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BIO 3020
Pathophysiology
Course Mechanics
1.
Pathophysiology vs. Pathology
2.
Procedures
a.Text
b.Objectives
c.Tests
d. Grades
I. General Pathology
A. Disease
at the Cellular Level
1.
Adaptation
a. Atrophy
i.Causes
ii.Result
b.
Hypertropy
c.
Hyperplasia
i.Types
ii.Atypical
Hyperplasia
d.
Metaplasia
2. Injury
a.
Occurrence
b.
Injurious Stimuli
i.Hypoxia
ii.Chemicals
iii.Infectious
Agents
iv.Immune
Response
v.Nutritional
Imbalances
vi.Physical
Agents
(a).
Temperature Extremes
(b).
Pressure Changes
(c).
Ionizing Radiation
(d).
Mechanical Factors
c. Results
of Injury: Accumulations
i.Water
(a).
Cellular Swelling
(b).
Hydropic Degeneration
ii.Lipids
(a).
Mechanism
(b). Common
Causes
(c). Fatty
Change
iii.Calcium
(a).
Mechanism
(b). Types
iv.Hyaline
Change
3. Cell
Death
a. Necrosis
b. Visible
Results
c. Types
(Gross)
i.Coagulative
ii.Liquifactive
iii.Caseous
iv. Fat
Necrosis
v.Gangrene
4.
Apoptosis
a. Meaning
b. Events
5. Somatic
Death
a. versus
necrosis
b. Events
i.Algor
mortis
ii.Livor
mortis
iii.Rigor
mortis
iv.Postmortem
autolysis
B. Fluid
Distribution
1.
Compartments
a.
Intracellular
b.
Extracellular
c. Total
Water
2.
Variations
a. Newborn
b. Effect
of Fat
3. Shifts
between Compartments
a. Between
ICF and ISF
b. Between
ISF and Plasma
i.Filtration
Pressures
ii.Absorption
Pressures
c. ISF
Circulation
d. Lymph
Flow
4. Edema
a.
Definition
b.
Mechanisms
i.Increased
CHP
ii.Decreased
COP
iii.Increased
Capillary Permeability
iv.Lymph
Flow Blockage
c.
Locations
i.Localized
ii.Generalized
iii.In Body
Spaces
d. Problems
of Edema
i.Distances
ii.Pressure
& Blood Flow
iii.Tissue
Compression
iv.Blood
Volume Loss
C. Immunity
1.
Introduction
a.
Components of Defense
b. Immune
System Cells
i.Locations
ii.Cells
c. Antigens
i.Definition
ii.Characteristics
2. Humoral
Response: B-Lymphocytes
a.
Activation
b. Product:
Immunoglobulins
i.Structure
ii.Direct Actions
iii.Indirect
Actions
iv.Classes
3.
Cell-Mediated Immunity: T-Lymphocytes
a. Actions
& Cell Types
i.Cytotoxicity:
Tc
ii.Delayed
Hypersensitivity: Td
iii.Control:
Th and Ts
D.Inflammation
1. Introduction
2. Acute
Response
a.
Initiation
b. Events
i.Arteriolar
Dilation
ii.Increased
CHP
iii.Margination
iv.Endothelial
Retraction
v.Cellular
Arrival
3. Role of
Mast Cells
a.
Description of Cells
b. Action
c. Stimuli
d. Stored
Chemicals
i.Histamine
ii.Neutrophil
Chemotactic Factor
iii.ECF-A
e. New
Chemicals
i.Leukotrienes
ii.Prostaglandins
4. Plasma
Proteins
a. Arrival
b.
Complement System
i.Description
ii.Major
Actions
iii.Activation
c. Clotting
Proteins
d. Kinin
System
5. System
Manifestations
a. Fever
b.
Leukocytosis
c.
Increased Plasma Proteins
6. Chronic
Inflammation
a.
Description
b. Result
7.
Exudation
a. Function
b. Types
i.Serous
Exudate
ii.Fibrinous
Exudate
iii.Purulent/Suppurative
Exudate
iv.Hemorrhagic
Exudate
8. Healing
a. Initial
Steps
i.Sealing
ii.Clot
dissolution
iii.Macrophage
Secretions
iv.Granulation
Tissue Formation
v.Collagen Organization
vi.Wound
Contraction
vii.Epithelialization
b.
Maturation
c.
Dysfunctional Healing
i. Initial
Healing Problems
(a). Big
Clots
(b).
Adhesions
(c).
Inadequate Macrophages
ii.During
Reconstruction
(a).
Impaired Collagen Synthesis
(b).
Excessive Collagen Synthesis
(c).
Impaired Epithelialization
(d).
Dehiscense
(e).
Excessive Contraction
E. Abnormal
Immunity
1.
Hypersensitivity
a.
Introduction
i.Definition
ii.Includes:
(a).
Allergies
(b).
Autoimmunity
(c).
Isoimmunity
b. Types
i.IgE-Mediated
(Type I)
(a).
Occurrence
(b).
Mechanism
(c).
Clinical Examples
ii.Tissue-Specific
Reactions (Type II)
(a). Action
(b).
Destruction Types
iii. Immune
Complex Reactions (Type III)
iv.Cell-mediated
Reactions (Type IV)
(a). Action
(b).
Clinical Examples
c.
Mechanisms of Hypersensitivity
i.Allergy
(a). Agent
(b).
Examples
(c).
Neoantigens
ii.Autoimmunity
(a).
Definition
(b).
Mechanisms
2.
Deficiencies
a.
Introduction
i.
Definition
ii. Types
iii.Clinical
Signs
(a). Normal
Infection Rate
(b).
Possible Signs
iv.Problems
of Deficiency
b.
Congental Deficiencies
i. Hypogammaglobulinemia
ii. SCID
iii.Selective
IgA Deficiency
c. Acquired
Deficiencies
i.Nutritional
Deficiencies
(a).
Protein/Calorie
(b). Zinc
(c).
Vitamins
ii.Iatrogenic
Causes
(a). Drugs
(b).
Surgery/Anesthesia
iii.Burns
iv.Emotional
Stress
v.AIDS
F.
Neoplasms
1.
Introduction
a. Neoplasm
b. Benign
c.
Malignant
2.
Nomenclature
a. Naming
b. Carcinoma
in situ
3.
Malignant Cell Characteristics
a. List
b. Terms
c. Grading
d. Staging
e. Growth
Rates
f. Spread
i.Direct
Invasion
ii.Lytic
Enzymes
iii.Active
Movement
iv.Barriers
v.Metastasis
vi.Implantation
4. Clinical
Manifestations
a. Pain
b. Cachexia
i.Description
ii.Appetite
Changes
iii.Weight
Loss
iv.Anemia
c.
Leukopenia/Thrombocytopenia
d.
Infection
II. Syst
A.
Neurologic Dysfunction
1.
Consciousness
a.
Definition
b. Physical
Basis
c.
Pathophysiology
i.Agents
ii.Signs
(a). Level
of Consciousness
(b).
Breathing Patterns
(c).
Pupillary Response
(d).
Oculomotor Responses
(e). Motor
Responses
2. Results
of Lesions
a. Severe
Results
b. Thought
Content Alterations
i. Acute
ii.
Subacute/Chronic
c. Seizures
i.
Definition
ii. Causes
iii.
Manifestations
d. Motor
Function Alterations
i. Muscle
Mass Abnormalities
ii. Muscle
Strength Abnormalities
iii. Tone
Abnormalities
iv.
Postural Abnormalities
v. Abnormal
Movements
vi.
Hyperkinesia/Dyskinesia
e.
Emotional Alterations
f. Unifocal
Cortical Function Alterations
i.Agnosias
ii.Dyspraxia
iii.Dysphasia/Aphasia
g. Cerebral
Homeostasis Alterations
i.Intracranial
Pressure
ii.
Cerebral Edema
(a).
Vasogenic
(b).
Cytotoxic
(c).
Ischemic
(d).
Interstitial
3. Specific
CNS Lesions
a. Trauma
i.Closed-Head
Trauma
(a).
Injuries
(b).
Maximum Effect
(c). Types:
Concussion
Contusions/Lacerations
Extradural
Hematoma
Subdural
Hematoma
ii. Spinal
Cord Trauma
(a).
Frequency
(b).
Population
(c). Force
(d). Injury
(e). Spinal
Shock
b.
Cerebrovascular Accident (CVA)
i.
Population
ii. Timing
iii. Types
iv.
Clinical Information
c. CNS
Tumors
i.Introduction
ii. Primary
Intracerebral: Gliomas
(a).
Glioblastoma
(b).
Astrocytoma
(c).
Oligodendroglioma
iii.
Primary Extracerebral Tumors
(a).
Meningioma
(b).
Neurilemmoma
d.
Infection/Inflammation
i.
Meningitis
(a). Types
(b).
Manifestations
ii.
Encephalitis
e.
Degenerative Diseases of CNS
i.
Parkinson Disease
(a). Classification
(b).
Pathophysiology
(c). Course
ii.Multiple
Sclerosis
B.
Endocrine Disorders
1. SIADH
a.
Description
b. Cause
c. Results
2. Thyroid
Dysfunction
a. Normal
Function
b.
Hyperthyroidism
i. Results
ii. Cause
c.
Hypothyroidism
i. Causes
ii.
Manifestations
3.
Pancreas: Diabetes
a.
Introduction
b. Types
i. Type I
(a). Cause
(b).
Population
(c). Manifestations
(d).
Classic Description
ii.Type II
(a). Cause
(b).
Population
(c).
Manifestations
iii.
Gestational Diabetes
(a).
Description
(b). Course
c.
Complications
i.
Hypoglycemia
ii.
Ketoacidosis
iii.
Microvascular Changes
iv.
Neuropathy
v.
Nephropathy
vi.
Macrovascular Disease
vii.
Combination
4.
Reproductive System
a. Female
i. Primary
Dysmenorrhea
(a).
Description
(b). Cause
(c). Other
PG Effects
ii.Amenorrhea
(a).
Primary
(b).
Secondary
iii. Pelvic
Inflammatory Disease
(a).
Description
(b).
Manifestations
(c).
Complications
iv.
Vaginitis
(a).
Description
(b).
Occurrence
(c).
Characterizations
v.
Disorders of Pelvic Relaxation
(a).
Description
(b).
Varieties
vi.
Proliferations
(a). Ovarian
Cysts
(b).
Endometriosis
b. Male
i.
Urethritis
(a).
Description
(b). Common
Varieties
(c).
Symptoms
ii. Scrotal
Disorders
(a).
Varicocele
(b).
Hydrocele
iii.
Prostate Disorders
(a). Benign
Prostatic Hypertrophy
(b).
Prostatitis
C.
Hematologic Disorders
1. Anemia
a.
Definition
b. Classification
c.
Manifestations
i. Causes
ii.
Symptoms
d. Types
i.
Macrocytic-Normochromic
ii.
Microcytic-Hypochromic
iii.
Normocytic-Normochromic
2. Abnormal
WBC Function
a.
Infectious Mononucleosis
i.Cause
ii.Appearance
iii.Course
b.
Leukemias
i.Meaning
ii.Classification
iii.Examples
iv.Acute
Leukemias
v.Chronic
Leukemias
c. Multiple
Myeloma
i.Description
ii.Manifestations
d. Lymphoma
i.Description
ii.Hodgkin
Disease
iii.Non-Hodgkin
Lymphoma
D.
Cardiovascular Disease
1. Arterial
Disease
a.
Arteriosclerois
i. Meaning
ii. Result
b.
Atherosclerosis
i. Meaning
ii.
Development
iii.
Manifestations
2.
Hypertension
a. Meaning
b. Types
c. Primary
vs. Secondary
d. Chronic
Results
3. Aneurysm
a. Meaning
b. Cause
c.
Locations
d.
Manifestations
4. Venous
Disease
a. Varicose
Veins
i.
Description
ii. Cause
b. Chronic
Venous Insufficiency
i. Meaning
ii. Results
5. Coronary
Artery Disease (CAD)
a. Meaning
b.
Prevelance
c. Risks
i.
Non-modifiable
ii.
Modifiable
(a). Hyperlipidemia
(b).
Hypertension
(c).
Nicotine
(d).
Diabetes
(e).
Obesity
6.
Myocardial Ischemia
a.
Description
b. Result:
Angina Pectoris
i.
Description
ii. Cause
iii. Timing
iv.
Appearance
v. Types
(a). Stable
(b).
Unstable
(c).
Printzmetal
c.
Manifestations
i.
Ventricular Gallop
ii. ECG
iii.
Angiography
7.
Myocardial Infarction (MI)
a. Causes
b. Events
i. First
8-10 Seconds
ii. 30-60
Seconds
iii. 20
Minutes
c.
Functional Changes
d. Repair
e.
Manifestations
i. Anginal
Pain
ii.
Sympathetic Stimulation
iii. Fever
iv. Lab
Results
v. ECG
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