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84 Cards in this Set
- Front
- Back
Lesions
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Fundamental pathologic changes that can be exhibited
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Diathesis
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a condition that interferes with normal response to minor hazards of daily living
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Intrinsic Etiology
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genetic component of disease
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Extrinsic Etiology
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everything but the genetic component of the disease - bugs, physical injury, poisons, etc
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Forme Fruste
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mildest variant of a given disease
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Organic disease
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disease that has a clear anatomic and/or chemical lesion
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Functional disease
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disease with unknown specific lesion. Assumed to result from subtle NS abnormalities and/or mild mechanical problems
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Necrosis
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death of cells prior to the death of the entire organism and it's accompanying visible evidence.
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Hypoxia
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loss of ability to carry on sufficient aerobic oxidative respiration.
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Ischemia
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loss of arterial blood flow causing hypoxia. Something called ischemic hypoxia
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Hypoxemia
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too little O2 in the blood
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Hypoxic hypoxia
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too little O2 in the air as a result of a problem with oxygen intake
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Anemic hypoxia
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too little O2 circulating in the blood as a result of a hemoglobin problem
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Histotoxic hypoxia
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too little O2 available due to cytochrome failure
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Pyknosis
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shriveling and darkening of the nucleus that is attributed to very low pH
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Karyorrhexis
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fragmentation of the shriveled nucleus
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Karyolysis
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nucleus is no longer visible
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Autolysis
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when a dead cell is being self-digested by its own lysosomal enzymes
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Heterolysis
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when a dead cell is being digested by the body's living white cells
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Coagulation necrosis
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death of groups of cells (most often from loss of blood supply), with persistence of their shapes for at least a few days
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Efferocytosis
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removal of apoptotic bodies
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Contraction bands
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variant of coagulation necrosis in dying heart muscle where strips of hypereosinophilia is arranged perpendicular to the long axis of the fiber
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Liquefactive/Liquefaction necrosis
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result of hydrolysis. A process where dead cells are destroyed by lysosomal enzymes
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Enzymatic/Fat necrosis
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when pancreatic enzymes are released into the body tissues and non-discriminative digestion occurs
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Caseous necrosis
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"cheese-like" appearance. TB
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Dry gangrene
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mostly coagulation necrosis of the cells
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Wet gangrene
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mostly liquefactive necrosis
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Bacterial Gangrene
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(usually Clostridial - gas gangrene)
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Synergistic gangrene
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usually a surgical complication. Infection with staph and strep
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NOMA
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necrosis of the lower face and/or female genitalia in immunocompromised (usually from malnutrition)
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Fournier's Gangrene
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black sack disease
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Cavitation
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results from removal of necrotic material and forming a cavity
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Fibrinoid necrosis
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damage to the walls of the arteries that allows plasma proteins to seep into and precipitate within the media.
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Gummatous necrosis
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coagulation necrosis seen in granulomas of syphilis
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Aplasia
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complete failure of an organ to form
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Atreisa
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complete failure of the lumen, or a portion of the length of the lumen to form where it should in a hollow organ
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Stenosis
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a non-neoplastic (non-cancer) narrowing of a lumen
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Hypoplasia
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failure of an organ to grow to normal size along with the rest of the body. Usually due to a deficiency in the number of cells
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Hyperplasia
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an increase in the number of normal cells in a tissue or organ
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Metaplasia
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(adaptive) substitution of one type of adult or fully differentiated cells for another type
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Dysplasia
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"bad growth". An abnormal tissue development that is confined to an epithelium
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Anaplasia
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"funny-looking cells". Can be described as the "weird changes/appearance" in tissues due to dysplasia. Develops when dysplastic cells migrate outside of an epithelium
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Neoplasia
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when bizarre cells develop a way to grow their own blood supply.
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Heteroplasia
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when wrongly placed growth is considered small and trivial.
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Choristoma
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when the wrongly placed growth is large enough to "interest a surgeon"
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Hamartomas
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right components of an organ in the wrong arrangement
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Transudate
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abnormal accumulation of fluids that is characterized by protein-poor salt water squeezed through blood vessels by hydrostatic pressure
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Exudation
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abnormal accumulation of fluid characterized by protein-rich fluid that has leaked out of inflamed vessels
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Purulent
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pus filled
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Suppurate
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production of pus
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Empyema
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when pus fills an important body cavity
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Left shift
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aka "bands"; refers to presence of young neutorphils
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Gamma IFN
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signal secreted by T cells that activate macrophages by increasing their ability to kill any organisms they have devoured
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TGF-Beta
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aka activin; factor that deactivates macrophages
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C3a and C5a
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the ANAPHYLATOXINS incrase vascular permability
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C3b
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OPSONIN of complement system
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C5b-9
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membrane attack complex (MAC) perforin
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Bradykinin
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increases vascular permability, dilates blood vessels, contracts non-vascular smooth muscle, and causes pain (i.e., bee venom)
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Ulcer
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forms when necrosis has involved a body surface and a portion of it is sloughed. Requires that the necrosis affect the epithelium and some of the underlying CT
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Labile cells
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cells that are constantly replenishing their neighbors that have died or be shed (i.e. epithelium of skin)
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Catarrh
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exudates, or a heavy secretion from an inflamed mucous membrane
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Healing by primary intention
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a well-approximated surgical wound is ideal situation. Little necrosis and no infection
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Healing by secondary intention
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larger fibrin network (i.e. a scab). Always produces some deformity
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-tomy
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surgeon cuts something
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-ectomy
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surgeon cut something out
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-ostomy
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surgeon cut something to make a mouth.
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-plasty
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surgeon changed shape of an organ
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-pexy
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surgeon moved the organ to the right place
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-rraphy
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the surgeon sewed something up
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-desis
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surgeon made two things stick together
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Bacterial infection predominant inflammatory infiltrate
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neutrophil
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viral infection/autoimmune predominant inflammatory infiltrate
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lymphocyte
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spirochetal infection predominant inflammatory infiltrate
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plasma cell
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Cancer
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great acquired genetic disease, successively less gene control, growth > dying
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Incurred damaged
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multiple genetic injuries -> cells w/ failure of division control, failure of senescence (telometere shortening), failure of proper apoptosis
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Nowell's law
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tumors are overgrwoth of clones w/in clones of cells w/ cumulative genetic inuries - which confers growth advantages over its neighbors. Each successive mutation gives unfair growth advanatge to cell line
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Division control
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normal proto-oncogenes, if slightly altered form activated oncogenes which override normal instruction to limit division. Tumor suppressor genes normally tell cell when NOT to divide
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Benign
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few mutations of large effect so genome is stable
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malignant
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many mutations destabilize genome
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Altered growth properties
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unregulated proliferation, failure to mature, transplantability, immortality, loss of contact inhibition, less of serum/anchorage requirement, loss of density-dependent growth inhibition
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complete carcinogen
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substance that is both an initiator and promoter (tobacco smoke)
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Acanthosis Nigricans
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brown around neck and knuckles
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Clubbing of digits
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lung cancer
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Prostate Acid Phosphatase
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prostate cancer tumor marker for men
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