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84 Cards in this Set

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