UTMB ADVANCED PATHOPHYSIOLOGY 5355 Exam 3 with
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accurate detailed solutions || ||
Biogenic Amine Theory linked to depression - ✔✔Deficiency of neurotransmitters in brain
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of norepinephrine, dopamine, and/or serotonin. Particularly, a decrease in receptor binding
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with serotonin. ||
Neurotransmitter Receptor Hypothesis linked to depression - ✔✔A deficiency of || || || || || || || || || ||
monoamine neurotransmitters at neuronal synapses. || || || ||
Antidepressants increase - ✔✔Neuronal synaptic levels of monoamine neurotransmitters.
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if you have more receptors than neurotransmitters - ✔✔Neurotransmitters do not have time
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to re-charge thus, they do not function properly.
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Hypothalamic-Pituitary-Adrenal (HPA) System Dysregulation - ✔✔HPA system || || || || || || ||
dysregulation with excessive glucocorticoid secretion is found in a large percentage of
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people suffering from major depression.
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Patho of Alzheimer's includes - plaque formation, presence of --, with decreased levels of - -
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✔✔Amyloid B, neurofibrillary tangles, acetylcholine these disrupt impulse transmission
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neurofibrillary tangles - ✔✔are a deformation of the structure that carries nutrients to
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neurons of the brain. || || ||
Decreased levels of choline acetyl transferase and acetylcholine is associated with -
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✔✔Memory loss ||
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Most common cause of dementia - ✔✔Alzheimer's disease fatal 5-10 years
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Characteristics of Alzheimer's - ✔✔Loss of memory, language , inability to learn new
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things, dysfunction, delusions, cannot perform ADLs, majorly effects social life
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Parkinson's Disease is - ✔✔Chronic motor progressive neuro-degenerative known as a
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shaking palsy ||
Parkinson's disease is associated with - ✔✔basal ganglia dysfunction and atrophy of
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neurons in the substantia nigra that produce dopamine;
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Characteristics of Parkinson's disease - ✔✔Tremors at rest, rigidity, bradykinesia, muscular
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rigidity and postural abnormalities.
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2 Main Categories of CVA - ✔✔Hemorrhagic and Ischemic
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Hemorrhagic CVA - ✔✔Blood produces inflammatory reaction, swelling, displaces brain
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tissue and increases ICP
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2 types of hemorrhagic stroke - ✔✔Intracerebral and subarachnoid
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Intracerebral Hemorrhage - ✔✔Blood vessel leaks directly into brain tissue
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Subarachnoid hemorrhage - ✔✔Bleeding into the subarachnoid space, caused by trauma,
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aneurysm rupture presents as "worst headache of life". surgical emergency
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Ischemic CVA - ✔✔reduction in cerebral blood flow results in hypoxia and irreversible cell
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death with associated cerebral edema
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3 types of ischemic CVA - ✔✔thrombotic, embolic, hypercoagulable states.
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Thrombotic - ✔✔caused by atherosclerosis blocking vessels. obstruction of blood vessel due
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to localized occlusive process
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Embolic - ✔✔caused by blood clot, fat or air embolus traveling from distant site to brain
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Hypercoaguable state - ✔✔conditions such as sickle cell disease, polycythemia causing || || || || || || || || || || ||
blood clot to form and obstruct vessel
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Multiple sclerosis - ✔✔chronic, inflammatory autoimmune demyelinating disease of the
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CNS. : patho includes CNS demyelination thought to be caused by an immune reaction
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Acetylcholine - ✔✔excitatory or inhibitory, enables muscle action, learning, memory- || || || || || || || || || ||
involved in memory impairment in Alzheimer's disease
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Norepinephrine - ✔✔Helps control alertness and arousal. Under supply can depress mood. || || || || || || || || || || ||
Serotonin - ✔✔inhibitory, involved with mood, hunger, sleep, and arousal- insufficient
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linked to depression, involved in migraine headaches, Prozac and antidepressant drugs raise
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levels
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Dopamine - ✔✔excitatory, influences movement, learning, emotions, pleasure, decreased
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levels associated with tremors in parkinson's and depression, excess linked to schizophrenia
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GABA - ✔✔major inhibitory, undersupply linked to anxiety, seizures, tremors and insomnia
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