p midterm

dementia

Insiduous onset, symptoms present long duration, mood and behavior labile, may have neurologic symptoms

delirium

acute confusional state, present with underlining disorders, MI, Pheumoninia, cancer, hyperthyroidism, and drug toxicity

xerstoma

dryness of the mouth

depression

Rapid onset, symptoms present for short term, lack of interest in answering questions, neuro symptoms not present

achlorhydria

A condition in which hydrochloric acid is absent in the stomach.

alzheimer's disease

an irreversible, progressive brain disorder, characterized by the deterioration of memory, language, and eventually, physical functioning

orthostatic hypotension

decrease in blood pressure related to positional or postural changes from lying to sitting or standing positions

active transport

requires the cell to expand energy in moving ions against a concentration

passive transport

any type of transport that does not require energy

symport

secondary active transport where substances are moved in the same direction

four tissues types

epithelial --- muscle----connective-----neural

parts of the cell

endoplasmic reticulum---ribosomes----golgi apparatus---mitochondria---lysomomes----peroxisomes---proteasomes

hypertrophy

increases in cell size

hyperplasia

increase in the number of cells

metaplasia

replacement of adult cells

dysplasia

deranged cell growth of a specific tissue

necrosis

cell death in an organ or in tissues that are still part of a living organ

apoptosis

the process of program cell death

death

the permanent end of all life functions in an organism or part of an organism

infarction

localized necrosis resulting from obstruction of the blood supply

free radical

highly reactive chemicial species with an unpaired electron, which causes them to be instable and highly reactive

antioxidant

natural and synthetic molecules that inhibit the reactions of ROS with biological structors

ion

atom that has a positive or negative charge

reactive oyxgen species

oyxgen-containing molecules that highly reactive

interphase

., the period of the cell cycle during which the nucleus is not undergoing division, typically occurring between mitotic or meiotic divisions

proliferation

process of cell division

differentaition

the process of specialization whereby new cells aquire the structure and function of the cells they replace

carcinoma

malignant tumor of epithelial tissue

benign neoplasm

a slow progressive rate of growth that may come to a standstill or regress, an expansive manner of growth, inability to metastasize to distant sites, composed of well- differtiated cells that resemble the cells of the tissue of orgin

malignant neoplasm

grow rapidly and spread widely, have the potienial to kill regardless of thier original location, tend to compress blood vessels and outgrow thier blood supply, cuasing ischemia and tissue necrosis, robs normal tissues of nutrients,

papilloma

benign microscopic or macroscopic fingerlike projections growing on a suface

pleomorphism

Variation in size and shape of both cells and nuclei

anoikis

The form of apoptosis, or programmed cell death, that occurs when a cell becomes dislodged from the ECM

anaplasia

is used to describe the loss of cell differentiation in cancerous tissue

virus

smallest pathongens, have no organized cellular strucure, consist of a protien coat surrounding a nucleic acid core of DNA or RNA

parasite

3 types-protozoans,helminths,athropods,
causes disease in animals animals tranmit disease to humans

bacteria

single-celled organisms that lack a nucleus; prokaryotes

prion

an infectious particle that consists only of a protein and that does not contain DNA or RNA

pathology

The study of disease

biology

the science that studies living organisms

epidemiology

the study of factor, events, and circumstances that influeance the transmission of infectous disease among humans

symptomatology

collection of signs and symptoms expressed by host during disease course

epidemic

abrupt and unexpected increase in the incidence of disease over endemic rates

pandemic

spread of disease beyond continental bounderies

endemic

found in a particular geographic region

histamine

Chemical released by mast cells that increases the flow of blood and fluids to the infected area during an inflammatory response

cytokines

chemicals released by T helper cells that stimulate B cells, chemicals released by the immune system that attack infections and communicate with the brain to elicit anti-illness behaviors

fibroblasts

a connective tissue cell that synthesizes and secretes the collegen, proteoglycans, and glycoprotiens,needed for wound healing

arachadonic acid

a 20- carbon unsaturated fatty acid found in phospholipids of cell membranes-leads to the production of the eicosaniod family inflammatory mediators

signs of inflammation

rubor -redness
tumor-swelling
calor-heat
dolor-pain
functio laesa-loss of function

maturational phase

3rd phase of wound healing. development of scar

nutritional phase

...

transformational phase

...

activation phase

Development of allergic reactions;
which exposure (challenge) to antigen triggers the mast cells and basophils to respond by release of the contents of their granules.

AIDS

an infectious disease of the immune system caused by HIV

HAART

highly active antiretroviral therapy,, Generally entails combination therapy with protease inhibitors and reverse transcriptase inhibitors; initiated when patients have low CD4 counts below 500 cells/mm3 or high viral load

CDC

Centers for Disease Control - works to control infectious diseases such as tuberculosis, AIDS, diphtheria, malaria, typhus and the flu.

HIV

a retrovirus that causes profound immunosuppression

protease inhibitors

blocks the synthesis of new viral capsids

fusion inhibitors

work by inhibiting the binding of HIV to cells

reverse transcriptase inhibitors

prevent the synthesis of DNA in retroviruses

integrase inhibitors

drug that blocks HIV integration into the host genome

Signs and symptoms of AIDS

diarrhea that lasts for more than a week
dry cough
memory loss,depression and neurological disorder
pheuminia
profound, unexplained fatigue
rapid weight loss
recurring fever or profuse night sweats
red,brown, pink, or purplish blotches on or under the ski

cause of AIDS

HIV

glomerulus

small network of capillaries encased in the upper end of a nephron; where the filtration of water-soluble nutrients, wastes, and other small particles are filtered from the blood

nephron

the functional unit of the kidney, composed of vascular component, which connects to the circulatory system, and a tubular component, which has connections to both the circulatory system and the eliminationfunctions of the kidney

renal cortex

outer layer of the kidney

hilus

indented region of the kidney where the renal artery, renal vein, and ureter enter

ADH

a regulator of water output

Calcitonin

thyroid hormone that tends to lower the level of calcium in the blood plasma and inhibit resorption of bone

Aldosterone

salt-retaining hormone" which promotes the retention of Na+ by the kidneys. na+ retention promotes water retention, which promotes a higher blood volume and pressure

Erythropoietin

regulates the differentiatiopn of red blood cells in bone marrow

cytoscope

used for direct visualization of the urethra, bladder, and ureters

ultrasonography

used to determine kidneys size

echocardiogram

a noninvasive test that uses ultrasound to visualize structures of the heart and evaluate left ventricular function

laparscopy

inspection of abdomin pelvic cavity with a tiny camera used to exam pelvic region and abdominal regions

intracellular fluid

consists of fluid contained within all of the billions of cells in body, largest compartment, two-thirds of the body water healthy adults, high in k+

extracellular fluid

contains all fluid outside the cells, including that in the interstitial or tissue spaces and blood vessels,contains 1/3 of body water,high in sodium

lymph

..., fluid originating in the organs and tissues of the body that is circulated through the lymph vessels

sodium

an electrolyte regulated in the blood and urine by the kidneys

magnesium

Helps build bones and teeth; helps build protein; helps muscles contract and relax; helps nerves communicate

potassium

An electrolyte important to body processes. The kidney regulates the balance and concentration within the blood, helps build protein; maintains fluids; helps nerves communicate; helps muscles contract

calcium

A mineral that is essential for bone growth, teeth development, blood coagulation, and many other functions, Mineral important to blood clotting and the functioning of the nervous system. It is an essential ingredient in the formation and maintenance of b

vasopressin

pituitary hormone that raises blood pressure and enables the kidneys to reabsorb water and therefore to secrete highly concentrated urine

acromegly

Hypersecretion of GH after growth is complete,
Lower jaw, hands, ridges of eyebrow, hands and feet, Adults; growth outward, hyperpituitarism, enlargement or the extremities

diabetes insipidus

The Hyposecretion (deficiency) of antidiuretic hormone from the posterior pituitary gland, which results in the failure of the tubular re-absorption of water in the kidneys, causes what disease?

diabetes mellitus

condition that occurs when the pancreas produces too little insulin, resulting in an increase in the level of blood glucose

metabolic acidosis

acidosis and bicarbonate concentration in the body fluids resulting either from the accumulation of acids or the abnormal loss of bases from the body (as in diarrhea or renal disease)

metabolic alkalosis

a condition characterized by an excess of bicarbonate ions in the body in relation to the amount of carbonic acid in the body; the pH rises to greater than 7.45

respitory acidosis

- pH less than 7.35
- Hypoventilation - build up of CO2, carbonic acid accumulates in the blood
- build up (high levels) of CO2 causes the blood vessels to dialate which causes cerebral edema

respitory alkalosis

and increase in the rate of respiration increases the carbon dioxide exhaled, which decreases the formation of H+ ions and raises pH.

regulators of PH

chemical buffer systems of the body fluids-protiens and organic molecules
the lungs, which control the elimation of CO2--bicarbonate buffering system
the kidneys which elimante H+ and both reabsorb and generate HCO3

renal agenesis

interruption in the normal development of the kidney resulting in absence of the kidney; may be unilateral or bilateral

renal hyperplasia

a collection of genetic conditions that limit your adreanal glands ability to make certain vital hormones

renal hypolasia

failure of an organ to reach normal size

renal dysplasia

defined by microscopic features, is due renal parenchymal malformation of the fetal kidneys

types of kidney stones

.calcuim stones-oxalate or phosphate
magnesium ammonia phosphate stones-struvite stones-urea splitting uti's
uric acid stones-formed in acid urine with ph of approximatelty 5.5, gout
cystine stones-cystinuria-inherited disorder of amino acid metabolism-us

acute nephritic syndrome

glomeular syndrome dominated by the acute onset of usually grossly visible hematuria, proteinuria, azotemia, edema, and hypertension; it is the classic presentation of acute post streptococcal glomerulonephritis.

glomerulonephritis

inflammation of the glomerulus of the kidney

asymptomatic hematuria and protenuria

represent glomular disorders that are not reconized or brought to the attention of the health care professional and remain undiagnosed

...

...

types of acute renal failure

prerenal, intrarenal, postrenal

azotemia

presence of nitrogenous wastes in the blood

oliguria

low output of urine

isosthenuria

the inability to concentrate or dilute urine relative to the osmolarity of blood., Very dilute urine, can be a permanent condtion. Typically 67% of nephrons damaged.

uremia

excess of urea and other nitrogenous waste in the blood as a result of kidney failure

test to messure GFR

BUN, SERUM CREANTINE LEVEL IN BLOOD AND URINE,CYSTATIN-C

urinary vesicle

the bladder

bladder

elastic, muscular organ that holds urine until it leaves the body

urethra

tube that carries urine from the bladder and releases it from the body; in males, tube through which semen is released from the body

types of urinary incontinence

stress incontinence- involuntary loss of urine during coughing, laughing, sneezing, or lifting
urge incontinence-involunatary loss of urine associated with a strong desire to void
overflow - involuntary loss of urine that occurs when intravescular pressur

micturition

a function of the peripheral ans, and is the act of bladder emptying

voiding

urination

urination

process of expelling urine

paracrine

hormones act locally on cells other than those that produced the hormone

autocrine

acts on the cells from which they were produced -present in body fluids at all times in greater or lesser amounts as needed

apocrine

glands that produce sweat;confined to axillary and anogenital areas

exocrine

external secretions of a gland, which reach an epithelial surface either directly or through a duct

pineal gland

located in the center of the brain, functioning to secrete melatonin and serotonin

thalamus

the brain's sensory switchboard, located on top of the brainstem; it directs messages to the sensory receiving areas in the cortex and transmits replies to the cerebellum and medulla

subthalamus

the ventral part of the thalamus, movement control, pathways with basal ganglia

hypothalamus

a neural structure lying below the thalamus; directs eating, drinking, body temperature; helps govern the endocrine system via the pituitary gland, and is linked to emotion

epinephrine

a catecholamine secreted by the adrenal medulla in response to stress (trade name Adrenalin)

norepinephrine

a catecholamine precursor of epinephrine that is secreted by the adrenal medulla and also released at synapses

dopamine

a monoamine neurotransmitter found in the brain and essential for the normal functioning of the central nervous system

succinylcholine

a muscle relaxant for striated muscle that is used as an adjunct to anesthesia during certain surgical procedures

positive feedback

a physiological control mechanism in which a change in a variable triggers mechanisms that amplify the change

negative feedback

a primary mechanism of homeostasis, whereby a change in a physiological variable that is being monitored triggers a response that counteracts the initial fluctuation

insulin

hormone secreted by the isles of Langerhans in the pancreas-increases glucose transport into skeletal muscle and adipose tissue--increase glycogen--decrease gluconeogenisis

glucogon

produced in pancreas by alpha cells of the islet, increases the blood glucose levels by stimulating the liver to convert glycogen (starch) into glucose----promotes glycogen breakdown---increases gluconegenesis

alpha cells

endocrine cells in the islets of Langerhans of the pancreas. They synthesize and secrete the peptide GLUCAGON, which increases glucose levels in the blood

beta cells

endocrine cells in the islets of Langerhans of the pancreas. They synthesize and secrete the hormone INSULIN, which lowers glucose levels in the blood

delta cells

specialized cells in the islets of langerhans of the pancreas that produce somatostatin (growth-hormone inhibiting hormone), which inhibits the production and release of glucagons and insulin and slows the rate of digestive absorption

PP cells

Apparently release pancreatic polypeptide, a hormone that may act to reduce the release of both enzyme-rich and alkaline-rich pancreatic secretions.

accessary organ

produces the fluid constituents of semen,ductile system aids in the storage and transport of spermatoza

penis

urine elimination and sexual function

prostate gland

secretes an alkaline fluid that helps neutralize semen's acidity and enhances sperm cell motility

ejaculatory duct

conveys sperm to ejaculatory duct

vas deferns

conveys sperm cells to ejaculatory duct

ampulla

the second portion of the uterine tube, it is intermediate dilated portion which curves over the ovary-flask like

genitial ducts/ductile system

(epididymides , vasdeferens, and ejactulatory system)tranporsts and stores sperm, assist in maturation

epididymis

coiled duct on top and at side of the testis that stores sperm before emission

urogential atrophy or vaginal atrophy

is an inflammation of the vagina (and the outer urinary tract) due to the thinning and shrinking of the tissues, as well as decreased lubrication. This is all due to a lack of the reproductive hormone estrogen. as seen in meno pause

endometriosis

condition characterized by migration of portions of endometrial tissue outside the uterine cavity

osteoperosis

excessive loss of calcium from the bones; blood cacium levels are depleted and bones lose their mineral mass, becomming progressively porus and vulnerable to fracture; common in older women

oxytoxin

produced by posterior pituitary gland, causes uterus to contract during childbirth, causes mammary glands to release milk during breastfeeding

prolactin

A hormone secreted by the anterior pituitary that tarets the mammary glands stimulating them to produce breastmilk.

estrogen

produced by follicles, causes endometrium to thicken & increase the blood supply to prepare for possible pregnancy. Acts to inhibit levels of FSH (-ve feedback system) & stimulates the hypothalamus to release large amts. of LH.

progesterone

One of the hormones produced by the ovaries. It works with estrogen to control the menstrual cycle. Also secreted to prepare and sustain the endometrium of the uterus for pregnancy