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Page 1: Pathophysiology  Medical Ward
Page 2: Pathophysiology  Medical Ward

IDEAL

PATHOPHYSIOL

OGY:

pathogenesis

metastasis

angiogenesisACTUAL CONCEPT MAP

PATIENT TC:

hemothorax

ascites

profound anorexia

Page 3: Pathophysiology  Medical Ward

PREDISPOSING FACTORS

Hello there!

Page 4: Pathophysiology  Medical Ward

PRECIPITATING FACTORS

Biologic agents?

Physical agents?

Chemical agents?

Diet?

Page 5: Pathophysiology  Medical Ward

“Central Dogma of Molecular Biology”

Page 6: Pathophysiology  Medical Ward

Hello! These are

some kinds of

mutations.

Page 7: Pathophysiology  Medical Ward

Ovarian proto-oncogenes:

ras

akt-2

Ovarian tumor

suppressor genes:

BRCA2

BRCA1

Page 8: Pathophysiology  Medical Ward
Page 9: Pathophysiology  Medical Ward

Mechanisms of Metastasis

peritoneal seeding lymphatic spread hematogenous spread

Page 10: Pathophysiology  Medical Ward

Angiogenesis

Page 11: Pathophysiology  Medical Ward

Where did the ASCITES come from?

• Vascular permeability

factor

• ↑ permeability

• Fluids leak into peritoneal

cavity

• Diaphragm lymphatics obstructed

• ↓ drainage of fluid from

peritoneal cavity

Page 12: Pathophysiology  Medical Ward

ASCITES

Page 13: Pathophysiology  Medical Ward

Where did the HEMOTHORAX come from?

• blood vessels destroyed

• cancer cells and WBC in

pleural cavity

• pleural cavity cells pull

in more fluids

Page 14: Pathophysiology  Medical Ward

HEMOTHORAX

Page 15: Pathophysiology  Medical Ward

Where did the ANOREXIA come from?

• immune cellscytokines

• cytokineshypothalamus

anorexia

• anorexialow food & fluid intake

Page 16: Pathophysiology  Medical Ward

Anorexia &

Muscle Wasting

Page 17: Pathophysiology  Medical Ward

The end! Thanks for listening!