Exam 1 Patho Study Guide Vocabulary (Ch. 1,2,5,6,20,21)

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A comprehensive set of vocabulary flashcards covering key concepts from chapters 1, 2, 5, 6, 20, and 21, including homeostasis, disease processes, cellular adaptations, fluids/electrolytes, acid-base balance, inflammation, infection, and neoplasia.

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125 Terms

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Homeostasis

Maintenance of a relatively stable internal environment despite external changes.

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Disease

Deviation from the normal state of homeostasis.

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Pathogenesis

Development or origin of a disease.

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Onset

Beginning of disease symptoms; can be sudden or gradual.

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Acute disease

Short-term, rapid-developing disease with often high fever and severe symptoms.

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Chronic disease

Disease that develops gradually, with mild or intermittent symptoms.

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Subclinical state

Pathologic changes present without obvious manifestations.

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Latent state

No symptoms or signs evident; may include an incubation period.

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Incubation period

Time between exposure and appearance of first signs.

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Prodromal period

Early development of disease with nonspecific or absent signs.

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Manifestations

Clinical evidence, including signs and symptoms.

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Local manifestations

At the site of the problem (e.g., redness, swelling).

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Systemic manifestations

General indicators of illness (e.g., fever).

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Signs

Objective indicators of disease observed by others.

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Symptoms

Subjective feelings reported by the patient.

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Lesions

Specific local changes in tissue.

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Diagnostic tests

Laboratory tests used to diagnose manifestations and medical history.

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Remission

Period during which manifestations subside.

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Exacerbation

Worsening of disease severity.

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Precipitating factors

Conditions that trigger an acute episode.

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Complications

New secondary or additional problems arising from disease.

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Therapy

Measures to promote recovery or slow disease progress.

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Sequelae

Potential unwanted outcomes following disease.

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Convalescence

Period of recovery and return to health.

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Prophylaxis

Measures designed to preserve health and prevent disease spread.

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Prognosis

Probability or likelihood of recovery or other outcomes.

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Morbidity

Disease rates within a group.

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Mortality

Relative number of deaths caused by a disease.

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Atrophy

Decrease in cell size resulting in reduced tissue mass.

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Hypertrophy

Increase in cell size leading to enlarged tissue mass.

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Hyperplasia

Increase in the number of cells leading to enlarged tissue mass.

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Metaplasia

Replacement of one mature cell type with another mature cell type.

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Dysplasia

Cells vary in size and shape within a tissue.

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Anaplasia

Undifferentiated cells with variable nuclear/cellular structures; indicates tumor aggressiveness.

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Apoptosis

Programmed cell death; normal in development or injury.

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Ischemia

Deficit of oxygen in tissues due to circulatory obstruction.

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Necrosis

Death of cells with cellular disintegration; several types exist.

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Coagulative necrosis

Protein denaturation preserves tissue architecture; seen in ischemia of organs except brain.

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Liquefaction necrosis

Dead cells are digested, often forming a liquid mass (common in brain).

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Fat necrosis

Destruction of fat tissue, forming fatty acids.

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Caseous necrosis

Cheesy-appearing necrosis, typical of tuberculosis.

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Infarction

Area of dead tissue due to oxygen deprivation.

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Myocardial infarction

Heart attack; infarcted myocardium forms scar tissue and loses contractile function.

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Gangrene

Necrotic tissue infected by bacteria; risk of septic shock.

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Edema

Excess fluid accumulation in the interstitial space.

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Pitting edema

Edema that leaves a pit when pressed.

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Dehydration

Insufficient body fluids from inadequate intake or excessive loss.

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Hematocrit

Proportion of red blood cells in blood; rises with dehydration.

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Thirst mechanism

Regulated by the hypothalamus in the brain.

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Antidiuretic hormone (ADH)

Hormone that promotes water reabsorption in kidneys, reducing urine output.

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Renal reabsorption sites (distal tubule and collecting duct)

Nephron segments where water and solutes are reabsorbed.

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Sodium (Na+)

Major extracellular cation; maintains extracellular fluid volume and drives osmotic pressure.

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Hyponatremia

Low serum sodium; causes include sweating, vomiting, diuretics, ADH imbalance.

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Hypernatremia

High serum sodium; caused by water deficit or excessive sodium intake.

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Potassium (K+)

Major intracellular cation; essential for membrane potential and muscle/nerve function.

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Hypokalemia

Low potassium; causes include diarrhea, diuretics, aldosterone excess.

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Hyperkalemia

High potassium; causes include renal failure, cell lysis, acidosis.

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Calcium (Ca2+)

Ion essential for nerves, muscles, bones; blood clotting; membrane stability.

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Hypocalcemia

Low calcium; causes include hyperparathyroidism, malabsorption, low albumin.

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Hypercalcemia

High calcium; causes include malignancy, hyperparathyroidism, immobility.

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Magnesium (Mg2+)

Important for enzyme function and neuromuscular activity.

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Hypomagnesemia

Low magnesium; associated with malnutrition, alcoholism, malabsorption.

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Hypermagnesemia

High magnesium; often due to renal failure.

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Phosphate (PO4^3-)

Important for metabolism and bone mineralization; buffering.

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Hypophosphatemia

Low phosphate; causes include malabsorption, diarrhea, antacids.

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Hyperphosphatemia

High phosphate; seen in renal failure or chemotherapy.

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Chloride (Cl−)

Major extracellular anion; helps maintain osmotic balance.

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Hypochloremia

Low chloride; linked to alkalosis and vomiting.

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Hyperchloremia

High chloride; can accompany edema and dehydration.

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Respiratory acidosis

pH < 7.35 with CO2 > 45 mmHg; due to hypoventilation (e.g., COPD, overdose).

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Respiratory alkalosis

pH > 7.45 with CO2 < 35 mmHg; due to hyperventilation.

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Metabolic acidosis

pH < 7.35 with low HCO3−; causes include renal failure, diarrhea, ketoacidosis.

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Metabolic alkalosis

pH > 7.45 with high HCO3−; causes include diuresis, vomiting, excessive antacids.

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Normal values (acid-base)

pH 7.35-7.45; CO2 35-45 mmHg; HCO3− 22-26 mEq/L.

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Buffer systems

Chemical systems that resist pH changes (e.g., bicarbonate, phosphate, protein buffers).

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Respiratory compensation

Adjusting ventilation to alter CO2 and pH during acidosis/alkalosis.

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Renal compensation

Kidneys adjust acid/base excretion to correct metabolic or respiratory imbalances.

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Chapter 21: genotype and phenotype

Genotype: genetic information; Phenotype: expressed traits.

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Karyotype

Visual representation of chromosomes arranged by size.

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Genotype

Actual genetic information carried by an individual.

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Phenotype

Expression of genes; observable characteristics.

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Autosomal dominant disorders

Disorders caused by a single mutant allele on an autosome; examples include Huntington disease, Marfan syndrome, polycystic kidney disease, familial hypercholesterolemia.

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Autosomal recessive disorders

Disorders requiring two mutant alleles on autosomes; examples include cystic fibrosis, phenylketonuria, sickle cell anemia, Tay-Sachs disease.

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X-linked dominant disorders

Dominant gene on the X chromosome (e.g., Fragile X syndrome).

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X-linked recessive disorders

Mutant allele on X chromosome; examples include color blindness, Duchenne muscular dystrophy, hemophilia A.

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Multifactorial disorders

Disorders due to genetic susceptibility plus environmental factors (e.g., neural tube defects, type 2 diabetes).

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Chromosomal disorders

Disorders due to abnormal chromosome number or structure (e.g., Down syndrome, Turner syndrome, Klinefelter syndrome).

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Down syndrome (trisomy 21)

Three chromosomes at position 21; features include facial characteristics and cognitive impairment.

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Turner syndrome (monosomy X)

Only one X chromosome; present in females; typically short stature and lack of ovarian development.

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Klinefelter syndrome (polysomy X, XXY)

Presence of an extra X chromosome in males; small testes, reduced fertility.

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Fragile X syndrome

X-linked dominant disorder; cognitive impairment and features of autism spectrum.

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Amniocentesis

Prenatal diagnostic procedure: sampling amniotic fluid to assess fetal tissue and karyotype.

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Punnett square

A diagram used to predict genetic inheritance patterns.

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Chapter 5: inflammation

Non-specific response to tissue injury involving redness, swelling, heat, pain, and loss of function.

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First line of defense

Physical barriers (skin, mucous membranes) and chemical barriers (lysozyme, stomach acid) that protect against pathogens.

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Lysozyme

Enzyme in tears and saliva that digests bacterial cell walls.

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Resident microbiota

Microbes normally residing on body surfaces that help protect against pathogens.

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Inflammation mediators

Chemical signals that cause vasodilation, increased permeability, chemotaxis; include cytokines.

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Neutrophils and macrophages

Phagocytic white blood cells that engulf and destroy pathogens.

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Exudates

Fluid and cells that leak from vessels during inflammation; types include serous, fibrinous, purulent, hemorrhagic.

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