PATH II Test 2

 
 

 
 

 
 

 
 
 
 
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TERM DEFINITION
AsthmaAn episodic and reversible branchospasm resulting from exaggerated response to stimuli
Emphysemais a permanent enlargement of the
Bronchiectasisis a permanent dilation of the
AtelectasisA collapsed lung due to inadequate expansion of
Obstructive lung diseaseLung capacity and forced vital capacity are near normal but can’t get the air out.
Restrictive lung diseasescharacterized by
Asthmais trapped distal to bronchi so lungs overinflate
Emphysemapermanent enlargement of the
Restrictive diseasesThe FVC is reduced and the FEV1 normal so
Chronic restrictive lung diseaseThese patients have a proportionally reduced FEV1 / FVC and the ratio is not reduced.
Obstructive diseasesFEV / FVC ratio is reduced
Intrinsic asthmaCharcot-Leydin crystals (eosinophilic proteins)
Panacinar (panlobular) emphysemaa1 – antitrypsin deficiency
classic emphysemicbarrell chested
no bronchitiswhen present there is a pink buffer
Bronchitiswhen present there is a blue bloater
Interstitial lung diseaseis basement membrane
Endothelial Damage=poor perfusion
Alveolar Damage=poor ventilation
Restrictive lung disease:Adult respiratory distress syndrome ARDS:
ARDSis usually caused by endothelial damage
Goodpasture’s syndrome: Glomerulonephritis
pulmonary emboliMore than 95% of ____________ arise from
Primary pulmonary: idiopathic hypertension
secondary pulmonary:(1) Chronic or interstitial lung disease.
Tuberculosis Infectionmeans that the person has the TB
Tuberculosis Diseasewith TB does equates tissue damage
Ghon focusAs sensitization develops there is a 1.5 cm
Ghon complexIf bacilli spread to nodes –escapes from lung
Pott’s diseaseWhen vertebrae are affected by TB
Apical tumors (Pancoast tumors)may invade sympathetic plexus > Horner’s syndrome
Azotemiarefers to an elevation of the blood
Post renal azotemia: is urine flow obstruction, uretur
Prerenal azotemia: is hypoperfusion. Kidney OK, blood clot outside kidney
Acute nephritic syndromeis acute onset of visible hematuria, moderate proteinuria, and hypertension.
Nephrotic syndromehas heavy proteinuria, hypoalbuminemia, hyperlipidemia, lipiduria.nuria,
cystitis- inflammation of urinary bladder
nephritis- inflammation of kidney
hematuria- bloody urine
hemoglobinuria– hemolytic disease
Acute renal failure (ARF)presents with oliguria (scant urine) or anuria (no urine) with the recent onset of azotemia. It can result from glomerular injury, interstitial injury, or acute tubular necrosis.
endothelial cellsFenestrated __________ - capillary walls
Glomerular basement membrane GMB- lamina rara and densa collagen, anionic proteoglycans, fibronectin
Visceral epithelial cells-podocytes with pedicels, filtration slits
Mesangial cells-separate capillaries, phagocytic, contractile
hematuria- bloody urine
hemoglobinuria– hemolytic disease
glucosuria– sugar in urine
proteinuria–loss of protein in urine(> 3.5 gm/day), (albumin)
Hyperlipidemiaincreased VLDL(associated with nephrotic syndrome appears to be a result of decreased plasma oncotic pressure, which stimulates hepatic VLDL synthesis and secretion)
nephritic syndrome albuminglobulin ratio gets reversed (normal: albumin 4.4 gm/dl and globulin 2.5 gm/dl)
anasarca- Generalized edema
ascites– abdominal edema
Rapidly progressive glomerulonephritis (RPGN)The histologic picture is the presence of crescentic masses in Bowman’s capsule due parietal cell proliferation
Adult polycystic kidney disease (APKD)- Defect in a gene producing polycystin
Urolithiasisis calculus formation at any level in the urinary collection system, but most often calculi arise in the kidney
Cystine stonescan occur in genetically determined renal transport perturbations of certain amino acids and also as happens in uric acid stones, arises in acidic urine
hydroureterdilated ureter
Hydronephrosisrefers to the dilation of the renal pelvis and calyces, with accompanying atrophy of the parenchyma, caused by obstruction to the outflow of urine
Renal cell carcinomatumor can invade the renal vein and extend as a solid column even into the right side of the heart.
Wilms’ tumorToo many cells proliferate in the kidney, increase in size of kidney
Herpesvirus infection-HV1-(fever blister, cold sore) - Common and transmitted by kissing
Genital herpes HSV -2- Transmitted by sexual contact, Vesicles on genital area
Pseudomembrane- Candida albicans plaque when immunoprotection is lowered
thrush- Candida albicans, Adherent white curd-like plaques anywhere in the mouth.
Hairy leukoplakiais almost exclusively seen in AIDS and is caused by infection with the Epstein- Barr virus. Does not go to carcinoma. Whitish, well-defined, mucosal patch or plaque caused by epidermal thickening or hyperplasia
Aphthous ulcers (canker sores). Common, small (< 5 mm), painful, shallow ulcers. They form singly or as a group covered with a gray exudate and rimmed by erythematous tissue. They appear on the soft palate, buccolabial mucosa, floor of the mouth, and lateral sides of the tongue.
squamous cell carcinomasThe overwhelming preponderance of oral cavity cancers are
Sjogren’s syndrome(blank)