Etiology
Study of causes and risk factors of disease
Pathogenesis
How does the etiology express itself in disease
Clinical Manifestations
Signs and symptoms Stages of clinical course: Latent versus Subclinical
latent
hidden, present but not realized
subclinical
without showing signs of disease
Acute clinical course
short-lived; may have severe manifestation
Chronic clinical course
may last months to years, sometimes following an acute course
Exacerbation
increase in the severity of a disease or its symptoms;
Remission
decrease in severity, signs, or symptoms; may indicate disease is cured
Convalescence
stage of recovery after a disease, injury, or surgical procedure
Sequela
subsequent pathologic condition resulting from an acute illness
Epidemiology
the study of patterns of disease in populations, including risk factors
Endemic disease
Spreaded within a local region
Epidemic disease
Spread to many people at the same time
Pandemic
Spread to large geographic areas (worldwide)
Aggregate Factors / Epidemiologic variables
Factors such as: age, ethnic group, gender, lifestyle considerations, geographic location
Function of cytoskeleton
Maintains cell shape and allows cell movement. It directs traffic of substances in the cell.
Nucleus
Control center of the cell; aka the brain of the cell
Endoplasmic Reticulum
Specializes in synthesis, folding, and transport of protein and lipid components of most organelles.
Golgi Apparatus
Processing and packaging proteins into secretory vesicles
Lysosomes and peroxisomes
Digests lipids and proteins; They are released during cell injury
Mitochondria
Place of processes; ATP
Cellular metabolism
all of the chemical tasks of maintaining essential cellular functions
Anabolism
The energy using process of metabolism that synthesizes complex molecules
Catabolism
Energy releasing process
Plasma membrane
Structure is made of lipid bilayer; Transports lipid soluble molecules
Endocytosis
Cellular ingestion of extracellular molecules; process by which cells absorb external material by engulfing it with the cell membrane
Exocytosis
Cellular secretion
Mitosis
Responsible for proliferation of body cells in which little genetic variation is needed
Meiosis
A more elaborate cellular division in germ cells where significant chromosomal rearrangement occurs
Ischemia
Lack of blood supply
Example of ischemia
stroke, heart attack
Hypoxic injury
Not enough oxygen to tissues
Example of hypoxic injury
high elevation, respiratory distress, chronic obstructive pulmonary disease (COPD)
Nutritional injury
Poor intake, altered absorption, impaired distribution, inefficient cellular uptake of essential nutrients
Example of nutritional injury
Eating disorders, diabetes, dehydration, high sodium, cramping, alcoholism
Infectious and immunologic injury
Bacteria or viruses; body attacking itself
Example of infectious and immunologic injury
covid, c.diff, hiv
Chemical injury
Toxic chemicals or poisons can cause cellular injury both indirectly and by becoming metabolized into reactive chemicals by the body
Examples of chemical injury
Chemical burns, chemotherapy, alcoholism, normal occurring chemicals in the body (calcium, sodium, etc)
Physical and mechanical injury
causing injury to skeletal or injury to organs and system
Examples of physical and mechanical injury
Getting hit by a car, rolling ankle, jamming finger, fractures, cut, bruises
Neoplasia
Abnormal and uncontrolled cell growth
What is the body's first line of defense?
Immunity; skin, mucous membranes, phagocyte system
What do enzymes and lysozymes do?
protect the cell wall; sebaceous glands possess lactic acid which kill fungi; earwax, saliva, mucus
What happens to the normal microbiome with prolonged treatment of broad spectrum antibiotics?
All the microbiome dies; yeast infection could occur
What is the body's second line of defense?
Inflammation
What does inflammation do?
Covers you from injury, trauma, disease
What are caused by inflammation?
Heart disease, lung disease, diabetes, neurodegenerative disorders
What happens when inflammation occurs?
Redness, swelling, heat, loss of function
Pus
Made of dead white blood cells
What are the 3 key plasma protein systems?
Complement, clotting, and kinin
Complement system
Is triggered through enzyme cascade
Clotting system
Cellular proteins that form blood clot when activated; coagulation
Kinin system
Controls bleeding and bacteria
Serous discharge
clear drainage such as mucus or plasma
Serosanguinous discharge
contains blood and plasma; pink colored fluid
Sanguineous discharge
bloody drainage
Purulent discharge
Pus; thick, yellowish brown drainage
What is an exudate?
A mass of cells and fluid that has seeped out of blood vessels or an organ, especially in inflammation.
4 types of exudates
serous, serosanguinous, sanguineous, purulent
Acute inflammation
sudden; fever; the body's use of leukocytosis (increase of WBC during infection)
Chronic inflammation
ongoing stimulus (at least 2 weeks); repetitive cycle; immune helper cells try to do their job of healing but ongoing stimulus results in more cell recruitment
Examples of acute inflammation
allergic reaction, chemical irritants, infection, trauma injury, burns, laceration, frostbite
Examples of chronic inflammation
cardiovascular disease, neurological disease, autoimmune disease, rheumatoid arthritis, cancer, lupus
What is the body's third line of defense?
Adaptive immunity
Examples of adaptive immunity
the flu; body is forming antibodies to fight; vaccines
Lymphoid system
Defense against infection and disease
What do natural killer (NK) cells do?
immune cell that kill cells that are infected with a virus
What do B cells and T cells do?
T cells can wipe out infected or cancerous cells. They also direct the immune response by helping B lymphocytes to eliminate invading pathogens. B cells create antibodies.
Hypersensitivity reactions
allergies, autoimmunity, alloimmunity
What is autoimmunity
body attacks own cells
Alloimmunity
Type of immunity that produces an immune response against antigens from members of the same species; blood transfusions, transplants, HIV
Passive immuity
antibodies are given; placenta and breastmilk to a baby
What are immunoglobulins?
Antibody molecules found in the blood; IgG, IgM, IgE
IgG
Most abundant antibody; those with Lupus or Graves disease have elevated levels
IgM
Second most abundant antibody; considered the mounted troops
IgE
it initiates inflammation response immediately, environmental allergy response
Examples of an autoimmune disease
Lupus, raynaud's disease, graves disease, sclerosis
Acquired immunity
immunity that the body develops after it overcomes a disease (vaccines, getting the flu)
Benign
Does not spread but has potential to become malignant; small, slow growing, noninvasive
Malignant
Can spread and is harmful; Large, rapidly growing with hemmorhage and necrosis; locally invasive (es muy malo)
Anaplasia
lack of cell differentiation; characteristic of malignant neoplasms
Metastasis
spread of cancer cells from site of original tumor; (lung cancer can travel to the brain)
Apoptosis
cell death
Cancer staging
TNM (Tumor, Nodes, Metastasis)
Predisposing factors and risk factors of cancer
age, tobacco, nutrition, tumors, surgical treatment
Effects of cancer
pain, anemia, cachexia (weakness) , infection, infertility, alopecia, bone density loss
Cancer therapy and treatment
Surgery, radiation, chemotherapy, immunotherapy
What is the percentage of total body water (TBW) in adults?
60%
What does extracellular fluid include?
Interstitial fluid, intravascular fluid, transcellular fluids
What does transcellular fluid include?
synovial fluid, CSF, GI fluids, pleural fluids, peritoneal fluids, urine
What is osmolality?
The amount of certain substances in blood or urine, such as glucose, urea, and electrolytes (sodium, potassium, chloride)
what is osmolarity
measure of total concentration of solute particles per liter
Hydrostatic pressure pushes water out of capillaries. What is this called?
Filtration
Osmotic/oncotic pressure pulls water into capillaries. What is this called?
Reabsorption
What happens when there is a deficit of fluid imbalance?
Concentration normal/extracellular fluid is decreased. Fluid shifts OUT OF vasculature. Treatment is fluid replacement.
What happens when there is excess of fluid imbalance?
Concentration normal/extracellular fluid is increased. Fluid shifts INTO vasculature
Hypotonic
Dilute, too much in the cell, push into the cell, swollen, "hippo"
Hypertonic
Concentrated, push out of the cell, not enough in the cell