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PUBH230 disease mechanisms
Howard CC Prof. Hill PUBH230
166
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Undergraduate 3
09/04/2018

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Term
disease
Definition
physiological disturbance that threatens well-being
Term
named disease
Definition
specific set of structural or functional abnormalities, as defined by signs and symptoms
Term
pathology
Definition
study of diseases
Term
signs
Definition
objective abnormalities that can be seen or measured by someone other than the patient
Term
symptoms
Definition
abnormalities that can be felt by only the patient
Term
syndrome
Definition
collection of different signs and symptoms, usually with a common cause that presents a distinct picture of a pathological condition
Term
disease
Definition
condition or syndrome, as defined by a characteristic set of signs and symptoms
Term
acute
Definition
when signs and symptoms appear suddenly, persist for a short time, then disappear
Term
chronic
Definition
diseases that develop slowly and last for a long time (perhaps for life)
Term
subacute
Definition
diseases with characteristics somewhere between acute and chronic
Term
etiology
Definition
The study of all factors involved in causing a disease
Term
idiopathic
Definition
Diseases with undetermined causes
Term
communicable/infectious
Definition
diseases that can be transmitted from one individual to another
Term
pathogenesis
Definition
the actual mechanism of a disease’s development
Term
latent
Definition
hidden stage of a disease's progression
Term
incubation
Definition
In infectious diseases, this is the latent stage
Term
convalescence
Definition
recovery after a disease has run its course
Term
remission
Definition
in a chronic disease, this is a temporary reversal of signs and symptoms that seems to be a recovery
Term
cured
Definition
when remission is said to be complete and permanent
Term
morbidity
Definition
disease rates in specific populations
Term
mortality
Definition
the numbers of deaths caused by specific diseases
Term
notifiable disease
Definition
diseases that physicians must report cases of to the U.S. Public Health Service such as gonorrhea, Lyme's disease and Zika virus
Term
epidemiology
Definition
the study of the occurrence, distribution, and transmission of diseases in humans
Term
epidemiologists
Definition
physicians or medical scientists who study patterns of disease occurrence in specific groups of people
Term
endemic
Definition
A disease that is native to a local region
Term
epidemic
Definition
If the disease spreads to many individuals at the same time within a defined geographic region, it is called this
Term
pandemic
Definition
epidemics that spread throughout the world, ex: different flus each year, AIDS
Term
pathophysiology
Definition
underlying physiological processes associated with disease
Term
genetic mechanisms of disease
Definition
occurs when altered or mutated genes cause production of abnormal proteins
Term
infectious mechanisms of disease
Definition
occurs when pathogenic (disease-causing) organisms or particles damage the body in some way
Term
parasite
Definition
An organism that lives in or on another organism to obtain its nutrients
Term
neoplasmic mechanisms of disease
Definition
occurs when abnormal tissue growths or neoplasms develop
Term
neoplasms
Definition
benign tumors or cancers (malignant) can cause a variety of physiological disturbances
Term
traumatic mechanisms of disease
Definition
involves injury by physical or chemical agents such as toxic or destructive chemicals, extreme heat or cold, mechanical injury (trauma), or radiation that can affect the normal homeostasis of the body
Term
metabolic mechanisms of disease
Definition
include malnutrition or endocrine imbalances that cause insufficient or imbalanced intake of nutrients
Term
inflammatory mechanisms of disease
Definition
commonly occurring disease mechanisms that can be involved along with other mechanisms to produce disease—or it may be the primary mechanism of a disease
Term
inflammation
Definition
set of reactions of the immune system that often includes pain, redness, swelling, and warmth, common response to disease
Term
inflammatory response
Definition
normal mechanism that usually speeds recovery from an infection or injury; can sometimes CAUSE a disease
Term
autoimmunity
Definition
faulty response or overreaction of the immune system that causes it to attack the body
Term
degeneration
Definition
breaking down of tissues occurs by means of many still unknown processes; a natural part of the aging process, but can also result from any disease
Term
risk factor
Definition
often do not actually cause a disease but may put one “at risk” for developing it; predisposing conditions
Term
genetic risk factor
Definition
an inherited trait puts a person at a greater-than-normal risk for developing a specific disease
Term
age risk factor
Definition
Biological and behavioral variations inherent during different phases of the human life cycle put us at greater risk for developing certain diseases at certain times in life
Term
lifestyle risk factors
Definition
The way we live and work putting us at a greater or lesser chance of developing a disease
Term
stress risk factors
Definition
Physical, psychological, or emotional stress can put one at risk of developing problems such as headaches, chronic high blood pressure (hypertension), depression, heart disease, and cancer
Term
psychogenic
Definition
mind-caused disorders
Term
environmental risk factors
Definition
such as climate and pollution can cause injury or disease, some environmental situations simply put us at greater risk for getting certain diseases
Term
preexisting condition risk factors
Definition
such as an infection, can adversely affect our capacity to defend ourselves against further attack
Term
microbes
Definition
microscopic organisms such as bacteria, fungi, and protozoa
Term
pathogenic animals
Definition
larger organisms that can cause disease
Term
viruses
Definition
intracellular parasites that consist of a nucleic acid (DNA or RNA) core surrounded by a protein coat and sometimes a lipoprotein envelope
Term
human immunodeficiency virus (HIV)
Definition
RNA-containing retrovirus that attacks the immune system of the host, making them susceptible to a plethora of diseases, attacks white blood cells (which fight diseases) of the host
Term
retrovirus
Definition
uses its RNA to “transcribe backward” to produce the virus’s primary genetic code and insert it into the host’s DNA genome
Term
acquired immunodeficiency syndrome (AIDS)
Definition
the illness that RESULTS FROM HIV
Term
coronaviruses
Definition
RNA viruses characterized by a “crown” of surface projections when viewed under an electron microscope; They use their RNA in host cells to produce their own viral enzymes and structural proteins needed to replicate; can cause anything from the common cold to a respiratory infection
Term
example of a coronavirus
Definition
SARS-associated coronavirus, which can cause severe acute respiratory syndrome (SARS)
Term
flaviviruses
Definition
move from an infected bird or other animal to a mosquito or other biting insect and then finally to the human host, cannot be transmitted from the bird directly to the human
Term
examples of flaviviruses
Definition
Zika Virus, yellow fever, West Nile Virus
Term
prion
Definition
shortened form of the phrase “PROteinaceous INfectious particle.”; pathogenic protein molecules that can cause misfolding of other proteins in the infected cell; can be inherited; causes abnormalities in proteins and their functioning
Term
examples of prion diseases
Definition
bovine spongiform encephalopathy (BSE or “mad cow disease”) and variant Creutzfeldt-Jakob disease (vCJD)
Term
bacteria
Definition
tiny, primitive cell without a nucleus
Term
modes of bacterium transmission
Definition
secrete toxic substances that damage human tissues, they may become parasites inside human cells, or they may form populations in the host body that disrupt normal human function
Term
how to classify bacterium
Definition
aerobic/anaerobic, gram-staining or lack thereof or (most commonly) shape and size
Term
bacilli
Definition
large, rod-shaped bacteria cells found singly or in groups
Term
cocci
Definition
large, round bacteria found singly, in pairs (diplococci), in strings (streptococci) or in clusters (staphylococci)
Term
curved or spiral rods
Definition
curved rods arranged singly or in strands, or large curved or spiral cells arranged singly or in cell colonies
Term
small bacteria
Definition
round or oval bacteria that are so small that some of them were once thought to be viruses; can only reproduce inside other living cells
Term
gram-positive bacteria
Definition
contain a large, thick membrane containing a polymer of sugars and amino acids; can absorb materials in its membrane quite easily
Term
gram-negative bacteria
Definition
contain a thin, bulletproof membrane; can be antibiotic-resistant and very hard to eradicate; ex: E. coli and gonorrhea
Term
spores
Definition
bacteria that can develop into resistant dormant forms; resistant to chemicals, heat, and dry conditions; become very difficult to eradicate because once they return to suitable conditions, they can easily reprooduce once again
Term
archea
Definition
very similar to bacteria; They differ from bacteria in their chemical makeup and metabolism, and ____ can live in much harsher conditions: very acidic, hot or salty; not known to cause disease yet
Term
bacteria cultures
Definition
propagation of microorganisms in special media conducive to their growth
Term
fungi
Definition
simple organisms that are similar to plants but without chlorophyll, cannot produce their own food so they must consume or parasite other organisms
Term
examples of fungal infections
Definition
vaginal yeast infections, athlete's foot, San Joaquin fever
Term
yeasts
Definition
small, single-celled fungi
Term
molds
Definition
large, multi-cellular fungi
Term
mycotic infections
Definition
fungal infections, often resist treatment
Term
protozoa
Definition
one-celled organisms that are larger than bacteria and whose DNA is organized in a nucleus; infect humans by infecting their bodily fluids and parasitizing them or directly destroying their cells
Term
examples of protozic diseases
Definition
UTIs, anorexia, malaria
Term
amebas
Definition
large cells of changing shape; ____ extend their membranes to form pseudopodia (“false feet”) that pull themselves along
Term
flagellates
Definition
protozoa that are similar to amebas but move by wiggling long, whiplike extensions called flagella
Term
ciliates
Definition
protozoa that move by means of many short, hairlike projections called cilia
Term
sporoza
Definition
protozoa with unusual organelles at their tips that allow them to enter host cells; also called coccidia. They often oscillate between two different hosts, having two different stages in their life cycle
Term
metazoa
Definition
large, multicellular organisms, pathogenic animals, cause disease by parasitizing or causing damage in another way
Term
nematodes
Definition
large parasites, also called roundworms, that infest a variety of different human tissues. They are often transmitted by food or by flies that bite
Term
types of pathogenic animals
Definition
nematodes, arthropods and Platyhelminths
Term
Platyhelminths
Definition
large parasites, otherwise known as flatworms and flukes, that can infest several different human organs
Term
arthropods
Definition
group of parasites that include mites, ticks, lice, and fleas; cause damage to themselves and the host during transmission; can carry another pathogenic animal with it
Term
vector
Definition
organism that carries a disease to a host
Term
methods of transmission of disease
Definition
person to person contact, environmental, opportunistic, by a vector
Term
asceptic technique
Definition
involves killing or disabling pathogens on surfaces before they can spread to other people
Term
common asceptic methods
Definition
isolation (quarantine), sterilization, disinfection and antisepsis
Term
sterilization versus disinfection
Definition
sterilization kills ALL living organisms, disinfection kills all pathogens but not necessarily harmless microbes
Term
environmental transmission of disease
Definition
spread through poor sanitation techniques and affects those who come in contact and/or have a weakened immune system
Term
opportunistic transmission of disease
Definition
some potentially pathogenic organisms exist within people's bodies and produce no symptoms or bad side effects but can arise to be an issue in the "right" conditions, stay clean to avoid this issue
Term
prevention of vector diseases
Definition
kill the parasites that are transmitting the disease; insecticides and mosquito-nets
Term
vaccine
Definition
a killed or attenuated (weakened) pathogen or part of a pathogen that is given to a person to stimulate immunity
Term
antibiotics
Definition
compounds produced by certain living organisms or in a laboratory that kill or inhibit bacterial pathogens
Term
potential causes of antibiotic resistance
Definition
we accelerate this process by prescribing antibiotics for diseases that are not of bacterial etiology or by using the medications inappropriately after they are prescribed
Term
antibiotic resistance
Definition
some pathogenic bacteria in our microbiome survive antibiotic therapy and then reproduce
Term
purpose of antiviral drugs
Definition
do not stop viral infections entirely; instead, they inhibit viral reproduction and thus slow down the progression of viral infections and can limit the damage of episodes of the viral infections
Term
neoplasms
Definition
tumors; literally means “new matter” and refers to an abnormal growth of cells; can take the form of distinct lumps of abnormal cells or, in blood tissue, can be diffuse (not concentrated)
Term
benign tumor
Definition
remain localized within the tissue from which they arose
Term
malignant tumor
Definition
cancerous tumor; tend to spread to other regions of the body
Term
benign versus malignant tumors
Definition
benign grow slowly, are encapsulated, do not spread, look/function similar to normal body cells; malignant grow rapidly, are not encapsulated, can spread to every region of the body and look/act disruptive to surrounding cells
Term
metastasis
Definition
cells fall off original tumor and migrate by way of lymphatic or blood vessels to infect other parts of the body
Term
carcinomas
Definition
malignant epithelial tissues
Term
papillomas
Definition
benign, a type of tumor that forms a fingerlike projection, as in a wart
Term
adenoma
Definition
benign, a general term for benign tumors of glandular epithelium
Term
nevus
Definition
benign, a variety of small, pigmented tumors of the skin, such as moles
Term
lipoma
Definition
benign, a tumor arising from adipose (fat) tissue
Term
osteoma
Definition
benign, a tumor that involves bone tissues
Term
chondroma
Definition
benign, a tumor of cartilage tissue
Term
melanoma
Definition
malignant, a type of cancer that involves melanocytes, the pigment-producing cells of the skin
Term
adenocarcinoma
Definition
malignant, the general term for malignant tumor of glandular epithelium
Term
sarcomas
Definition
Malignant tumors that arise from connective tissues
Term
lymphoma
Definition
a term used to describe a cancer of lymphatic tissue
Term
osteosarcoma
Definition
a term that refers to a malignant tumor of bone tissue
Term
myeloma
Definition
a type of malignant bone marrow tumor
Term
fibrosarcoma
Definition
a general term used to describe cancers involving fibrous connective tissues
Term
adenofibroma
Definition
benign neoplasm formed by epithelial and connective tissues
Term
neuroblastoma
Definition
a malignant tumor that arises from nerve tissue
Term
causes of cancer
Definition
abnormal cell division, genetic factors, carcinogens, age, environment and viruses
Term
hyperplasia
Definition
condition that produces too many cells
Term
anaplasia
Definition
abnormal, undifferentiated tumor cells are often produced
Term
oncogenes
Definition
abnormal “cancer genes”, more than a dozen cancers have a genetic component to it
Term
carcinogens
Definition
chemicals that affect genetic activity in some way, causing abnormal cell reproduction
Term
mutagens
Definition
cause changes in a cell’s DNA structure
Term
radiography
Definition
the oldest and still the most widely used method of noninvasive imaging of internal body structures; ____ is the use of x-rays to form a still or moving picture of some of the internal tissues of the body
Term
computed tomography (CT) scan
Definition
a type of radiography in which x-rays produce a cross-sectional image of body regions
Term
magnetic resonance imaging (MRI)
Definition
a type of scanning that uses a magnetic field to induce tissues to emit radio waves; different types of tissues emit different waves, so one can tell which tissue is where
Term
ultrasonography
Definition
high-frequency sound waves can be reflected off internal tissues to produce images, or sonograms
Term
biopsy
Definition
the removal and examination of living tissue; can reveal whether the tumor is malignant or benign; can just be the scraping of exposed cells and examination of these on a glass slide
Term
pap smear
Definition
a common biopsy screening procedure in which cells from the neck of the uterus (cervix) are examined
Term
how do blood tests indicate cancer?
Definition
Changes in the concentration of normal blood components, such as ions or enzymes, sometimes can indicate cancer
Term
staging of cancer
Definition
involves classifying a tumor based on its size and the extent of its spread
Term
grading of cancer
Definition
an assessment of what the tumor is likely to do, based on the degree of cell abnormality; useful base for making a prognosis
Term
prognosis
Definition
statement of the probable outcome of the disease
Term
cachexia
Definition
a syndrome involving loss of appetite, severe weight loss, and general weakness
Term
ultimate causes of death in cancer patients
Definition
include secondary infection by pathogenic microbes, organ failure, hemorrhage (blood loss), and in some cases, undetermined factors
Term
chemotherapy
Definition
“chemical therapy,” using cytotoxic (“cell-killing”) compounds or antineoplastic drugs can be used 134after surgery to destroy any remaining malignant cells
Term
rational cancer drugs
Definition
those that target only specific molecules, enzymes, or receptors unique to cancer cells or tumor growth, thereby affecting only the cancer and sparing the normal cells; reduce side effects and much more efficient
Term
radiotherapy/radiation therapy
Definition
using destructive x-ray or gamma radiation may be used alone or with chemotherapy to destroy remaining cancer cells
Term
laser therapy
Definition
an intense beam of light destroys a tumor, is also sometimes performed in addition to chemotherapy or radiation therapy
Term
immunotherapy
Definition
bolsters the body’s own defenses against cancer cells
Term
inflammatory response
Definition
combination of processes that attempts to minimize injury to tissues, thus maintaining homeostasis
Term
inflammation
Definition
may occur as a response to any tissue injury, including mechanical injuries such as cuts and burns or damage caused by many other irritants such as chemicals, radiation, or toxins released by bacteria. The processes of inflammation eventually eliminate the irritant, after which tissue repair can begin.
Term
regeneration
Definition
new cells are similar to those that they replace
Term
replacement (in terms of cell repair)
Definition
new cells are different from those that they replace, resulting in a scar
Term
fibrosis
Definition
fibrous tissue replaces the old tissue
Term
4 primary signs of inflammation
Definition
redness, heat, swelling and pain
Term
examples of inflammation mediators
Definition
histamine, prostaglandins (PGs), and compounds called kinins
Term
purpose of inflammation mediators
Definition
cause blood vessels to dilate (widen), increasing blood volume in the tissue; causes redness and heat and allows white blood cells to site of infection to fight it
other mediators can also increase the permeability of blood vessel walls
Term
edema
Definition
tissue swelling as a result of water leaking out of the inflamed tissue; pressure of edema causes pain
Term
inflammatory exudate
Definition
fluid that accumulates in inflamed tissue
Term
chemotaxis
Definition
The movement of white blood cells in response to chemical attractants
Term
phagocytosis
Definition
white blood cells often consume damaged cells and pathogenic bacteria
Term
pus
Definition
inflammatory exudate becomes thick with the accumulation of white blood cells, dead tissue and bacterial cells, and other debris
Term
anithistamines
Definition
block the action of histamine, an inflammation mediator
Term
local versus systemic inflammation
Definition
local only affects the area surrounding the original infection, systemic becomes a body-wide issue
Term
fever
Definition
systemic (body-wide) manifestation of the inflammatory response, often kills or inhibits pathogenic microbes
Term
febrile seizures
Definition
abnormal brain activity caused by fever in a child (who usually get more frequent and more severe fevers)
Term
acute inflammation
Definition
an immediate, protective response that promotes elimination of an irritant and subsequent tissue repair
Term
chronic inflammation
Definition
whether local or systemic, is always damaging to affected tissues; caused by inflammatory diseases
Term
inflammatory diseases
Definition
some are caused by known pathogens or by an abnormal immune response (allergy or autoimmunity), the causes of many of them are uncertain
Term
examples of inflammatory diseases
Definition
asthma, arthritis, eczema and chronic bronchitis
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