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Part 1
Causes of Disease
MECHANISMS OF DISEASE
1. Heredity Caused by abnormality in person’s genetic or chromosomal makeup
May or may not be present at birth If present at birth, the disease is called CONGENITAL
Not all congenital diseases are inherited (EX: fetal alcohol syndrome)
CAUSES OF DISEASE(SIX CATEGORIES)
If inherited, the diseases are classified as
1. single gene abnormality (Ex: sickle cell anemia)
2. an abnormality of several genes (polygenic) (Ex: gout, hypertension)3. an abnormality of a chromosome (absence or presence) (Down
syndrome)
CAUSES OF DISEASE(SIX CATEGORIES)
2. Trauma Caused by physical injury from an external force
Leading cause of death in children and young adults
MVA (Motor Vehicle accidents) most frequent
CAUSES OF DISEASE(SIX CATEGORIES)
Centers for Disease Control and Prevention (CDC) lists the most frequent trauma as: MVAFire ArmsPoisonFallsSuffocationSuicideHomicide
CAUSES OF DISEASE(SIX CATEGORIES)
Emergency management for trauma is often neededComplications of shockHemorrhageInfectionPrioritizing of care is called triage
CAUSES OF DISEASE(SIX CATEGORIES)
3. Inflammation and InfectionInflammation is a protective immune response triggered by injury or irritant
Signs of inflammationRednessHeatSwellingPainLoss of motion
CAUSES OF DISEASE(SIX CATEGORIES)
Infection refers to invasion of microorganisms into tissue that causes cell or tissue injury
Inflammation and infection often go hand in hand
Inflammation will often progress to an infection
“itis” means inflammation
CAUSES OF DISEASE(SIX CATEGORIES)
4. Hyperplasias and NeoplasmsHyper (excessive) plasia (growth)Neo (new) plasm (growth)Hyperplasias are overgrowth in response to a stimulus (EX: overgrowth of thyroid due to hormone deficiency)
Neoplasms are tumors (Greek word for swelling is onkas) Oncology is study of cancer (tumors end in “oma”)
CAUSES OF DISEASE(SIX CATEGORIES)
Neoplasms are classified as:Benign
Limited growth (usually)Encapsulated
MalignantGrow uncontrollablyFingerlike projections in surrounding tissues
Removal is difficult****Cancer defined as a malignant tumor
CAUSES OF DISEASE(SIX CATEGORIES)
Cancer name comes from Greek work karkinos meaning “crab”
Neoplasms can metastasize (move from original site to secondary or even tertiary sites)
http://www.youtube.com/watch?v=mQVq_en-2vA&list=PLsXgU5RKIPO6dEg9vpBKDmZw46NI5aq9X
CAUSES OF DISEASE(SIX CATEGORIES)
5. Nutritional ImbalanceMalnutrition
Inadequate nutrient intakeInadequate amount with poor nutritive value
Problems with absorptionCachexia- ill, thin wasted appearance
CAUSES OF DISEASE(SIX CATEGORIES)
TreatmentLiquid drink with nutritional supplements
Parenteral Subcutaneous- under skin Intramuscular Intravenous*** (TPN-Total Parenteral Nutrition)
Enteral (small intestine)- tube feeding Nasogastric tube- nose to stomach Gastrostomy tube- hole in abdomen to stomach
CAUSES OF DISEASE(SIX CATEGORIES)
ObesityOverconsumption of nutrients / lack of exercise
Increases chance for arteriosclerosis Stresses bones and joints
Vitamin or Mineral Excess or DeficiencyRelated to diet, metabolic disorders and some medications
Hypervitaminosis can occur when someone uses too many vitamins for too long period of time
CAUSES OF DISEASE(SIX CATEGORIES)
6. Impaired ImmunityFirst Line of Defense
Intact skin Mucous membranes, tears, secretions
Other Defenses Inflammatory response Specific antigen-antibody reaction
**antigens-substances that cause the body some type of harm**antibodies- immune bodies, are proteins that the body produces to react to the antigen and render it harmless
CAUSES OF DISEASE(SIX CATEGORIES)
Common Malfunctions of Immune SystemAllergy
immune response too intenseAllergens are things that cause the reaction
Autoimmunity Immune response attacks itself White blood cells produce antibodies against own self-antibodies
CAUSES OF DISEASE(SIX CATEGORIES)
ImmunodeficiencyDue to a decrease or absence of leukocytes, primarily leukocytes
Often without symptoms, except for recurring infections which could lead to death
Examples: AIDS, chemotherapy, radiation, organ recipients
CAUSES OF DISEASE(SIX CATEGORIES)