoplastic effects of thymoma
secr antibodies against presyn Ca2+ chans @NMJ → Lambert-Eaton Syndrome
(musc wkness that improves w/use...vs MG)
paraneoplastic effects of leukemias & lymphomas
hyperuricemia d/t excess nucleic acid turnover (i.e. cytotoxic therapy)→ gout, urate nephropathy
cancers w/psammoma bodies
PSaMMoma:
- Papillary CA
- Serous cystadenoCA (ovary)
- Meningioma
- Mesothelioma

(laminated, concentric, calcific spherules→ "rings on a tree")
things that ↑ ESR
- infections
- inflammation
- cancer
- pregnancy
- SLE

(seds fall FASTER)
things that ↓ ESR
- sickle cell (altered shape)
- polycythemia (too many)
- CHF (unknown)

(seds fall SLOWER)
mets to liver
"Cancer Sometimes Penetrates Benign Liver"

Colon > Stomach > Panc > Breast > Lung
mets to bone
"P. T. Barnum Loves Kids"
- Prostate (MC) (prostate = blastic)
- Thyroid, Testes
- Breast (MC) (Breast = Both lytic & blastic)
- Lung (Lung = Lytic)
- Kidney

blastic breaks down
cancer incidence in males
1) prostate (32%)
2) lung (16%)
3) colon/rectum (12%)
cancer incidence in females
1) breast (32%)
2) lung (13%)
3) colon/rectum (13%)
cancer mortality in males
1) lung (33%)
2) prostate (13%)
3) colorectal
4) pancreatic cancer
cancer mortality in females
1) lung (23%)
2) breast (18%)
3) colorectal
4) uterine
5) ovarian
most common causes of death in US
1) heart disease
2) cancer
3) stroke
4) COPD