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HOST AGENT ENVIRONMENT

39 Altered Cell Differentiation and Growth


female
HFD of cancer
(CA of liver) tumor in the ovary
High fat diet -germ cell ovary tumors staphylococcus, streptococcus,
Hx of dysmenorrheal -epithelial cell tumors coliform bacteria
High estrogen levels -sex cord stromal ovarian tumor
(granulosa cell tumor)
invasion to the lacerations
Stimulation of the growth of leiomyomas that occur during childbirth,
instrumentation or trauma
Enlargement of ovary

low grade inflammation


Wall of Bladder under rectum leiomyomas fluid accumulates compression
uterus lining without in the abdomen of stomach
of uterus symptoms (ascites) ducts of glands in distorted muco-
urinary cervix are blocked cervical purulent
frequency/ heavy by a new growth os drainage
urgency bleeding abdominal impaired loss of appetite of surface cells over
abnormal distention/ functioning damaged area
constipation presentation bloating of lower ulcerated
of baby esophageal cervix
miscarriage before sphincter malabsorption formation of sac
delivery diaphragm of Fe that contains
dysmenorhhea pushed thick fluid
upward acid, enzyme malabsorption
and gastric of vit. B12
content reflux nabothian cyst
pressure exerted
to the lungs
heartburn Hgb MCV MCH
(9.49 g/dl) (71.6 fl) (23.1 pg) untreated
alteration in the
permeability of
pleural membrane esophagitis affinity of RBC to 02
dysmenorrheal low back pain cervical
stenosis
dyspnea accumulation of fluid
in the pleural cavity fatigue hypoxemia pallor pale pale pelvic cellulitis
SOB (pleural effusion) nailbeds palpebral
chest pain conjunctiva
dyspaneuria
inadequate tissue perfusion

hypoxia

dilation of arterioles, irritability, LOC, cyanosis, movement of fluid from


capillaries and venules seizures, coma interstitial to blood vessels
(compensatory mechanism) (compensatory mechanism) (compensatory mechanism)

expansion of blood volume

blood viscosity Hct (29.4 %)

faster and more turbulent blood flow

BP
(compensatory mechanism)

uncontrolled BP

SGOT hepatic perfusion


pancreatic perfusion vasospasm
SGPT
RUQ epigastric pain

hyperbilirubinemia renal perfusion

jaundice
GFR

Permeability of glomerular BUN, serum creatinine Na retention oliguria remaining functional nephrons
membrane compensate by more filtration

large protein particles primarily


albumin move out of urine hypertrophy of functional nephrons

further damage of nephrons


serum albumin proteinuria

multi-system manifestations/uremic syndrome


plasma colloid osmotic pressure

movement of fluid from


intravascular to interstitial

immune disturbances loss of excretory renal function failure to produce erythropoietin


intravascular generalized edema
volume in lungs
further anemia
cerebral edema impair wound healing

pulmonary edema
(pleural effusion) CNS irritability
Na absorption H secretion phosphate excretion K excretion excretion of nitrogenous
wastes
impaired gas influx of excess Na in
exchange nausea vomiting convulsion urine (salt wasting) metabolic hyperphosphatemia hypokalemia
acidosis uremia
hypoxemia

hypoatremia Ca absorption excitability of BUN, uric acid,


hypoxia heart muscles
creatinine
ECF becomes hyposmolar parathyroid gland
release PTH heart muscles become pruritus
tissue necrosis weak, flaccid and
water rushes inside cell paralyzed
phosphate excretion
bleeding tendencies absorbs Ca from bones
fluid loss in ECF
DEATH cardiac arrest peripheral nerve
bone demineralization damage
circulating fluid in systemic circulation
O2 supply to tissue Neurologic changes
calcification of vital
hypovolemic shock organs
tissue necrosis

Coma peripheral
neuropathy

further exposure of brain


to nitrogenous wastes