-
the progression and projected outcome of a disease WiTHOUT medical intervention
natural history
-
not clinically evident but is destined to progress to clinical disease
preclinical stage disease
-
long term and continuous with exacerbations and remissions
chronic clinical course
-
intermediate, or between acute and chronic, not as severe as acute but not as prolonged as chronic disease
subacute clinical course
-
severe, sudden, self-limiting disease
(acute pancreatitis)
acute clinical course
-
the evolution of a disease; acute, subacute, or chronic
clinical course
-
a group of persons who were born at approximately the same time or share some characteristics of interest
cohart
-
the proportion of people without the disease who are NEGATiVE on a given test or observation
(true-negative result)
specificity
-
the designation as the nature or cause of a health problem
diagnosis
-
the proportion of people with a disease who are POSiTiVE for that disease on a given test or observation
(true-positive result)
sensitivity
-
not clinically apparent and is not destined to become clinically apparent
subclinical stage
-
level of prevention directed at keeping disease from occurring by removing all risk factors
(immunizations)
primary prevention
-
level of prevention that detects disease early when it is still asymptomatic and treatment measures can affect a cure
(papsmear)
secondary prevention
-
level of prevention directed at clinical interventions that prevent further deterioration or reduce the complications of a disease once it has been diagnosed
(rehab)
tertiary prevention
-
the probable outcome and prospect of recovery from a disease
prognosis
-
impairments that follow or are caused by disease
sequelae
-
studies that compare persons known to have the outcome of interest and those known not to have the outcome of interest
case-control studies
-
studies using simultaneous collections of info necessary for classification of exposure and outcome status
(compare prevalence of lung cancer in a smoker and a nonsmoker)
cross-sectional studies
-
the number of people in a population who have a particular disease at a given time
prevalence
-
the number of new cases arising in a population during a specific time
incidence
-
the study of disease in populations; measures disease frequency
epidemiology
-
manifested by signs and symptoms
clinical disease
-
a compilation of signs and symptoms that are characteristic of a specific disease state
syndrome
-
things noted by an observer
(abnl labs in kidney failure, elevated temperature, etc.)
signs
-
subjective complaints noted by the person with the disorder
(pain, dizziness, dyspnea)
symptoms
-
signs and symptoms changes that describe the functional and structural changes that accompany a disease
clinical manifestations
-
a pathologic or traumatic discontinuity of a body organ or tissue
lesion
-
the study of the cells and extracellular matrix of body tissues
histology
-
what are morphologic changes concerned with?
the gross anatomic and microscopic changes that are characteristic of disease
-
the fundamental structure or form of cells or tissue
morphology
-
the sequence of cellular and tissue events from initial contact until expression of a disease
(how the disease process evolves)
pathogenesis
-
multiple factors that predispose to a particular disease; what are the two types and give examples of each.
- Risk factors
- 1. modifiable: smoking, obesity, sedentary lifestyle
- 2.unmodifiable: heredity, age, sex, race, gender
-
factors that cause disease:
a) present at birth, may not be evident until later in life
b) caused by events that occur after birth, including injury, exposer to infectious agents, etc.
- a) congenital conditions
- b)acquired conditions
-
the recognized etiologic agents:
- 1. biologic agents (bacteria, viruses)
- 2. physical forces (trauma, burns)
- 3. chemical agents (poisons, alcohol)
- 4. nutritional excesses or deficits
-
the causes of disease; what sets the disease in motion
etiology
-
an interruption, cessation, or disorder in the function of a body organ or system
disease
-
the cellular and organ changes that occur with disease and the effects that these changes have on total body function
pathophysiology
-
modifies and packages substances into secretory granules or vesicles
golgi apparatus/complex
-
functions as a tubular communication system through which substances can be transported from one part of the cell to another
endoplasmic reticulum
-
the site of protein synthesis
ribosome
-
the site of RNA synthesis
the nucleus
-
the complex structure of DNA and DNA-associated proteins dispersed in the nuclear matrix
chromatin
-
contains heredity material-DNA
nucleus
-
control center for the cell
nucleus
-
structures composed of regions from five different chromosomes, each with a part of the genetic code needed for synthesis of rRNA, which is transcribed exclusively in nucleolus
nucleoli
-
semi-permeable, in that it is permeable to water but not all solute particles
cell membrane
-
what makes up the protoplasm
- a. water
- b. proteins
- c. lipids
- d. CHO
- e. electrolytes
-
the process that converts CHO, proteins, and fats into ATP
cell metabolism
-
breaking down stored nutrients and body tissues to produce energy
catabolism
-
constructive process in which more complex molecules are formed from simpler ones
anabolism
-
producing energy without oxygen
anaerobic
-
producing energy in the presence of oxygen
aerobic
-
the breakdown of glucose to form ATP
glycolytic pathway
-
produces CO2 , H2O , and ATP as end products
citric acid cycle
-
the chief function of nerve cells
conductivity
-
cells take in and use nutrients and other substances from their surroundings
(example: cells of intestine and kidneys absorb fluids and synthesize proteins to prevent constant diarrhea)
metabolic absorption
-
cells give off new substances as needed
examples: adrenal glands-cortisol
ovaries-estrogen
testis-testosterone
secretion
-
cells rid themselves of waste products resulting from metabolic breakdown of nutrients
excretion
-
where does respiration occur?
the mitochondria
-
a decrease in the SiZE of a tissue organ resulting from a decrease in cell size of the individual cells or in the number of cells
atrophy
-
an increase in cell SiZE as well as an increase in the amount of functioning tissue mass
hypertrophy
-
an adaptation to increased muscle demand or to specific hormonal stimuli and is reversible
(increase in muscle mass with exercise but decrease after no longer exercising)
physiologichypertrohpy
-
occurs in the absence of an appropriate stimuli of increased demand and does not revert back to normal
(cardiomegaly in HTN)
pathologic hypertrohpy
-
an increase in the NUMBER of cells in an organ tissue
hyperplasia
-
can occur as a result of hormonal stimulation or increased functional demands or as a compensatory mechanism
physiological hyperplasia
-
a reversible abnormality of cell diffrentiation
metaplasia
-
deranged cell growth of a specific tissue that results in cells that vary in size, shape, and appearance. strongly implicated as a precursor of cancer.
dysplasia
-
the buildup of substances that cells cannot immediately use or dispose
intracellular accumulations
-
abnormal tissue deposition of calcium salts
pathologic calcifications
-
the macroscopic deposition of calcium salts in dead or dying tissue
dystrophic calcification
-
the deposition of calcium salts in normal tissues as a result of hypercalcemia
metastatic calcificartion
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