Vascular Response to Cellular Injury

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Questions and Answers

What is the first response to cellular injury during the inflammatory process?

  • Vasodilation
  • Increased capillary permeability
  • Chemical mediator release
  • Brief transient vasoconstriction (correct)

Which chemical mediator is primarily responsible for causing vasodilation during inflammation?

  • Histamine (correct)
  • Cytokines
  • Interleukins
  • Prostaglandins

What physical symptoms are caused by vasodilation and increased capillary permeability during inflammation?

  • Redness, heat, and swelling (correct)
  • Numbness and tingling
  • Bleeding and pain
  • Respiratory distress

What components are primarily found in inflammatory exudates?

<p>Serous fluid, plasma proteins, and albumin (B)</p> Signup and view all the answers

Increased capillary permeability during inflammation primarily leads to which outcome?

<p>Accumulation of fluid and proteins in the tissues (A)</p> Signup and view all the answers

What is the most common cause of urinary tract infections (UTIs)?

<p>Escherichia coli (C)</p> Signup and view all the answers

Which symptom is indicative of meningitis?

<p>Nuchal rigidity (A)</p> Signup and view all the answers

What is a common complication associated with meningitis?

<p>Intracranial pressure (A)</p> Signup and view all the answers

Which of the following is a lower urinary tract infection?

<p>Cystitis (C)</p> Signup and view all the answers

What is the recommended action before starting treatment for a suspected UTI?

<p>Collect a culture (D)</p> Signup and view all the answers

What is the primary purpose of applying ice to an injury during the first 24-48 hours?

<p>To reduce swelling (C)</p> Signup and view all the answers

Which condition is characterized by systemic infection arising from a urologic source?

<p>Urosepsis (D)</p> Signup and view all the answers

What type of fracture involves a complete break of the bone with the skin remaining intact?

<p>Closed (simple) fracture (A)</p> Signup and view all the answers

What common symptom is observed in dysuria related to UTIs?

<p>Pain during urination (A)</p> Signup and view all the answers

Which stage of fracture healing involves the formation of new bone matrix and removal of dead bone?

<p>Callus formation stage (C)</p> Signup and view all the answers

Which treatment is commonly prescribed for bacterial meningitis?

<p>Antibiotics (A)</p> Signup and view all the answers

What is the characteristic alignment of a displaced fracture?

<p>Bone fragments are misaligned (D)</p> Signup and view all the answers

Which type of fracture is described as occurring in bone that is subject to repeated stress?

<p>Stress fracture (B)</p> Signup and view all the answers

What is the focus of closed reduction in fracture nursing care?

<p>Manual realignment of bone fragments (D)</p> Signup and view all the answers

What type of fracture occurs at the site of a diseased bone?

<p>Pathologic fracture (B)</p> Signup and view all the answers

During which healing phase do the bone fragments become closer together?

<p>Consolidation phase (D)</p> Signup and view all the answers

What is a common symptom associated with hyperglycemia?

<p>Polydipsia (A)</p> Signup and view all the answers

What primarily causes Diabetic Ketoacidosis (DKA)?

<p>Lack of insulin (D)</p> Signup and view all the answers

What complication can occur if Diabetic Ketoacidosis (DKA) is left untreated?

<p>Coma due to dehydration (B)</p> Signup and view all the answers

What characterizes Type 2 Diabetes Mellitus (DM)?

<p>Inadequate insulin secretion and resistance (A)</p> Signup and view all the answers

What type of complications are macrovascular complications in diabetes associated with?

<p>Medium to large blood vessels (B)</p> Signup and view all the answers

What condition is characterized by hyperglycemia, hyperosmolarity, and dehydration without significant ketoacidosis?

<p>Hyperosmolar Hyperglycemia Syndrome (HHS) (B)</p> Signup and view all the answers

Which of the following is a classic sign of Type 1 Diabetes Mellitus?

<p>Extreme thirst (C)</p> Signup and view all the answers

Which treatment helps manage diabetic ketoacidosis effectively?

<p>IV fluids and insulin (C)</p> Signup and view all the answers

What is a common clinical manifestation of hypocalcemia?

<p>Prolonged QT interval (C)</p> Signup and view all the answers

Which mechanism is the first line of defense in regulating pH?

<p>Buffer system (A)</p> Signup and view all the answers

What is a possible result of acidemia in terms of potassium levels?

<p>Hyperkalemia due to intracellular K+ movement (C)</p> Signup and view all the answers

What can lead to respiratory acidosis?

<p>Hypoventilation (C)</p> Signup and view all the answers

Which treatment is appropriate for managing hypocalcemia?

<p>Calcium gluconate replacement (C)</p> Signup and view all the answers

What effect does hyperventilation have on blood CO2 levels?

<p>Decreases CO2 levels (B)</p> Signup and view all the answers

Why is the renal system considered the third line of defense in acid-base regulation?

<p>It provides long-term acid-base control (D)</p> Signup and view all the answers

Which electrolyte disturbance is associated with prolonged QT interval?

<p>Hypocalcemia (C)</p> Signup and view all the answers

What is the most effective initial treatment strategy for managing symptoms of PUD?

<p>Lifestyle changes including smoking cessation and weight loss (D)</p> Signup and view all the answers

Which of the following types of peptic ulcer is characterized by superficial erosion and resolves quickly when the cause is removed?

<p>Acute ulcer (D)</p> Signup and view all the answers

What is a common characteristic symptom of duodenal ulcers?

<p>Pain in the midafternoon or middle of the night (B)</p> Signup and view all the answers

What is the most common cause of appendicitis?

<p>Obstruction by a fecalith (D)</p> Signup and view all the answers

Which complication is associated with untreated appendicitis?

<p>Gangrene and perforation (C)</p> Signup and view all the answers

What is the gold standard diagnostic method for confirming H. pylori infection in peptic ulcer disease?

<p>Endoscopy with biopsy (A)</p> Signup and view all the answers

What type of ulcer is more prevalent in women over the age of 50 and is associated with higher mortality?

<p>Chronic gastric ulcer (D)</p> Signup and view all the answers

Which medication class is often used in the treatment of peptic ulcer disease to decrease stomach acid production?

<p>Proton pump inhibitors (PPIs) (C)</p> Signup and view all the answers

What clinical manifestation is associated with Actinic keratosis?

<p>Irregularly shaped, flat, slightly erythematous lesions (D)</p> Signup and view all the answers

Which of the following treatments is used for Squamous Cell Carcinoma?

<p>Topical application of fluorouracil (A), Cryosurgery (B), Surgical excision with biopsy (C)</p> Signup and view all the answers

What is a characteristic feature of Basal Cell Carcinoma?

<p>Semi-translucent borders that are pearly (A)</p> Signup and view all the answers

In identifying melanoma, what does the 'D' in the ABCDE rule represent?

<p>Diameter of the lesion (D)</p> Signup and view all the answers

Which condition is characterized by pruritic, vesiculopustular lesions with a honey-colored crust?

<p>Impetigo (B)</p> Signup and view all the answers

What is the primary cause of cellulitis?

<p>Bacterial infection from staphylococcus aureus (C)</p> Signup and view all the answers

Which treatment is commonly used for the management of scabies?

<p>Topical permethrin lotion (C)</p> Signup and view all the answers

What is a common characteristic of psoriasis?

<p>Rapid turnover of skin cells (D)</p> Signup and view all the answers

What type of dermatitis requires avoiding the causative agent for treatment?

<p>Contact dermatitis (C)</p> Signup and view all the answers

Which symptom is typically associated with cellulitis?

<p>Hot, tender, erythematous areas (A)</p> Signup and view all the answers

What is a risk factor for developing melanoma?

<p>Family history (C)</p> Signup and view all the answers

What defines the late stage of Squamous Cell Carcinoma?

<p>Scaly lesions covered with keratin (C)</p> Signup and view all the answers

Which type of skin cancer has a high cure rate when treated early?

<p>Basal Cell Carcinoma (C)</p> Signup and view all the answers

What is a defining characteristic of allergic dermatitis?

<p>Appearance of lesions 2-7 days after exposure (B)</p> Signup and view all the answers

Flashcards

Vascular response (1st)

The initial response of blood vessels to cellular injury, involving vasoconstriction followed by vasodilation and increased capillary permeability.

Vasoconstriction

A brief, temporary narrowing of blood vessels.

Vasodilation

Widening of blood vessels.

Capillary permeability

Increased ability of capillaries to allow fluids and proteins to pass through their walls.

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Inflammatory exudates

Fluid filled with proteins and albumin that leaks from the capillaries during inflammation.

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Closed fracture

A fracture where the skin remains intact and the bone is not exposed.

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Open fracture

A fracture where the skin is broken and the bone is exposed, increasing risk of infection.

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Complete fracture

A fracture where the break goes all the way through the bone.

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Incomplete fracture

A fracture where the break does not go all the way through the bone.

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Displaced fracture

A fracture where the bone ends are out of alignment.

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Non-displaced fracture

A fracture where the bone ends are still aligned.

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RICE therapy

A common treatment for fractures that stands for Rest, Ice, Compression, and Elevation.

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Fracture hematoma

A blood clot that forms at the site of a fracture within the first 72 hours.

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Peptic Ulcer Disease (PUD)

Erosion of the stomach or duodenal lining caused by acid and pepsin.

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H. pylori Infection

A bacterial infection that commonly causes peptic ulcers.

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What are the types of PUD?

There are two: acute (short-lived, superficial) and chronic (long-lasting, deeper).

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Gastric Ulcer Location

More common in women over 50, often in the antrum of the stomach.

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Duodenal Ulcer Location

Most common type, frequently found in the first 1-2 cm of the duodenum.

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Appendicitis

Inflammation of the appendix caused by blockage, often by a fecalith.

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Fecalith

A hard, calcified mass of feces that can obstruct the appendix.

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Complications of Appendicitis

Can lead to gangrene, perforation, peritonitis, and sepsis, which is life-threatening.

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Hypocalcemia

Low blood calcium levels (<8.5mg/dL). Can be caused by conditions like removal of parathyroid glands or chronic alcohol use.

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Hypocalcemia Symptoms

Tingling in extremities, muscle cramps, convulsions, prolonged QT interval, and tetany (muscle spasms).

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Chvostek's Sign

A sign of hypocalcemia, where tapping on the facial nerve causes a twitch of the cheek.

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Trousseau's Sign

A sign of hypocalcemia where the hand flexes involuntarily when blood pressure is taken in the arm.

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Acid-Base Regulation

The body's mechanisms to maintain a stable pH level (7.35-7.45) in the blood.

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Buffer System

The first line of defense in acid-base regulation, instantly reacting to neutralize small fluctuations in pH. The carbonic acid-bicarbonate system is the primary buffer.

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Respiratory System (Acid-Base)

The second line of defense, controlling the rate and depth of breathing to regulate CO2 levels in the blood. Hyperventilation (increased breathing) leads to alkalosis, while hypoventilation (decreased breathing) leads to acidosis.

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Renal System (Acid-Base)

The third line of defense, maintaining pH balance over long periods. Kidneys reabsorb bicarbonate (HCO3-) and excrete hydrogen ions (H+).

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Hyperglycemia

High blood sugar levels (above the normal range of 70-120mg/dL).

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Type 1 Diabetes

The body's immune system attacks the insulin-producing cells in the pancreas, leading to a lack of insulin.

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Diabetic Ketoacidosis (DKA)

A serious complication of diabetes caused by a lack of insulin, leading to the body breaking down fat for energy, producing ketones, and causing acidosis.

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What are the classic symptoms of Type 1 Diabetes?

Polyuria (frequent urination), polydipsia (excessive thirst), and polyphagia (increased hunger).

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Type 2 Diabetes

Characterized by inadequate insulin production and/or insulin resistance, meaning the body doesn't use insulin effectively.

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What are the complications of Diabetes?

Diabetes can lead to long-term complications affecting both small and large blood vessels, including retinopathy, nephropathy, neuropathy, cerebrovascular, cardiovascular, and peripheral vascular problems.

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Hyperosmolar Hyperglycemic State (HHS)

A serious condition characterized by extremely high blood sugar, dehydration, and hyperosmolarity, without significant ketoacidosis.

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What is the difference between Type 1 and Type 2 Diabetes?

Type 1 diabetes is caused by the body's immune system attacking the pancreas, while Type 2 diabetes is characterized by insulin resistance and/or inadequate insulin production.

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What is the most common cause of a UTI?

E. coli is the most frequent culprit behind UTIs. This bacterium often finds its way into the urinary tract and contributes to the inflammation that causes UTIs.

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Name two risk factors for developing a UTI.

Aging, diabetes mellitus, foreign bodies, prostate enlargement (BPH), catheters, and kidney stones increase the risk of UTIs.

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Pyelonephritis

Inflammation of the kidney's parenchyma and collecting system, which are responsible for filtering waste and producing urine. It's considered a complicated UTI, often leading to fever and a feeling of being unwell.

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Cystitis

Cystitis is the inflammation of the bladder, the sac that stores urine before it's expelled from the body.

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Urethritis

It's the inflammation of the urethra, the tube that carries urine from the bladder to the outside of the body.

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Urosepsis

This is a serious condition where a UTI spreads beyond the urinary tract, leading to a systemic infection affecting your entire body. This often requires ICU care due to the risk of shock and even death.

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Signs of a UTI

Symptoms can include pain or burning sensation when urinating (dysuria), difficulty starting urination (hesitancy), dribbling after urination, feeling like you haven't emptied your bladder completely, urinary incontinence, frequent urination, particularly at night (nocturia), urgency to urinate, abdominal or back pain, fever, cloudy or discolored urine, and signs of sepsis like confusion in elderly individuals.

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Why is it crucial to collect a urine culture before starting antibiotics?

Taking a culture helps identify the specific bacteria causing the UTI, which is critical for choosing the most effective antibiotic. This helps prevent antibiotic resistance and ensure targeted treatment.

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Actinic Keratosis

A precancerous skin lesion caused by sun exposure. It appears as a flat, slightly red, irregular patch with a hard scale or horn.

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Basal Cell Carcinoma

The most common type of skin cancer, arising from the basal layer of the epidermis. It's slow-growing and rarely spreads.

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Squamous Cell Carcinoma

A skin cancer arising from the squamous cells of the epidermis. It can grow more aggressively and spread.

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Melanoma

A dangerous skin cancer that can spread quickly if not caught early. It's characterized by asymmetry, irregular borders, varied colors, diameter greater than 6mm, and evolving appearance.

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Cellulitis

An infection of the subcutaneous tissue, causing redness, swelling, heat, and pain. It's often caused by bacteria like staphylococcus aureus and streptococci.

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Impetigo

A contagious bacterial skin infection, often caused by staphylococcus aureus or group A streptococci. It presents as itchy, pus-filled blisters with honey-colored crusts.

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Pediculosis

Head lice infestation, characterized by itching, nits (eggs) attached to hair, and lice crawling on the scalp.

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Scabies

A contagious skin infestation caused by a mite that burrows into the skin. It causes intense itching, especially at night.

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Dermatitis

An inflammation of the skin caused by an allergic reaction to a substance. It presents as red, itchy, and scaly patches.

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Psoriasis

A chronic autoimmune skin condition characterized by rapid skin cell turnover, resulting in thick, scaly plaques.

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Cryosurgery

A treatment for skin conditions that involves freezing abnormal cells with liquid nitrogen.

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Topical Fluorouracil

A cream used to treat certain skin cancers, including actinic keratosis and non-invasive basal or squamous cell carcinomas.

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Biopsy

A procedure where a sample of tissue is removed from the body for examination under a microscope.

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Radiation Therapy

A cancer treatment that uses high-energy rays to damage cancer cells.

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Surgical Excision

A procedure to remove cancerous tissues by cutting them out.

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Study Notes

Vascular Response to Cellular Injury

  • Initial Response: Brief, transient vasoconstriction occurs.
  • Chemical Mediators: Release of histamine and other mediators triggers vasodilation.
  • Increased Permeability: Vasodilation and increased capillary permeability result, leading to swelling.
  • Clinical Signs: Redness, heat, and swelling are visible symptoms, linked to vasodilation and increased permeability.
  • Inflammatory Exudates: Fluid containing plasma proteins (like albumin) leaks out, forming inflammatory exudates.

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