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Chapter Notes 1 Concepts of Health and Disease, Summaries of Pathophysiology

Concepts of Health and Disease

Typology: Summaries

2022/2023

Uploaded on 06/29/2025

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Chapter 1: Concepts of Health and Disease
1. Pathophysiology: is the study of how normal physiology is altered in the
context of health issues.
2. Disease: is any deviation from normal structure or function in the body,
characterized by specific symptoms or signs, with known or unknown
causes, and various outcomes.
3. Etiologic Factors: The causes of disease are referred to as etiologic factors.
1. Biologic agents (e.g., bacteria, viruses)
2. Physical forces (e.g., trauma, burns, radiation)
3. Chemical agents (e.g., poisons, alcohol)
4. Genetic inheritance, and nutritional excesses or deficitis.
Risk Factors: multiple factors that predispose you to a particular disease
Congenital Conditions: defects present at birth, may not be evident until later in
life. Caused by genetic influences, environmental factors (viral infections in the
mother, maternal drug use, irradiation, gestational position in utero)
Acquired Defects: Occurs after birth, injury, infectious agents, nutrition, lack of
oxygen, inappropriate immune responses and neoplasia.
4. Pathogenesis: Pathogenesis explains how a disease develops and
progresses.
5. Morphology: Morphology pertains to the structure or form of cells and
tissues, with morphologic changes being characteristic of diseases.
6. Manifestation of Disease: Diseases can manifest as:
1. Symptoms (subjective complaints like pain or dizziness)
2. Signs (observable manifestations like elevated temperature or a sore
throat)
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Chapter 1: Concepts of Health and Disease

  1. Pathophysiology: is the study of how normal physiology is altered in the context of health issues.
  2. Disease: is any deviation from normal structure or function in the body, characterized by specific symptoms or signs, with known or unknown causes, and various outcomes.
  3. Etiologic Factors: The causes of disease are referred to as etiologic factors.
    1. Biologic agents (e.g., bacteria, viruses)
    2. Physical forces (e.g., trauma, burns, radiation)
    3. Chemical agents (e.g., poisons, alcohol)
    4. Genetic inheritance, and nutritional excesses or deficitis. Risk Factors: multiple factors that predispose you to a particular disease Congenital Conditions: defects present at birth, may not be evident until later in life. Caused by genetic influences, environmental factors (viral infections in the mother, maternal drug use, irradiation, gestational position in utero) Acquired Defects: Occurs after birth, injury, infectious agents, nutrition, lack of oxygen, inappropriate immune responses and neoplasia.
  4. Pathogenesis: Pathogenesis explains how a disease develops and progresses.
  5. Morphology: Morphology pertains to the structure or form of cells and tissues, with morphologic changes being characteristic of diseases.
  6. Manifestation of Disease: Diseases can manifest as:
  7. Symptoms (subjective complaints like pain or dizziness)
  8. Signs (observable manifestations like elevated temperature or a sore throat)
  1. Syndromes (collections of characteristic signs and symptoms).
  2. Diagnosis: Diagnosis involves identifying the nature and cause of a health problem, which requires a thorough understanding of pathophysiology to interpret history, physical examinations, and laboratory data.
  3. Laboratory parameters are interpreted based on the a. Reliability: brings out the same results b. Validity: measures what is intended to be measured c. Sensitivity: portion of people with a disease (True-positive) d. Specificity: people without the disease who are negative (True- negative) e. Predictive value: presence of a given disease or condition f. Positive Predictive value: True-positive results in a given population g. Negative Predictive value: True-negative observations in a population
  4. Standardization relies on the use: a. written standards b. reference measurement procedures c. Reference materials.
  5. Clinical Course of Disease: The clinical course of a disease can be:
  6. Acute (severe but self-limiting)
  7. Chronic (long-lasting and continuous or episodic) a. Exacerbations (aggravation of symptoms and severity of the disease) b. Remissions (A period during which there is a decrease in severity and symptoms)
  8. Subacute (less severe than acute and shorter than chronic).
  1. Types of Studies: Different types of studies, including a. Cross-sectional – prevalence of a disease for people that have it and those that do not have it. b. Case-control – compare people known to have the outcome of interest (cases) and not known to have the outcome of interest (controls) c. Cohort studies are used to determine risk factors for diseases. Aka longitudinal study, Framingham Study – 1950 development of coronary heart disease
  2. Natural History: The natural history of a disease describes its progression and projected outcome without medical intervention.
  3. Prognosis: Prognosis assesses the likely outcome and chances of recovery from a disease.
  4. Types of Prevention: Prevention includes
    1. Primary prevention (removing risk factors to prevent disease)
      1. Administration of folic acid to pregnant women & women who may become pregnant to prevent fetal neural tube defects
      2. Immunizations, vaccination to prevent communicable disease
      3. Counseling to promote health life style
    2. Secondary prevention (detecting disease early when it's asymptomatic and treatable)
      1. Pap Smear (Papanicolaou) for early detection of cervical cancer
      2. History taking
  1. Blood pressure measurement
  2. Laboratory tests
  3. Colonoscopy
  4. Tertiary prevention (interventions to prevent further deterioration or complications).
  5. Disease already present β-adrenergic drugs to reduce the risk of death in people who have had a heart attack
  6. Evidence-Based Practice: Evidence-based practice and guidelines use the best current evidence from systematic research along with practitioner expertise to make informed healthcare decisions.
  7. Practice Guidelines: Practice guidelines can take the form of step-by-step algorithms, written directives, or a combination thereof, providing structured approaches to healthcare decision-making. Objective: verifiable information based on facts and evidence. Subjective: information or perspectives based on feelings, opinions, or emotions.