Chapter 1: Introduction to Pathophysiology Flashcards


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1

Pathophysiology

Study of functional (physiological) changes in the body resulting from disease

2

Disease

Deviation from normal structure or function of the body or a state of wellness

3

Homeostasis

The body’s ability to maintain stable internal conditions

4

Primary Prevention

Don't develop the disease! Education on disease risk factors and prevent acquiring disease.

5

Secondary Prevention

After disease or serious risk factors for disease development. Goal to halt or slow progression of disease in early stages (if possible.)

6

Tertiary Prevention

Management of chronic health problems. Prevent further deterioration and improve quality of life.

7

What is the purpose of Patient Medical History?

Obtains info on patient's health status and assess implications of health status for planning and implementing health care interventions.

8

Diagnosis

Identification of a specific disease using signs, symptoms, and diagnostic tests

9

Etiology

Cause or causative factors of a disease

10

Idiopathic

Disease with no known cause

11

Iatrogenic

Disease caused by medical treatment, procedure, or error

12

Predisposing factor

A condition that increases the risk factor and likelihood of developing a disease

13

Prophylaxis

Measures taken to prevent disease or its spread

14

Prevention

Actions aimed at reducing the risk or progression of disease

15

Pathogenesis

The sequence of events in the development of a disease

16

Onset of disease

The time when disease manifestations begin (acute/sudden or insidious/gradual)

17

Acute

Short-term disease with rapid onset

18

Chronic

Long-term or persistent disease

19

Subclinical

Disease state with pathological changes but few or no symptoms

20

Latent period

Interval between exposure and onset of symptoms

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Prodromal period

Early stage of disease with vague, nonspecific symptoms

22

Manifestations

Signs and symptoms of disease; local at site of problem or systemic

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Signs

Objective indicators of disease observed by others

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Symptoms

Subjective experiences reported by the patient

25

Lesion

Specific local change in tissue caused by disease

26

Syndrome

Group of signs and symptoms that occur together

27

Course of disease

The progression of disease over time

28

Remission

Period when disease manifestations decrease or disappear

29

Exacerbation

Worsening or flare-up of disease manifestations

30

Precipitating factor

A condition that triggers the onset of an acute episode

31

Complication

Secondary problem that arises after the initial disease

32

Therapy / Therapeutic intervention

Treatment measures used to promote recovery or slow disease progression

33

Sequelae

Long-term or permanent consequences of a disease

34

Convalescence / Rehabilitation

Period of recovery and return toward normal health

35

Prognosis

Predicted outcome or likelihood of recovery

36

Morbidity

Disease rates in a group; functional impairment that certain conditions cause in a population

37

Mortality

Relative number of deaths from a disease

38

Autopsy

Postmortem examination to determine cause of death

39

Epidemiology

Study of disease patterns in populations

40

Incidence

Number of new cases in a population during a specific time period

41

Prevalence

Total number of existing cases in a population at a given time

42

Epidemic

Occurrence of disease above expected levels in a population

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Pandemic

Worldwide epidemic

44

Communicable disease

Disease that can be transmitted from person to person

45

Notifiable / Reportable disease

Disease that must be reported to public health authorities

46

Endoscopic Examination

Visualize lesions or structures directly through a tube inserted in the body through opening or body wall

47

Radiograph/X-ray film

Ionizing radiation, image on film of bones and soft tissue that vary in density. Plain, contrast, mammography, and DXA.

48

Computed Tomography (CT Scan)

360o x-rays in series of shots that uses ionizing radiation.

49

Ultrasound

High frequency sound waves that bounce off body structures.

50

Doppler Ultrasound

Assesses blood flow

51

Echocardiography

Measures efficiency of heart valves, function, and blood flow.

52

Magnetic Resonance Imaging (MRI)

Uses magnetic field surrounding body and hydrogen (water) content of body; radio waves energy source; nonionizing. Can project past bone.

53

Nuclear Scanning

Track distribution of a radioactive tracer substance injected in the body that interacts with various structures in a way to highlight areas of interest.

54

Positron Emission Tomography (PET)

Radioisotopes w/scanner and computer to produce a cross-sectional functional image of tissue. Biochemical changes in the tissue.

55

Electrocardiogram (ECG/EKG)

Assesses conduction/electrical system of the heart. Abnormal patterns assist with diagnosis of myocardial infarctions, cardiac dysrhythmias, electrolyte imbalances, and digoxin toxicity.

56

Stress test (exercise ECG)

Test cardiac function under increased workload

57

Electroencephalogram (EEG)

Electrical activity in the brain. Abnormal patterns may indicate seizure disorders, tumors, or injuries.

58

Spirometry

Measures lung volumes and capacities. Deviations from normal can indicate restrictive or obstructive disorders.

59

Complete blood count (CBC)

Count and characteristics of formed elements.

60

Hemoglobin (Hgb)

Amount of hemoglobin (part that transports oxygen.)

61

Glycosylated hemoglobin (HBA1c)

Amount of glucose bound to hemoglobin; blood glucose levels over months.

62

Hematocrit (HCT)

Percentage of erythrocytes in a specific volume of blood

63

White blood cell differential count

Assess proportions of leukocytes, "differential count"

64

Bone marrow aspiration

Used to confirm abnormalities related to production of red blood cells in the marrow, megaloblastic anemia, leukemia

65

Blood culture and sensitivity

Bacteremia or unknown infection

66

Blood clotting tests

Evaluate clotting time or clotting factors

67

Hemoglobin electrophoresis

Detects abnormal hemoglobin by isolating the hemoglobin protein itself

68

Serum-ferritin levels

Amount of iron storage

69

Arterial blood gas (ABG)

Acid-base balance, oxygen levels, serum pH, PO2, PCO2, SO2, carbon dioxide and oxygen content, bicarbonate, base excess or deficit.

70

Serum hormone levels

Determines whether there are deficiencies in hormone secretion

71

Lipid levels

Cholesterol, triglycerides, low density lipoprotein (LDL), high density lipoprotein (HDL).

72

Serum electrolytes

Na+, K+, Magnesium levels, Ca+

73

Serum enzymes or isoenzymes

Might indicate damage to some part of the body

74

Serum levels of bilirubin

Showcases appropriate liver function

75

Serum antigen antibody tests

Determines if you had exposure to certain diseases in the past or currently have an ongoing infection

76

Skin tests, scratch tests

Immune responses, allergies

77

Urinalysis

Physical and chemical characteristics of freshly collected urine sample, specific gravity, microscopic examination, creatinine clearance

78

Atrophy

Decrease in cell size = decreased tissue mass

79

Hypertrophy

Increase in cell size= enlarged tissue mass

80

Hyperplasia

Increase in cell number= enlarged tissue mass

81

Metaplasia

One mature cell type replaced by another mature cell type

82

Dysplasia

Tissue in which differentiated cells vary in size and shape, large nuclei are frequently present, and rate of mitosis increased.

83

Anaplasia

Cells are undifferentiated with variable nuclear and cell structures and numerous mitotic figures

84

Neoplasia

"New growth," tumor; benign (non-spreading) or malignant (can spread/metastasize)

85

Apoptosis

Programmed cell death

86

Necrosis

Death of one or more cells (portion of tissue or organ) due to irreversible damage

87

Ischemia

Decreased oxygenated blood supply due to circulatory obstruction

88

Hypoxia

Decreased oxygen in cells or tissues

89

Pyroptosis

Lysis of cell, releasing contents causing inflammatory response and damage to nearby cells. Diagnostic tests can look for cellular enzymes in blood.

90

Liquefaction necrosis

Dead cells liquify due to cellular enzymes

91

Coagulative necrosis

cell proteins are denatured and cells retain some form for a time after death

92

Fat necrosis

Fatty tissue broken down into fatty acids, causing inflammation

93

Caseous necrosis

Form of coagulation necrosis in which a thick, yellowish, "cheesy" substance forms

94

Infarction

Area of dead cells resulting from lack of oxygen; loss of tissue function in the area

95

Gangrene

Area of necrotic tissue associated with a lack of blood supply followed by invasion of bacteria

96

Wet Gangrene

Liquefaction causing tissue to become cold, swollen, and black

97

Dry Gangrene

Coagulative necrosis, tissue dries, shrinks, and blackens

98

Gas Gangrene

Buildup of gases further reducing blood supply