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Mapa mental

Pathophysiology

abdul jamal Medicine Universität Inglés

Mind map on Pathophysiology: Asthma, COPD, Diabetes Mellitus, Hypertension, Heart Failure, Blood Coagulation and Malaria

Mind map: Pathophysiology

Contenido del mapa

Pathophysiology

  1. Asthma

    • Smooth Muscle Inflamation
      • Bronchoconstriction
        • FEV reduced
      • 3 causes
        • Air
          • Allergens
            • Thymic Stromal Lymphocytes
              • Dendritic Cell Activation
                • Th2 activation
                  • Chemotractants
                  • Mast Cells
                    • IL -13, 4
                      • IgE
                      • PG
                      • LK
                  • Plasma cells
                    • IL 9
                      • IgE
        • GERD
        • Post Nasal Drip
    • Reversible Airway Inflammation
  2. COPD

    • Chronic Bronchitis
      • Smoking and Pollutants
        • Increased Goblet cells
          • Increased Mucus
            • pneumcoccus
            • Flu
      • Narrowing of Bronchiole
        • Polycylethmia
          • Rise in Pulmonary Arteriolar Pressure
            • Cor Pulmonae
        • Broncholitis
      • Symptoms
        • Wet Cough
          • Mucus
        • Chest TIghtness
        • Cyonosis
    • Emphysemia
      • Barrel Chest
      • Low O2, High CO2
      • alpha-1 trypsin deficiency
      • Inflammation
        • Protease Release
          • Elastin Breakdown
            • Reduced Ventilation
          • Endothelium Breakdown
            • Reduced Perfusion
          • Low Q/V
      • Symptoms
        • Barrel Chest
        • Weeze
        • Chest tightness
  3. HIV

    • Life Cycle
      • Initiated by Dendritic Cells
        • Transport to Lymphoid Tissue
          • Bind to CD4+ Coreceptor
            • Envelope Fuse allowing viral genome to enter and Transcriptase creates Double Stranded cDNA from RNA
              • Intergrase allows T-cell activation to induce low level transcription
                • Viral RNA transcripted into multiple splices allows translation of TAT and REV
                  • TAT= amplification of transcription of Viral RNA REV= transport of single splided or unsplicded viral RNA
                    • Late Proteins= GAG POL ENV, is translated and assembled to produce new HIV
                • IF16 signalling
                  • Increase Capsase
                    • Apoptosis
                  • Increase IL-1B
                    • pyropotosis
        • cellular tropism
          • GP120 binds to CCR5 + CXCR4
    • Distribution
      • Breast milk
      • Semen and Cervical Fluid
      • Saliva
      • Peripheral Blood
      • CSF
    • A genus of the Lentivirus
      • Long Incubation
    • Phases
      • Sercoversion
        • Aymptomatic = CD4 500 cells
          • Symptomatic = CD4 200 cells
            • AIDS
              • <200 CD4 cells
              • GI
                • Kaposis's Sarcoma
                • Malignant Lymphoma
                • Samonella
              • Respiratory
                • Kaposis's Sarcoma
                • PCP
              • CNS
                • Malignant Lymphoma
                • Meningitis
                • Multifocal Leucytoencephalopathy
              • Skin
                • Herpes Zorster
                • KS
              • Eye
                • Cytomegalovirus Retinus
              • Progression
                • Adults
                  • Slow Progression
                  • KS common
                  • Asymptomatic
                • Children
                  • Progressive Neurological Disease
                  • Symptomatic
                  • Rapid Progression
                  • KS rare
            • Lack of cytoxic cells
          • CD8 + Antibody Increase
            • P24 + ENV
        • Flu Like Symptoms
          • Immune response
  4. Arthritis

    • Rheumatoidarthritis
      • Autoimmune
        • HLA-DR4
      • Hand
        • PIP
        • MIP
      • Tissue Degredation
        • Synovial Membrane
          • Macrohphages
            • Cytokines
              • TNF-a
              • IL6
              • IL1
            • Proliferate FLS
              • Express Rank-L
                • Osteoclasts
                  • Bone Erosion
          • T-cells
            • IL17
              • Inflammation
              • Increase Macrophages
          • Proteases
            • Cartilage Erosion
              • Feedback Loop
        • Synovial Fluid
          • Neutrophils
            • ROS
            • Antibodies
              • IgM
    • Osteoarthritis
      • Joint Mice
        • Cartilage pieces
        • Inflammation
          • Macrophages
      • Bone Erasion
      • Osteophytes
        • Calcium deposition and Irritation
      • Cause
        • Overuse
      • Hand
        • DIP
        • PIP
    • Chronic Inflammatory Condition
    • Irreversible Damage to joints
    • Tissue Degredation
      • Immune Cells Activated
        • Granulocytes
          • Fibroblasts
            • Scarring
          • Blood vessess
          • Deformities
          • Ankylosis
  5. Angina

    • Stable
      • Plaque in Smooth Muscle reducing blood flow
        • Increased Fatty Deposits
        • Increased Connective Tissue
        • Ischeamia
    • Unstable
      • Plaque instability
        • Injury -> Thrombosis
        • Myocardial Infarction
    • Risk Factors
      • Smoking
        • Nicotine -> Sympathetic Innervation
        • CO
          • Decrease O2
      • Age
        • Hypertension
        • Hypercholesterolimia
      • Gender
        • Oestrogen Protective Factor
        • Higher HDL in women
  6. Blood Coagulation

    • 1) Fibrin not present in blood
    • 2) Calcium important mediator
    • 3) Tissue extract - Thrombokinase
    • 4) Fibrinogen Formed- Insoluble Complex mesh
    • Intinsic
      • 12-8
      • Triggered by subendothelial collagen
    • Extrinsic
      • 7
      • Tissue Thromboplastin
  7. Tuberclosis

    • Symptoms
      • Cough
        • Hemoptysis
      • malaise
      • Weight loss
      • Night sweats
    • Primary Infection
      • TB enters Lungs
        • Macrophages attack
          • Granuloma form
      • 3 Outcomes
        • Dead
          • 80%
        • Dorminant
          • Latency Period
          • 30%
          • Areas
            • Joints
            • CNS
            • Lymph Nodes
            • Miliary/Dissminiated
        • Multiply
    • Secondary Infection
      • AIDS
      • Immunosuppresants
      • Age
      • High TB risk
        • People
        • Country
    • Myobactiurm complex
      • Bovi
      • Africanum
  8. Diabetes Meletes

    • Type 1
      • Insulin Deficiency
      • 30-35% Hereditary
      • Young and Lean
      • May develop Ketoacidosis
      • Acute onset
    • Type 2
      • Insulin Insensitivity
      • 90% Hereditary
      • Older and Overweight
      • Gradual onset
      • Non Ketoic Hyperosmolar Hyperglycemia
    • Symptoms
      • Maliaise
      • Hyperglycemia
        • Polyuria
        • Polydipsia
        • Fasting > 7
        • Random>11
    • Microvascular
      • Retinopathy
        • 30% Develop
        • 4 Stages
          • Background
            • Few Microaneurysms and Haemoharrages
          • Maculopathy
            • Ischemia and Oedema in Macula
          • Proliferative
            • Numerous Microaneurysms and Haemoharrages
            • Retinal Hypoxia
          • Prepoliferative
            • Few Microaneurysms and Haemoharrages
        • Treatment
          • Laser Photocoagulation
          • Glyceamic Control
      • Nephropathy
        • T1= 30% T2=25-50%
        • Microalbuminurea
          • ACR
            • Men > 2.5mg/mmol
            • Female>3.5 mg/mmol
          • Albumin
            • >20mg/L
        • Proteinurea
          • ACR
            • 30mg/ml
          • Albumin
            • 200mg/L
        • Ureamia
          • Persistent Albuminurea with gradual decrease in GFR < 30 ml/min/1.73
        • Treatment
          • Good glycemica control
          • Hypertenstion Control
          • Microalbuminurea tests
          • Dislipidemia
      • Neuropathy
        • Pain
        • Loss sensation
        • Gustatory Sweating
        • Postural Hypotension
    • Majorvascular
      • Hypertension
      • Hyperglycemia
      • Peripheral Vasular disease
        • Diabetic Foot
          • Loss of blood to peripheral vasculature
            • Infection
          • Loss of sensation
      • Artherosclerosis
        • Mycardial Infarction
  9. Hypertension

    • BP= CO x PR
    • Idiopathic
    • Secondary
      • Cushings
      • Hyperaldosteronism
      • Aortic Coarcutation
      • Phaecytochoromea
      • stenosis of renal arteries
    • Stages
      • 1
        • >140/90
        • HBPM 135/85
      • 2
        • 160/100
        • HBPM 150/95
      • Severe
        • >180/110
    • Envlormental
      • Alcohol
        • Unknown Mechanism
      • Stress
      • Sedentary
      • Sodium
        • Fluid Retention
      • Obesity
    • Mechanisms
      • Elevated LV volume
        • High ESPVR
      • Increased Venous Tone
      • Increased Arteriolar Pressure
      • Increased Intravascular Pressure
    • Complications
      • Brain - Stroke
      • Renal Failure
      • Eye - Loss Vision
      • Atheroscelrosis- MI, CHD, Stroke
      • Diliation Heart - Systolic CHF
      • Remodeling Heart - Diastolic Dysfunction
  10. Heart Failure

    • 3 mechanical
      • Preload - Ventricular Streching
        • Frank-Starling Law
      • Contractability
      • Afterload
    • 3 Types
      • Heart Failure
        • Cardiac output does not meet metabolic need
      • Chronic
        • Progressive + gradual decline of CO + Acute decompistions
      • Acute
        • Rapid onset + pulmonary/systemic congestion
    • Left Side HF
      • Systolic
        • Left Ventricle walls cannot stretch
      • Diastolic
        • Left ventricle cannot relax
          • Pulmonary Oedema
    • Right Side HF
      • Backflow - Dilation
      • Systemic Oedema
      • Increased Venous backflow
    • Cardiac Remodeling
      • Concentric
        • wall thickness
          • added sarcomeres
        • Causes
          • Aortic valve stenosis
          • Chronic Hypertension
        • Ventricle stifness
          • diastolic dysfunction
      • Escentric
        • Increased wall thickness
          • Dilation of chamber
        • Increased radius
        • 3 consequences
          • Increase O2 demand
          • Wall pressure increase
          • decreased contractility
      • Hypertrophy + Dilation
    • Ejection Fraction
      • % blood per contraction
      • HF <50%
    • Cause
      • Disease
        • Ischemia
      • Circulatory
        • Volume overload
          • Leaky valve
          • Arterio-venous shunt
        • Pressure
          • Stenosed valve
          • Hypertension
            • Pulmonary
            • Arteriole
    • Symptoms
      • SOB
      • Fatigue
      • Oedema
    • Diagnosis
      • ECG
      • Blood Test
  11. Opthamology

    • Anatomy
      • Eye Lid
        • Protection
        • Secretions
      • Tear Film
        • Mucoid
          • Conjuctiva
          • Even tear film hydrophobic spread
        • Aqueous
          • Lacrymil Gland
          • Nutrients
          • O2 to cornea
        • Lipid
          • Meibooan Gland
          • Reduces Evaporation
          • Lid Margins
      • Conjuctiva
        • Palpebral
        • Bulbar
        • Thin Mucosal Membrane
        • Numerous Goblet cells
      • Sclera
        • Protection + Ridigty
        • Avascular
        • Collagen
        • Episclera
      • Drainage
        • Sup/inf Punctum Lacrimiallis and Caniculi
      • Anterior Chamber
        • Aqueous Humour
          • Nourishs lens and cornea
          • Intranocular pressure
          • Produced by cillarly body
            • 80% drain at Cannal of schlemm
            • 30% Drain uveoscleral way
        • Lens
          • Focus + accomadation
          • Avascular
        • Iris
          • Miosis
          • Mydiriasis
      • Cornea
        • Avascular
        • Multilayered
          • ECM+ Stromal Collagen
          • Endothelial
      • Retina
        • Photorecpetors
          • Rods
            • Night vision
          • Cones
            • daylight
      • Uvea tract
        • Posterior Choriod
        • Iris + Ciliary body
    • Keratitis
      • Inflammation of cornea
      • Symptoms
        • Watery Discharge
        • Redness
        • Photophobia
    • Anterior Uveitis
      • Inflammation of uveal tract
      • Symptoms
        • Redness around iris
        • Unilateral
        • Photophobia
        • pupil constricted and unregular shape
    • Conjunctivitis
      • Allergic
        • Redness
        • Puritis - itchy
        • nasal symptoms
      • Chlamydia -trachoma
      • Viral Conjunctivitis
        • Adenovirus/ Herpes simplex
        • Symptoms
          • Redness
          • Bilateral
          • Discharge
          • Pre-auricular swelling
          • Upper respiratory tract infecton
      • Bacterial
        • Staphylcocus
        • Symptoms
          • Redness
          • Purlent discharge
          • Unilateral to bilateral
          • Discomfort
    • Subconjectivial Haemorhage
      • Blood vessel rupture
        • Coughing
        • Heavy lifitng
      • Red eye
      • No pain
    • Acute closed-angle glaucoma
      • Obstruction to outflow of aqueous humour
      • Symptoms
        • Increased intranolcular pressure
        • Unilateral
        • vomitting
        • hazy cornea
    • Chronic closed angle glaucoma
      • 3 factors
        • Raised Intraocular Pressure
        • Vision field loss
        • Optic disc cupping
      • Symptoms
        • Initially peripheral
        • No visual acuity
        • Painless
  12. Malaria

    • Mosquito
      • Genus of Anophaly
      • Carries Plasmodium Parasite
    • Sphorozoite
      • Hepatocytes
        • Merozoite
          • Collectively - Shizont
            • Cell bursts
              • Merozoite Sexually replicates in RBC
                • Gamezoite
                  • Anophele will take it up
                    • Zygote -> Oocyte
          • Ethryoctye
            • Ring Structure- Trohpozoite
              • ShinZont in RBC
                • Merozoite
                  • Cycle Repeats
                    • Clinical Feature
                      • Chills
                      • Sweats
                      • Fever
                      • Severe Anemia
        • Plasmoid Vivax
          • Hypnozoites
    • 4 plamoids
      • Falcipurum
        • Resistant to Chloroquin
        • 1 mill deaths due to cerebral malaira
          • Sequstration = hypoxia
            • Tumour necrosis factor
        • Hypoglyecimia Coma Renal faliure
        • Liver + spleen englargement
      • Ovalis
        • Kidney disease
      • Malaria
        • West Africa
      • Vivax
        • Not resistant to chloroquin
        • low mortality

Información

Descripción
Universität Medicine Mapa Mental sobre Pathophysiology, creado por abdul jamal el 25/04/2016.
Creado por
abdul jamal
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