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A study guide for patho test 3, covering topics such as different types of cells and their functions, symptoms of neutropenia, the cell cycle and checkpoints, and various pathologies including bph, scrotal dysfunctions, and pelvic inflammatory disease.
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Berding Study Guide for Patho Test 3
1. What are the different types of cells and their functions? Leukocytes: WBCs:fewer in number compared to RBCs, they defend against infection and remove dead/injured host cells -Granulocytes(Neutrophils,eosinphils, basophils) : all phagocyticcells. They are spherical and have distinctive multilobar nuclei. -Neutrophils:primary pathogen fighting cells (55-65% of all WBC) their granules contain degradingenzymes that destroy foreign substances and correspond to lysosomes found inother cells. The degradative functions are important in maintain normal hostdefenses and in mediating the inflammatory response. -Eosinophils:Constitute 1=3% of WBC and they increase in # in response to allergic reactions. They are thought to release enzymes that detoxify agents associated with allergic reactions. They are also involed in parasitic infections by attaching themselves to the parasite by special surface molecules are release hydrolytic enzymes that kill the parasite. -Basophils:.3-.5% of the WBC. Basophils and mast cells release heparin(anticoagulant) intothe blood. The mast cells and basophils also release histamine a vasodialator andother inflammatory mediators. They also play a huge part in allergic reactions. -Lymphyocytes: 20-30% WBC, they are AGRANULE, their function in the lymph nodes or spleen is to defend against foreign microbes in the immune response. They are broken into 3 parts Blymph-differentiate into antibody-producing plasma cells in humoral Mediated immunity, T lymph- responsible for orchestrating immune response and effecting cell-mediated immunity. NK(natural killer) cells are the 3rd subset whose receptors main thing is innate immunity. -Monocytes/Macrophages :Monocytes are the largest of the WBC and constitute about 3-8% of total leukocyte count. They survive for months in tissues. When they enter tissues they are called macrophages and are phagocytic. Monocytes engulf larger and greater quantities of foreign material than neutrophils. They play an important role in chronic inflammation and are involved in the immune response by activating lymphocytes and presenting antigen to T cells. -Erythrocytes = RBCs: the most abundant cells of the blood, and are responsible for tissue oxygenation
3. What kind of symptoms does a pt with neutropenia exhibit? Neutropenia is a decrease of neutrophils (neutrophil count < 1500 cells/uL). Nuetropenia puts a person at risk for infection by gram-positive or gram-negative bacteria and by fungi. Neutrophils are the first line of defense against organisms that inhibit the skin and gastrointestinal tract. Therefore, skin infections and ulcerative necrotizing lesions of the mouth are common types of infection in the neutropenia. The most frequent site of serious infection is the respiratory tract. In the presence of severe neutropenia, the usual signs of inflammatory response to infection may be absent. 5. Understand the cell cycle and check points The cell cycle is the interval between each cell division; it regulates the duplication of genetic information and appropriately aligns the duplicated chromosomes to be received by the daughter cells. It is divided into four distinct phases (G1, S, G2, and M). -G1 (gap 1) is the most postmitotic phase during which DNA synthesis ceases while RNA and protein synthesis and cell growth take place. -During S phase, DNA synthesis occurs, giving rise to two separate sets of chromosomes, one for each daughter cell. -G2(gap 2) is the premitotic phase where DNA synthesis ceaseswhile RNA and protein synthesis continue (just like G1). -The M phase is the phase of cellular division or mitosis. Cells that are not actively dividing are quiescent and reside in G0 (gap 0) or the resting phase of the cycle. They then reenter the cell cycle again. Movement through each of the phases is mediated by specific checkpoints that are controlled by specific enzymes and proteins called cyclins. During the checkpoints, the cycle can be arrested if previous events have not been completed. There are two checkpoints (G2M and G1S). see page 82 and 83 for great picture/table of the cell cycle! 6. Understand terms related to cell growth and death CELL DEATH o Apoptosis Cell death (which is equated with cell suicide) that eliminates cells that are worn out have been produced in excess, have developed improperly, or have genetic damage.
size by blocking the effects of androgens on the prostate or by relieving prostatic obstruction and increasing urine flow. However, when more severe signs of obstruction develop, surgical treatment (ex. Transurethral resection of the prostate or TURP) usually is indicated to provide comfort and avoid serious damage.
11. Types of scrotal dysfunction and causes. The scrotum, which houses the testes, is made up of a thin outer layer of skin that forms rugae, or folds, and is continuous with the outer skin of the groin. Hydrocele- forms when excess fluid collects between the layers of the tunica. May be unilateral or bilateral and can develop as a primary congenital defect or as a secondary condition. Most cases occur in male infants and children. Diagnosed by transillumination of the scrotum and ultrasound. The condition is often asymptomatic, and no treatment is necessary. It can be repaired surgically if symptomatic. Acute hydrocele- may develop after a local injury, epididymitis or orchitis, gonorrhea, lymph obstruction, or germ cell testicular tumor, or as a side effect of radiation therapy. Chronic hydrocele- is more common, fluid collects around the testis and the mass grows gradually. The causes is unknown and is usually develops in men older than 40. Hematocele- accumulation of blood in the tunica vaginalis, which causes the scrotal skin to become dark red or purple. It may develop as the result of an abdominal surgical procedure, scrotal trauma, a bleeding disorder, or a testicular tumor. Spermatocele- painless, sperm containing cyst that forms at the end of the epididymis. May be solitary or multiple. They are freely movable and should transilluminate. Rarely cause problems. Varicocele- veins that supply the testes become dilated. Often called “bag of worms”. They are varicose veins in the scrotum. More commonly affects the left side. It results in a decrease in sperm production by 65%. Men older than 50 are most commonly affected. Testicular torsion- the twisting of the spermatic cord that suspends the testis. It is the most common accute scrotal disorder in the pediatric and young adult population. Epididymitis- inflammation of the epididymis. Its symptoms are unilateral pain, fever, groin and lower abdominal tenderness, erythema, edema, dysuria, urethral discharge. It is treated with antibiotics, bed rest, scrotal elevation, oral analgesics, and antipyretics. There are two types: Non-sexually transmitted infection- the pressure associated with voiding or physical strain may force pathogen containing urine from the urethra or prostate up the ejaculatory duct and through the vas deferens and into the epididymis. Infections may also reach the epididymis through the lymphatics of the spermatic cord. Associated with UTI’s, prostatitis, urinary obstruction (urine backs into the ejaculatory ducts). Sexually transmitted infection- occurs mainly in young men without underlying GU disease and is most commonly caused by Chlamydia and Gonorrhoeae. Orchitis- inflammation of the testes. It can be precipitated by a primary infection in the GU tract, or the infection can spread to the testes through the bloodstream or lymphatics (secondary infection). Can develop as a complication of a systemic infection, such as the mumps, scarlet fever, or pneumonia. The best known of these complications is orchitis caused by the mumps virus. It has a sudden onset, and occurs 3-4 days after the onset of the mumps. There is a fever, painful enlargement of the testicles, no urinary symptoms, and it can cause impaired spermatogenesis (sterility). Due to the possibility of sterility, it must be treated quickly. 12. Understand pelvic inflammatory disease – causes and symptoms - It is an inflammation of the upper reproductive tract that involves the uterus (endometritis), fallopian tubes (salpingitis), or ovaries (oophoritis). It is the most common cause of gyn admissions to the hospital. - Most commonly caused by STD infections. The organism enters through the endocervical canal to the uterus, tubes, and ovaries.