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Pathophys Word Scramble

 
 


 

 
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Term Define further definement
Segmental demyelinaionSchwann cell dysfunction; damage to myelin sheath; loss of saltatory conduction, replacement has shorter internodes and thinner insulation; inc in NA channels; slower(blank)
Damage to the PNSdamage to the axon: axonal degeneration(more lethal than SD), primary damage to axon followed by myelin sheath dissolution(blank)
Focal axonal Damagetrauma or ischemia induced; wallerian dege: distal to a site of wound, sequence of axonal and myelin degneration; denervation atrophy(blank)
Wallerian Degenerationcleaning out dead portion; 1. swelling near cut; 2. hypertrophy of the neurofiliments; 3. shrinkage of myelin sheath; degeneration of the axon(blank)
Nerve regenerationthe further you are from the cell body the more likely it will; may or may not; most likely not; permanent loss of function(blank)
Ulnar Nerve Syndromcompression of ulnar nerve; repair: move ulnar nerve on top; doesn't cure just preserves current function(blank)
Guillanin-Barre SyndromeAutoimmune PNS inflammatory neuropathy; preceded by viral infection; tcell mediated immune attack on myelin sheath; transient; treatable if caught within days; one person in 100,000; more prevalent with alcoholics(blank)
Chronic Immune Demyelinating PolyneuropathyAutoimmune PNS inflammatory neuropathy; Remissions and relapses; Demyelination mediated by serum antibodies(macrophage); segmental; thin myelin sheaths; loss of saltatory conduction; conduction block; slow nerve conduction speed; < 80% slower(blank)
MSAutoimmune CNS inflammatory neuropathy;Autoantibodies activate the complement system against myelin sheath; sclerotic plaques build up around myelin sheath; activates immune response(blank)
Myasthenia GravisACH & receptors autoantibodies; disrupts Ach; destruction of the muscle membrane; complement activation; destruction of neuromuscular junction; increase receptor trunover(blank)
LeprosyInfectious PNS Neuropathy; schwann cells invaded by mycobaterium leprae; segemental demyelination; multilayered thickening and endoneurial fibrosis; loss of pain fibers, loss of sensory function 1st(blank)
The cognitivenormal consciousness; arousal; reticular activating system content of thought - sleep wake cycle; awareness: self, environment; mood(blank)
causes of alterations in state of arousalacute onset: structural change(bludgeon), metabolic change(blood flow); psychogenic change(schizo, behavior; pathologic process;infectios; vascular; neoplastic; traumatic; congenital; degenerative(alz parkinson); metabolic(blank)
Patterns of Breathing(Concepts of Neurological Dysfunction[cognitive system])16-20 bpm; indicate level of brain function based on rate, rhythm, and pattern; normal breathign is controlled by forebrain, as consciousness decreases lower brainstem regulates breathing in respsonse to co2 levels(blank)
Vommiting(Concepts of Neurological Dysfunction[cognitive system])lower brain functions; most cns disorders produce nausea and vomiting- over stimulated thalamus(blank)
Pupillary changes(Concepts of Neurological Dysfunction[cognitive system])indicates presence and level of brainstem dysfunction(hypoxia produces dilated fixed pupil)(blank)
Oculomotor repsonses(Concepts of Neurological Dysfunction[cognitive system])Reflexive eye movements change in various level of brain dysfunction(blank)
motor responses(Concepts of Neurological Dysfunction[cognitive system])motor respsonse evaluate the level and site of brain dysfunction(blank)
Brain Deathbrain cannot maintain bodies internal homeostasis(blank)
Cerebral Deathirreversible coma; death of hemispheres not affecting brainstem and cerebellum(blank)
Vegatative Statecomplete unawareness of environment and self(blank)
Cerebral HemodynamisCerbral Blood Volume: 75ml 15% of cardiac output; Cerebral blood flow: uses 20% of o2, affected by co2 and o2 levels; cerebral perfusion: normal 80mmHg, less than 70 insuffiant; intracranial pressure 5-15mmHg(blank)
Alterations to Cerebral HemodynamisIncreased intracranial pressure: tumor, edema, excess CSF(blocked drain), hemorrhage; Results in equal loss in volume of other contents: CSF, alt. in cerebral blood flow(stroke), structural changes(herniation - lethal - major structural changes(blank)