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Pathophysiology Notecards

front 1

The study of the functional changes that occur in the body as a result of injury, disorder, or disease.

back 1

Pathophysiology

front 2

The study of changes in cells and tissues as a result of injury or disease.

back 2

Pathology

front 3

The mechanisms of human body functioning.

back 3

Physiology

front 4

How the human body is put together, including the component parts operate together.

back 4

Structure

front 5

Concerned with how these component parts operate together.

back 5

Function

front 6

The functional impairment of cells, tissues, organs, or organ systems.

back 6

Disease

front 7

A specific condition with a recognizable, predictable pattern.

back 7

Syndrome

front 8

The disease beginning.

back 8

Pathogenesis

front 9

Vulnerabilities

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Risk factors

front 10

Precise cause of disease.

back 10

Etiology

front 11

Disease-causing microorganism

back 11

Pathogen

front 12

Having more than one genetic and/or environmental causing events

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Multifactorial

front 13

When a disease has no known etiology

back 13

Idiopathic

front 14

The result of exposure to infection in the health care environment

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Nosocomial disease

front 15

Diseases that are the inadvertent result of medical treatment.

back 15

Iatrogenic disease

front 16

The presenting signs and symptoms of the disease

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Clinical manifestations

front 17

Indicators that are reported by the ill individual and are considered the "subjective" manifestations.

back 17

Symptoms

front 18

Triggers

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Precipitating factors

front 19

The manifestations that are found directly at the site of disease and are confined to that specific area

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Local manifestation

front 20

Manifestations that present throughout the body and are not confined to one area

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Systemic manifestations

front 21

Manifestations or diseases that begin abruptly and last a few days to a few months.

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Acute manifestations

front 22

Diseases that generally last longer than 6 months and are insidious in onset

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Chronic diseases

front 23

Gradual

back 23

Insidious

front 24

Symptom-free periods

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Remissions

front 25

Flaring of symptoms

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Exacerbations

front 26

A term used to describe diseases that fall somewhere between acute and chronic in duration and severity.

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Subacute

front 27

The person does not have any noticeable symptoms even though diagnostic tests may indicate that the disease is present

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Asymptomatic

front 28

Label for the disease

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Diagnosis

front 29

The human response to illness, such as altered fluid balance and ineffective airway clearance

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Nursing diagnoses

front 30

The forecast or prediction of how the individual will proceed through the disease process.

back 30

Prognosis

front 31

A negative outcome with disease complications that impact the quality of life

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Morbidity

front 32

Death

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Mortality

front 33

The perceived wholeness of body, mind, and spirit

back 33

Health

front 34

A state that results in suffering or distress

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Illness

front 35

A dynamic balance in the body marked by the appropriate and effective response to stimuli, thereby keeping the body in a steady state.

back 35

Homeostasis

front 36

The study of disease in populations

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Epidemiology

front 37

The rate of occurrence of a disease at any given time

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Incidence

front 38

When the incidence and prevalence of a disease are predictable and stable

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Endemic

front 39

A dramatic increase in disease incidence in a population

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Epidemic

front 40

When an epidemic spreads across continents

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Pandemic

front 41

Prohibits a disease condition from occurring

back 41

Primary prevention

front 42

The early detection and treatment of disease through screening

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Secondary prevention

front 43

Rehabilitation of a patient after detection of disease.

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Tertiary prevention

front 44

A general idea that can be applied to similar situations

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Concept

front 45

The third line of defense

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Immune response

front 46

Defined in the broadest sense to include any form of damage or alteration to cells or tissues

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Injury

front 47

To increase blood flow to the site of an injury

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Vascular response

front 48

To alert the products of healing to attend to the site of injury

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Cellular response

front 49

Widen

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dilate

front 50

Loosens

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Permeable

front 51

Form a tight junction within the inner lining of the blood and lymphatic vessels and the heart

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Endothelial cells

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The outer membrane of the vessels, which separates the vessel from the tissues of the body

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Basement membrane

front 53

The process of engulfing and removing harmful agents

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Phagocytosis

front 54

Watery fluid

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Exudate

front 55

Facilitate the process of widening and loosening of the blood.

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Inflammatory mediators

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Leukocytes that are housed throughout the connective tissues of the body and near all blood vessels

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Mast cell

front 57

When the mast cell breaks apart and releases inflammatory mediators in the form of extracellular granules (grain-like particles)

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Degranulation

front 58

A white blood cell that also contains granules

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Basophil

front 59

More than a hundred distinct cell proteins most often found within white blood cells that have a vital role in regulating inflammation

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Cytokines

front 60

A complex lipid stored in cell membranes, including those of endothelial cells that line blood vessels and in many other types of cells that can become injured

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Platelet-activating factor

front 61

A substance, derived from the plasma membrane of an injured cell, which generates various inflammatory mediators through a complex chemical conversion

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Arachidonic acid

front 62

A self-attack against body tissues

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Autoimmunity

front 63

A process of moving certain cells to the site of injury

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Chemotaxis

front 64

Specific inflammatory mediators

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Chemotactic factors

front 65

Attraction and binding

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Cellular adherence

front 66

In this process, cells can move between and through endothelial junctions

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Diapedesis

front 67

The local manifestations of acute inflammation

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Cardinal signs

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Redness

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Erythema

front 69

Enlargement and inflammation of the nearby lymph nodes

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Lymphadenitis

front 70

An elevation in white blood cells

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Leukocytosis

front 71

A protective clot and subsequent scab

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Thrombus

front 72

The layers of architectural structures that support the cells

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Extracellular matrix (ECM)

front 73

The movement of epithelial cells to form a covering over the wound

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Re-epithelialization

front 74

Tissues made up of cells with a specific function

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Parenchymal tissues

front 75

Important cells that produce and replace the connective tissue layer

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Fibroblasts

front 76

Helps to fill in the gaps left after the removal of damaged tissues

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Collagen

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Allows stretching and recoil of tissue

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Elastin

front 78

Regulate cell movement across the matrix, provide a place for the attachment of the cells to the matrix, and prompt the cells to function

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Glycoproteins

front 79

A temporary matrix that promotes healing by decreasing blood and fluid loss at the site and attracting and supporting fibroblasts, endothelial cells, and epidermal cells.

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Provisional matrix

front 80

Connective tissue characterized by extensive macrophages and fibroblasts

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Granulation tissue

front 81

The generation of new blood vessels

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Angiogenesis

front 82

Healing in response to mild injury with minimal disruption to cells

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Resolution

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Can occur only in those cells that undergo mitotic division; accomplished through proliferation, differentiation, or diapedesis

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Regeneration

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Growth and reproduction

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Proliferation

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Cells mature and become more specialized

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Differentiation

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Migration of nearby cells

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Diapedesis

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Cells that constantly regenerate through mitosis, particularly epithelial cells of the skin, GI tract, and urinary tract, and blood cells in the bone marrow

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Labile cells

front 88

Cells that stop regenerating when growth is complete but can resume regeneration if injured

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Stable cells

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Occurs in extensive wounds and when regeneration is not possible

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Replacement through the production of scar tissue

front 90

Cells that do not undergo mitosis and are unable to regenerate

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Permanent cells

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When the wound is basically closed with all areas of the wound connecting and healing simultaneously.

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Primary intention

front 92

When wounds heal from the bottom up; process is much slower and more involved than the primary intention process

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Secondary intention

front 93

Passage of oxygenated blood

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Perfusion

front 94

Circumscribed, open, craterlike lesion of the skin or mucous membranes

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Ulcers

front 95

A problem of deficient scar formation, in which the wound splits or bursts open, often at a suture line

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Wound dehiscence

front 96

Hypertrophic scars that result from excessive collagen production at the site of injury

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Keloids

front 97

Fibrous connections between serous cavities and nearby tissues, which do not allow the surrounding tissues to move freely

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Adhesions

front 98

Enzymes that destroy elastin and other tissue components

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Proteinases

front 99

Nodular inflammatory lesions that encase harmful substances

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Granulomas

front 100

Phagocytes that can engulf particles much larger than the typical macrophage

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Giant cells

front 101

Gather and contain smaller substances by forming a wall, or fibrotic granuloma, around the affected area

back 101

Epithelioid cells

front 102

First-degree burns

back 102

Superficial partial-thickness burns

front 103

Second-degree burns

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Deep partial-thickness burns

front 104

Third-degree burns

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Full-thickness burns

front 105

Areas of thick, shortened, and rigid tissue

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Contractures

front 106

A state of inadequate perfusion to peripheral tissues

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Shock

front 107

A bacterial infection of the blood, and septic shock

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Sepsis

front 108

A thick, coagulated crust

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Eschar

front 109

A clear fluid that seeps out of the tissue

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Serous exudate

front 110

A process of mechanically removing debris, including necrotic tissue, from the wound

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Debridement

front 111

A generic term for degeneration or inflammation of the joints and refers to a group of diseases of varying pathogenesis

back 111

Arthritis

front 112

Granulation tissue that forms over the inflamed synovium and cartilage as a result of accelerated angiogenesis

back 112

Pannus

front 113

A condition where fibrosis impairs joint mobility and can result in a debilitating fixation of the joint

back 113

Ankylosis

front 114

Inflammation of the lining of the stomach, or gastric mucosa, thereby impairing gastric function.

back 114

Gastritis

front 115

A vague epigastric discomfort associated with nausea and heartburn

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Dyspepsia

front 116

An abnormal track or passage that forms between two segments of bowel or other epithelial tissue

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Fistula

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Hidden

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Occult

front 118

A state where tissue readily bleeds

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Friability

front 119

The process by which the body recognizes foreign substances and neutralizes them to prevent damage

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Immunity

front 120

The study of the structure and function of the immune system as well as the phenomena of immunity, induced sensitivity, and allergy

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Immunology

front 121

A substance that induces a state of sensitivity or an immune response

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Antigen

front 122

One of the two precursor cell types that include natural killer cells, T lymphocytes, and B lymphocytes

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Lymphoid progenitor cells

front 123

One of the two precursor cell types that produce other types of cells through the granulocyte/macrophage progenitor which include monocytes, dendritic cells, granulocytes, and mast cells

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Myeloid progenitor cells

front 124

Cells that mature and fully differentiate in the thymus

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T lymphocytes

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A type of T lymphocyte that directs destruction of antigen carrying cells

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Cytotoxic T lymphocytes

front 126

A type of T lymphocyte that enhances humoral and cell-mediated responses of the immune system

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Helper T lymphocytes

front 127

A type of T lymphocyte that inhibits humoral and cell-mediated responses

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Suppressor T lymphocytes

front 128

A unique receptor that is able to bind to antigens, promoting a specific immune response

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T-cell receptor (TCR)

front 129

Lymphocytes that differentiate into plasma cells in the bone marrow; produce and secrete antibodies after contact with an antigen

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B lymphocytes

front 130

Receptor bound to the cell membrane of the B cell; association with antigen activates plasma cells to produce and secrete antibodies

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B-cell receptor

front 131

A group of structurally related proteins important in immune function; composed of a variable region promoting antigen specificity and a constant region; classifications include IgG, IgA, IgM, IgD, and IgE

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Immunoglobulin

front 132

Large, granular lymphocytes; non-specific cytotoxic cells

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Natural killer cells

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Phagocytic cells named for the cytoplasmic granules common to all types; polymorphonuclear leukocytes, including neutrophils, eosinophils, and basophils

back 133

Granulocytes

front 134

Granulocyte present in the greatest number; most important in the rapid response to bacterial infection; phagocytic; the first responders in the inflammatory response

back 134

Neutrophils

front 135

Granulocyte with greatest protection against parasites

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Eosinophils

front 136

Granulocyte that complements the actions of mast cells; important in establishing allergic reactions

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Basophils

front 137

Large, mononuclear leukocytes representing 3% to 7% of the total number of circulating leukocytes associated with a prolonged inflammatory response

back 137

Monocytes

front 138

Large, long-lived phagocytic leukocyte found within body tissues associated with a prolonged inflammatory response

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Macrophages

front 139

Process and display of antigens to T lymphocytes; take up antigens when they are encountered in the circulation

back 139

Dendritic cells

front 140

Immature dendritic cells in the skin; carry surface receptors for immunoglobulin and complement, important in the immune response

back 140

Langerhans' cells

front 141

Sites for maintenance of the lymphocytes; are the organs in which immune responses are often initiated; organs include the spleen, lymph nodes, and other lymphoid mucosal tissue, such as tonsils and the appendix

back 141

Peripheral organs

front 142

Circulates lymphocytes in lymph fluid; work in concert with the blood vessels to promote an effective immune response

back 142

Lymphatic system

front 143

Filtration product of extracellular fluid from tissues

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Lymph fluid

front 144

Joined segment of lymphatic vessels

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Lymph nodes

front 145

Lymphocytes that have not yet encountered an antigen

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Naive lymphocytes

front 146

Responsible for early, rapid response to pathogens without prior exposure

back 146

Innate immunity

front 147

Cell-mediated and humoral immunity; specific immune response occurring during a lifetime

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Adaptive immunity

front 148

Cells that process and present antigen for recognition by immune cells

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Antigen-presenting cells

front 149

Particles that are not part of the individual

back 149

Nonself

front 150

Adaptive immunity involving antibodies

back 150

Humoral immunity

front 151

Immunoglobulins that react with an antigen in a specific way; produced by activated plasma cells

back 151

Antibodies

front 152

Structure forming the base of the Y-shaped antibody; the most stable component

back 152

Constant region

front 153

Structure of antibody that allows binding to specific antigens

back 153

Variable regions

front 154

Differentiated B cells capable of responding much more rapidly when re-exposed to the same antigen; dramatically shortening and intensifying the immunologic response

back 154

Memory cells

front 155

Process by which memory cells respond much more rapidly when reexposed to the same antigen; dramatically shortens and intensifies the immunologic response

back 155

Immunologic memory

front 156

The selection and activation of specific B lymphocytes and T lymphocytes by the binding of epitopes to B or T cell receptors with a corresponding fit

back 156

Clonal selection

front 157

The proliferation of B and T lymphocytes activated by clonal selection to produce a clone of identical cells; enables the body to have sufficient numbers of antigen-specific lymphocytes to mount an effective immune response

back 157

Clonal expansion

front 158

Making ineffective any action, process, or potential

back 158

Neutralization

front 159

A process of rendering bacteria vulnerable to phagocytosis

back 159

Opsonization

front 160

A component of adaptive immunity; cytotoxic T cell-mediated destruction of pathogen and infected host cell

back 160

Cell-mediated immunity

front 161

Determine specific functions and responses of T-cell subtypes

back 161

Clusters of differentiation (CD)

front 162

Subtype of cytotoxic T lymphocyte that expresses the molecule CD8 on its cell surface

back 162

CD8 T lymphocytes

front 163

Subtype of helper T lymphocyte that expresses the molecule CD4 on its cell surface

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CD4 T lymphocytes

front 164

1 class of CD4 helper T lymphocytes; activate macrophages, secrete chemokines and cytokines to attract macrophages; promote fusion of lysosomes with vesicles containing bacteria; and stimulate phagocytosis

back 164

Th1 cells

front 165

2 class of CD4 helper T lymphocytes; activate B cells to produce antibodies

back 165

TH2 cells

front 166

The major histocompatibility complex proteins in humans; HLA genes encode antigen specificity; important in transplant rejection

back 166

Human leukocyte antigens (HLAs)

front 167

Alteration of pathogen protein particles to evade recognition and stimulation of memory in the immune system

back 167

Antigenic variation

front 168

A period of dormancy

back 168

Latency

front 169

Condition resulting from an inadequate immune defense; may be primary (directly caused by an alteration in immunity) or secondary (a consequence of another disease process)

back 169

Immunodeficiency

front 170

Protein promoting altered reactivity responses by the immune system

back 170

Allergens

front 171

Describes individuals having a genetic predisposition to developing hypersensitivities

back 171

Atopic

front 172

Extreme manifestation to foreign protein or other substance

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Anaphylaxis

front 173

Complex-mediated immune response in the skin resulting in an area of localized tissue necrosis

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Arthus reaction

front 174

Reaction after allergen contact that is slow in onset and peaks after 36 to 48 hours; associated with a type IV cell-mediated hypersensitivity reaction

back 174

Delayed hypersensitivity reactions

front 175

Initial phase of delayed hypersensitivity reaction; stimulated by entry of antigen via the skin and presentation of antigen by Langerhans cells, stimulating immune responses

back 175

Sensitization phase

front 176

Second phase of delayed hypersensitivity reaction; memory cells in the dermis are stimulated after presentation with antigen by Langerhans cells, prompting activation of memory T cells and stimulation of cell-mediated responses

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Elicitation phase

front 177

Immune responses directed at an individual's own tissues

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Autoimmune

front 178

The process of converting lymphocytes from nonresponsive to self-reactive

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Lymphocyte ignorance

front 179

Close resemblance between foreign antigen and self-antigen

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Molecular mimicry

front 180

Propagation of a condition among family members

back 180

Familial tendency

front 181

Suppress autoreactive lymphocytes and regulate the immune response; also known as suppressor T cells

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Regulatory T cells

front 182

Describes something that occurs in more than one form

back 182

Polymorphic

front 183

Containing several major histocompatibility complex (MHC) class I and II genes; interaction of several genes influenced by environmental factors

back 183

Polygenic

front 184

Grafts from different sites on the same person

back 184

Autograft

front 185

Graft from genetically identical individuals

back 185

Syngeneic

front 186

Graft between unrelated individuals

back 186

Allograft

front 187

Proteins that vary between individuals

back 187

Alloantigens

front 188

Antibodies produced against alloantigens

back 188

Alloantibodies

front 189

Rapid rejection of grafts

back 189

Hyperacute graft rejection

front 190

The most common form of tissue transplant; infusion of donor blood into recipient

back 190

Blood transfusion

front 191

The process by which the recipient's blood type is determined

back 191

Blood typing

front 192

A condition in which transplanted donor T lymphocytes mount an immune response against the host

back 192

Graft versus host disease (GVHD)

front 193

A major glucocorticoid secreted from the adrenal cortex that regulates metabolism, inflammatory/immune responses, and the stress response

back 193

Cortisol

front 194

Transfer of the genetic code from one type of ribonucleic acid to another; based on the nucleotide sequence of a complementary DNA template

back 194

Transcription

front 195

Blood levels of substances much higher than would normally be expected

back 195

Supraphysiologic

front 196

Weakened; reduced ability to cause disease

back 196

Attenuated

front 197

Antigens that promote activation of more than one cell type

back 197

Conjugated vaccines

front 198

Enveloped retrovirus that infects CD4 T cells, dendritic cells, and macrophages; virus associated with the secondary immunodeficiency, acquired immunodeficiency syndrome (AIDs)

back 198

Human Immunodeficiency Virus (HIV)

front 199

Development of antibodies to a particular antigen

back 199

Seroconversion

front 200

Swelling or enlargement of the lymph nodes

back 200

Lymphadenopathy

front 201

Contraction of the smooth muscle in the bronchi and bronchioles of the lungs, decreasing airway size

back 201

Bronchospasm

front 202

Sensation of itching

back 202

Urticaria

front 203

Sudden subcutaneous edema

back 203

Angioedema

front 204

Dormancy; temporary resting

back 204

Quiescence

front 205

Rash over cheeks; characteristic manifestation of systemic lupus erythematosus (SLE)

back 205

Malar

front 206

Red, raised, round rash

back 206

Discoid

front 207

Skin sensitivity to the sun resulting in rash

back 207

Photosensitivity

front 208

Circumscribed, open, craterlike lesion of the skin or mucous membranes

back 208

Ulcers

front 209

Inflammation of the lining of the lungs or pleural cavity

back 209

Pleuritis

front 210

Inflammation of the lining of the heart

back 210

Pericarditis

front 211

Protein in the urine

back 211

Proteinuria

front 212

Compacted collection of protein, cells, and debris that are formed in kidney tubules

back 212

Cellular casts

front 213

Abnormally low number of platelets

back 213

Thrombocytopenia

front 214

Destruction of blood cells

back 214

Hemolytic

front 215

Insertion of a needle into the uterine cavity to obtain a sample of amniotic fluid

back 215

Amniocentesis

front 216

Microorganisms that live on or within the body in nonsterile areas without causing harm

back 216

Resident flora

front 217

A disease-causing organism, such as a virus

back 217

Pathogen

front 218

Ability of a pathogen to produce an infectious disease; involving multiple factors, including the pathogen's potency, invasiveness, ability to evade the immune system, speed of replication, production of toxins, adherence to the human host cell, and the degree of tissue damage that is elicited

back 218

Pathogenicity

front 219

The potency of a pathogen indicated by the ratio of the number of cases of disease in a population compared with the number of people exposed to the microorganism

back 219

Virulence

front 220

The proportion of exposures needed to cause infection in an individual based on the pathogens' ability to enter, survive in, and multiply in the host

back 220

Infectivity

front 221

The ability of a pathogen to produce harmful toxins that increase host cell and tissue damage

back 221

Toxigenicity

front 222

The level to which a pathogen is viewed by the host immune system as foreign

back 222

Antigenicity

front 223

A process of eluding the human host defenses; often a result of altering the antigens present within or on the surface of the microorganism

back 223

Antigenic variability

front 224

The ways in which many pathogens have developed ways to avoid destruction by the host, such as through thick protective capsules, which prevent phagocytosis

back 224

Pathogenic defense mechanisms

front 225

A phenomenon of hosting two or more pathogens simultaneously

back 225

Coinfection

front 226

When a new infection arises in addition to one that is already present

back 226

Superinfection

front 227

Parasites that require the host for metabolism and reproduction

back 227

Obligate parasites

front 228

Microorganisms that may live on the host but can also survive independently

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Facultative parasites

front 229

Single-celled microorganisms that can reproduce outside of host cells

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Bacteria

front 230

Microorganisms that require oxygen for growth

back 230

Aerobic

front 231

Bacteria that do not require oxygen for growth

back 231

Anaerobic

front 232

The cytoplasm of bacteria that contains extensive ribosomes, proteins, and carbohydrates, but does not contain mitochondria, endoplasmic reticulum, or other membraneous components

back 232

Cytosol

front 233

A complex of phospholipid-polysaccharide molecules that form the structural component of the gram-negative cell wall and causes inflammatory mediators to be released, leading to a massive inflammatory response

back 233

Endotoxin

front 234

Pathogens that induce fever

back 234

Pyogenic

front 235

Potent substances produced by many bacteria, which result in host cell dysfunction or lysis

back 235

Exotoxins

front 236

Obligate intracellular parasites

back 236

Viruses

front 237

Particles released by cells infected by viruses, which can enter and infect other nearby cells

back 237

Virions

front 238

A period of dormancy

back 238

Latency

front 239

Unicellular forms of fungi that reproduce by budding

back 239

Yeasts

front 240

A multicellular form of fungus

back 240

Molds

front 241

Elongated chains formed by yeast through budding

back 241

Pseudohyphae

front 242

Tubular branches formed by mold colonies

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Hyphae

front 243

A cluster of hyphae formed from mold colonies

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Mycelium

front 244

Infections with fungi as the pathogen

back 244

Mycoses

front 245

Those that cause disease only in a host with a compromised immune system

back 245

Opportunistic pathogens

front 246

The softening and breaking down of tissue

back 246

Maceration

front 247

A vehicle that harbors a pathogen and carries it to a host

back 247

Vector

front 248

Diseases that are spread from person to person, often through contact with infected blood and body fluids

back 248

Communicable diseases

front 249

A device that uses steam heat at high pressures to sterilize objects

back 249

Autoclave

front 250

A standard of health care that recognizes all blood and body fluid as potentially infected

back 250

Universal precautions

front 251

The individual who is exposed to and contracts an infection

back 251

Host

front 252

A problem of microorganisms gaining access to the blood and circulating throughout the body

back 252

Septicemia

front 253

A state in which bacteria gain access to the blood

back 253

Bacteremia

front 254

A condition of altered perfusion by shock as the result of overwhelming systemic infection, often with gram-negative bacteria leading to inadequate perfusion of vital organs

back 254

Septic shock

front 255

Exudate that contains pus

back 255

Purulent

front 256

A process of changing genetic composition during replication in the human host cell leading to viral offspring with altered antigenic properties

back 256

Reassortment

front 257

A blood bypass through which deoxygenated blood from the gastrointestinal tract, spleen, and pancreas travel to the liver by way of the portal vein before moving on to the vena cava and heart

back 257

Portal circulation

front 258

Phagocytes housed in the liver

back 258

Kupffer cells

front 259

The yellow-tinged color of the skin and sclera of the eyes in those with liver disease

back 259

Jaundice

front 260

The formation of new red blood cells

back 260

Erythropoiesis

front 261

An end-stage liver disease marked by interference of blood flow to the liver and widespread hepatocyte damage

back 261

Cirrhosis

front 262

The upward movement of an infection

back 262

Ascending

front 263

Pain with urination

back 263

Dysuria

front 264

The need to urinate immediately

back 264

Urgency

front 265

Blood in the urine

back 265

Hematuria

front 266

Purulent exudate (pus) in the urine

back 266

Pyuria

front 267

Infection and subsequent inflammation of the kidneys

back 267

Pyelonephritis

front 268

A condition in which the eyes are extremely sensitive to light

back 268

Photophobia

front 269

A hyperextended stiff neck related to meningeal irritation

back 269

Nuchal rigidity

front 270

A test used to elicit meningeal pain; the patient is placed supine with knees bent and hips flexed, one knee is lifted upward, thereby eliciting pain

back 270

Kernig sign

front 271

A test of meningeal irritation where the patient is supine and the neck is quickly flexed; this activity elicits pain along with involuntary flexion of the hips and knees

back 271

Brudzinski sign

front 272

Passage of characteristics from parent to offspring

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Heredity

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Type of nucleic acid containing a sugar (deoxyribose); usually found in the cell nucleus and mitochondria; responsible for the storage of genetic information; made up of four nitrogenous bases, including adenine (A) and guanine (G), cytosine (C) and thymine (T)

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Deoxyribonucleic acid (DNA)

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Parent compound of the nitrogenous bases adenine (A) and guanine (G)

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Purines

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Parent compound of the nitrogenous bases cytosine (C) and thymine (T)

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Pyrimidines

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Nitrogen base combinations; DNA base pairs including cytosine and guanine, and adenine and thymine

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Base pairs

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Hereditary units containing information for the production of proteins

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Genetic code

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Sequence of three forms of nitrogen bases forms; nucleotide triplet; fundamental triplet code necessary for protein synthesis; basic compounds produced are amino acids

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Codon

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Nucleic acid that contains a sugar (ribose); responsible for the control of protein synthesis; made up of the four nitrogenous bases, including adenine (A) and guanine (G), cytosine (C) and uracil (U)

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Ribonucleic acid (RNA)

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Template for protein synthesis; depends on a codon sequence based on that of the complementary strand of DNA (cDNA); cytoplasmic area where protein is made in amino acid sequences

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Messenger RNA

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Different ways of assembling exons to produce a variety of mature mRNAs

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Alternative splicing

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Segment of DNA coded for protein production

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Exons

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Segment of DNA not involved in protein expression

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Introns

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Involved in the production of proteins with specific amino acid arrangements through interaction with mRNA

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Transfer RNA

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Form of RNA of ribosomes; associated with mRNA in the translation of the genetic code

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Ribosomal RNA

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Process involved in the production of protein from amino acids

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Translation

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Double-stranded DNA containing threadlike sections of genes that form an individual's genetic code; most commonly found in the cell nucleus; responsible for reproduction of physical and chemical structures; human somatic cells contain 46 chromosomes: 22 paired autosomes and 1 pair of sex chromosomes

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Chromosomes

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Process of reproduction of nuclear chromosomes in somatic cells; reproductive phases include prophase, prometaphase, metaphase, anaphase, and telophase; results in the creation of daughter cells with the same chromosome number and genetic makeup as the cell of origin

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Mitosis

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Process of sex cell (gamete) division; cell division resulting in gametocytes containing half (haploid) the number of chromosomes found in a somatic cell

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Meiosis

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Structure linking the chromosome pairs of the somatic cells of the body; divides the chromosome into two arms; constant position for each chromosome

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Centromere

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The number of chromosomes a human body cell contains; 23 pairs of chromosomes, or a total of 46

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Diploid

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Chromosomes other than a sex chromosome; totals 44 chromosomes in each body cell

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Autosomes

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Known as X and Y; the genetic determinants of the sex of an individual

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Sex chromosomes

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Ova and sperm; contains only one of the chromosome pairs, known as the haploid number

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Gametes

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Cells containing single chromosomes, rather than pairs; chromosome number totals 23 (22 autosomes, 1 sex chromosome); characteristic of gametes

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Haploid

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Transfer of the genetic code from one type of ribonucleic acid to another; based on the nucleotide sequence of a complementary DNA template

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Transcription

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Study of the human genome; includes the functions and interactions of all genes compromising an individual

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Genomics

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Genetic makeup of an individual

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Genotype

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Genetic traits that are apparent or observable

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Phenotype

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A series of two or more different genes occupying the same location on a specific chromosome

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Alleles

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Containing several major histocompatibility complex (MHC) class I and II genes; interaction of several genes influenced by environmental factors

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Polygenic

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Change in genes or sequence of base pairs that make up the chromosomes; genetic alteration perpetuated in subsequent cellular divisions

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Mutations

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A mutation occurring in body cells, rather than gametes; not transmittable to subsequent generations

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Somatic mutation

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Occurring in more than one form

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Polymorphism

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The evidence of the gene in the phenotype

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Expressivity

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Ability of a gene to express a mutation; influences the effects of mutations

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Penetrance

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Characteristics passed on by the transmission of a single gene

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Single gene traits

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Identical alleles on each chromosome

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Homozygous

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Different alleles on each chromosome

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Heterozygous

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Predictable trait transmission based on autosomal dominant or recessive genotypes

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Mendelian pattern

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An allele possessed by one of the parents of a hybrid that is expressed in the latter to the exclusion of a contrasting allele (the recessive) from the other parent

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Dominant

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Trait caused by a particular allele that does not manifest itself in the presence of other alleles that generate traits dominant to it

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Recessive

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Characteristics passed on by sex chromosomes; most often recessive traits; often linked to the X chromosome

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Sex-linked

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Heterozygous for a recessive genetic mutation; able to transmit the genetic mutation to subsequent generations in the absence of a disease phenotype

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Carriers

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Transmitted through female or maternal lines

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Matrilineal

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Random distribution of genes leading to a variable distribution in tissues

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Heteroplasmy

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Picture of arranged, paired, like chromosomes in order from largest to smallest

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Karyotype

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Failure of chromosome separation during meiosis or mitosis; results in an unequal number of chromosomes

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Nondisjunction

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Combination of cell lines with regular and altered numbers of chromosomes

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Mosaicism

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One copy of a chromosome, in place of the normal pair; the result of nondisjuncture

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Monosomy

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Presence of three copies of a chromosome in place of the normal pair; the result of nondisjuncture

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Trisomy

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Exchange of a section of chromosome from one to another; often occurs during meiosis; able to be transferred to subsequent generations

back 322

Translocation

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Regulation of the expression of gene activity without alteration of genetic structure

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Epigenetic

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An epigenetic phenomenon; mechanism that controls of all genes compromising an individual

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Genomic imprinting

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Embryologic period of organ development

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Organogenesis

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Substances causing damage to a developing embryo or fetus

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Teratogens

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Condition resulting from exposure of a fetus to alcohol; characterized by mental handicap, growth deficit, and physical disability

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Fetal alcohol syndrome (FAS)

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Damage to a developing fetus

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Congenital defects

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Identification of genetic abnormalities before implantation of the blastocyst in the maternal uterine lining, the decidua

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Preimplantation genetic diagnosis

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Early embryo

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Blastomere

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Abnormal chromosome number

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Aneuploidy

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Difficulty in performing voluntary movements

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Dyskinesia

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Single gene disorder resulting from a mutation of the sickle beta globin gene; characterized by sickled hemoglobin (HbS); autosomal recessive

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Sickle cell anemia

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Adult form of hemoglobin

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Hemoglobin A

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Sickled form of hemoglobin

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Hemoglobin S

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Breakdown of red blood cells

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Hemolysis

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Yellow, lipid-soluble byproduct of hemoglobin; elevated levels result in jaundice

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Bilirubin

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Heterozygous for a mutation of the sickle beta globin gene; carrier of the autosomal recessive trait

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Sickle cell trait

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Enzyme important in catalyzing oxidation-reduction mitochondrial reactions in cellular respiration

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Cytochrome oxidase

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Cystic structure containing serous fluid

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Hygroma

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Fully differentiated body part with specialized functions

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Organs

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Groups of similar cell types that combine to form a specific function; the four major tissue types in the body include epithelium (skin), connective tissue (including blood, bone, and cartilage), muscle and nerve

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Tissues

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Smallest component of the living individual

back 343

Cells

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An organized structure composed of lipids, carbohydrates, and proteins arranged in a bilayer; protects the cell by creating a barrier against the potentially hostile environment surrounding it

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Plasma membrane

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Two interconnected layers of the plasma membrane; the lipid (fat-soluble) layer contains phospholipid and glycolipid

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Bilayer

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An organized structure of two interconnected layers composed of nonpolar hydrophobic lipids tails connected to polar hydrophilic heads

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Lipid bilayers

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Phosphate bound to lipid heads of the plasma membrane

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Phospholipids

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Carrying a distribution of electrons that repels water; possessing affinity to water

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Polar (hydrophilic)

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Compound lacking positive or negative charge; lacking affinity to water

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Nonpolar (hydrophobic)

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Sugar bound to lipid heads of the plasma membrane

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Glycolipids

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Protein extending through the plasma membrane, contacting both the intracellular and extracellular components

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Transmembrane proteins

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Form of transmembrane protein; forms a channel in the plasma membrane for transport of ions

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Integral proteins

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Colloid substance surrounding the cell nucleus composed of water, proteins, fats, electrolytes, glycogen, and pigments

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Cytoplasm

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Structures within a cell that perform a distinct function

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Organelles

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Cellular organelle composed of a complex network of tubules; important in the production of proteins and fats and ion regulation; subtypes include rough and smooth

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Endoplasmic reticulum

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Cellular organelle with a membranous structure; prepares substances by the endoplasmic reticulum for secretion out of the cell

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Golgi apparatus

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Cellular organelle composed of small sacs surround by membrane; responsible for hydrolytic digestion of cellular debris

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Lysosome

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Cellular organelle made up of small membrane-enclosed sacs; promote cell survival by oxidation of oxygen free radicals

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Peroxisomes

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An oxygen atom carrying an unpaired electron and no charge

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Oxygen free radicals

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Large cellular organelle that recognizes abnormally folded or formed proteins; involved in proteolysis

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Proteosomes

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The process of cutting or splicing proteins into their smaller peptide units

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Proteolysis

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Cellular organelle containing enzymes involved in the citric acid cycle, fatty acid oxidation, and oxidative phosphorylation; principal producer of the cellular energy source adenosine triphosphate (ATP)

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Mitochondria

front 363

Principal source of cellular energy; product of a chemical reaction between oxygen and nutrient products such as glucose, fatty acids, amino acids, and enzymes

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Adenosine triphosphate (ATP)

front 364

Rounded mass of protoplasm within the cytoplasm of a cell; surrounded by a nuclear envelope enclosing structures responsible for mitosis during cell division

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Nucleus

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Tubule and filament structures, contributing to cell shape, movement, and intracellular transport; composed of microtubules and thin, intermediate, and thick microfilaments

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Cytoskeleton

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Movement of particles from an area of high to lower concentration

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Diffusion

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Membrane passage between the extracellular and intracellular environment

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Membrane pore

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Movement of water across a concentration gradient; water movement to an area of higher concentration of particles (less water content) from an area of lower concentration of particles (more water content); regulated by the concentration of particles that do not diffuse across the semipermeable membrane

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Osmosis

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Force generated as water moves through the membrane by osmosis

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Osmotic pressure

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Assisted movement of substances across the cell membrane; not energy dependent

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Facilitated diffusion

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Difference in electrical charge between the inside and outside of the cell

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Membrane potential

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Energy-dependent transport of particles across the cell membrane against a gradient

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Active transport

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Active transport process requiring the direct use of energy in the form of ATP

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Primary active transport

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Active transport mechanism involving movement of a second substance; dependent on energy derived from the active transport of the primary substance

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Secondary active transport

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Substances transported together in the same direction

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Cotransport or symport

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Substances transported in the opposite direction

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Countertransport or antiport

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Particle entry into the cytoplasm through incorporation into a vesicle via a portion of the cell membrane

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Ingest

front 378

Transport mechanism involving vesicular enclosure of particles from the extracellular environment into the cytoplasm for use by the cell

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Endocytosis

front 379

ATP -requiring process of ingesting very small vesicles

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Pinocytosis

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Ingesting large particles such as cells, bacteria, and damaged cellular components

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Phagocytosis

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The process of the release of metabolic products from cells

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Secreted

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The process of movement of granules or particles out of the cell; fusion of the membrane surrounding the granule with the cell membrane, followed by rupture and release of contents

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Exocytosis

front 383

The process of oxygen use as a source of energy for production of ATP and release of metabolic products from cells

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Respiration

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Regulatory mechanism; response of input to a system by generation of output in a given system

back 384

Feedback mechanisms

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A cytoplasmic or cell surface protein molecule structured to bind specific factors

back 385

Receptor

front 386

Molecules that bind to specific receptors; involved in signal transduction

back 386

Ligands

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Mechanism of cellular communication; initiated by binding of ligand to receptor and resulting in an action through subsequent communication events

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Signal transduction pathway

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Tightness or strength of ligand/receptor interaction

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Binding affinity

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Substances involved in cellular responses in the immediate area

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Local mediators

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Chemical substances, formed in a tissue or organ and carried in the blood, that stimulated or inhibit the growth or function of other tissues or organs

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Hormones

front 391

The rapid generation of new daughter cells divided from progenitor (parent) cells

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Proliferation

front 392

A process of changing the physical and functional properties of a cell to allow greater specificity and functionality to that cell

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Differentiation

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Alteration in function that allows cells, tissues, and organs to adjust to new conditions; survival due to the capacity to adjust to an adverse environment

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Adaptation

front 394

Cessation of life; cessation of the integration of cellular, tissue, and organ functions

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Death

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Decrease in the size of the cell

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Atrophy

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Local response to decrease in blood supply

back 396

Ischemia

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Decrease in the size of tissues and organs

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Involution

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Condition that results from disuse because of impaired neural innervation to muscle tissue

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Spinal muscular atrophy

front 399

Increase in cell size

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Hypertrophy

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Related to growth

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Trophic

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Enlargement of lymphoepithelial adenoid tissue in the back of the nasal area

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Adenoid hypertrophy

front 402

Increase in the number of cells

back 402

Hyperplasia

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Permanent cessation of menses for a 12 month period

back 403

Menopause

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Changing of one cell type to another

back 404

Metaplasia

front 405

Actual change in cell size, shape, uniformity, arrangement, and structure

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Dysplasia

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Change in genes or sequence of base pairs that make up the chromosomes; genetic alteration perpetuated in subsequent cellular divisions

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Mutations

front 407

Condition in which cellular alterations lead to chronic, irreversible tissue changes in the respiratory tree of the lungs

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Bronchopulmonary dysplasia (BPD)

front 408

Potential source of cellular damage by exposure to reactive oxygen species

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Oxidative stress

front 409

Programmed cell death that is prompted by a genetic signal and designed to replace old cells with new; also known as "cellular suicide"

back 409

Apoptosis

front 410

Fusion or incomplete separation of digit soft tissue

back 410

Syndactyly

front 411

Disorderly process of cell death associated with inflammation

back 411

Necrosis

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Cellular damage from mechanical, thermal, or chemical sources

back 412

Physical injury

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Damage caused by impact of a body part

back 413

Mechanical injury

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Damage caused by extremes of temperature

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Thermal injury

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From within the body system

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Endogenous

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From the external environment

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Exogenous

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Damage caused by deprivation of oxygenation, hydration, and nutrition

back 417

Deficit injury

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Toxic oxygen molecules or radicals that are formed by the reaction between oxygen and water during mitochondrial respiration

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Reactive oxygen species (ROS)

front 419

Damage to cells resulting from reactive oxygen species

back 419

Free radical injury

front 420

Decrease in neuronal cell size and number leading to impaired neuronal communication and reduced brain tissue mass

back 420

Cerebral atrophy

front 421

A disease of cardiac muscle that results from excessive workload and functional demand

back 421

Cardiac hypertrophy

front 422

The expected distensibility, or expandability, of the lung tissue and chest wall

back 422

Compliance

front 423

Loss of consciousness; fainting

back 423

Syncope

front 424

Condition of hyperplasia prompted by hormone stimulation of excessive growth after closure of the epiphyseal growth plates of the long bones

back 424

Acromegaly

front 425

Long bone ossification site

back 425

Epiphyseal

front 426

Hormone secreted by the liver; promotes growth in bones, cartilage, soft tissues, and organs

back 426

Insulin-like growth factor 1

front 427

Benign tumor of glandular epithelial origin

back 427

Adenoma

front 428

Condition of hyperplasia characterized by excessive growth; growth hormone excess before the closure of the epiphyseal growth plates of the long bones

back 428

Gigantism

front 429

Epithelium consisting of a single flattened layer of cells

back 429

Squamous epithelium

front 430

Single layer of epithelial cells taller than they are wide

back 430

Columnar epithelium

front 431

Area between the external and internal cervical os; lined with columnar epithelium

back 431

Endocervical canal

front 432

Area of the merger of squamous and columnar epithelium; also known as the transformation zone of the cervix

back 432

Squamocolumnar junction

front 433

Area of the merger of the squamous and columnar epithelium; also known as the squamocolumnar junction of the cervix

back 433

Transformation zone

front 434

Outside of the cervix lined with squamous epithelium

back 434

Ectocervix

front 435

Nuclear genetic material made of DNA; condenses into chromosomes during mitosis

back 435

Chromatin

front 436

Invasive and destructive cellular growth, as in cancer

back 436

Malignancy

front 437

DNA virus; specific viral strains cause cutaneous and genital warts and severe cervical intraepithelial lesions

back 437

Human papilloma virus (HPV)

front 438

Cancer causing

back 438

Oncogenic

front 439

Active exposure to smoke

back 439

Mainstream smoke

front 440

Passive or secondhand smoke

back 440

Sidestream smoke

front 441

The rapid generation of new daughter cells divided from progenitor (parent) cells

back 441

Proliferation

front 442

A process of changing the physical and functional properties of a cell to allow greater specificity and functionality to that cell

back 442

Differentiation

front 443

Highly undifferentiated units that have the potential to divide into daughter stem cells, which can then mature into more differentiated units with a specific function

back 443

Stem cells

front 444

A term used to describe the origin, promotion, or development of cancerous neoplasms

back 444

Carcinogenesis

front 445

A term used to describe highly invasive and destructive neoplasms

back 445

Cancer

front 446

The process of starting with a single mutated cell and developing into cancer

back 446

Monoclonal origin

front 447

Genes that repair mutated DNA and protect the genome

back 447

Mutator genes

front 448

Genes that code for proteins involved in cell growth or regulation

back 448

Oncogenes

front 449

Genes that prohibit overproliferation of cells and regulate apoptosis

back 449

Tumor suppressor genes

front 450

"Normal" genes in the body with a vital role in regulating cell function; precursors to the development of oncogenes

back 450

Protooncogenes

front 451

A known cancer-causing agent

back 451

Carcinogen

front 452

A situation that causes a mutation in a cell

back 452

Initiating event

front 453

An expansion of a mutated cell's growth and reproduction; the continued growth of the cell depends on continued exposure to the promotor

back 453

Promoting event

front 454

An extension of the promotion phase with one exception: now the cancerous growth no longer depends on continued exposure to the promotor

back 454

Progression

front 455

The unregulated cell growth of neoplasms

back 455

Autonomy

front 456

A neoplasm's loss of differentiation

back 456

Anaplasia

front 457

Refers to hormone secretion from a site outside of an endocrine gland

back 457

Ectopic

front 458

Describes a tumor that remains localized and closely resembles the tissue of origin

back 458

Benign

front 459

Describes tumors that are invasive, destructive, spread to other sites, and do not resemble the tissue of origin

back 459

Malignant

front 460

The proliferation of the neoplasm within the tissue of origin

back 460

Local spread

front 461

A process of tumor cells moving into adjacent tissues and organs

back 461

Direct extension

front 462

A form of direct extension where neoplastic proliferation occurs within peritoneal and pleural cavities surrounding the affected tissue or organ

back 462

Seeding

front 463

Process that occurs when neoplasms are spread to distant sites often by way of the lymphatics or blood vessels

back 463

Metastases

front 464

A benign tumor of the squamous epithelium

back 464

Epithelioma

front 465

An epithelioma that presents as fingerlike projections

back 465

Papilloma

front 466

Benign tumor of glandular epithelial origin

back 466

Adenomas

front 467

Benign tumors that arise from germ cells

back 467

Teratomas

front 468

Tumor that arises from bone cells

back 468

Osteomas

front 469

Benign tumor that stems from chondrocytes

back 469

Chondromas

front 470

A malignant tumor of epithelial cells

back 470

Adenocarcinoma

front 471

A malignant tumor of chondrocytes

back 471

Chondrosarcoma

front 472

A unique term used to describe carcinomas that are confined to the epithelium and have not yet penetrated the basement membrane

back 472

Carcinoma in situ

front 473

A process of classifying the extent or spread of the disease from the site of origin

back 473

Staging

front 474

A process of differentiating the level of anaplasia depicted by the tumor

back 474

Grading

front 475

A syndrome of unexplained weight loss and tissue wasting related to the stimulation of inflammatory mediators, along with excess energy use, by the proliferating neoplastic cells

back 475

Cachexia

front 476

Substances that may be detected in cells or body fluids and can provide clues to the presence, extent, and treatment response of certain neoplasms

back 476

Tumor markers

front 477

Used to describe treating symptoms, such as pain, without curing the cancer

back 477

Palliative care

front 478

Mucosal epithelial depressions of the colon

back 478

Crypts

front 479

Hidden blood in the stool that is not visible

back 479

Occult

front 480

Visible blood in the stool

back 480

Frank

front 481

A procedure using an endoscope to perform direct visualization of the colon

back 481

Colonoscopy

front 482

Any immature cell

back 482

Blast cells

front 483

Episodes of nose bleeds

back 483

Epistaxis

front 484

Found in approximately 95% of those with chronic myelogenous leukemia (CML) and represents a chromosome 9 and 22 translocation, which activates oncogenes

back 484

Philadelphia chromosome

front 485

A malignant disorder of the lymphoid tissue often characterized by the painless, progressive enlargement of cervical (neck) lymph nodes

back 485

Hodgkin lymphoma

front 486

Originates in the cell components of lymph nodes following a B lymphocyte lineage; is the neoplastic cell that is diagnostic for Hodgkin lymphoma

back 486

Reed-Sternberg cell

front 487

A generic classification made up of a broad range of B-cell and T-cell malignancies within the immune system

back 487

Non-Hodgkin lymphoma