Pathophys FINAL

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53 Terms

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Blood tests

are used to determine hormone levels in the blood so as to detect certain endocrine conditions

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Computed Tomography

is used to evaluate internal structures for evidence of tumors and other anatomical abnormalities in the endocrine system

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Magnetic Resonance Imaging (M R I) or Nuclear Magnetic Resonance (N M R I)

is used to visualize internal soft tissue structures including glands.

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Urinalysis

evaluates physical, chemical, and microscopic changes in the urine looking for hormonal metabolites.

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<p><span style="background-color: transparent;"><u><span>Growth disorders</span></u></span></p>

Growth disorders

are a problem of G H secretion from the anterior pituitary

<p><span style="background-color: transparent;"><span>are a problem of G H secretion from the </span><u><span>anterior</span></u><span> pituitary</span></span></p>
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<p>Acromegaly</p>

Acromegaly

Too much growth hormone from the pituitary

<p>Too much growth hormone from the pituitary</p>
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Diabetes insipidus

  • a problem of insufficient A D H (antidiuretic hormone)/AVP (arginine vasopressin) secretion from the posterior pituitary

  • Disorder that affects the posterior pituitary gland

  • The symptoms are excessive thirst and excessive urine production.

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Goiters

Goiters can result from hyposecretion or hypersecretion of thyroid hormone

<p><span style="background-color: transparent;"><span>Goiters can result from hyposecretion or hypersecretion of </span><u><span>thyroid hormone</span></u></span></p>
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Endemic goiter

is the most common due to iodine deficiency

<p><span style="background-color: transparent;"><span>is the most common due to iodine deficiency</span></span></p>
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Graves Disease

  •  Graves’ disease is an autoimmune disorder

  •  It is characterized by hypersecretion of thyroid hormone (hyperthyroidism)

  • Can cause what is called a Toxic Goiter

  • Is often associated with exophthalmos, also know as proptosis

<ul><li><p><span style="background-color: transparent;"><span>&nbsp;Graves’ disease is an </span><u><span>autoimmune</span></u><span> disorder</span></span></p></li><li><p><span style="background-color: transparent;"><span>&nbsp;It is characterized by hypersecretion of thyroid hormone (</span><strong><u><span>hyperthyroidism</span></u></strong><span>)</span></span></p></li><li><p><span style="background-color: transparent;"><span>Can cause what is called a </span><u><span>Toxic Goiter</span></u></span></p></li><li><p><span style="background-color: transparent;"><span>Is often associated with exophthalmos, also know as </span><u><span>proptosis</span></u></span></p></li></ul><p></p>
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Hashimoto’s Disease

  • Hashimoto’s disease is an autoimmune disorder

  •  It is characterized by hyposecretion of thyroid hormone (hypothyroidism)

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Myxedema

  • swelling of the skin caused by a buildup of mucin

  • can be caused by hypothyroidism

  • can lead to myxedema coma

<ul><li><p><span style="background-color: transparent;"><span>swelling of the skin caused by a buildup of </span><u><span>mucin</span></u></span></p></li><li><p><span style="background-color: transparent;"><span>can be caused by </span><u><span>hypothyroidism</span></u></span></p></li><li><p><span style="background-color: transparent;"><span>can lead to myxedema </span><u><span>coma</span></u></span></p></li></ul><p></p>
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Diabetes mellitus

  • Disorder affecting the pancreas

  • is a problem with insulin in blood glucose regulation. It has two forms: type 1 and type 2

  • Symptoms for both types are excessive thirst (polydipsia), excessive urine production (polyuria), and glucose in the urine (glucosuria)

  • If uncontrolled, both types may lead to life-threatening complications

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Insulin

Stimulates cells to take in glucose to lower blood glucose levels; tells liver to store glucose as glycogen

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Glucagon

Stimulates glycogen conversion to glucose and then its

secretion to raise blood glucose levels

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Simple carbohydrates

increase insulin levels.

<p><span style="background-color: transparent;"><strong><span>increase </span><u><span>insulin</span></u><span> levels.</span></strong></span></p>
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Glucometer

measures blood glucose

<p>measures blood glucose</p>
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<p><span style="background-color: transparent;"><u><span>Cushing’s Syndrome</span></u></span></p>

Cushing’s Syndrome

  • affecting the adreanal gland

  • is due to hypersecretion of adrenocorticotrophic hormone (A C T H) from the pituitary gland

  • This causes the adrenal gland to produce too much cortisol

  • buffalo hump

<ul><li><p>affecting the adreanal gland</p></li><li><p><span style="background-color: transparent;"><span>is due to </span><u><span>hypersecretion</span></u><span> of adrenocorticotrophic hormone (A C T H) from the pituitary gland</span></span></p></li><li><p><span style="background-color: transparent;"><span>This causes the adrenal gland to produce too much </span><u><span>cortisol</span></u></span></p></li><li><p>buffalo hump</p></li></ul><p></p>
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Addison’s disease

Degeneration of the adrenal cortex, which results in the inability to produce adequate amounts of glucocorticoid hormones, mineralocorticoid hormones, and androgens

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Digital rectal exam (DRE)

A procedure in which the doctor inserts fingers into the rectum 

to detect any abnormalities, such as an enlarged prostate

<p><span style="background-color: transparent;"><span>A procedure in which the doctor inserts fingers into the rectum&nbsp;</span></span></p><p><span style="background-color: transparent;"><span>to detect any abnormalities, such as an enlarged prostate</span></span></p>
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Laboratory tests/ microscopic

examination of samples

Procedures that involve collecting urine or specimen samples 

from the urinary tract to determine the presence of viruses or bacteria that may cause infection

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Prostate-specific antigen (PSA) test

A test that measures the presence of prostate-specific antigens 

in the blood. Increased levels may indicate prostate cancer

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Transrectal ultrasound and biopsy of the prostate

A procedure in which ultrasound technology is used to assess 

the prostate for evidence of cancer. If a mass is detected, a sample is collected & examined by a laboratory for the presence of cancerous cells.

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Ultrasound

An imaging technique in which sound waves create visual images 

of internal structures. In the male reproductive system, ultrasound may be used to determine the cause of a hydrocele, examine a 

mass in the testis, and diagnose epididymitis & cryptorchidism.

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Prostate cancer

  • Nine percent of men over the age of 50 will develop prostate cancer

  • Prostate cancer can be detected by a digital rectal exam and a blood test that measures prostate-specific antigen (PSA) levels.

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Testicular cancer

  • Testicular cancer is most common in males between the ages of 15 and 34.

  •  Routine testicular self-exams are recommended for early detection

<ul><li><p><span style="background-color: transparent;"><span>Testicular cancer is most common in males between the ages of </span><u><span>15 and 34</span></u><span>.</span></span></p></li><li><p><span style="background-color: transparent;"><span>&nbsp;Routine testicular </span><u><span>self-exams</span></u><span> are recommended for early detection</span></span></p></li></ul><p></p>
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Hypospadias

is a congenital defect in which the urethra opens on the ventral side or base of the penis instead of on the tip of the glans

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Hydrocele

is a condition in which fluid has accumulated and causes swelling in the scrotum.

<p><span style="background-color: transparent;"><span>is a condition in which fluid has accumulated and causes swelling in the </span><u><span>scrotum.</span></u></span></p>
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Epididymitis

is inflammation of the epididymis, usually caused by a bacterial infection

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Phimosis

is a condition of the penis characterized by tight foreskin that cannot be pulled back over the glans penis

<p><span style="background-color: transparent;"><span>is a condition of the penis characterized by tight </span><u><span>foreskin</span></u><span> that cannot be pulled back over the glans penis</span></span></p>
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Sexually Transmitted Infections

  • Also known as sexually transmitted diseases (S TDs): infections that are passed through sexual contact

  • Most common are herpes, H I V, human papillomavirus (HP V), gonorrhea, chlamydia, and syphilis

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Gonorrhea

  • Caused by the bacterium Neisseria gonorrhoeae

  • Causes burning during urination and a discharge

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Chlamydia

  • Bacterial, caused by Chlamydia trachomatis

  • Symptoms are burning during urination and discharge

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Syphilis

  • Caused by the bacterium Treponema pallidum

  • Sores on the genitals, anus, rectum, or mouth

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Pelvic Inflammatory Disease

  • Untreated STIs can cause pelvic inflammatory disease (PID)

  • Can cause damage to the reproductive tract, resulting in infertility, ectopic pregnancies, abscess formation, and chronic pain in the lower abdomen

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Herpes

A viral infection that causes sores on the genitals, anus, or mouth

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HIV

The virus that causes AIDS

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HPV

A viral infection resulting in the growth of warts on the genitals. The infection is caused by the human papillomavirus.

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Genital Warts

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Pap smear

examines cells from the cervix

<p><span style="background-color: transparent;"><span>examines cells from the </span><u><span>cervix</span></u></span></p>
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pregnancy test

detects human chorionic gonadotrophin   (HCG) hormone during pregnancy

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ultrasound

is an imaging technique in which sound waves are used to visualize internal female reproductive structures

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Ovarian Cancer

  • Cancer of the ovaries

  • Often lacks symptoms

  • Treatment options include surgery, chemotherapy, and radiation

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Cervical Cancer

  • Cervical cancer is often caused by human papillomavirus (H P V) infection

  • Usually detected with a Pap smear.

  • Treatment options include the removal of the uterus (Hysterectomy)

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Fibroids

  • Noncancerous growths composed of muscular and fibrous tissue.

  • Found in the uterus, endometrium, or on the outside of the uterus.

  • Usually left alone if it is not causing problems

  • Usually removed if it is causing pain or bleeding; or if it grows too large; can cause infertility

<ul><li><p><span style="background-color: transparent;"><u><span>Noncancerous</span></u><span> growths composed of muscular and fibrous tissue.</span></span></p></li><li><p><span style="background-color: transparent;"><u><span>Found</span></u><span> in the uterus, endometrium, or on the outside of the uterus.</span></span></p></li><li><p><span style="background-color: transparent;"><span>Usually </span><u><span>left alone </span></u><span>if it is not causing problems</span></span></p></li><li><p><span style="background-color: transparent;"><span>Usually </span><u><span>removed</span></u><span> if it is causing pain or bleeding; or if it grows too large; can cause infertility</span></span></p></li></ul><p></p>
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Endometriosis

  • Endometriosis is the growth of endometrium in places other than the uterus

  • The endometrium goes through the menstrual cycle no matter where it is located.

  • Endometriosis can lead to infertility and painful periods (dysmenorrhea).

<ul><li><p><span style="background-color: transparent;"><u><span>Endometriosis</span></u><span> is the growth of endometrium in places other than the uterus</span></span></p></li><li><p><span style="background-color: transparent;"><span>The endometrium goes through the </span><u><span>menstrual cycle </span></u><span>no matter where it is located.</span></span></p></li><li><p><span style="background-color: transparent;"><span>Endometriosis can lead to infertility and painful periods (</span><u><span>dysmenorrhea</span></u><span>).</span></span></p></li></ul><p></p>
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Disorders of Pregnancy

  • Fifty percent of zygotes do not survive. Most are lost before they implant

  • Of the zygotes that do implant, 10 to 15% end in spontaneous abortion due to fetal abnormalities, improper implantation, premature detachment of the placenta, and other causes

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 Ectopic pregnancy

occurs if the fertilized egg implants anywhere other than in the uterus.

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Preeclampsia

is pregnancy-induced hypertension accompanied by protein in the urine.

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 Placental abruption

placenta becomes prematurely detached from the uterine wall

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Placenta previa

the placenta is positioned over the cervix, blocking the opening to the uterus.

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Breast cancer

Abnormal growth of breast tissue, usually occurring in the lactiferous ducts and lobules of the breast

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Spontaneous abortion (miscarriage)

The loss of a zygote before delivery, either before or after implantation. Reasons include fetal abnormalities, improper implantation, or placental abruption.