1. Definition
of The study of disease, including the causes and ettects of disease, and
pathology the tests and procedures that determine disease states.
2. What is the prima- To diagnose the disease.
ry role of a
pathol- ogist
throughout the
patient jour-
ney?
3. Steps of the 1. Well
ideal patient
journey 2. Health decline
3. Triage
4. Admittance
5. Diagnosis
6. Treatment
7. Discharge
8. Monitoring
4. Ideal Patient 9. Palliative care
Jour- ney - Well
maintenance of wellbeing
5. Ideal Patient subjective
Jour- ney - no medical intervention
Health De- cline
manage themselves or with primary
6. Ideal Patient
Jour- ney - care possible medication
Triage
if not able to handle on their own
7. start showing symptoms
tertiary care - hospitals
assess severity of illness to find priorities
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Ideal Patient 3 reasons
Jour- ney -
Admittance -condition too severe
-issue not identified yet
-patient stabilized but needs treatment
8. Ideal Patient
Jour- ney - tests ordered to characterize
Diagnosis disease diagnostic testing
informs decisions on treatments and identifies disease
9. Ideal Patient
Jour- ney - patient informed of diagnosis and prognosis and treatment options
Treatment treatment is executed
10. Ideal Patient
Jour- ney - when treatments unsuccessful
Palliative Care primary goal to make patient as comfortable as
possible preserve or improve quality of life
11. Ideal Patient
Jour- ney -
Discharge after successful treatments
released from care if can prove access to prescriptions as well as follow
up treatments
12. Ideal Patient
Jour- ney -
Monitoring check ins regularly
could last years and need more tests
sometimes completely cured, sometimes cannot be
13. Disease cured goal is to restore to "well"
patholo- gy
paradigm 1. Etiology/cause
2. Pathogenesis/mechanisms of action
3. Testing
4. Biochemical/morphological/functional changes
5. Natural history/prognosis
6. Treatment
7. Complications
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14. Etiology the cause of disease
15. Pathogenesis development of disease
mechanism of action of disease
16. biochemica alterations in how cells and body metabolizes
l changes
things ex. build up of substances
17. Morphologica
l Changes structural or tissue changes in response to disease
cellular level or tissue level
18. Functional
Changes symtpoms associated with the
disease ex. loss of mobility
19. Testing determines if disease is present and identify the specific disease
ex. DNA sequencing, blood glucose levels, histologies, neurological
assessments
20. Natural history prognosis
likely outcome for the patient
21. Treatment - dis- management and care of patient to combat the disease
ease paradigm
22. complications short and long term ettects of disease and other factors
can alter natural history and treatments
23. Etiology of Bacterium streptococcus pyogenes
strep throat
24. Pathogenesis
of strep throat Streptoccous pyogenes adheres and invades lining in the nasal and ora
cavities
25. Testing of
strep throat
A rapid strep test that looks for Streptococcus pyogenes antigens
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26. Biochemical Bacteria secretes tissue-damaging enzymes to lining of throat
changes of
strep throat
27. Morphological
changes of Tissue-damaging enzymes cause an immune response and inflammatio
strep throat
ob- served as redness and swelling in the tonsils.
28. Functional
changes of
strep throat Inflammation causes pain when swallowing.
29. Prognosis of strep Symptoms usually improve within 3-5 days, irrespective of treatment.
throat
30. Treatment Antibiotics (penicillin) that kill bacteria
of strep
throat
31. Complications Rheumatic fever (inflammatory disease causing permanent heart
of strep throat
damage) in low-middle income countries where strep throat goes
unnoticed. It takes 1-5 weeks to develop.
32. Indigenous
val- ues 1. Storytelling to promote values within culture
2. Medicine wheel to consider holistic perspective of health
3. Sharing circles to give everyone a chance to speak and learn
4. Knowledge keepers to remember and pass on history
5. Ceremonial speeches passed on through oral tradition
6. Relationality in learning with fellow students, family, and the land
6. Spirituality. Epistemologies and ontologies are rooted in sacred
and secular world-views
7. Grandfather teachings (honesty, courage, love, wisdom, respect,
truth, and humility)