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44 Cards in this Set

  • Front
  • Back

Abrasion

Injury caused by rubbing or scraping that takes off superficial layer of skin

Angiogenesis

Process of forming new blood vessels. Occurs in granulation phase

Avulsion

Wound that results from tissue being torn away in large piece. Requires healing by secondary intention

Cellulitis

Inflammation or infection of the cells,in tissues characterized by redness, heat, and edema

Debridement

Removal of devitalized or dead tissue and foreign material from wound bed. Supports healing and reduced risk of infection.

Dehiscence

Splitting open of a surgical wound that was been sutured closed

Erythema

Redness of the skin. Caused by vasodilation related to inflammation, infection, or injury

Exudate

Fluid that comes from wounds. Can be clear (serous), sanguineus (bloody), or purulent (pus)

Granulation tissue

Forms in wound base which fills in wounds with scar tissue as healing with secondary intention. Red I r pink and has lumpy appearance like small grapes.

Ischemia

Deficiency of blood supply to an area

Laceration

A wound that is produced by the tearing or cutting of skin

Maceration

Softening and whitish look to the intact skin around wounds caused by excessive moisture.

Necrotic tissue

Dead tissue that looks black or brown and is hard or leathery in texture

Purulent

Containing or forming pus

3 forms of healing by intention

Primary intention


Secondary intention


Tertiary intention

Primary intention

Wound margins brought together by any means (sutures, staples, band aid etc.)


Incisions, cuts, and puncture wounds heal by primary intention

Secondary intention

Missing tissue requires margins to contract, and then fills in resulting in a large scar, cannot be sutured close.


Larger wounds that lost lots if tissue like getting a chunk bit out of you, or bed sores

Tertiary intention

Wound margin are intentionally left open to allow infection to drain out of wound, then brought together and closed with stitches after granulation tissue appears. Combo of primary and secondary. Example dog bites, wound dehiscence.

Benign cancerous growth

Well differentiated


Encapsulated - stays together


Expands and pushes on surrounding tissue


Slow growth rate


Hyper hormone secretion


Does not metastasize


Movable

Malignant cancerous growth

Poor differentiation


Breaks apart, sluffs off easily


Infiltrates into tissue


Rapid growth rate


Hypo hormone secretion


Eventually metastasize


Fixed, won't move

Differentiation

Tumors lose differentiation features over time. They look less and less like original cell and lose its abilities. As this happens they become more malignant and multiply faster.

Contact inhibition

Normal cells stop reproducing when they come in contact with other cells. Cancer cells don't stop

Cohesiveness

Normal cells stick together when they come in contact with eachother. Cancerous cells lack cohesiveness which makes them spread all over body

Anchorage independence

Normal cells are usually anchored to a membrane or matrix to grow cancer cells can move freely and grow

Faulty cell to cell communication

Normal cells recieve signals from chemical messengers to stop growth. Cancerous cells have impaired communication and don't get message to stop growing

Antigens

Cancer cells express antigens that are identified as foreign. Tumor antigens may be used as markers ro indicate presence or progressive growth of a cancer

Enzymes

Most cancers synthesize and secrete enzymes that break down proteins involved in insuring intracellular organization and cell to cell cohesion. This contributes to breakdown of intercellular mayrix

Benign tumors nomenclature

Named by adding -oma (lipoma, adenoma)


Malignant tumors of epithelial origin nomenclature


Add -carcinoma


Carcinoma is more common form effecting epithelial tissues, skin, and mucous membranes

Malignant tumors of mesenchymal origin nomenclature

-sarcoma


Less common cancer, spreads more rapidly, highly malignant, most responsive to radiation


Connective tissue tumors

Oncogenesis

Genetic mechanism where normal cells are transformed into cancer cells



Everyone has cancer causing genes



Genetic predisposition combined with environmental risk factors determines whether genes turn on.

Oncogene types

Proto oncogenes


Anti oncogenes


Cellular oncogenes


Viral oncogenes

Proto oncogenes

Disable normal apoptosis of cells which cause overproduction of cells

Oncogene

Mutated genre that now has potential tocause cancer.

Anti oncogenes

They damage tumor suppressing genes. Leads to under production of cancer preventing cells

Cellular oncogenes

Cancer characteristics that are coded in inherited genes

Viral oncogenes

Cancer characteristics integrated in the host. Transmitted by rna or dna

Oncogenic viruses

Human papilloma virus, peste in barr virus, hep b and c



Can mutate genes to oncogenes

Metastasis

Spread of cancer in body

Methods if metastasis

Direct extension


Seeding


Circulation

Metasti by direct extension

Tumor cells spread to tissues adjacent to the primary tumor by sending out projections or tentacles to surrounding tissues

Metastasis by seeding

Tumor cells slough off from primary tumor amd develop into more tumors

Metastasis by circulation

A secondary tumor develops in a site distant from the primary tumor

Breast and lung cancer spread to. ..

The brain, the spine