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Pathophysiology - E-Book

Pathophysiology - E-Book

Kathryn L. McCance | Sue E. Huether

(2018)

Additional Information

Book Details

Abstract

Learn the what, how, and why of pathophysiology! With easy-to-read, in-depth descriptions of disease, disease etiology, and disease processes, Pathophysiology: The Biologic Basis for Disease in Adults and Children, 8th Edition helps you understand the most important and most complex pathophysiology concepts. This updated text includes more than 1,300 full-color illustrations and photographs to make it easier to identify normal anatomy and physiology, as well as alterations of function. This edition includes a NEW chapter on obesity and nutritional disorders, along with expanded coverage of rare diseases and epigenetics. It’s the most comprehensive and authoritative pathophysiology text available!

  • The most comprehensive and authoritative pathophysiology text on the market provides unparalleled coverage of Pathophysiology content.
  • Over 1,300 full-color illustrations and photographs depict the clinical manifestations of disease and disease processes — more than in any other pathophysiology text.
  • Consistent presentation of diseases includes pathophysiology, clinical manifestations, and evaluation and treatment.
  • Lifespan content includes ten separate pediatric chapters and special sections with aging and pediatrics content.
  • Outstanding authors Kathryn McCance and Sue Huether have extensive backgrounds as researchers and instructors, and utilize expert contributors, consultants, and reviewers in developing this edition.
  • Algorithms and flowcharts of diseases and disorders make it easy for you to follow the sequential progression of disease processes.
  • Additional What’s New boxes highlight the most current research and clinical development.
  • Nutrition and Disease boxes explain the link between concepts of health promotion and disease.
  • Chapter summary reviews provide concise synopses of the main points of each chapter.
  • NEW! Chapter on obesity and nutritional disorders thoroughly covers these growing global concerns.
  • NEW! Added coverage of rare diseases and epigenetics further explore genetic disease traits.
  • NEW! Over 50 new or heavily revised illustrations visually highlight pathophysiology concepts.
  • NEW! More than 30 new 3D animations on Evolve bring difficult concepts to life for a new perspective on disease processes.

Table of Contents

Section Title Page Action Price
Front Cover cover
Brief Contents IFC2
What’s New? IFC3
Inside Front Cover IFC4
Half title page i
About the Cover Image ii
Pathophysiology iii
Copyright Page iv
Contributors v
Reviewers viii
Preface x
Organization and Content: What’s New in the Eighth Edition x
Part One: Central Concepts of Pathophysiology: Cells and Tissues x
Part Two: Pathophysiologic Alterations: Organs and Systems x
Features to Promote Learning xi
Art Program xi
Ancillaries xi
For Students xi
For Instructors xi
Acknowledgments xii
Introduction to Pathophysiology xiii
References xiv
Table Of Contents xv
1 Central Concepts of Pathophysiology: Cells and Tissues 1
Unit I The Cell 2
1 Cellular Biology 2
Chapter Outline 2
Prokaryotes and Eukaryotes 3
Cellular Functions 3
Structure and Function of Cellular Components 3
Nucleus 3
Cytoplasmic Organelles 3
Ribosomes 4
Endoplasmic Reticulum 5
Golgi Complex 7
Lysosomes 7
Peroxisomes 8
Mitochondria 10
Cytosol 10
Cytoskeleton 10
Plasma Membranes 12
Membrane Composition 12
Lipids. 14
Proteins. 14
Protein regulation in a cell: Proteostasis. 15
Cellular Receptors 16
Cell-to-Cell Adhesions 17
Extracellular Matrix and Basement Membrane 17
Cell Adhesion Molecules (CAMs) 19
Specialized Cell Junctions 19
Cellular Communication and Signal Transduction 19
Signal Transduction 20
Extracellular Messengers and Channel Regulation 21
Second Messengers 22
Cellular Metabolism 22
Role of Adenosine Triphosphate 23
Food and Production of Cellular Energy 24
Oxidative Phosphorylation 26
Membrane Transport: Cellular Intake and Output 27
Electrolytes as Solutes 29
Passive Transport: Diffusion, Filtration, and Osmosis 29
Diffusion. 29
Filtration: Hydrostatic pressure. 30
Osmosis. 30
Active transport of Na+ and K+. 31
Transport by Vesicle Formation 31
Endocytosis 31
Clathrin-mediated endocytosis. 32
Caveolae-mediated endocytosis. 32
Clathrin- and caveolin-independent endocytosis. 32
Exocytosis 34
Movement of Electrical Impulses: Membrane Potentials 34
Cellular Reproduction: the Cell Cycle 35
Phases of Mitosis and Cytokinesis 36
The Cell Cycle Control System 36
Control of Cell Division and Cell Growth: Mitogens, Growth Factors, and Survival Factors 37
DNA Damage Response: Blocks Cell Division 38
Tissues 38
Tissue Formation 38
Types of Tissues 39
Epithelial Tissue 39
Connective Tissue 41
Muscle Tissue 41
Neural Tissue 41
Summary Review 42
Cellular Functions 42
Structure and Function of Cellular Components 42
Cell-to-Cell Adhesions 42
Cellular Communication and Signal Transduction 42
Cellular Metabolism 43
Membrane Transport: Cellular Intake and Output 43
Cellular Reproduction: The Cell Cycle 43
Tissues 44
Key Terms 44
References 45
2 Altered Cellular and Tissue Biology 46
Chapter Outline 46
Cellular Adaptation 47
Atrophy 47
Hypertrophy 48
Hyperplasia 48
Dysplasia: Not a True Adaptive Change 49
Metaplasia 49
Cellular Injury 49
General Mechanisms of Cell Injury 50
Ischemic and Hypoxic Injury 51
Ischemia-Reperfusion Injury 52
Free Radicals and Reactive Oxygen Species 53
Mitochondrial Effects 56
Chemical or Toxic Injury 57
Mechanisms 57
Chemical Agents Including Drugs 61
Air Pollution 61
Heavy Metals as Environmental Pollutants 64
Lead. 64
Pathophysiology. 66
Clinical Manifestations. 67
Evaluation, Prevention, and Treatment. 67
Cadmium and arsenic. 67
Mercury. 67
Ethanol 68
Social or Street Drugs 70
Unintentional and Intentional Injuries 70
Asphyxial Injuries 71
Suffocation. 71
Strangulation. 74
Chemical asphyxiants. 74
Drowning. 74
Infectious Injury 74
Immunologic and Inflammatory Injury 74
Injurious Genetic/Epigenetic Factors 74
Injurious Nutritional Imbalances 74
Injurious Physical Agents 75
Climate Change 75
Temperature Extremes 75
Changes in Atmospheric Pressure 77
Decompression sickness. 77
High altitude illness: HAPE, HACE, AMS. 77
Ionizing Radiation 78
Illumination and Luminance: Light Is Electromagnetic Radiation 81
Mechanical Stresses 82
Noise 83
Manifestations of Cellular Injury 83
Cellular Manifestations: Accumulations 83
Water 84
Lipids and Carbohydrates 84
Glycogen 85
Proteins 85
Pigments 85
Melanin. 85
Hemoproteins. 85
Calcium 86
Urate 87
Systemic Manifestations 87
Cellular Death 87
Necrosis 88
Apoptosis 89
Autophagy 91
Aging and Altered Cellular and Tissue Biology 92
Normal Life Span and Life Expectancy 94
Life Expectancy Differences Across America 94
Aging: Degenerative Extracellular Changes 95
Cellular Aging 95
Tissue and Systemic Aging 96
Frailty 96
Somatic Death 97
Summary Review 97
Cellular Adaptation 97
Cellular Injury 97
Manifestations of Cellular Injury 98
Cellular Death 99
Aging 99
Somatic Death 99
Key Terms 99
References 100
3 The Cellular Environment 104
Chapter Outline 104
Distribution of Body Fluids 104
Aging and Distribution of Body Fluids 105
Water Movement Between ICF and ECF 105
Water Movement Between Plasma and Interstitial Fluid 106
Alterations in Water Movement 106
Edema 106
Pathophysiology. 106
Clinical Manifestations. 106
Evaluation and Treatment. 108
Sodium, Chloride, and Water Balance 108
Sodium and Chloride Balance 108
Water Balance 109
Alterations in Sodium, Water, and Chloride Balance 110
Isotonic Alterations 110
Hypertonic Alterations 111
Hypernatremia 111
Pathophysiology. 111
Clinical Manifestations. 112
Evaluation and Treatment. 112
Hypotonic Alterations 112
Hyponatremia 113
Pathophysiology. 113
Clinical Manifestations. 113
Evaluation and Treatment. 113
Hypochloremia 114
Alterations in Potassium, Calcium, Phosphate, and Magnesium Balance 114
Potassium 114
Hypokalemia 115
Pathophysiology. 115
Clinical Manifestations. 116
Evaluation and Treatment. 116
Hyperkalemia 117
Pathophysiology. 117
Clinical Manifestations. 117
Evaluation and Treatment. 118
Calcium and Phosphate 119
Hypocalcemia 119
Pathophysiology. 119
2 Pathophysiologic Alterations: Organs and Systems 433
Unit V Pathophysiologic Alterations: Organs and Systems 434
15 Structure and Function of the Neurologic System 434
Chapter Outline 434
Overview and Organization of the Nervous System 434
Cells of the Nervous System 435
Neurons 435
Neuroglia and Schwann Cells 435
Nerve Injury and Regeneration 436
Nerve Impulse 438
Synapses 438
Neurotransmitters 438
Central Nervous System 439
Brain 439
Forebrain 441
Telencephalon. 441
Diencephalon. 446
Midbrain (Mesencephalon) 446
Hindbrain 447
Metencephalon. 447
Myelencephalon. 447
Spinal Cord 447
Motor Pathways (Tracts) 449
Sensory Pathways 450
Protective Structures 450
Cranium 450
Meninges 450
Cerebrospinal Fluid and the Ventricular System 450
Vertebral Column 451
Blood Supply of the Central Nervous System 452
Blood Supply to the Brain 452
Blood-Brain Barrier 454
Blood Supply to the Spinal Cord 454
Peripheral Nervous System 455
Autonomic Nervous System 456
Anatomy of the Sympathetic Nervous System 458
Anatomy of the Parasympathetic Nervous System 458
Neurotransmitters and Neuroreceptors 458
Functions of the Autonomic Nervous System 458
Aging and the Nervous System 461
Tests of Nervous System Structure and Function 462
Skull and Spine Roentgenograms 462
Computed Tomography 462
Magnetic Resonance Imaging 463
Magnetic Resonance Angiography 463
Positron-Emission Tomography Scan 463
Single Photon Emission Computed Tomography 463
Cerebral Angiography 463
Echoencephalography (Ultrasound) 463
Electroencephalography 464
Magnetoencephalography 464
Evoked Potentials 464
Cerebrospinal Fluid Analysis 464
Summary Review 465
Overview and Organization of the Nervous System 465
Cells of the Nervous System 465
Nerve Impulse 465
Central Nervous System 465
Peripheral Nervous System 466
Autonomic Nervous System 466
Aging and the Nervous System 466
Tests of Nervous System Structure and Function 466
Key Terms 466
References 467
16 Pain, Temperature Regulation, Sleep, and Sensory Function 468
Chapter Outline 468
Pain 469
Theories of Pain 469
Neuroanatomy of Pain 469
Pain Modulation 472
Pathways of Modulation 472
Neurotransmitters of Pain Modulation 472
Pain Threshold and Pain Tolerance 473
Clinical Descriptions of Pain 474
Acute Pain 474
Chronic Pain 474
An Overview of Chronic Pain Syndromes. 475
Pediatrics and Perception of Pain 477
Aging and Perception of Pain 477
Temperature Regulation 477
Control of Temperature 478
Mechanisms of Heat Production 478
Chemical Reactions of Metabolism. 478
Skeletal Muscle Contraction. 478
Chemical Thermogenesis. 478
Mechanisms of Heat Loss 479
Radiation. 479
Conduction. 479
Convection. 479
Vasodilation. 479
Decreased Muscle Tone. 479
Evaporation. 479
Increased Pulmonary Ventilation. 480
Glossary 1599
A 1599
B 1602
C 1602
D 1604
E 1605
F 1606
G 1606
H 1607
I 1608
J 1609
K 1610
L 1610
M 1611
N 1612
O 1612
P 1613
Q 1615
R 1615
S 1616
T 1617
U 1618
V 1619
W 1619
X 1619
Z 1619
Index 1620
A 1620
B 1626
C 1629
D 1638
E 1641
F 1644
G 1646
H 1648
I 1653
J 1656
K 1657
L 1657
M 1660
N 1664
O 1666
P 1668
Q 1675
R 1675
S 1677
T 1682
U 1686
V 1687
W 1689
X 1689
Y 1690
Z 1690
Endsheet 6-7 IBC1