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Aging by Weiner
| Question | Answer |
|---|---|
| Define senescence. | loss of function associated with passage of time |
| What anatomic changes are expected in the brain of an 80 y/o as part of the normal aging process? | 10% atrophy of brain tissue/white matter, cerebrum doesn't quite fill the cranium and gyri are diminished in size, sulci are larger |
| What percent loss of dopaminergic neurons is necessary before signs and sx of Parkinson dz are evident? | 80% |
| Name the pigment that accumulates in cells with again. | lipofuscin granules |
| What area of the brain is first vulnerable in Alzheimer's dz? | hippocampus |
| Name possible causes of brain senescence. | free radical damage, glycation, unfolding/misfolding of proteins, neurotoxic factors |
| What disorders are associated with hypercortisolemia? | major depression and PTSD, also hippocampal atrophy |
| What are autonomic effects of aging? | reduced beta-adrenergic sensitivity: lower max heart rate and contractility, etc. not as aware of hypoglycemia decreased baroreceptor sensitivity: orthostatic HTN vasovagal syncope |
| Name histologic signs of Alzheimer dz. | neurofibrillary tangles, beta amyloid plaques |
| What are the 3 diseases associated with aging? | Parkinson, Alzheimer's and cerebrovascular dz |