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20 Cards in this Set

  • Front
  • Back
what are the 6 intrinsic etiological factors of disease?
age, gender, complexion, genetics, congenital, and nutritional defects
what are the two subdivisions of extrinsic etiological factors? Give examples for each.
1. inanimate factors(physical trauma or extreme temperature)

2. animate factors(bacteria, fungi, viruses, and insects)
Duration(definition and examples)
the time period for which one has been exposes to an etiological factor(enough time spent out in the sun to develop melanomas)
Dose
(definition and example)
the quantity or how much of an etiological agent one is exposed to(the difference of the sun in january and the sun in july in reference to amount of UV)
Location(definition and example)
the area of the body which is affected by the etiological factor( tuberculosis is normally throughout the lymphatics, but is normally recognized in the lungs because they are most sensitive)
Extent
the amount of the body that is involved in the disease process brough upon by the etiological factor(localized infection of skin vs. a systemic infection overriding the entire body)
Quality
the virulence associated with the etiological agent(an attenuated virus or its antigenic determinant as a vaccine vs. a live unattenuated virus)
pathogenesis
the process or development of a disease from its inception to its termination
lesion
the effects of disease on an organism. that being any detrimental change to form, chemical activity or composition, or function of the cell. Can be biochemical, physiological, or morphological.
Latent Period
period from exposure to the etiological factor up to the occurrence of first symptoms
Prodromal period(Prodrome)
the appearance of the first signs of disease, often non-specific sign(head-aches, nausea)
Acute Phase(Manifest Illness)
period of disease where the signs, in there full intensity, characteristic of that disease entity, are clearly manifest.
Convalescence
stage of recovery and elimination of the etiological factor, or of resolution and healing. often associated with sequela and complications.
sequela
after effects of a disease process(scarring)
complications
other difficulties or illnesses that are secondary to, but are an indirect result of the original disease process(secondary infections in the case of immunocomprimised)
Reversible Consequences of Ischemia/Hypoxia
1. reduced ATP production
2. reliance on glycolysis(lowers pH)
3. reduced Na/K pump activity(accumulation of intracellular solutes and increased osmosis --> cell swelling)
4. reduced protein synthesis
Irreversible Consequences of Ischemia/Hypoxia
1. increased Ca uptake due to ATP depletion
2. decrease in membrane phospholipids
3. cytoskeletal damage due to Ca-dependent proteases(calpains and caspases)
4. generation of Oxygen radicals
5. production of lipid metabolites that have a detergent affect
6. loss of protective amino acids
What are the 4 initiators of free radical generation?
1. hydrolysis of H20 by ionizing radiation(UV) into OH and H
2. enzymatic biotransformation of exogenous chemicals or drugs
3. redox reactions of aerobic respiration generate O2 and H2O2
4. transition metals(fe and Cu)
What are the three effects of free radicals on the cell?
1. Lipid peroxidation of the membrane.
2. Oxidation of amino acid residues and formation of cross links, as well a protein fragmentation.
3. Induction of single strand break of DNA that involve thymine.
What are the body's defense mechanisms against free radicals?
1. antioxidants(vitamins A, E, & C and glutathione)
2. binding of reactive metals with transferrin, ferritin, lactoferrin, and ceruloplasmin.
3. scavenging enzymes(catalase, super-oxide dismutase(SOD), and glutathione peroxidase)