HLTH 335 Study Guide - Fall 2018, Comprehensive Midterm Notes - Immune System, Hypersensitivity, White Blood Cell

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HLTH 335
MIDTERM EXAM
STUDY GUIDE
Fall 2018
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HUMAN DISEASES - HLTH 335 - EXAM 1 REVIEW
Monday, September 3, 2018
Chapter 1 - Intro to Disease
Disease terminology
Homeostasis = when all cells, tissues, organs and systems work together to successfully
maintain equilibrium
We are never at a complete state of homeostasis
Disease = any state of disequilibrium; a change in function or structure that is considered
abnormal
Pathology = study of disease in general
Pathologist = a physician who studies & interprets changes caused by disease
Manifestations of Disease
Signs = objective
evidence of disease observed on physical examination, such as
abnormal pulse or respiratory rate, fever, sweating and pallor
Visible to the eye
Symptoms = subjective
indications or disease reported by the patient, such as pain,
dizziness and itching
Internal, patient must describe
Syndrome = when certain sets of signs and symptoms occur concurrently and suggest the
presence of disease
Example: irritable bowel syndrome
Down syndrome is not a syndrome
Disorder = a functional abnormality not necessarily linked to a specific cause or physical
abnormality
As more research is done, it is possible for a disorder to become a disease when
causes are discovered
Principles of Diagnosis
Diagnosis = process of identifying a disease, syndrome or disorder
Clinical history
5 parts (below)
Physical examination
Differential diagnosis
Systematic process of elimination
5 Parts of Clinical History
History of current illnesses
severity , time of onset and character of patient’s symptoms
Patient’s Medical history
Details of general health and previous illnesses that may shed light on current
problems
Family history
Health of patient’s parents and family members; diseases that run in families
Social history
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Patient’s occupation, lifestyle behaviors (habits, alcohol and tobacco
consumption, etc) general health, current problems
Review of symptoms/signs
Eliciting additional information
about symptoms other than those disclosed in
history of present illness (e.g. not sleeping well at night)
Physical Examination
Systematic examination of patient with emphasis on parts of body affected by illness
Abnormalities noted correlated with clinical history
BONUS: NAZI/SWASTIKA CAT WITH HUMAN HAND
Differential Diagnosis
Consideration of various diseases or conditions that may also explain patient’s symptoms
and signs
E.g. shortness of breath could be heart problem, not just lung problem
Diagnostic possibilities narrowed by selected laboratory tests or other diagnostic
procedures
Opinion of medical consultant/specialist may be sought
Causes of Disease - Terminology
Etiology = CAUSE
Pathogenesis = Source or cause of disease, together with its DEVELOPMENT
Idiopathic = the term used to describe diseases of unknown etiology
Lesion = usually at the root of most causes of diseases; could be a damaged gene or
enzyme or abnormal cells, tissues or organs
Major Causes of Disease
Inflammatory, autoimmune and allergic disorders
Infection (bacterial, viral, parasitic)
Neoplastic = CANCEROUS (new cell growth when there shouldn’t be)
Heredity
Congenital → not hereditary → something went wrong for the fetus AFTER it was
conceived and during the pregnancy
Traumatic (due to environmental factors)
Degenerative = as we get older → AGING
Nutritional
STRESS → debate in field of medicine if stress can be a single cause of a disease BUT
stress CAN DEFINITELY be a further influence of disease
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Document Summary

We are never at a complete state of homeostasis abnormal. Disease = any state of disequilibrium; a change in function or structure that is considered. Symptoms = subjective indications or disease reported by the patient, such as pain, Visible to the eye dizziness and itching. Disorder = a functional abnormality not necessarily linked to a specific cause or physical. As more research is done, it is possible for a disorder to become a disease when abnormality causes are discovered. Neoplastic = cancerous (new cell growth when there shouldn"t be) Congenital not hereditary something went wrong for the fetus after it was. Degenerative = as we get older aging. Stress debate in field of medicine if stress can be a single cause of a disease but conceived and during the pregnancy stress can definitely be a further influence of disease. Example = recessive gene for sickle cell anemia in 8% of the african american population.

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