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300 Cards in this Set

  • Front
  • Back
The basic structural unit of all plants and animals. Amembrane enclosing a thick fluid and a nucleus.
Cell

Cells are specialized to carry out all of the bodys basic functions
Name one of the 3 elements of the cell
1.Cell Membrane
2.Cytoplasm
3.Organelles
The outer covering of a cell
Cell membrane
What is another name for a cell membrane?
Plasma membrane
Able to allow some but not all substances to pass through.
Semipermeable
The thick fluid or protoplasm that fills a cell
Cytoplasm
Structures that perform specific functions within a cell
Organelles
The organelle within a cell that contains the DNA, or genetic material
Nucleus
In the cells of higher organisms, the nucleus is surounded by what?
A membrane
Rough endoplasmic reticulum synthesis what?
Protiens
Smooth endoplasmic reticulum functions in the synthesis of what?
Lipids
Sometimes called the powerhouses of the cells?
Mitochondria
A high energy compound present in all cells especially muscle cells; when split by enzyme action it yields energy.
Adenosine triphosphate
(ATP)
A structure of protien filaments that supports the internal structure of the cell
Cytoskeleton
Granular structures that manufacture protiens
Ribosomes
Play a role in transferring and storing secretions from the rough endoplasmic reticulum and Golgi complex
Vesicles
Moves fluid across cell surfaces
Cilia
Moves cells through the surrounding extracellular fluid
Flagella
Name 1 of the 5 structural Hierarchy's of the body. Try to name all 5.
1.Cells
2.Tissues
3.Organs
4.Organ systems
5.Organism
Name 1 of the 7 major functions of cells. Try to name all 7.
1.Movement
2.Conductivity
3.Metabolic absorption
4.Secretion
5.Excretion
6.Respiration
7.Reproduction
A group of cells that perform a similar function.
Tissue
Name 1 of the 4 basic types of tissue. Try to name all 4
1.Epithelial tissue
2.Muscle tissue
3.Connective tissue
4.Nerve tissue
The protective tissue that lines internal and external body tissues.
Epithelial tissue
What is 1 example of epithelial tissue?
1.Skin
2.mucous memberane
3.Lining of the intestinal tract
Above is not a complete list
Tissue that is capable of contraction when stimulated
Muscle tissue
What are the 3 types of muscle tissue?
1.Cardiac
2.Skeltal
3.Smooth
What type of muscle is under involuntary or unconscious control?
Smooth
The most abundant body tissue; It provides support, connection, and insulation
Connective tissue
What is an example of connective tissue?
1.Bone
2.Cartilage
3.Fat
4.Blood
This is not a complete list
Tissue that transmits electrical implulses throughout the body
Nerve tissue
A group of tissues functioning together
Organ
What is an example of an organ?
1.Heart
2.Liver
3.Brian
4.Ovary
5.Eye
This is not a complete list
A group of organs that work together
Organ system
Give 1 example of an organ system
Examples could include: the cardiovascular system (formed of the heart, blood vessels, and blood) or the gastrointestinal system (comprising of the mouth, salivary glands, esophagus, stomach, intestines, liver, pancreas, gallbladder, rectum, and anus) See page 177 for further
Name 1 of the 10 organ systems
1.Cardiovascular
2.Respitory
3.Gastrointestinal
4.Genitourinary
5.Reproductive
6.Nervous
7.Endocrine
8.Lymphatic
9.Muscular
10.Skeletal
The sum of all the cells, tissues, organs, and organ systems of a living being
Organism

Examples: the human organism, a bacterial organism
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The failure of any component of an organism from the cellular level to the organ system level can result in a serious medical emergency
The natural tendency of the body to maintain a steady and normal internal environment
Homeostasis
The structure of an organism; Body structure
Anatomy
The functions of an organism; The physical and chemical process of a living thing
Physiology
The total changes that take place during physiological process
Metabolism
A type of gland that secretes hormones directly into the circulatory system where they travel to the target organ or tissue.
Endocrine glands
A type of gland that secretes substances such as sweat and saliva ect onto the epithelial surfaces of the body via ducts
Exocrine glands
Effect of a disease throughout the body is?
Systemic
Effect of a disease at the site of the illness or injury is?
Local
In the world of receptors this type of receptor responds to chemical stimuli?
Chemoreceptors
In the world of receptors this type of receptor ressponds to pressure changes?
Baroreceptors
Body mechanism that works to reverse, or compensate for, a pthophysiological process (or to reverse any physiological process whether pathological or nonpathological)
Negative feedback loop
The study of disease and it causes
Pathology
The physiology of disordered function
Pathophysiology
What does the prefix "Patho" mean
Disease
The study of how diseases alter or result from an alteration in the normal physiological processes of the human body
Pathophysiology
Name 1 of the 5 types of cellular adapttions
1.Atrophy
2.Hypertrophy
3.Hyperplasia
4.Metaplasia
5.Dysplasia
A decrease in cell size resulting from a decreased workload
Atrophy
An increase in cell size resulting from an increased workload
Hypertrophy
Enlargement. In reference to the heart, an abnormal enlargement resulting from pathology
Dilation
An increase in the number of cells resulting from an increased workload.
Hyperplasia
Cell division with division of the nucleus
Mitosis

each daughter cell contains the same number of chromosomes as the mother cell.
Replacement of one type of cell by another type of cell that is not normal for that tissue
Metaplasia
A change in cell size, shape, or appearance caused by an external stressor
Dysplasia
Name 1 of the 7 forms of cellular injury
1.Hypoxia
2.Chemicals
3.Infectious agents
4.Inflmmatory reactions
5.Physical agents
6.Nutritional factors
7.Genetic factors
Oxygen dficiency
Hypoxia
A blockage in the delivery of oxygenated blood to the cells
Ischemia
A microorganism capable of producing infection or disease
Pathogen
The constructive phase of metabolism in which cells break down complex substances into simpler substances with release of energy
Anabolism
The destructive phase of metabloism in which cells break down complex substances into simpler substances with release of energy
Catabolism
Swelling of a cell caused by injury to or change in permeability of the cell memberane with resulting inability to maintain stable intra-and extracellular fluid and electrolyte levels
Cellular swelling
A result of cellular injury and swelling in which lipids (fat vesicles) invade the area of injury; occurs most commonly in the liver
Fatty change
response in which an injured cell releases enzymes that engulf and destroy itself; one way the body rids itself of damaged and dead cells.
Apoptosis
Cell death; a pathological cell change.
Necrosis
Name 1 of the 4 types of necrotic cell change.
1.coagulative
2.liquefactive
3.Caseous
4.Fatty
In this type of necrosis the transparent viscous albumin of the cell becomes firm and opaque
Coagulative necrosis
In this type of necrosis the cells become liquid and contained in walled cysts. This is common in the ischemic death of neurons and brain cells.
Liquefactive necrosis
In this type of necrosis incompletely digested cells take on a cottage cheese like consistancy. Common in tubercular lung infection
Caseous necrosis
In this type of necrosis fatty acids combine with calcium, sodium, and magnesium ions to create soaps (a process called soaponification) The dead tissue is opaque and white
Fatty necrosis
Tissue death over a wide area
Gangrenous necrosis
coagulative necrosis that turns affects the skin turning it dry, shrunken, and black
Dry gangrene
Liquefactive necrosis that usually affects internal organs
Wet gangrene
This is the result of a bacterial infection of injured tissue, generating gas bubbles in the cells.
Gas gangrene
The total amount of water in the body at any given time
Total body water
(TBW)
The fluid inside the body cells
Intracellular fluid (ICF)
The fluid outiside the body cells.
Extracellular fluid (ECF)

Extracellular fluid is comprised of intravascular fluid and interstitial fluid
The fluid within the circulatory system; blood plasma
Intravascular fluid
The fluid in body tissues that is outside the cells and outside the vascular system
Interstitial fluid
A substance that dissolves other substances, forming a solution
Solvent
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Water is the universal solvent. Water is crucial to virtually all the body's biochemical processes
Normal tension in a cell the resistance of the skin to deformation.
Turgor
The presence or retention of an abnormally high amount of body fluid
Overhydration
A substance that in water, separates into electrically charged particles
Electrolyte
Separate; break down.
Dissociate
A charged particle; an atom or group of atoms whose electrical charge has changed from neutral to positive or negative by losing or gaining one or more electrons
Ion
An ion with a positive charge
Cation

so called becuase it will be attracted to a cathode, or negative pole
An ion with a negitive charge
Anion

so called becuase it will be attracted to an anode or positive pole
A substance that tends to preserve or restore a normal acid base balance by increasing or decreasing the concentration of hydrogen ions
Buffer
Equal in concentation of solute molecules
Isotonic
having a greater concentration of solute molecules
Hypertonic
having a lesser concentration of solute molecules
Hypotonic
The difference in concentration between solutions on opposite sides of a semipermeable membrane
Osmotic gradient
The movement of molecules through a membrane from an area of greater concentration to an area of lesser concentration
Diffusion
The passage of a solvent such as water through a membrane
Osmosis
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Osmosis is the movement of water from an area of higher
WATER concentration to an area of lesser WATER concentration: Because water is a solvent, it moves from an area of lower SOLUTE to an area of higher SOLUTE concentration....WATER FOLLOWS SALT!!
Movement of a substance through a cell memberane against the osmotic gradient:from an area of lesser concentration to an area of greater concentration, opposite to the normal direction of diffusion
Active transport

Opposite of the osmotic gradient (that is toward the side that already has more of the substance)
Diffusion of a substance such as glucose through a cell membrane that requires the assistance of a "helper" or carrier protien
Facilitated diffusion
The concentration of solute per kilogram of water.
Osmolality

See also Osmolarity on page 195 (refrenced in one of the upcoming flashcards)
The concentration of solute per liter of water
Osmolarity

See also Osmolality on page 195 (often used synonymously with osmolality)
The presure exerted by the concentration of solutes on one side of a memberane that if hepertonic tends to "pull" water from the other side of the membrane
Osmotic pressure
A form of osmotic presure excerted by the large protein particles, or colloids, present in blood plasma.
Oncotic Force

In the capillaries, the plasma colloids tend to pull water from the interstitial spce across the capillary membrane into the capillary.
Oncotic force is sometimes refered to as what?
Colloid osmotic pressure
Blood presure or force against vessel walls created by the heartbeat.
Hydrostatic pressure

Hydrostatic pressure tends to force water out of the capillaries into the interstitial space
Movement of water out of the plasma across the capillary membrane into the interstitial space
Filtration
The total loss of water from blood plasma across the capillary membrane into the interstitial space.
Net filtration

Normally, hydrostatic pressure forcing water out of the capillary for a net filtration of zero.
Excess fluid in the interstitial space
Edema
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Edema is not only a sign of underlying disease. Edema itself causes problems. Edema of the brain, lung, heart, or larynx may be life threatiening
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Little can be done to treat edema in the prehospital setting except elevation of edematous limbs.
Click here for a content review
Blood Components

1.Liquid portion (plasma)
2.Formed elements (blood
The liquid part of the blood
Plasma
Red blood cells, which contain hemoglobin, which transports oxygen to the cells
Erythrocytes
White blood cells, which play a key role in the immune system and inflammatory
leukocytes
Platelets, which are important in blood clotting
Thrombocytes
An iron-based compound that binds with oxygen and transports it to the cells
Hemoglobin
The percentage of the blood occupied by erythrocytes
Hematocrit
Intravenous fluids that have the capability to transport oxygen and are compatible with all blood types
Hemoglobin Based Oxygen-Carrying Solutions (HBOC's)
Substances, such as proteins or starches, consisting of large molecules or molecule aggregates that disperse everly within a liquid without forming a true solution.
Colloids
A protein commonly present in plant and animal tissues. In the blood, albumin works to maintain the blood volume and blood pressure, which prevents plasma less from the capillaries
Albumin
Substances capable of crystallization. In solution, unlike colloids, they can diffuse through a membrane, such as a capillary wall
Crystalloids
Solute concentration or osmotic pressure relative to the blood plasma or body cells
Tonicity
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The three most commonly used fluids in prehospital care are lactated ringers, normal sline, and D5W
Abbreviation for potential of hydrogen.
PH
A measure of relative acidity or alkalinity
PH
What is a normal PH range
7.35 to 7.45
Anything below 7.35 ph is considered
Acidic
Anything above 7.45 ph is considered
Alkaline
A high concentration of Hydrogen isons;A ph below 7.35
Acidosis
A low concentration of hydrogen ions; a ph above 7.45
Alkalosis
Name 1 of the three methods of Hydrogen Ion removal
1.Bicarbonate buffer system
2.Respiration
3.kidney function
Anything with a ph between 7.35 to 7.45 is considered
Neutral
What is 1 of the 4 Acid base derangements
1.Respiratory acidosis
2.Respiratory alkalosis
3.Metabolic acidosis
4.Metabolic alkalosis
Acidity caused by abnormal retention of carbon dioxide resulting from impaired ventilation
Respiratory Acidosis
Alkalinity caused by excessive elimination of carbon dioxide resulting from increased respirations
Respiratory Alkalosis
Acidity caused by an increase in acid, often because of increased production of acids during metabolism or from causes such as vomiting, diarrhea, diabetes, or medication
Metabolic Acidosis
Alkalinity caused by an increase in plasma bicarbonate resulting from causes including diuresis, vomiting, or ingestion of too much sodium bicarbonate
Metabolic Alkolosis
An agent that increases urine secretion and elimination of body water
Diuretic
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Every human cell contains 46 chromosomes
23 chromosomes from the mother and 23 chromosomes from the father results in the total of 46 chromosomes
Causative Analysis of Disease (Clinical factors) are
1.Host
2.Agent
3.Environment

see page 208 for more info
Causative Analysis of Disease
(Epidemiological factors) are
1.Incidence
2.Prevalence
3.Mortality

see page 208 for more info
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Many disease processes have a genetic cause
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All body cells require a constant supply of oxygen and other nutrients
The supplying of oxygen and nutrients to the body tissues as a result of the constant passage of blood through the capillaries
Perfusion
Inadequate perfusion of the body tissues, resulting in an inadequate supply of oxygen and nutrients to the body tissues
Hypoperfusion

Also refered to as "shock"
Another term for hypoperfusion
Shock
The amount of blood ejected by the heart in one contraction
Stroke volume
The amount of blood delivered to the heart during diastole (when the heart fills with blood between contractions)
Preload

In cardiac physiology, defined as the tension of cardiac muscle fiber at the end of diastole.
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The venous system is a capacitance or storage system
The strength of a contraction of the heart
Cardiac contractile force
Epinephrine and norepinephrine, hormones that strongly affect the nervous and cardiovascular systems, metabolic rate, temperature, and smooth muscle
Catecholamines

Page 214
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Catecholamines enhance cardiac contractile strength by action on the beta-adrenergic receptors on the surface of the cells
The resistance a contraction of the heart must overcome in order to eject blood
Afterload

In cardiac physiology defined as the tension of cardiac muscle during systole (contraction)
The amount of blood pumped by the heart in 1 minute
Cardiac output

(computed as stroke volume x heart rate)
The resistance of the vessels to the flow of blood increased when the vessels constrict, decreased when the vessels relax
Peripheral vascular resistance
Three components of the circulatory system are:
1.the pump (heart)
2.the fluid (blood)
3.the container (blood vessels)
Peptide hormones synthesized by the heart, brain, and other organs with effects that include excretion of large amounts of sodium in the urine and dilation of the blood vessels.
Natriuretic peptides (NPs)
What are the two major functions of perfusion
1.Oxygen transport
2.Waste removal
What does PCo2 stand for
Partial pressure of oxygen
The following is a set of conditions known as what?
1.Adequate concentration of inspired oxygen
2.Appropriate movement of oxygen across the alveolar/capillary membrane into the arterial bloodstream
3.Adequate number of red blood cells to carry the oxygen
4.Proper tissue perfusion
5.Efficient off loading of oxygen at the tissue level
The Flick principle

see page 218
Review the content review on Physiological classifications of shcok
Click here to continue
The second stage of metabloism, requiring the presence of oxygen, in which the breakdown of glucose (in a process called the Krebs or citric acid cycle) yeilds a high amount of energy
Aerobic metabolism

Aerobic means with oxygen
The first stage of metabloism, which does not require oxygen, in which the breakdown of glucose (in a process called glycolsis) produces pyruvic acid and yields very little energy
Anaerobic metabloism

Anaerobic means without oxygen
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Cellular death will ultimately lead to tissue death, death to organ failure and organ failure to death of the individual
The three stages of shock are
1.Compensated
2.Decompensated (progressive)
3.Irreversible
Early stage of shock during which the body's compensatory mechanisms are able to maintain normal perfusion
Compensated shock
Advanced stages of shock when the body's compensatory mechanisms are no longer able to maintain normal perfusion
Decompensated shock

Also called "Progressive shock"
Shock that has progressed so far that no medical intervention can reverse the condition and death is inevitable
Irreversible shock
What is one type of Shock?
1.Cardiogenic
2.Hpovolemic
3.Neurogenic
4.Anaphylactic
5.Septic
shock caused by insufficient cardiac output; the inability of the heart to pump enough blood to perfuse all parts of the body.
cardiogenic shock
shock caused by a loss of intravascular fluid volume.
hypovolemic shock
greatly increased urination and dehydration due to high levels of glucose that cannot be reabsorbed into the blood from the kidney tubules, causing a loss of water into the urine.
osmotic diuresis
shock resulting from brain or spinal cord injury that causes an interruption of nerve impulses to the arteries with loss of arterial tone, diliation, and relative hypovolemia.
neurogenic shock
a life-threatening allergic reaction.
anaphylaxis also called anaphylatic shock
sock that develops as a result of infection carried by the bloodstream, eventually causing dysfunction of multiple organ systems.
septic shock
progressive impairment of two or more organ systems resulting from an uncontrolled inflamatory response to a severe illness or injury.
multiple organ dysfunction syndrome (MODS)
State the Progression to MODS
Infection
Sepsis
Septic Shock
MODS
Death (if not corrected early)
Name the five infectious agents
1. Bacteria
2. viruses
3. Fungi
4. Parasites
5. Prions
single cell organisms with a cell membrane and cytoplasm but no organized nucleus. They bind the cells of a host organism to obtain food and support.
bacteria (singular bacterium)
substances that destroy or inhibit microorganisms, tiny living bodies invisible to the naked eye.
antibiotics
antibiotic means "destructive to life"
toxic (poisonous) substances secreted by bacterial cells during their growth.
exotoxins
molecules in the walls of certain Gram-negative bacteria that are releaased when the bactrium dies or is destroyed, causing toxic (poisonous) effects on the host body.
endotoxins
the systemic spread of toxins through the bloodstream.
septicemia
also called sepsis.
an organism much smaller than a bactrium, visible only under an electron microscope.
Virus

Virsuses invade adn live inside the cells of organism they infect.
Anatomic barriers.
Inflammatory response
Immune response
Three Lines of Defense
a marker on the surface of a cell that idenifies it as "self: or "non-self."
antigen
a substance produced by B lymphocytes in response to he presence of a foreign antigen that will combine with and control or destroy the antigen, thus preventing infection.
antibody
the body's reactions that inactivate or eliminate foreign antigens.
Immune response
a long-term condition of protection from infection or disease.
Immunity
Name one of the three Immune Classifications.
Natural vs. Acquired
Primary vs. Secondary
Humoral vs. Cell Mediated
protectionfrom infection or disease that is (1) developed by the body after exposure to an antigen ( active acquired immunity) or (2) transferred to the person from an outside force such as from the lother through the placenta or as a serum ( passive acquired immunity).
acquired immunity
antibodies; protiens, produced in response to foreign antigens, that destroy or control the antigens,
immunoglobulins
the initial develpopment of antibodies i response to the first exposure to an antigen in which the immune system becomes "primed" to produce a faster, stronger response to any future exposures,
primary immune response
the swift, strong response of the immune system to repeated exposures to an antigen.
secondary immune response
a type of leukocyte, or white blood cell, that attacks foreign substances as part of the body's immune response.
lymphocyte
the type of white blood cells that , in response to the presence of an antigen, produce antibodies that attack the antien, develop a memory for the antigen, and confer long-term immunity to the antigen.
B lymphocytes
the long term immunity to an antigen provided by antibodies produced by B lymphocytes.
humoral immunity
the type of white blood cel that does not prouce antibodies but, instead, attacks antigens directly.
T lymphocytes
the short term immunity to an antigenprovided by T lymphocytes, which directly attak the antigen but do not produce antibodies or memory for the antigen.
cell-mediated immunity
antigens taht are able to trigger and immune response.
immunogens
molecules that do not trigger an immune response on their own but can become immunogenic when combined with larger molecules
Haptens

Page 242
Antigens the body recognizes as self or non-self; present on all body cells except the red blood cells
HLA antigens

Page 243
A group of genes on chromosome 6 that provide the genetic code for HLA antigens
Major histocompatibility complex (MHC)
A group of antigens discovered on the red blood cells of rheus monkeys that is also present to some extent in humans
Rh blood group
An antigen in the rh blood group that is also known as antigen D.
Rh factor
What percentage of north americans have the rh factor
85 percent
What percentage of north americans do not have the rh factor
15 percent
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Rh positive and rh negitive blood are incompatible and a severe immune response can occur; this can also occur through a transfusion or childbirth mother to infant
Four blood groups formed by the presence or absence of two antigens known as A and B.
ABO Blood groups
What type of blood qualifies as a universal donor?
Type O

This type has no antigens to trigger an immune response
Known as universal recipients this blood type have both type of antigens and will not produce antibodies in response to any other blood group
Type AB blood
Undifferentiated cells in the bone marrow from which all blood cells, including thrombocytes, erythrocytes, and various types of leukocytes, develop
Stem cells

Stem cells are also called hemocytoblasts
The development by B lymphocyte precursors in the bone marrow, of receptors for every possible type of antigen
Clonal selection
Cells produced by mature B lymphoctes that "remember" the activating antigen and will trigger a stronger and swifter immune response if reexposure to the antigen occurs
Memory cells
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Antibodies are secreted by plasma cells in response to antigenic stimulation

Page 245
The substance formed when an antibody combines with an antigen to deactivaate or destroy it
Antigen-antibody complex

Also called immune complex
What is 1 of the 4 functions of antibodies?
1.Neutralization of Bacterial toxins
2.Neutralization of viruses
3.Opsonization of bacteria
4.Activation of inflamatory processes

Page 247
Name 1 of the 5 classes of Immunoglobulins
1.IgM-produced 1st
2.IgG-has memory
3.IgA-Involved in secretory immune responses
4.IgE-Involved in allergic reactions
5.IgD-low concentrations

Page 248
Name 1 of the Human Antibody classifications
1.Isotypic ( same with same speicies)
2. Allotypic (differ between members of same species)
3.Idiopathic (differ within same individual)
an antibody that is very pure and specific to a single antigen.
monoclonal antibody
lymphoid tissues beneath the mucosal endothelium that secrete substances such as swet, tears,saiva, mucus aand breast milk; also called the external immune system or the mucosal immune system.
secretory immune system
Name one of the five types of Mature T cells
1. Memory cells
2. Td cells-delayed hypersensivity
3. Tc cells- cytotoxic
4. Th cells-helpers
5. Ts cells-supressors
an alergic response taht takes place after the elapse of some time following reexposure to an antigen.
delayed hypersensitivity
toxic, or poisoous, to cells
cytotoxic
proteins, produced by white blood cells, that regulate immune responses by binding with and affecting the function of the cells that produced them or of other, nearby cells.
cytokines
a cytokine released by a macrophage.
monokine
a cytokine released by a lymhocyte.
lymphocyte
the recognition, ingestion, and breakdown of a foreign antigen, culminating in production of an antibody to the antigen or in a direct cytotoxic response to the antigen,
antigen processing
a cytokine by a macrophage.
monokine
a cytokine released by a lymphocyte.
lymphokine
the reognition, ingestion, and breakdown of a foreign antigen, culminating in production of an antibody to the antigen or in a dirrect cytotoxic response to the antigen.
antigen processing
cells, such as macrophages, that present (express onto their surfaces) portions of the antigens they have digested.
antigen-presenting ells (APCs)
a molecule on the surface of a helper T cell that respondds to a specific antigen. There is a specific TCR for every antigen to which the human bidy may be exposed;
T cell receptor (TCR)
the body's response to cellular injury; also called the inflamatory response. In contrast to the immune response,inflammation develops swiftly, is nonspecific ( attacks all unwanted substances in the same way), and is temporary, leading to healing.
inflammation
Name one of the four functions of Inflamation
1.Destroy and remove unwanted substances.
2.Wall off the infected and inflamed area.
3. Stimulate the immune response.
4. Promote healing.
large cells, resembling bags of granules, that reside near blood vessels. When stimulated by injury, chemicals, or allergic responses, they activate the inflammatory response by degranulation ( emptying their granules into the extracellular environment) and synthesis (construction of leukotrienes and prostaglandins).
mast cells
Name one of the two Mast cell functions
1. Degranulation
2. Synthesis
the emptying of granules from the interior of a amst cell into the extracellular environment.
degranulation
a substance released during the degranulation of mast cells and also released by basophils that, throughconstriction and dialation of blood vessels, increases blood flow to the injury site adn also increases the permeability of vessel walls.
histamine
a substance released by platelets that through constriction and dialation of blood vessels, affects blood flow to an injured or affected site.
serotonin
chemicals that attract white cells to the site of Inflammation, a process called chemotaxis.
chemotactic factors
also called slow-reacting substances of anphaylaxis (SRS-A); substances synthesized by mast cells during inflammatory response that cause vasodilation, vascular permeability and chemotaxis.
lekotrienes
substances synthesized by mast cells during inflammatory response that cause vasodilation, vascular permeability, and chemnotaxis and alo cuse pain.
prostaglandins
complex sequences of acions triggered by proteins present in the blood. For ea=xample, immunoglobulins (antibodies) are plasma proteins, Three plasma protein systems involved in inflammation are the complement system, the coagulation system, and the kinin system.
plasma protein systems
Name two parts o the Plasma Protein Systems
1. In immune response:
immimunoglobulins
2. In inflammatory response:
Complement system
Cooagulation system
Kinin system
A series of actions triggered by a first action and culminating in a final action
Cascade

Typical of th eactions caused by plasma proteins involved in the complement, coagulation, and kinn systems.
A group of plasma proteins that are dormant in the blood until activated, as by antigen-antibody complex formation, by products released by bacteria, or by components of other plasma protein systems.
Complement system

When activated, the complement system is involved in most of the events of inflamatory response

Page 258
A plasma protien system, also called the clotting system, that results in formation of a protien called fibrin. Fibrin forms a network that walls off an infection and forms a clot that stops bleeding and serves as a foundatiion for repair and healing of a wound
Coagulation system

Page 258
A plasma protein system that produces bradykinin, a substance that works with prostaglandins to cause pain. It also has actions similar to those of histamine (vasodilation, and bronchospasm, increased permeability of the blood vessels, and chemotaxis) but acts more slowly than histamine, thus being more important during later stages of inflamation.
Kinin system

Page 260
Substances that penetrate vessel walls to move into the surrounding tissues
Exudate
Name the 3 events involved in the sequence of events in Inflamation
1.Vascular response
2.Incressed permability
3.Exudation of white cells

Page 261
Adherence of white cells to vessel walls in the early stages of inflamation
Margination

Page 261
Movement of white cells out of blood vessels through gaps in the vessel walls that are created when inflammatory processes cause the vessel walls to constrict
Diapedesis
White cells with multiple nuclei that have the appearance of a bag of granules
Granulocytes

Also called polymorphonuclear cells. Some types of Granulocytes are Neutrophils, eosinophils, and basophils.
White cells with a single nucleus; the largest normal blood cells.
Monocytes

During inflamation monocytes mature and grow to several times thier origional size becoming macrophages

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cells that have the ability to ingest other cells and substances, such as bacteria and cell debris. All granulocytes and momcytes are phagocytes.
phagocytes
granular white blood cells) the moat numerous of the white blood cell) that are readily attracted to the site of inflammation where they quickly attack and phagocyose bacteria and other undesirable subtances.
neutrophils
large white blood cells (matured monocytes) that will ingest and destroy or partially destry invading organisms.
macrophages
granular white blood cells that attack parasites and also help to control and limit the inflammatory response.
eosinophils
granular white blood cells that, similaryly to mast cells, release histamine and other chemicals that control constriction and dilatipn of blood vessels during inflammation.
basophils
fragments of cytoplasm that circulate in the blood and work with components of the coagulation system to promote blood clotting. Platelets also release serotonin, a vascoconstrictive substance,
platelets
cells that secrete collagen, a critical factor in wound healing.
fibroblasts
a liquid mixture of dead blood cells, bits of dead tissu, and tissue fluid that may accumulate in inflamed tissues.
pus
a tumor or growth that forms when foreign bodies that cannot be destroyed by macrophages are surrounded and walled off.
granuloma
Name one outcome of healing.
1. Resolution-complete restoration of normal structure.
2. Repair- scar formation
The complete healing of a wound and return of tissues to their normal structure and function
Resolution

The ending of inflammation with no scar formation
Regrowth through cell proliferation
Regeneration
Healing of a wound with scar formation
Repair
The cleaning up or removal of debris, dead cells, and scabs from a wound, principally through phagocytosis
Debridement
Simple healing of a minor wound without granulation or pus formation
Primary intention
Complex healing of a larger wound involving sealing of the wound through scab formation, granulation or filling of the wound, and constriction of the wound
Secondary intention
filling of a wound by the inward growth of healthy tissues from the wound edges
Granulation
Growth of epithelial cells under a scab, separating it from the wound and providing a protective covering for the healing wound
Epithelialization
Inward movement of wound edges during healing that eventually briings the wound edges together
Contraction
Continuing processes of wound reconstruction that may occur over a period of years after initial healing, as scar tissue is remodeled and strengthened
Maturation
An exaggerated and harmful immune response an umbrella term for allergy, autoimmunity, and isoimmunity.
Hypersensitivity
exaggerated immune response to an enivirommental antigen
Allergy
An immune response to self antigens which the body normally tolerates
Autoimmunity
An immune response to antigens from another member of the same species for example Rh reactions between a mother and infant or transplant rejections;
Isoimmunity

Also called alloimmunity
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A swiftly occurring secondary hypersensitivity reaction ( one that occurs after reexposure to an antigen).
Immediate hypersensitivity reaction

IMR's are ussually more severe than delayed reactions. The swiftest and most severe such reaction is anaphylaxis
A hypersensitivity reaction that takes place after the elapse of some time following reexposure to an antigen. reactions are usually less severe than immediate reactions.
Delayed hypersensitivity

Delayed hypersensitivity reactions are usually less severe than immediate reactions.

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Name 1 type of the 4 types Hypersensitivity reaction.
1.Type I IgE reactions
2.Type II Tissue specific reactions
3.Type III Immune complex mediated reactions
4.Type IV Cell mediated reactions

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Name 1 of the 3 Hypersensitivity Targets
1.Environmental antigens-targeting by allergic responses
2.Self antigens-Targeted by autoimmune responses
3.Other person's antigens-targeted by isoimmune responses
Name the two types of Immune Deficiency
1.Congenital (inborn)
2.Acquired (after birth)
A group of signs, symptoms, and disorders that often develop as a consequence of HIV infection
AIDS (Aquired immunodeficiency syndrome)
A virus that breaks down the immune defenses, making the body vulnerable to a variety of infections and disorders.
HIV (human immunodeficiency virus)
A state of physical or psychological arousal to stimulus
Stress
The stimulus or cause of stress
Stressor
A sequence of stress response stages:
1.Alarm stage
2.Resistance stage
3.Exhaustion stage

What is this called?
General adaptation syndrome (GAS)
A chemical or physical disturbance in the cells or tissue fluid produced by a change in the external environment or within the body.
Physiological stress
Homeostasis, the tendency of the body to maintain a net constant composition although the components of the body's internal environment are always changing.
Dynamic steady state

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The continual synthesis and breakdown of body substances that results in the dynamic steady state.
Turnover

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The interactions of psychological, neurological,/endocrine, and immunological factors that contribute to alteration of the immune system as an outcome of a stress response that is not quickly resolved.
Psychoneuroimmunological regulation

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Changes within the body intiated by a stressor
Stress response
Name 1 of the 5 hormones produced in response to stress
1.Catecholamines (norepinephrine and epinephrine)
2.Cortisol
3.Beta endorphins
4.Growth hormone
5.Prolactin

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A steroid hormone released by the adrenal cortex that regulates the metabolism of fats, carbohydrates, sodium, potassium, and proteins and also has an anti-inflammatory effect
Cortisol

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