- •Pathophysiology tasks:
- •General doctrine of disease. Basic concepts of general pathology: norm, health. Definition by who. Disease.
- •Disease.
- •Conception of pathological process, pathological state, pathological reaction. Definition of typical pathological processes.
- •Typical pathological processes are the processes which are developed by similar laws, independently on reasons, localization, animals type and organism individual peculiarities.
- •Disease difference from health
- •3 Points of view:
- •Disease, biological and social factors are actual because human being is first of all social creature
- •4 Levels of diseases prescription:
- •5. Diseases classification principles:
- •8. Collapse. Comparative characteristics with shock. Aethiology and pathogenesis. Role of nervous and humoral mechanisms
- •9. Crash-syndrome -
- •10. Coma -
- •11. Informational aspects of cell injury. Pathology of signalization.
- •13. Programmed cell death (pcd)
- •3 Apoptosis phases:
- •14. Outcomes of apoptosis inhibiting and activation.
- •Classification.
- •4 Main types.
- •Classification.
- •16. The concept of primary and secondary alteration. Molecular mechanisms of cell injury. Lipid mechanisms role in alteration pathogenesis.
- •17. Free radicals and their role in pathological processes development.
- •19. Antioxidant mechanisms of cells. Antioxidant insufficiency.
- •19. Apoptosis and necrosis comparative characteristics.
- •20. Reactivity. Types. Dependence on sex.
- •23. Resistance. Passive and active resistance. Resistance and reactivity relationship.
- •25. Constitution, role in pathology, types classification.
- •26. Diatheses.
- •27. Stress, general adaptation syndrome.
- •28. Stress-inducing and stress-limiting systems. Diseases of adaptation.
- •29. Concept of “local microcirculatory disorders”. Some mechanisms.
- •30. Arterial hyperemia
- •2 Subtypes:
- •31. Venous hyperemia
- •32. Ishemia
- •33. Reperfusion syndrome
- •34. Stasis.
- •Variants:
- •35. Thrombosis and embolism. Thrombosis characteristics.
- •3 Main factors encouraging thrombi formation (Wirhow’s triad):
- •36. Embolism.
- •37. Embolism of pulmonary, systemic and portal circulation.
- •38. Microcirculation disorders typical forms:
- •39. Intravascular circulation disorders: rheological changings and changings of blood flow.
- •41. Microvascular tone disorders.
- •42. Extravascular disorders.
- •43. Concept of inflammation. Aethiology.
- •44. Inflammation stages, main signs and types.
- •Inflammation types (continuation).
- •45. Primary and secondary alteration.
- •46. Mediators and antimediators.
- •47. Circulatory changings during inflammation.
- •48. Fever aethiology. Pyrogens classification.
- •49. Fever stages. Fever reactions types.
- •50. Fever comparative characteristics with exogenous overheating and hyperthermia other forms.
- •50. Edemas. Classification. Oncotic and hydrostatic mechanism.
- •58. Anaemias. Erythrocytes regenerative and degenerative forms. Cells of pathological regeneration.
- •54. Anisocytosis, poikylocytosis, price-jonce’ curve movements on the right and on the left.
- •55. Blood loss.
- •56. Acute and chronic posthaemorrhagic anaemias.
- •57. Hereditary hemolytic anaemias.
- •3 Groups:
- •58. Acquired haemolytic anaemias.
- •59. Dyserythropoietic anaemias.
- •60. Aplastic and hypoplastic anaemias. Metaplastic anaemia. Myelophthysis.
- •2 Groups of factors:
- •2 Main pathogenetic mechanisms:
- •61. Cardiac arrhythmias.
- •62. Concept of arterial hypo- and hypertension.
- •63. Primary arterial hypertension.
- •2 Pathogenetical conceptions:
- •64. Secondary arterial hypertension.
- •65. Cardiac insufficiency.
- •2 Overloads types:
- •66.Heart failure myocardial form.
- •67. Coronary cirulation disorders. Reperfusion syndrome. Calcium paradox. Oxygen paradox.
- •68. Respiratory failure.
- •Probes which allow to determine one or another disorders type:
- •69. External respiratory failure. Dyspnea.
- •70. Hypoxies.
- •71. Appetite disturbance.
- •2 Main mechanisms:
- •72. Caries.
- •73. Periodontitis and parodontosis.
- •74. Hypo- and hypertonic gastric dyskinesias.
- •75. Heartburn, eructation, nausea, vomiting.
- •76. Hepatic failure. Classification. Functional hepatic tests.
- •77. Hepatic failure hepatic-vascular form.
- •78. Liver excretory function disorders. Jaundices. Liver functions
- •Proteinic exchange
- •Carbohydrates metabolism
- •Lipid metabolism
- •Pigment metabolism
- •Jaundices differentiated diagnosis
- •79. Haemolytic jaundice.
- •80. Hepato-cellular or parenchymatous jaundice.
- •81. Hepato-portal hypertension. Ascitis.
- •82. Urine amount qualitative and quantitative changings.
- •Urine relative density (weight) (in morning portion)
- •83. Urine pathological components. Protein
- •Leucocytes:
- •Cylinders
- •84. Proteinuria.
- •85. Renal acid-alkaline balance disorders
- •86. Adrenal glands pathology. Cortex acute and chronic insuffieiency.
- •87. Thyroid hypofunction.
- •88. Hypothyroidism.
- •89. General regularities in occurrence and development cns disorders. Pathological processes classification.
- •90. Pathological excitement and inhibiting in nervous centers.
- •I. Of pathological excitement:
- •II. Of pathological inhibiting:
- •91. Ephaptic effects.
- •92. Pain.
Typical pathological processes are the processes which are developed by similar laws, independently on reasons, localization, animals type and organism individual peculiarities.
Main examples are the following: inflammation, tumorogenic process, circulation local disorders, hypoxy, starvation, fever and others.
Pathological state :
in wide essence – pathological changings in organism which occur due to pathological process development;
in narrow essence – stable coming out of norm having biological negative importance for organism (state after extremity amputation, scar, teeth loss etc.).
Pathological process and pathologic state interrelations.
Pathological process and pathological state have the same links like categories “movement” and “resting”, “dynamical” and ‘statical”.
When doctor examines the patient in separate concrete time moment then he studies pathological state. When he does so at dynamics, i.e. pathological states changings, then he studies pathological process.
There are following variants of these 2 categories interrelations:
pathological process without pathological state: at the pathological process action initial stages pathological process can be developed but deviations from norm are still absent because of powerful compensatory reactions.
Pathological process is expressed by pathological state. It is the mostly widely-spread link type.
Pathological state without pathological process. Pathological process has been finished but pathological state is still present.
Pathological reaction is non-adequate and biologically non-proper organism or its systems answer to the action of usual or excessive stimuli. Pathological reaction is an element of destructive, properilly pathological side of pathological process. Examples are: allergy, pathological reflexes.
DISEASE AS BIOLOGICAL, MEDICAL AND SOCIAL PROBLEM. ABSTRACT AND CONCRETE IN THE DEFINITION “DISEASE”. UNITY OF DESTRUCTIVE AND PROTECTIVE IN DISEASE.
Disease is:
a) organism normal life activity disorder under harmful environmental factors action; such disorder is characterized by organism adaptation limiting and person working activity deterioration at protective-compensatory mechanisms simultaneous activation (by A.D.Ado and I.R.Petrov);
b) life limited in its freedom (K.Marx);
c) life under ubnormal conditions possible due to compensatory mechanisms existence (R.Wirhow with Yu. Konheim additions);
d) organism reaction to environmental factors stimuli acting harmfully to it (S.P.Botkin);
e) physiological functions exact co-ordination disorder (K.Bernar, A.A.Bogomolets);
f) dyalectic unity and fighting of destructive and protective (I.P.Pavlov);
g) organism normal vital activity disorder at injuring agents action to it as the result of which organism adaptive possibility are decreased (N.N.Zayko).
Disease difference from health
3 Points of view:
qualitative differences between disease and health are absent or, with other words, disease are differed from health only with quantitative characteristics (K.Bernar, R.Virhov, I.V.Davydovsky);
new quality appears in disease but it is not the result of the appearance of principally new and it is the result of quantitative changings transformations into qualitative ones (A.Bogomolets);
disease is quite new organism state. There exist disease developmental laws which are differed greatly from healthy organism regularities (V.V.Pashutin).
Two opposite beginnings, two opposite origins co-exist in disease. According to Russian physiologist Pavlov statement, one of these beginnings is “physiological measurement for disease”, second one is “ properily pathological or breakage”. Tissular injuries mean destructive disease component. At the same time, disease is a protective signal, signal that something is wrong in organism. It is actual especially according to Eastern medicine and to the conception that disease is given for sins by God to change thinking or even life style. Also main protective mechanisms are involved into process in parallel to disease (specific and non-specific defence).
