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45 Cards in this Set
- Front
- Back
gen pathology and classification of muscular dystrophies
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inherited,progressive muscle degeneration.1)MD's 2)myopathies
4 subgroups of myopathies inflamation,secondary,metabolic,congenital also neurogenic |
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mode of inheritance for duchennes
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x linked recessive,most common MD occurs in early childhood almost always male
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general path of inflammatory myopathies
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primary inflammation, necrosis
abnormal autoimmune response infiltrate composed of T cells and monocytes |
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polymyositis
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idiopathic, occasional pain,rash,dysphagia,ptosis proximal muscle weakness biopsy shows lymphocytic infiltration of muscle
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osteoporosis MBD
osteomalacia MBD |
decrease bone density loss of mineral components
ricketts,vitamin d def. defective bone mineralization |
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pagets disease of bone MBD
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excess bone reabsorption haphazard attempts at bone formation produce weak and woven bone
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hyperparathyroidism MBD
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PTH stimulates reabsorption of bone with release of calcium from bone into plasma
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events of nondisplaced fractures
cause of delays or abnormal healing |
Hematoma,perosteum,neutrophils,
external,internal callus,remodeling etc. delays blood supply,poor nutriton bad alignment of bone,infection,steroid therapy |
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pathological fracture
small trauma that causes break in abnormal bone predisposing causes |
PreDisCause osteoporosis,osteomalacia,tumor,
Pagets |
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five common carcinomas which frequently metastasize to bone
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PT barnum loves kids
prostate,breast,lungs(bronchus) thryroid,kidneys |
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compare osteosarcoma and chondrosarcoma
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osteo common around knee,malig to lungs
chondro common spine pelvis |
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4 major causes of inflamatory disease of joints and examples
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DACI Degenerative OA
Autoimmune RA Crystal Deposits gout Infective TB |
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pathological changes of osteoartritis
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most common joint disease
seen in large weight bearing joints cartilage destruction,bony overgrowth,lose cushion effect |
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pathologic changes of rheumatoid arth.
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multisystem disease affects fingers,wrists,knees,autoantibody
synovial inflammation and growth destruction |
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desc. extra articular manifestations of RA
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rheumatoid nodule, extensor of forearm,vasculitis,pleuropulmona
osteoporosis,spenomegaly etc. |
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cerebral herniation
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when swelling pushes one side of brain into other
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fungal infections of the brain
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• Cryptococcosis • Phycomycosis • Candidiasis
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parasitic infections of the brain
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•• Trypanosomiasis • Entamoeba histolytica Toxoplasma • Malaria • Echinococcus granulosus
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Describe the etiology, pathogenesis, and natural history of the following demyelinating diseases ms
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It is likely that the disease is the result of a genetic susceptibility, predisposing to mounting an inappropriate immune response to viral infections.
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Guillain-Barré Syndrome
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most common form of acute neuropathy immune-mediated demyelination of peripheral nerves, motor weakness, often leading to reparatory failure,
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etiology, pathogenesis, (ALS) (Lou Gehrig's Disease
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Motor neuron disease paralysis due to death of motor neurons in the motor cortex, brain stem and spinal cord
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etiology, pathogenesis Parkinson’s disease
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of neurons from the substantia nigra rigidity, slowness of voluntary movement loss of dopamine,
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etiology, pathogenesis Huntington’s disease
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autosomal dominant causing choreiform movements and dementia, with onset in middle life.
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Alzheimer’s disease
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most common cause of dementia (An organic mental disorder characterized by a general loss of intellectual abilities
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effects of chronic alcoholism on the nervous system.
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alcoholics show generalized cerebral cortical atrophy, which sometimes causes cognitive decline. confusion, ataxia, and abnormal eye movements with opthalmoplegia.
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Describe the main neural-tube defects of the spinal cord.
Spina Bifida Occulta |
abnormal development of bony arch of spinal column. Meninges and cord normal
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Meningocele
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abnormal development of bony arch of spinal cord, with cystic outpouching of meninges covered by skin, spinal cord may be normally or abnormally formed.
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Meningomyelocele
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abnormal development of bony arch of spinal cord, with cystic outpouching of meninges including nerve roots and incorporating abnormally developed spinal cord.
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Myelocele
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abnormal development of bony arch of spinal cord, with exposure of abnormally developed spinal cord
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Briefly describe the main features of neurofibromatosis 1 and neurofibromatosis 2.
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autosomal dominant disease Multiple benign tumors of peripheral nerves (neurofibromas).
— Pigmented skin lesion |
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Neurofibromatosis 2 (NF2)
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Developoment of bilateral benign tumors (schwannomas) of the eighth cranial nerve known as acoustic neuromas (alternative name of bilateral acoustic neurofibromatosis (BANF)).
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main types of tumors that are commonly seen in the CNS.
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• Metastases. • Meningeal. • Neuroepithelial.
• Non-neuroepithelial. |
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Anemia
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reduction in the mass of circulating red cells;
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Hematocrit
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proportion of the blood that consists of packed red blood cells
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MCV-
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mean cell volume, the average volume of a red blood cell.
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MCHC-
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mean cell hemoglobin concentration, which is the average concentration of hemoglobin in a given volume of blood.
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Microcytic
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Any anemia in which the average size of circulating erythrocytes is smaller than normal
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Macrocytic-
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abnormally large cell but, in practice, usually refers to an abnormally large red blood cell. Folic acid deficiency is one cause of macrocytic anemia. The opposite of macrocytic is microcytic
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Hypochromic-
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Containing a small amount of pigment,
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Megaloblastic-
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A large abnormal red blood cell appearing in the blood in pernicious anemia.
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reduced production of RBC
Anemias |
Deficiency of hematinics
• Iron deficiency • B12 and folate deficiency Dyserythropoiesis (production of defective cells) • Anemia of chronic disorders • Myelodysplasia (Abnormal or defective formation of the bone marrow cells) • Sideroblastic anemia (refractory anemia characterized by sideroblasts (erythroblast having granules of ferritin) in the bone marrow) Marrow infiltration Aplasia (failure of production of cells) • Aplastic anemia (form of anemia in which the capacity of the bone marrow to generate red blood cells is defective; this anemia may be caused by bone marrow disease or exposure to toxic agents, such as radiation, chemicals, or drugs. Also called pancytopenia) • Red-cell aplasia |
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increased destruction of RBCs
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Hemolytic anemia
• Red-cell abnormalities (membrane, enzymes, hemoglobinopathies) • Abnormal outside red cells (immune, microagiopathic, parasitic) Hypersplenism |
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major causes and clinical manifestations of anemia
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Iron deficiency is the most common cause of anemia
Folate deficiency and B12 deficiency |
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second most common form of anemia
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Anemia of chronic diseases
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Identify hereditary spherocytosis and glucose-6-phosphate dehydrogenase (G6PD) deficiency as examples of hemolytic anemias caused by intrinsic erythrocyte defects
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most common red-cell membrane defect causing hemolysis is hereditary spherocytosis Hemolytic anemia may also be caused by enzyme defects that render red cells susceptible to damage by oxidant stress. Glucose-6-
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