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III. CLINICO-PATHOPHYSIOLOGICAL CASES AND QUESTIONS TO PREPARE FOR CLASSES.

1. GENERAL NOSOLOGY

Questions to prepare for classes and examination

•  What is the specific subject matter of pathophysiology? What features distinguish pathophysiology from other medical sciences?

•  Methods of pathophysiology. Modeling of pathological processes and diseases. Means and limitations of experimental pahology.

•  The notion of nosology.

•  What parts nosology is divided into?

•  The hallmarks of the notions of well-being and disease.

•  The notions of pathological process, pathological state, pathological reactions, typical pathological processes, remission, recurrence, complication.

•  Principles used in classification of diseases.

•  Factors of diseases: environmental, genetic, social.

•  The relation between causes and conditions in the development of diseases.

•  The nature and characteristics of pathogenic factors.

•  Reactivity of the body and its role in the development of disease.

•  The notions of pathogenesis, vicious circles.

•  Stages of disease.

•  Adaptive reactions and their role in resuscitation and pathology.

N 1

A mouse is put in a small pressure chamber. Then, during 2-3 min the air is pumped out of it to decrease the pressure in the chamber down to 170-180 mm Hg. After 0.5-1 min in hypobaric conditions the mouse shows signs of anxiety: running over, scratching its face. Two or three minutes later clonic and tonic seizures develop; the mouse is lying on its side, urinates; terminal breathing («gasping») develops. Soon afterwards, breathing stops, and the mouse dies. The overall time of the mouse's life in hypobaric atmosphere is 3-4 min.

Questions

•  What factors affect the mouse in this experiment?

•  Which of these factors could be considered the leading cause of the pathological process - hypobaric hypoxia?

•  How can you experimentally test your presumptions about the nature of the pathological process?

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