Mechanisms of Disease

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1 Chapter 2 Mechanisms of Disease

2 Causes of Disease Heredity Trauma Inflammation/infection Hyperplasias/neoplasms Nutritional imbalance Impaired immunity

3 Heredity Hereditary diseases Error in individual s genetic or chromosomal makeup Congenital hereditary disease Disease present at birth Classifications of hereditary diseases: Single gene abnormality Abnormality of several genes Abnormality of a chromosome

4 Trauma Physical injury or external force Type of traumatic disease varies with: Age Race Residence

5 Trauma Classifications in order of prevalence: Motor vehicle accidents Poison Firearms Falls Suicide Suffocation Homicide

6 Inflammation/Infection Inflammation Protective immune response triggered by injury or irritant Infection Invasion of microorganisms into tissues causing cell or tissue injury

7 Hyperplasias/Neoplasms Hyperplasias Overgrowth in response to some type of stimulus Neoplasms Also known as tumors Oncology Study of cancer

8 Hyperplasias/Neoplasms Neoplasm classifications: Benign Limited growth Encapsulated Enclosed in capsule Malignant Uncontrolled growth

9 Hyperplasias/Neoplasms Cancer Malignant tumor Metastasizes Moves and spreads Metastatic Moves from site of origin to secondary site in body

10 Nutritional Imbalance Usually related to over- or underconsumption Cachexia ill, thin, wasted appearance Obesity BMI, bariatrics Alternatives: Parenteral Administered by injection Enteral Nutrition through small intestine

11 Impaired Immunity Body s first line of defense: Skin, mucous membranes, tears, and secretions Protective qualities of immune system: Leukocytes kill foreign invaders Body reacts to antigens by producing antibodies

12 Impaired Immunity Antigens Substances that cause harm and set off specific response Antibodies Also known as immune bodies Proteins that render antigen harmless

13 Impaired Immunity Common ways immune system fails: Allergy Autoimmunity Immunodeficiency

14 Aging Degeneration Disease related to age Tissue degeneration changes functional activity to lower or lesser level Body s ability to repair and replace itself slows down with aging process

15 Cellular Injury Causes of cellular injury and death: Hypoxia Not enough oxygen Anoxia No oxygen Drug or bacterial toxins Viruses

16 Cellular Adaptation Types: Atrophy Decrease in cell size Hypertrophy Increase in cell size Hyperplasia Increase in cell number

17 Cellular Adaptation Types: Dysplasia Alteration in size, shape, and organization of cell Metaplasia Cell changes to another type Neoplasia Development of new type of cell with uncontrolled growth pattern

18 Atrophy of a Cell

19 Hypertrophy of a Cell

20 Hyperplasia of a Cell

21 Dysplasia of a Cell

22 Metaplasia of a Cell

23 Neoplasia of a Cell

24 Cell and Tissue Death Necrosis Cellular death Ischemia Decreased blood flow Infarct Area of dead cells Gangrene Saprophytic bacteria involved in necrotic tissue

25 Organism Death Mortality Death Morbidity State of being diseased Criteria for brain death: Lack of response to stimuli Loss of all reflexes Absence of respirations Lack of brain activity on electroencephalogram (EEG)

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