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Diseases a/w Collagen deficits | scurvy (Vit C deficiency); Ehlers-Danlos syndrome; Osteogenesis Imperfecta
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disease w/ elastin/fibrillin deficit | Marfan syncrome
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vascular transmigration; facilitated by PECAM-1 | diapedesis
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vascular dilation esp arterioles; increase vascular permeability esp venules | histamine
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increase vascular permeability | serotonin
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release arachidonic acid from lipid membrane of cells; release PAF from lipid membrane of cells | PLA2
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indcues platelet agreggation; induce neutrophil oxidative burst; induce arachidonic acid production by activating PLA2; induces leukocyte-endothelial adhesion | Platelet Activating Factor (PAF)
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secreted by NK cells; plays the predominant role in macrphage activation (esp in relation to granuloma formation) | interferon gamma (INF-y)
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stimulate neutrophil adhesion | leukotrienes
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exert an inhibitory effect on many inflammation processes | lipoxins
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elevated ESR | RBCs clump because of the increase of acute phase proteins esp fibrinogen
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occurs when injurious agent or forgein material cannot be eradicated & body switches to a strategy of containment | Chronic Suppurative inflammation
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chronic macrophage activation causes macrophages to swell and take on an epitheloid cell appearance | Granulomatous inflammation
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most common cause of MV stenosis? | Rheumatic heart disease
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most common cause of MV regurgitation? | papillary dysfunctino due to ischemic heart dis or Mitral valve prolapse due to myxomatous degenration of the MV
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most common cause of aortic valve stenosis? | congenital bicuspid aortic valve & senile fibrocalcific degeneration
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most common cause of myocarditis? | Coxsackie B & Adenovirus type 2 & 3
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mitral valve stenosis triad? | 1) loud S1; 2) mitral valve opening snap; 3) mid-distolic murmur best heard @ cardiac apcex
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primary hypertrophic cardiomyopathy a/w mutations in the??? | myosin heavy beta chain; actin; tropomyosin; titin
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where do we see WHORLED PATTERN in the myocardial muscle bundles? | Primary Hypertrophic Cardiomyopathy
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pulmonary circulation maintained by Right Atrium | Fontan heart (seen in Arrhythmogenic RV Cardiomyopathy)
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repalcemnt of portions of the myocardial wall, usually the RV by fibrofatty tissue w/ loss of cardiocytes; show interved T waves in anterior chest leads over R ventricle and epsilon wave in early ST segment; only effective Tx: defibrillator implantation | Arrythmogenic RV Cardiomyopathy
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Where is S3, S4 & S7 present? | Congestive Heart Failure
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difficulty in repolarization leads to uncoordinated repolarization which predisposes to episodes of spontaenous ventricular re-entry arrythmias sep Torsade de Pointes | Long QT syndrome
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compensatory mechanism of cells incapable of cell division | hypertrophy
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organs where fatty change (steatosis) is common? | liver, myocardiumk kidney
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enzymatically binds to damaged proteins to facilitate their removal | ubiquitin
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proteins involved in apoptosis also involved in tumoregenesis | bcl2 & p53
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adult progeria; autosomal recessive; defective DNA helicase enzymes | Werner Syndrome
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pediatric progeria | Cockayne syndrome
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Connective tissue disorder; autosomal recessive | Acrogeria
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help regulate the clotthing cascade | alpha-2-antiplasmin
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inhibits the initiation of complement cascade | c1 esterase inhibitor
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neutralize reactive oxygen radicals | Metal binding protein (manganese superoxide dismutase)
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increased levels of bone marrow granulopoiesis; cytoplasmic areas of condensed ribosomes | Dohle bodies
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valve most likely involved in IVDA related Infective endocarditis | Tricuspid valve
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Infective Endocarditis where pahents have NO structural disease and NO preexisting heart murmur | community acquired ACUTE IE
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s/s: intermittent claudication, impotence, decreased or absent femoral pulses; a/w aortic narrowing in the abdominal aorta below the renal stenosis | Leriche syndrome
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fibrointimal proliferation creating 'onion skin' appearache; commonly located in kidnyes | hyperplastic arteriosclerosis
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higher lipid content of lipid core; thinner fibrous cap; increased leukocyte activity at shoulder regions of plaque | vulnerable plaque
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due to reoxygenation in reversible cardiocyte injury which causes extreme contraction of the cardiocyte filaments | contraction band necrosis 'rigor bands'
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retina may demonstrate orange-yellow plaque at bifurcation of vessels | Hollenhurst plaque (seen in cholesterol embolization syndrome)
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red-blue skin momttling in reticular (net-like) pattern over distal extremities due to blood flow stasis | cutaneous livedo reticularis
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chronic hypoxia due to chronic respiratory insufficiency due to inhibition of respiratory movement from obesity | Pickwickian syndrome
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