Table of Contents

 

 

 

 

Introduction to Pattiophysiology

xix

UNIT 1

CELL AND TISSUE FUNCTION

1

Chapter 1

Cell Structure and Function   Edward W. Carroll

1

 

Functional Components of the Cell

1

 

Cell Metabolism and Energy Storage

9

 

Integration of Cell Function

12

 

Body Tissues

20

Chapter 2

Cellular Responses to Stress, Injury, and Aging   Carrie J. Merkle

33

 

Cellular Responses to Persistent Stress

33

 

Cell Injury, Death, and Senescence

38

Chapter 3

Inflammation, the Inflammatory Response, and Fever

51

 

General Features of Inflammation

51

 

Acute Inflammation

55

 

Chronic Inflammation

63

 

Systemic Manifestations of Inflammation

64

Chapter 4

Cell Proliferation and Tissue Regeneration and Repair   Carrie J. Merkle

73

 

Cell Proliferation and Tissue Regeneration

73

 

Healing by Connective Tissue Repair

80

Chapter 5

Genetic Control of Cell Function and Inheritance   Edward W. Carroll

89

 

Genetic Control of Cell Function

89

 

Chromosomes

97

 

Patterns of Inheritance

100

 

Gene Technology

103

Chapter 6

Genetic and Congenital Disorders   Genetic and Congenital Disorders

109

 

Genetic and Chromosomal Disorders

109

 

Disorders Due to Environmental Influences

123

 

Prenatal Screening and Diagnosis

126

Chapter 7

Neoplasia   Carrie J. Merkle

131

 

Characteristics of Benign and Malignant Neoplasms

131

 

Etiology of Cancer

139

 

Clinical Manifestations

146

 

Screening, Diagnosis, and Treatment

148

 

Childhood Cancers

154

UNIT 2

INTEGRATIVE BODY FUNCTIONS

159

Chapter 8

Disorders of Fluid, Electrolyte, and Acid-Base Balance   Carol M. Porth and Kim A. Noble

159

 

Composition and Compartmental Distribution of Body Fluids

159

 

Sodium and Water Balance

167

 

Potassium Balance

178

 

Calcium and Magnesium Balance

183

 

Acid-Base Balance

192

Chapter 9

Stress and Adaptation   Mary Pat Kunert

209

 

Stress and Adaptation

209

 

Disorders of the Stress Response

218

Chapter 10

Disorders of Nutritional Status   Joan Pleuss and Glenn Matfin

224

 

Energy Metabolism and Nutritional Status

224

 

Overweight and Obesity

231

 

Undernutrition and Eating Disorders

235

UNIT 3

HEMATOPOIETIC FUNCTION

243

Chapter 11

Disorders of White Blood Cells and Lymphoid Tissues

243

 

Hematopoietic and Lymphoid Tissues

243

 

Nonneoplastic Disorders of White Blood Cells

248

 

Neoplastic Disorders of Hematopoietic and Lymphoid Origin

251

Chapter 12

Disorders of Hemostasis   Kathryn J. Gaspard

263

 

Hemostasis and Blood Coagulation

263

 

Hypercoagulability States

269

 

Bleeding Disorders

271

Chapter 13

Disorders of Red Blood Cells   Kathryn J. Gaspard

279

 

The Red Blood Cell

279

 

Anemia

284

 

Polycythemia

293

 

Age-Related Changes in Red Blood Cells

293

UNIT 4

INFECTION AND IMMUNITY

299

Chapter 14

Mechanisms of Infectious Disease   W. Michael Dunne Jr. and Nathan A. Ledeboer

299

 

Infectious Diseases

299

 

Epidemiology of Infectious Diseases

307

 

Diagnosis and Treatment

312

 

New and Emerging Infectious Diseases

316

Chapter 15

Innate and Adaptive Immunity   Cynthia Sommer

319

 

Introduction to the Immune System

319

 

Innate Immunity

326

 

Adaptive Immunity

332

 

Developmental Aspects of the Immune System

342

Chapter 16

Disorders of the Immune Response   Judith A. Aberg and Jason Faulhaber

345

 

Hypersensitivity Disorders

345

 

Transplantation Immunopathology

353

 

Autoimmune Disease

355

 

Immunodeficiency Disorders

359

UNIT 5

CIRCULATORY FUNCTION

377

Chapter 17

Control of Cardiovascular Function

377

 

Organization of the Circulatory System

377

 

Principles of Blood Flow

380

 

The Heart as a Pump

384

 

The Systemic Circulation and Control of Blood Flow

396

 

Neural Control of Circulatory Function

402

Chapter 18

Disorders of Blood Flow and Blood Pressure   Glenn Matfin and Carol M. Porth

405

 

Blood Vessel Structure and Function

405

 

Disorders of the Arterial Circulation

407

 

Disorders of Arterial Blood Pressure

422

 

Disorders of the Venous Circulation

439

Chapter 19

Disorders of Cardiac Function   Toni Balistrieri and Kathleen Mussatto

447

 

Disorders of the Pericardium

447

 

Coronary Artery Disease

450

 

Cardiomyopathies

461

 

Endocardial and Valvular Disorders

466

 

Heart Disease in Infants and Children

474

Chapter 20

Heart Failure and Circulatory Shock   Anna Barkman and Charlotte Pooler

486

 

Heart Failure

486

 

Circulatory Failure (Shock)

499

 

Heart Failure in Children and the Elderly

508

UNIT 6

RESPIRATORY FUNCTION

513

Chapter 21

Control of Respiratory Function

513

 

Structural Organization of the Respiratory System

513

 

Exchange of Gases Between the Atmosphere and the Lungs

520

 

Exchange and Transport of Gases

528

 

Control of Breathing

536

Chapter 22

Respiratory Tract Infections, Neoplasms, and Childhood Disorders

540

 

Respiratory Tract Infections

540

 

Cancer of the Lung

554

 

Respiratory Disorders in Children

557

Chapter 23

Disorders of Ventilation and Gas Exchange   Charlotte Pooler

566

 

Physiologic Effects of Ventilation and Diffusion Disorders

566

 

Disorders of Lung Inflation

569

 

Obstructive Airway Disorders

573

 

Interstitial Lung Diseases

586

 

Disorders of the Pulmonary Circulation

589

 

Acute Respiratory Disorders

593

UNIT 7

KIDNEY AND URINARY TRACT FUNCTION

601

Chapter 24

Structure and Function of the Kidney

601

 

Kidney Structure and Function

601

 

Tests of Renal Function

616

Chapter 25

Disorders of Renal Function

620

 

Disorders of Glomerular Function

620

 

Tubulointerstitial Disorders

627

 

Cystic Diseases of the Kidney

630

 

Obstructive Disorders

633

 

Malignant Tumors of the Kidney

637

Chapter 26

Acute Renal Failure and Chronic Kidney Disease

641

 

Acute Renal Failure

641

 

Chronic Kidney Disease

645

 

Chronic Kidney Disease in Children and Elderly Persons

655

Chapter 27

Disorders of the Bladder and Lower Urinary Tract

659

 

Control of Urine Elimination

659

 

Disorders of Bladder Structure and Function

663

 

Urinary Tract Infections

671

 

Cancer of the Bladder

675

UNIT 8

GASTROINTESTINAL AND HEPATOBILIARY FUNCTION

679

Chapter 28

Structure and Function of the Gastrointestinal System

679

 

Structure and Organization of the Gastrointestinal Tract

679

 

Motility

684

 

Hormonal, Secretory, and Microflora Functions

690

 

Digestion and Absorption

694

 

Anorexia, Nausea, and Vomiting

697

Chapter 29

Disorders of Gastrointestinal Function

700

 

Disorders of the Esophagus

700

 

Disorders of the Stomach

705

 

Disorders of the Small and Large Intestines

710

Chapter 30

Disorders of Hepatobiliary and Exocrine Pancreas Function

729

 

The Liver and Hepatobiliary System

729

 

Disorders of Hepatic and Biliary Function

737

 

Disorders of the Gallbladder and Exocrine Pancreas

752

UNIT 9

ENDOCRINE SYSTEM

761

Chapter 31

Mechanisms of Endocrine Control   Glenn Matfin

761

 

The Endocrine System

761

Chapter 32

Disorders of Endocrine Control of Growth and Metabolism   Glenn Matfin

774

 

General Aspects of Altered Endocrine Function

774

 

Pituitary and Growth Disorders

775

 

Thyroid Disorders

782

 

Disorders of Adrenal Cortical Function

790

Chapter 33

Diabetes Mellitus and the Metabolic Syndrome   Safak Guven, Glenn Matfin, and Julie A. Kuenzi

799

 

Hormonal Control of Nutrient Metabolism and Storage

799

 

Diabetes Mellitus

805

UNIT 10

NERVOUS SYSTEM

829

Chapter 34

Organization and Control of Neural Function   Edward W. Carroll and Robin Curtis

829

 

Nervous Tissue Cells

829

 

Nerve Cell Communication

833

 

Developmental Organization of the Nervous System

837

 

Spinal Cord and Brain

845

 

The Autonomic Nervous System

855

Chapter 35

Somatosensory Function, Pain, and Headache   Kim A. Noble and Kim Litwack

863

 

Organization and Control of Somatosensory Function

863

 

Pain Sensation

870

 

Alterations in Pain Sensitivity and Special Types of Pain

880

 

Headache and Associated Pain

883

 

Pain in Children and Older Adults

886

Chapter 36

Disorders of Neuromuscular Function   Serena W. Hung

891

 

Organization and Control of Motor Function

891

 

Disorders of the Motor Unit

899

 

Disorders of the Cerebellum and Basal Ganglia

908

 

Upper Motor Neuron Disorders

913

Chapter 37

Disorders of Brain Function   Diane S. Book

927

 

Mechanisms and Manifestations of Brain Injury

927

 

Cerebrovascular Disease

941

 

Infections and Brain Tumors

951

 

Seizure Disorders

955

 

Disorders of Memory and Cognition

959

Chapter 38

Disorders of Special Sensory Function: Vision, Hearing, and Vestibular Function   Edward W. Carroll and Scott A. Jens, Disorders of Vision; Susan A. Fontana, Disorders of Hearing and Vestibular Function

966

 

The Eye and Disorders of Vision

966

 

The Ear and Disorders of Auditory Function

988

 

The Vestibular System and Disorders of Equilibrium

1000

UNIT 11

GENITOURINARY AND REPRODUCTIVE FUNCTION

1009

Chapter 39

Disorders of the Male Genitourinary System   Glenn Matfin

1009

 

Physiologic Basis of Mole Reproductive Function

1009

 

Disorders of the Penis, the Scrotum and Testes, and the Prostate

1016

 

Disorders in Childhood and Aging Changes

1028

Chapter 40

Disorders of the Female Genitourinary System   Patricia McCowen Mehring

1033

 

Structure and Function of the Female Reproductive System

1033

 

Disorders of the Female Reproductive Organs

1041

 

Menstrual Disorders

1055

 

Disorders of the Breast

1059

Chapter 41

Sexually Transmitted Infections   Patricia McCowen Mehring

1067

 

Infections of the External Genitalia

1068

 

Vaginal Infections

1072

 

Vaginal-Urogenital-Systemic Infections

1074

UNIT 12

MUSCULOSKELETAL FUNCTION

1081

Chapter 42

Structure and Function of the Skeletal System

1081

 

Structures of the Skeletal System

1081

 

Joints

1092

Chapter 43

Disorders of the Skeletal System: Trauma, Infections, Neoplasms, and Childhood Disorders   Kathleen E. Gunta

1096

 

Injury and Trauma of Musculoskeletal Structures

1096

 

Bone Infections and Osteonecrosis

1109

 

Neoplasms

1113

 

Skeletal Disorders in Children

1116

Chapter 44

Disorders of the Skeletal System: Metabolic and Rheumatic Disorders   Kathleen E. Gunta, Metabolic Disorders; Debra Bancroft Rizzo, Rheumatic Disorders

1130

 

Metabolic Bone Disease

1130

 

Rheumatic Disorders

1138

 

Rheumatic Diseases in Children and the Elderly

1531

UNIT 13

INTEGUMENTARY FUNCTION

1159

Chapter 45

Structure and Function of the Skin   Gladys Simandl

1159

 

Structure and Function of the Skin

1159

 

Manifestations of Skin Disorders

1166

Chapter 46

Disorders of Skin Integrity and Function   Gladys Simandl

1172

 

Primary Disorders of the Skin

1172

 

Ultraviolet Radiation, Thermal, and Pressure Injury

1188

 

Nevi and Skin Cancers

1194

 

Age-Related Skin Manifestations

1198

 

Glossary

1207

Appendix A

Laboratory Values

1217

 

Index

1219