Pathophysiology Exam 3 Worksheet
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Questions and Answers

Which of the following is a characteristic finding in physical examination for Basal Cell Carcinoma?

  • Crusty sores with oozing
  • Raised, itchy welts
  • Pearl-like nodules with a central depression (correct)
  • Brown, scaly lesions
  • What is a common etiology of Sickle Cell Disease?

  • Chronic exposure to UV radiation
  • Substance abuse during pregnancy
  • Vitamin B12 deficiency
  • Genetic mutation in hemoglobin (correct)
  • Which complication is most associated with Multiple Myeloma?

  • Increased risk of infections (correct)
  • Chronic liver disease
  • Aortic dissection
  • Acute respiratory distress syndrome
  • How does age influence the likelihood of developing Melanoma?

    <p>Risk increases with age due to accumulated UV exposure</p> Signup and view all the answers

    What distinguishes Eczematous Dermatitis from contact dermatitis?

    <p>Eczematous Dermatitis can be chronic and relapsing</p> Signup and view all the answers

    Which genetic defect is commonly associated with Sickle Cell Disease?

    <p>Mutation in the HBB gene</p> Signup and view all the answers

    Which finding is a characteristic of physical examination for Erythema Multiforme?

    <p>Target lesions</p> Signup and view all the answers

    What is the primary cause of Actinic Keratosis?

    <p>Chronic sun exposure</p> Signup and view all the answers

    Which complication is most associated with Hemophilia A?

    <p>Joint hemorrhages</p> Signup and view all the answers

    Which of the following describes the pathophysiology of Psoriasis?

    <p>Immune-mediated inflammation and rapid skin cell turnover</p> Signup and view all the answers

    What factor most significantly influences the prognosis of Multiple Myeloma?

    <p>Age at diagnosis</p> Signup and view all the answers

    Which characteristic finding differentiates Rosacea from acne vulgaris?

    <p>Flushing and facial redness</p> Signup and view all the answers

    What is a significant non-genetic factor contributing to the development of Acne vulgaris?

    <p>Hormonal fluctuations</p> Signup and view all the answers

    In the context of G6PD deficiency, what is a common complication that arises?

    <p>Hemolytic anemia</p> Signup and view all the answers

    Which pathophysiological mechanism is implicated in Von Willebrand disease?

    <p>Decrease in clotting factor VIII levels</p> Signup and view all the answers

    Study Notes

    Basal Cell Carcinoma

    • Most common skin cancer, primarily caused by UV radiation exposure.
    • Characterized by pearly nodules, often with telangiectasia; rarely metastasizes.
    • Genetic predisposition may include mutations in the PTCH1 gene.

    Squamous Cell Carcinoma

    • Second most common skin cancer; also linked to UV exposure and immunosuppression.
    • Presents as red, scaly patches, ulcerated lesions; can metastasize.
    • Associated with sunburn history and HPV infection.

    Actinic Keratosis

    • Precancerous condition caused by chronic sun exposure.
    • Appears as rough, scaly patches on sun-exposed skin; potential progression to SCC.
    • Risk factors include fair skin and a history of sunburns.

    Impetigo

    • Bacterial skin infection, predominantly caused by Staphylococcus aureus or Streptococcus pyogenes.
    • Presents with honey-colored crusted lesions, usually around the mouth and nose.
    • Highly contagious; common in children.

    Melanoma

    • Deadliest skin cancer type, arising from melanocytes; linked to UV radiation.
    • Characterized by asymmetrical moles with irregular borders and varied colors (ABCDE criteria).
    • Genetic factors include mutations in the BRAF and KIT genes.

    Seborrheic Keratosis

    • Benign skin tumors that appear as raised, wart-like lesions.
    • Often found on the trunk, face, and scalp; varies in color from tan to black.
    • Not associated with significant risk of cancer.

    Urticaria

    • Commonly known as hives; can be acute or chronic.
    • Characterized by raised, itchy welts due to histamine release.
    • Triggers include allergens, medications, infections, and stress.

    Eczematous Dermatitis (Atopic) vs Contact Dermatitis

    • Atopic dermatitis is a chronic, inflammatory skin condition; characterized by itchy, red patches.
    • Contact dermatitis occurs due to skin contact with irritants/allergens; presents with localized rashes.
    • Both conditions can have genetic and environmental influences.

    Erythema Multiforme

    • Hypersensitivity reaction often triggered by infections (herpes simplex) or drugs.
    • Characterized by target-like lesions; can be mild or progress to Stevens-Johnson syndrome.
    • Systemic symptoms may include fever and malaise.

    Acne Vulgaris

    • Common skin disorder characterized by clogged pores and inflammation.
    • Lesions include comedones, papules, pustules, and cysts, primarily on the face, back, and shoulders.
    • Major factors include hormonal changes, genetics, and increased sebum production.

    Molluscum

    • Viral infection caused by the molluscum contagiosum virus.
    • Presents as small, painless, raised, pearl-like bumps on the skin.
    • Highly contagious, often seen in children and immunocompromised individuals.

    Tinea Infections

    • Fungal infections affecting the skin, hair, and nails; types include tinea pedis (athlete's foot), tinea corporis (ringworm).
    • Present as red, scaly patches with itching; diagnosed through skin scraping.
    • Spread through direct contact or contaminated surfaces.

    Rosacea

    • Chronic skin condition causing facial redness, flushing, and visible blood vessels.
    • Can lead to papules and pustules resembling acne; often exacerbated by triggers.
    • More common in fair-skinned individuals over age 30.

    Rhinophyma

    • Advanced form of rosacea; characterized by thickened skin and enlarged nose.
    • Primarily affects older men; related to prolonged untreated rosacea.
    • Can result in cosmetic and functional issues.

    Nevus

    • Commonly referred to as moles; can be congenital or acquired.
    • Usually benign but can develop into melanoma.
    • Changes in size, color, or shape should be monitored.

    Burn Shock

    • Physiological response to severe burns, leading to hypovolemia and circulatory shock.
    • Characterized by increased capillary permeability, loss of plasma proteins, and electrolyte imbalances.
    • Immediate and aggressive fluid resuscitation is critical.

    Multiple Myeloma

    • Cancer of plasma cells, leading to excessive production of abnormal antibodies.
    • Symptoms include bone pain, anemia, hypercalcemia, and renal failure.
    • Genetic abnormalities include translocations involving the MYC gene.

    Hodgkin's Lymphoma

    • Type of cancer originating in lymphoid tissue, characterized by Reed-Sternberg cells.
    • Common symptoms include painless lymphadenopathy, fever, and night sweats.
    • Age is a notable factor, with two peaks in incidence: early adulthood and older age.

    Chronic Myeloid Leukemia (CML)

    • Cancer affecting the blood and bone marrow, associated with the Philadelphia chromosome (BCR-ABL fusion).
    • Symptoms include fatigue, weight loss, and splenomegaly.
    • Chronic phase can progress to accelerated or blast phase leading to acute leukemia.

    Acute Lymphoblastic Leukemia (ALL)

    • Type of cancer that affects lymphoid cells in the bone marrow.
    • More common in children; presents with fatigue, fever, and frequent infections.
    • Prognosis varies by age and genetic factors.

    Von Willebrand Disease

    • Genetic disorder affecting blood clotting due to deficiency or dysfunction of von Willebrand factor.
    • Symptoms include easy bruising, prolonged bleeding, and nosebleeds.
    • Inherited as autosomal dominant, worsening during pregnancy or surgery.

    Hemophilia A vs B

    • Hemophilia A is caused by factor VIII deficiency, while Hemophilia B is due to factor IX deficiency.
    • Both inherited as X-linked recessive disorders; lead to prolonged bleeding episodes.
    • Severity varies; treatment involves replacement therapy with clotting factors.

    Sickle Cell Disease

    • Genetic disorder resulting in abnormal hemoglobin (HbS), leading to sickle-shaped RBCs.
    • Symptoms include pain crises, anemia, and increased infection risk.
    • Autosomal recessive inheritance with significant complications such as stroke and organ damage.

    G6PD Deficiency

    • Genetic condition caused by deficiency of glucose-6-phosphate dehydrogenase, leading to hemolytic anemia.
    • Triggered by certain foods, infections, or medications (e.g., sulfa drugs).
    • More common in males and certain ethnic groups.

    Myelodysplastic Syndrome

    • Group of disorders caused by ineffective hematopoiesis, leading to dysplasia and cytopenias.
    • Symptoms include fatigue, increased infections, and bleeding tendency.
    • Can progress to acute myeloid leukemia.

    Langerhans Cell Histiocytosis

    • Rare disorder characterized by proliferation of Langerhans cells, affecting various organs.
    • Symptoms depend on the organs involved; skin lesions, bone pain, and systemic symptoms can occur.
    • Treatment varies from observation to chemotherapy.

    Splenomegaly

    • Enlargement of the spleen, often secondary to infections, malignancies, or liver diseases.
    • Symptoms include abdominal fullness and pain; can lead to hypersplenism.
    • Diagnosis may involve imaging studies and blood tests.
    • Disruption in fluid distribution can lead to hypovolemia, edema, or electrolyte imbalances.
    • Factors include heart failure, renal dysfunction, and trauma.
    • Maintaining homeostasis involves kidney function and fluid intake.

    Hereditary Spherocytosis

    • Genetic condition causing abnormal RBC shape, leading to hemolytic anemia.
    • Symptoms include jaundice, splenomegaly, and fatigue.
    • Diagnosed through blood smear and osmotic fragility test.

    Iron Deficiency Anemia

    • Common type of anemia due to insufficient iron for hemoglobin production.
    • Symptoms include fatigue, pallor, and shortness of breath.
    • Causes include inadequate dietary intake, blood loss, and malabsorption.

    Thrombocytopenia

    • Condition characterized by low platelet counts, increasing bleeding risk.
    • Causes include bone marrow disorders, hypersplenism, and autoimmune diseases.
    • Symptoms may range from petechiae to more severe bleeding.

    Vitiligo

    • Autoimmune skin disorder leading to loss of skin pigmentation.
    • Characterized by white patches on the skin due to destruction of melanocytes.
    • Genetic and environmental factors may influence onset and progression.

    Scabies

    • Contagious skin infestation caused by Sarcoptes scabiei mites.
    • Symptoms include intense itching and a pimple-like rash in skin folds.
    • Highly transmissible, requiring treatment for infected individuals and close contacts.

    Lyme Disease

    • Tick-borne illness caused by Borrelia burgdorferi.
    • Early symptoms include erythema migrans rash (bull's-eye) and flu-like symptoms.
    • Late-stage complications can affect joints, heart, and nervous system.

    Herpes Zoster

    • Reactivation of the varicella-zoster virus, causing painful, blistering rash.
    • Characteristic dermatomal distribution; can cause postherpetic neuralgia.
    • Vaccination can reduce risk of shingles in older adults.

    Stages of Wound Healing

    • Hemostasis phase: immediate clot formation post-injury.
    • Inflammatory phase: characterized by redness, swelling, and heat; lasts 3-5 days.
    • Proliferative phase: formation of granulation tissue and epithelialization.
    • Remodeling phase: collagen reorganization and maturation, lasting months to years.

    Rocky Mountain Spotted Fever

    • Bacterial infection caused by Rickettsia rickettsii, transmitted by tick bites.
    • Symptoms include fever, rash (often petechial), and history of tick exposure.
    • Early diagnosis and treatment with antibiotics are crucial for a good prognosis.

    Psoriasis

    • Chronic autoimmune skin

    Basal Cell Carcinoma

    • Most common skin cancer, primarily caused by UV radiation exposure.
    • Characterized by pearly nodules, often with telangiectasia; rarely metastasizes.
    • Genetic predisposition may include mutations in the PTCH1 gene.

    Squamous Cell Carcinoma

    • Second most common skin cancer; also linked to UV exposure and immunosuppression.
    • Presents as red, scaly patches, ulcerated lesions; can metastasize.
    • Associated with sunburn history and HPV infection.

    Actinic Keratosis

    • Precancerous condition caused by chronic sun exposure.
    • Appears as rough, scaly patches on sun-exposed skin; potential progression to SCC.
    • Risk factors include fair skin and a history of sunburns.

    Impetigo

    • Bacterial skin infection, predominantly caused by Staphylococcus aureus or Streptococcus pyogenes.
    • Presents with honey-colored crusted lesions, usually around the mouth and nose.
    • Highly contagious; common in children.

    Melanoma

    • Deadliest skin cancer type, arising from melanocytes; linked to UV radiation.
    • Characterized by asymmetrical moles with irregular borders and varied colors (ABCDE criteria).
    • Genetic factors include mutations in the BRAF and KIT genes.

    Seborrheic Keratosis

    • Benign skin tumors that appear as raised, wart-like lesions.
    • Often found on the trunk, face, and scalp; varies in color from tan to black.
    • Not associated with significant risk of cancer.

    Urticaria

    • Commonly known as hives; can be acute or chronic.
    • Characterized by raised, itchy welts due to histamine release.
    • Triggers include allergens, medications, infections, and stress.

    Eczematous Dermatitis (Atopic) vs Contact Dermatitis

    • Atopic dermatitis is a chronic, inflammatory skin condition; characterized by itchy, red patches.
    • Contact dermatitis occurs due to skin contact with irritants/allergens; presents with localized rashes.
    • Both conditions can have genetic and environmental influences.

    Erythema Multiforme

    • Hypersensitivity reaction often triggered by infections (herpes simplex) or drugs.
    • Characterized by target-like lesions; can be mild or progress to Stevens-Johnson syndrome.
    • Systemic symptoms may include fever and malaise.

    Acne Vulgaris

    • Common skin disorder characterized by clogged pores and inflammation.
    • Lesions include comedones, papules, pustules, and cysts, primarily on the face, back, and shoulders.
    • Major factors include hormonal changes, genetics, and increased sebum production.

    Molluscum

    • Viral infection caused by the molluscum contagiosum virus.
    • Presents as small, painless, raised, pearl-like bumps on the skin.
    • Highly contagious, often seen in children and immunocompromised individuals.

    Tinea Infections

    • Fungal infections affecting the skin, hair, and nails; types include tinea pedis (athlete's foot), tinea corporis (ringworm).
    • Present as red, scaly patches with itching; diagnosed through skin scraping.
    • Spread through direct contact or contaminated surfaces.

    Rosacea

    • Chronic skin condition causing facial redness, flushing, and visible blood vessels.
    • Can lead to papules and pustules resembling acne; often exacerbated by triggers.
    • More common in fair-skinned individuals over age 30.

    Rhinophyma

    • Advanced form of rosacea; characterized by thickened skin and enlarged nose.
    • Primarily affects older men; related to prolonged untreated rosacea.
    • Can result in cosmetic and functional issues.

    Nevus

    • Commonly referred to as moles; can be congenital or acquired.
    • Usually benign but can develop into melanoma.
    • Changes in size, color, or shape should be monitored.

    Burn Shock

    • Physiological response to severe burns, leading to hypovolemia and circulatory shock.
    • Characterized by increased capillary permeability, loss of plasma proteins, and electrolyte imbalances.
    • Immediate and aggressive fluid resuscitation is critical.

    Multiple Myeloma

    • Cancer of plasma cells, leading to excessive production of abnormal antibodies.
    • Symptoms include bone pain, anemia, hypercalcemia, and renal failure.
    • Genetic abnormalities include translocations involving the MYC gene.

    Hodgkin's Lymphoma

    • Type of cancer originating in lymphoid tissue, characterized by Reed-Sternberg cells.
    • Common symptoms include painless lymphadenopathy, fever, and night sweats.
    • Age is a notable factor, with two peaks in incidence: early adulthood and older age.

    Chronic Myeloid Leukemia (CML)

    • Cancer affecting the blood and bone marrow, associated with the Philadelphia chromosome (BCR-ABL fusion).
    • Symptoms include fatigue, weight loss, and splenomegaly.
    • Chronic phase can progress to accelerated or blast phase leading to acute leukemia.

    Acute Lymphoblastic Leukemia (ALL)

    • Type of cancer that affects lymphoid cells in the bone marrow.
    • More common in children; presents with fatigue, fever, and frequent infections.
    • Prognosis varies by age and genetic factors.

    Von Willebrand Disease

    • Genetic disorder affecting blood clotting due to deficiency or dysfunction of von Willebrand factor.
    • Symptoms include easy bruising, prolonged bleeding, and nosebleeds.
    • Inherited as autosomal dominant, worsening during pregnancy or surgery.

    Hemophilia A vs B

    • Hemophilia A is caused by factor VIII deficiency, while Hemophilia B is due to factor IX deficiency.
    • Both inherited as X-linked recessive disorders; lead to prolonged bleeding episodes.
    • Severity varies; treatment involves replacement therapy with clotting factors.

    Sickle Cell Disease

    • Genetic disorder resulting in abnormal hemoglobin (HbS), leading to sickle-shaped RBCs.
    • Symptoms include pain crises, anemia, and increased infection risk.
    • Autosomal recessive inheritance with significant complications such as stroke and organ damage.

    G6PD Deficiency

    • Genetic condition caused by deficiency of glucose-6-phosphate dehydrogenase, leading to hemolytic anemia.
    • Triggered by certain foods, infections, or medications (e.g., sulfa drugs).
    • More common in males and certain ethnic groups.

    Myelodysplastic Syndrome

    • Group of disorders caused by ineffective hematopoiesis, leading to dysplasia and cytopenias.
    • Symptoms include fatigue, increased infections, and bleeding tendency.
    • Can progress to acute myeloid leukemia.

    Langerhans Cell Histiocytosis

    • Rare disorder characterized by proliferation of Langerhans cells, affecting various organs.
    • Symptoms depend on the organs involved; skin lesions, bone pain, and systemic symptoms can occur.
    • Treatment varies from observation to chemotherapy.

    Splenomegaly

    • Enlargement of the spleen, often secondary to infections, malignancies, or liver diseases.
    • Symptoms include abdominal fullness and pain; can lead to hypersplenism.
    • Diagnosis may involve imaging studies and blood tests.
    • Disruption in fluid distribution can lead to hypovolemia, edema, or electrolyte imbalances.
    • Factors include heart failure, renal dysfunction, and trauma.
    • Maintaining homeostasis involves kidney function and fluid intake.

    Hereditary Spherocytosis

    • Genetic condition causing abnormal RBC shape, leading to hemolytic anemia.
    • Symptoms include jaundice, splenomegaly, and fatigue.
    • Diagnosed through blood smear and osmotic fragility test.

    Iron Deficiency Anemia

    • Common type of anemia due to insufficient iron for hemoglobin production.
    • Symptoms include fatigue, pallor, and shortness of breath.
    • Causes include inadequate dietary intake, blood loss, and malabsorption.

    Thrombocytopenia

    • Condition characterized by low platelet counts, increasing bleeding risk.
    • Causes include bone marrow disorders, hypersplenism, and autoimmune diseases.
    • Symptoms may range from petechiae to more severe bleeding.

    Vitiligo

    • Autoimmune skin disorder leading to loss of skin pigmentation.
    • Characterized by white patches on the skin due to destruction of melanocytes.
    • Genetic and environmental factors may influence onset and progression.

    Scabies

    • Contagious skin infestation caused by Sarcoptes scabiei mites.
    • Symptoms include intense itching and a pimple-like rash in skin folds.
    • Highly transmissible, requiring treatment for infected individuals and close contacts.

    Lyme Disease

    • Tick-borne illness caused by Borrelia burgdorferi.
    • Early symptoms include erythema migrans rash (bull's-eye) and flu-like symptoms.
    • Late-stage complications can affect joints, heart, and nervous system.

    Herpes Zoster

    • Reactivation of the varicella-zoster virus, causing painful, blistering rash.
    • Characteristic dermatomal distribution; can cause postherpetic neuralgia.
    • Vaccination can reduce risk of shingles in older adults.

    Stages of Wound Healing

    • Hemostasis phase: immediate clot formation post-injury.
    • Inflammatory phase: characterized by redness, swelling, and heat; lasts 3-5 days.
    • Proliferative phase: formation of granulation tissue and epithelialization.
    • Remodeling phase: collagen reorganization and maturation, lasting months to years.

    Rocky Mountain Spotted Fever

    • Bacterial infection caused by Rickettsia rickettsii, transmitted by tick bites.
    • Symptoms include fever, rash (often petechial), and history of tick exposure.
    • Early diagnosis and treatment with antibiotics are crucial for a good prognosis.

    Psoriasis

    • Chronic autoimmune skin

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