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Pathology

Chapter 5

QuestionAnswer
Distribution of random particles throughout the environment, the main mechanism for the exchange of nutrients and waste at the cellular level Diffusion
Vessels leaving the heart Arteries and arterioles
Vessels going towards the heart Venules and veins
Solid components of blood are: RBC, WBC, platlets
Different classes of WBC fight off different types of invaders in different states of infection True
Lack of blood Anemia
Anemia s/s, Fatigue, pallor, dyspnea, rapid HR, intolerance to cold, heart problems
Massage indications for anemia Can enjoy same as others, if due to infection, cancer use caution and be part of team
Embolism and Thrombus Are on the arteriole side
Traveling clot or collection of debris Embolism
Lodged clot Thrombus
Clot or debris anywhere on the venous side of the system circuit can only travel to the lungs Pulmonary embolism.
Leading cause of death in hospital Pulmonary embolism
Complication of arthersclerosis Arterial thrombus
Originate as clots or plaque that forms with atherosclerosis or related to arterial fibrillation or rheumatic heart disaese Arteriole embolism
Serious brain embolism can cause Ischemic stroke
Debris lodges in coronary arter Heart attack
Massage indications for clots Non mechanical forms for at risk, if no lingering problems then same as any population
Collection of genetic disorders characterized by the absence of some plasma proteins that are crucial in clot formation process Hemophilia
Hemophiliacs bleed longer or faster then average human Longer have no clotting factors
Types of Hemophilia Type A most common over 80%, Type B (Christmas), Von Willebrand disease
Hemophilia s/s Bruising, hematomas, nosebleeds (epitaxis), hemauturia
Massage indications hemophilia Severe is contraindication may cause bruising, gentle light touch
White blood is a cancer that affects bone marrow function Leukemia
Mutation in the DNA of one or more stem cells in the bone marrow cause the production of multitudes of non function leukocyes Luekemia
Types of leukemeia Acute myelogenous leukemia (AML), Chronic myelogenous leukemia (CML), Acute lymphocyte leukemia (ALL), Chronic lymphocyte leukemia (CLL)
Leukemia s/s fatigue, low stamina due to anemia, bruise,
Massage indications leukemia gentle body work depending on stage of leukemia
Marrow tumor is a blood cancer involving maturing B cells that are found in bone marrow, interfere with normal blood production causing anemia and spontaneous fractures Myeloma
What happens with myeloma Immaturiting B cells undergo mutation and become cancerous; turn bone marrow into tumors
Where does myeloma occur Spine, pelvis, ribs or skull
s/s of myeloma fractures, bone pain, anemia
Massage indications of myeloma be aware of positioning and bruising, gentle non invasive
Production of abnormal hemoglobin, the protein that carries O2 in RBC Sickle cell
s/s of Sickle cell pain, fatigue, SOB, pallor, jaundice
Massage indications of sickle cell have compromised circulation may be to challenging to be safe
Obstructed veins and inflammation due to blood clots Thrombophlebitis and DVT
Stationary clots in the venous system brake loose and go up the vena cava to right side of hear into the pulmonary artery causing Pulmonary emblolism
s/s of thrombophlebitis inflammation pain, heat, redness, swelling skin ulcers
Which is worse Thrombophlebitis or DVT DVT cause clot is Thrombophlebitis and DVTdeeper and more damage to the lungs
Massage indications for Thrombophlebitis and DVT No rigorous massage till pain is located and treated
Bulge in the wall of blood vessel or heart Aneurysm
Massage indications of anuerysm Can increase/decrease BP, only if can tolerate changes
Hardening of arteries from any cause Atheosclerosis
Risk factors of athesclerosis Heredity genetics, gender Men 45 women 55, age, kidney disorders: controllable: smoking, high cholesterol, high BP, lazy, diabetes, metabolic syndrome,
Types of atherosclerosis coronary artery disease, peripheral artery disease
s/s of atherosclerosis silent because body doesn't depend on 1 artery to do a job
Massage indications of athersclerosis based on normal activity levels
High BP, above 140/90, internal/external forces on arteries Hypertension
s/s of hypertension The silent killer
Massage indications for hypertension meds may cause dizziness/lethargy may need more time after massage to rest.
Involves the status of the arteriole in hands and feet that case vasospasms can affect nose, ears and lips Raynaud syndrome
s/s of Raynauds grey, blueish, red
Massage indication of Raynauds Must know the underlying condition, as long as the skin is intact and health adn medications are accommodating.
distended twisted or ropy superficial veins Varicose veins
Massage indications for varicose veins Local contraindication, increase for DVT, gliding pressure, respond well to hydrotherapy and alternating hot and cold application.
Damage to portion of cardiac muscle tissue through ischemia or lack of blood flow and oxygen supply. Portion of cardiac muscle dies ischemic attack Heart attack
s/s of Heart attack Angina, pain let arm, SOB, stomach/abdominal pain
Massage indication for heart attack Depends on how client can withstand the changes , gentle supportive bodywork
Loss of cardiac function that accompanies age and history of cardiovascular disease Heart failure
s/s of heart failure SOB, low stamina, edema, heart failure
Massage indicator for heart failure meds may cause dizziness/lethargy may need more time after massage to rest. Gentle bodywork
Created by: Protire
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