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Ch. 1 terms
Pathology
Question | Answer |
---|---|
sign | measureable or objective manifestations |
symptoms | feelings that the patient describes- subjective manifestations |
iatrogenic | disease caused by physician or treatment |
nosocomial | incidences of infections being developed at the acute care facility |
community-aquired | infected by exposure in the public domain |
idiopathic | having an unknown cause for underlying disease |
ischemia | interference of blood supply to an organ; deprives cells & tissues of oxygen & nutrients |
infarct | localized area of ischemic necrosis; produced by occlusion of either arterial supply or venous drainage |
hemmorrhage | implies rupture of a blood vessel |
hematoma | accumulation of blood trapped within body tissues |
atrophy | reduction in the size of cells in an organ or tissue, w/ a corresponding decrease in function |
hypertrophy | increase in the size of the cells of a tissue or organ in response to a demand for increased function |
hyperplasia | increase in the number of cells in a tissue or organ |
dysplasia | loss of uniformity of individual cells & their architectural orientation |
epidemiology | study of determinants of disease events in given populations |
morbidity | rate that an illness or abnormality occurs |
mortality | reflects the number of deaths by disease per population |
antigens | foreign substance that evokes an immune response |
antibodies | immunoglobulins responding to the antigens to make them harmless |
immune | protected against antigens; antibodies binding w/ antigens to make them harmless |
active immunity | forming antibodies to counteract an antigen by way of vaccine or toxoid |
vaccine | contact w/ dead or deactivated microorganisms to form antibodies |
toxoid | treated toxin w/ antigenic power to produce immunity by creating antibodies |
standard precautions | protection utilized when delivering healthcare services to a person |
personal protective equipment (PPE) | gowns, gloves, masks, shoe covers, & eye protection used to prevent transmission of potential infectious agent |
transmission-based precautions | additional protective equipment to prevent the spread of highly infectious pathogens through contact, droplet, or airborne transmission |
passive immunity | refers to the administration of a dose of performed antibodies from the immune system of an animal, usually a horse |
grading | assessment of aggressiveness or degree or malignancy |
staging | refers to the extensiveness of a tumor at its primary site & the presence or absence of metatases to lymph nodes & distant organs, such as the liver, lungs, & skeleton |
neoplasia (new growth) | abnormal proliferation of cells that are no longer controlled by the factors that govern the growth of normal cells -Neoplastic cells act as parasites, competing w/ normal cells & tissues for their metabolic needs -Neoplasm AKA tumors |
oncology | study of neoplasms (tumors) |
benign | growth that closely resembles the cells of origin in structure & function |
malignant | neoplastic growth that invades & destroys adjacent structures & spread to distant sites (metastasize), causing death |
carcinoma | malignant neoplasm of epithelial cell origin |
metastasize | malignant neoplasms that travel to distant sites |
anaplastic | undifferentiated cell growth- w/out form *(bizarre) |
sarcoma | highly malignant tumor originating from connective tissue (bone, muscle, & cartilage) - Spreads more rapidly |
inflammation | initial response of the tissue to local injury |
permeable membrane | allows fluids/cells to pass from one tissue to another or location |
granulation tissue | fibrous scar replaces destroyed tissue |
pyogenic bacteria | thick, yellow fluid called pus (dead white cells) |
abcess | localized, usually encapsulated, collection of fluid |
bacteremia | potential involvement of other organs & tissues in the body by organisms invading the blood vessels |
edema | accumulation of abnormal amounts of fluid in the intercellular tissue or body cavities |
anasarca | generalized edema that occurs w/ pronounced swelling of subcutaneous tissues throughout the body |
elephantiasis | localized lymphatic obstruction resulting in localized edema |
mutation | alteration in the DNA structures that may become permanent hereditary change |
autosomal dominant | disorders are transmitted from one generation to the next - not everyone who has the gene will demonstrate the trait -Variable expressivity- refers to the fact that a dominant gene may manifest somewhat differently in different individuals |
autosomal recessive | result only when a person is homozygous for the defective gene -Doesn't usually affect the parents |
dominant gene | always produces an effect |
recessive gene | manifests when a person is homozygous for the trait |
Pathology | study of diseases that can cause abnormalities in the structure or function of various organ systems |
Disease | the pattern of the body's response to some form of injury that causes a deviation from or variation of normal conditions |
Phagocytosis | a process where white blood cells cross the capillary walls into the injured tissues, where they engulf enzymatically disgest infesting organisms & cellular debris |
Scar tissue formation | consists of fibrous connective tissue, which can be divided into primary union (surgical incision) & secondary union (nonsurgical; gunshot wound) |
Pyogenic | production of thick, yellow fluid called pus, which contains white blood cells, inflammatory exudate, & bacteria |
Supperative inflammation | associated w/ pus formation |
Bacteremia | potential involvement of other organs & tissues in the body (too much pus) |
Granulomatous inflammation | manifests as a distinct pattern seen in relatively few diseases, including tuberculosis, syphilis, & sarcoidosis |
Granuloma | localized area of chronic inflammation, often w/ central necrosis |
Petechiae | minimal hemorrhages into the skin, mucous membranes, or serosal surfaces |
Purpura | slightly larger hemorrhage |
Ecchymosis | a larger (greater than 1 or 2 cm) subcutaneous hematoma, or bruise |
Examples of hyperplasia | 1) proliferation of granulation tissue in the repair of injury 2) increased cellularity of bone marrow in patients w/ hemolytic anemia or after hemorrhage |
Cachexia | tumor cells may flourish & the patient becomes weak & emaciated |
Cancers | Latin word for "crab" |
All tumors, both benign & malignant, have 2 basic components | 1) the parenchyma (organ tissue), made up of proliferation neoplastic cells 2) the supporting stroma (supporting tissue), made up of connective tissue, blood vessels, & possibly lymphatic vessels |
Fibromas | benign tumors of fibrous tissues |
Chondromas | benign cartilaginous tumors |
Adenoma | applied to benign epithelial neoplams that grow in gland-like patterns |
Cystadenomas | benign tumors that form large cystic masses |
Lipomas | consist of soft fatty tissue |
Myomas | tumors of muscle |
Angiomas | tumors composed of blood vessels |
Papilloma or polyp | an epithelial tumor that grows as a projecting mass on the skin or from an inner mucous membrane |
Adenocarcinoma | malignancies of glandular tissues, such as the breast, liver, & pancreas, & the cells lining the GI tract |
Squamous cell carinoma | denotes a cancer in which the tumor cells resemble stratified squamous epithelium, as in the lung, head, & neck regions |
Pnumocystis jirovecii | immunocompromised patients w/ malignancy are especially susceptible to unusual opportunistic infections |
Malignant neoplasms disseminate to distant sites by one of 3 pathways | 1) seeding within body cavities 2) lymphatic spread 3) hematogenous spread |
Seeding (diffuse spread) | when neoplams invade a natural body caivty |
Lymphatic spread | major metastatic route of carcinomas, especially those of the lung & breast |
Hematogenous spread | tumor cells invade & penetrate blood vessels, traveling as neoplastic emboli in the circulation |
Most common hereditary abnormality | enzyme deficiency |
Autosomes | 44 of the chromosomes |
Reduced penetrance | means that not everyone who has the gene will demonstrate the trait |
variable penetrance | refers to the fact that a dominant gene may manifest somewhere differently in different individuals |
Anaphylactic reactions | characterized by hypotension, & vascular collapse (shock) w/ urticaria (hives), bronchiolar spasm, & laryngeal edema |
Cytotoxic reaction | either the antigen is a component of a cell or it attaches to the wall of red blood cells |
Delayed reaction | an individual previously sensitized to an antigen |