Pathology: Fluid Forces and Blood Pressure

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1
PATHO EXAM 1
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WHAT FORCES WORK TO KEEP BLOOD IN THE CAPILLARY
CAPILLARY COP AND THE TISSUE HYDROSTATIC PRESSURE
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hydrostastic pressure can be thought of as a __________ pressure
pushing
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osmotic pressure can be thought as a ______________ pressure
pulling
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regulates extracellular fluid volume and osmolarity
sodium
increased levels of adh decrease urine output
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true or false
true
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ADH prevents ______________ by causing more water to be reaborbed in the kidney tubules
diuresis ( anti - diuresis)
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mechanisms of edema formation
Increased capillary hydrostatic pressure
lymphatic obstruction
increased cappilary permeability
decreased cappilary oncotic pressure
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Hyponatremia
deficient sodium in the blood
decreased urinatioon
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Hypernatremia
increased sodium
increased thirst
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Hypocalcemia
nerves fire more easily- increaesed excitability- muscle cramps,
laryngospasm
asphyxiation
cardiac arrest
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extracellualr calcium controls ?
nerve firing
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Hypercalcemia
nerves are less able to fire
decreased NMS
muscle weakness
CNS depression
kidney stone formation
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magnesium normal level
1.3-2.1
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cofactors in enzymatic reactions - magnesium
atp generation
dna replication
mrna production and translation
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magnesium blocks
( K+) potassium exit from cardiac cells
smooth muscle relaxant
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metabolism constantly produces
acid
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lactic acid from
anaerobic fermentation
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phosphoric acid from
nucleic acid catabolism
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fatty acids and ketones
from fat catabolism
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carbonic acid from
carbon dioxide
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what is a buffer
any mechanism that resists changes in pH
convert strong acids or bases to weak ones
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chemical buffer
a substance that binds H+ and removes it from solution as its concentration begins to rise, or releases H+ into solution as its concentration falls
- restores noraml ph in fraction of a second
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3 major chemical buffer
bicarbonate
phosphate
protein systems
serum levels of ph and CO2 levels are directly proportional
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true or false
false-
as blood levels of CO2 increase , ph becomes more acidic ( decreases)
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disorders of acid-base balance
acidosis, alkalosis
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state of acidosis
ecf below 7.35
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state of alkalosis
ecf above 7.45
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RAC- respiratoory acidosis
emphesema - COPD
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RAL - respiratory alkolosis
heprventilation
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MAC (metabolic acidosis)
DKA
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MAL ( metabolic alkolosis)
Nahco2
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which type of leukocytes works the hardest when you recieve a vaccination
lymphocytes - accinations introduce antigens causing your body to produce antibodies
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which type of leukocytes is created in the bone marrow
eosinophil
basophil
neutrophil
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myeloid neoplasms causes
-mutation of myeloid cell line
-overproduction of abnormal monocytes or granulocytes
-replaces normal bone marrow cells
-
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malignant neoplasms of hematopietic stem cells
creates abnormal white blood cells
Lymphocytic (ALL,CLL) lymphocytes
Myelocytic (AML, CML) myeloid
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what is the difference between acute and chronic
acute is fast and chronic slow
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lymphomas non - hodgkins and hodgkin lymphomas
non hodgkins = b and t cells
hodgkins = malignant b cells invade lymphoid organs
hodgkins lymphoma has a better prognosis than non hodgkins lymphoma
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true or false
true
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all but which of the following are true about plateltes
an income called erythropoietin stimualtes their production
-platelet formation is stimulated by thrombopoietin
hypercoagulability states increase the risk of thrombus formation
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true or false
true
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Disseminated Intravascular Coagulation (DIC)
A life-threatening disorder that occurs as a complication of other diseases and conditions.
- small blood clots form and over time clotting factors are used up which lead to more bleeding
-clot,clot,clot, then bleed, bleed,bleed -
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what is the effect of Von Willebrand disease on the platelets
decreased platelet adhesion
platelet disorders are bleeding disorders
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true or false
true
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how many molecules of oxygen can be carried by one molecule of hemoglobin
four
each hemolglobin molecule has two alpha and two beta protein chains
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red blood cells (erythrocytes) are made in the _______________ and destroyed in the ________________
bone marrow, spleen
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______ is a common acquired or inherited disorder that impairs the oxygen carrying capacity of the blood
anemia
ex blood loss
hemolysis
impaired rbc production
patients with sickle cell anemia who also suffer from lung disease are more prone to sickling
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true or false
true
ex hypoxia
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from poor diet or exess bleeding
iron deficiency anemia
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cobalamin or pernicious anemia vitamin b12 , foilic acid deficincency
megaloblastic anemia
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bone marrow depression halts rbc production
aplastic anemia
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chronic inflammation and chronic renal faliure or examples of
chronic disease anemias also
hemolytic anemia - premature destruction of mature rbc
-posthemmorhagic anemia is due to acute sudden blood loss
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Which type of deficiency is caused by pernicious anemia?
vitamin b 12
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diffussion is a ________process
passive
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osmosis causes
movement from more watery to less watery
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an action potential occurs when Na+ MOVES
into the cell (depolarization)
when K+ leaves the cell it becomes less positive or more negative unit it returns to resting membrance potential repolarization
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Tay-Sachs disease
autosomal recessive genetic disorder that results in a deficiency in the enzyme hexosaminidase A; causes an accumulation of glycolipids in the lysosomes, resulting in a progressive loss of psychomotor functions
death at age 4-5
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Fragile X Syndrome (FXS)
most commonly inherited cause of intellectual disability and occurs when a DNA series makes too many copies of itself and turns off a gene on the X chromosome
x linked recessive
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Trisomy 21
condition in which an individual has three number 21 chromosomes, resulting in Down syndrome
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Marfan Syndrome
autosomal dominant; pleiotropic; tall, weak heart
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Neurofibromatosis
autosomal dominant
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Phenyiketonuria (PKU)
autosomal recessive
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Monosomy
Chromosomal abnormality consisting of the absence of one chromosome from the normal diploid number
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polysomy x
-Klinefelter's syndrome
-One or more extra X chromosomes in the presence of a Y
-Male appearance
-Often undetected
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benign tumors
contain cells that look like normal cells
perform noramal tissue functions
surrounded by fibrous capsule
do not infiltrate invade or metasisize
can damage near by oragns by compressing them
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malignant tumors
do not look like normal adult cells
do not perform normal functions
grows rapidly
lack capsule
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hypoxia causes atp to
depletion
power failure
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Osmosis
Diffusion of water through a selectively permeable membrane
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Diffusion
Movement of molecules from an area of higher concentration to an area of lower concentration.
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cell aging is
programmed into the cells
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telemeres becomes
too short and the cell can no longer divide
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cell aging accumalation damages
dna damages
free radicals
glycation
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pedigree basics
-circle-female
-square-male
-shaded-affected
-unshaded-unaffected
-half-shaded- carrier
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Thalassemia
inherited defect in ability to produce hemoglobin, leading to hypochromia
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renin angiotensin pathway
Pathway initiated by the kidneys in response to low blood pressure and/or low blood volume
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COP does what
pull
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Carcinogenesis: Initiation
initial mutation occurs
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Carcinogenesis: Promotion
mutated cells are stimulated to divide
intiation of uncontrolled growth
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Carcinogenesis progression
permanent malignant changes
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Von Willebrand Disease
is the most common hereditary bleeding disorder
carries a clotting factor
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Thalassemia
blood disorder passed down through families inheriated
inadequate amount of hemoglobin
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Alpha Thalassemia
affect fetal and adult Hb
1-4 defective genes
defective gene for alpha chain synthesis
83
Beta Thalassemia
100 different mutation
affects only adults
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you need _____ to make hemoglobin
b12
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