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Pathology
Chapter 5
Question | Answer |
---|---|
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 |