DashboardStudyStudyOralGlossaryDailyPast

Glossary

44 key terms · definitions · clinical pearls

44 terms found
A

Acute Inflammation

Inflammation

Rapid, short-lived response to injury with vascular changes, edema, and neutrophil infiltration. Cardinal signs: rubor, calor, tumor, dolor, functio laesa.

Pearl
Neutrophils dominate at 6–24 hours via chemotaxis (C5a, LTB4, IL-8).

Anaplasia

Neoplasia

Loss of structural and functional differentiation. Hallmark of malignancy.

Pearl
Includes pleomorphism, hyperchromasia, abnormal mitoses, ↑N:C ratio.

Angiogenesis

Neoplasia

Formation of new vessels. Essential for tumors >1–2 mm.

Pearl
VEGF is master switch. Bevacizumab is anti-VEGF antibody.

Apoptosis

Cell Death

Programmed, ATP-dependent cell death with intact membrane, cell shrinkage, chromatin condensation, apoptotic body formation. Does NOT trigger inflammation.

Pearl
Intrinsic: DNA damage → BAX/BAK → cyto-c → apoptosome → caspase-9 → caspase-3. Extrinsic: Fas/FasL → caspase-8.

Autophagy

Cell Death

Cellular self-digestion: autophagosome → fuses with lysosome → degrades damaged organelles. Activated by starvation (AMPK↑, mTOR↓).

Pearl
Dual role in cancer — tumor-suppressive early, tumor-promoting in established disease.

Autosomal Dominant

Genetics

One mutated allele is sufficient. Affects both sexes, vertical transmission, 50% offspring risk.

Pearl
Marfan (FBN1), NF1, Huntington (CAG), BRCA1/2, Li-Fraumeni (TP53).

Autosomal Recessive

Genetics

Both alleles mutated. Carrier parents asymptomatic; 25% affected offspring; horizontal pattern in siblings.

Pearl
CF (CFTR ΔF508), thalassemias, sickle cell, PKU, Tay-Sachs.
B

BCL-2 Family

Cell Death

Regulators of mitochondrial apoptosis. Pro-apoptotic: BAX, BAK, BID, BIM. Anti-apoptotic: BCL-2, BCL-XL, MCL-1.

Pearl
BCL-2 translocation t(14;18) defines follicular lymphoma.
C

Caseous Necrosis

Cell Death

Cheese-like, friable necrotic tissue with granulomatous inflammation.

Pearl
Classic for TB. Also fungal infections (histoplasmosis).

Chronic Inflammation

Inflammation

Prolonged response with macrophages, lymphocytes, plasma cells, tissue destruction, repair, fibrosis.

Pearl
M1 macrophages: pro-inflammatory (IFN-γ). M2: tissue repair (IL-4, IL-13).

Coagulative Necrosis

Cell Death

Tissue architecture preserved as 'tombstones' due to protein denaturation. Most ischemic infarcts.

Pearl
Exception: brain (liquefactive). Heart, kidney, spleen → coagulative.
D

Diabetes Mellitus

Diabetes

Group of metabolic disorders with chronic hyperglycemia from defects in insulin secretion, action, or both.

Pearl
Diagnostic: FPG ≥126, OGTT ≥200, HbA1c ≥6.5, random ≥200 + symptoms.

DiGeorge Syndrome

Genetics

22q11.2 deletion. CATCH-22: Cardiac, Abnormal facies, Thymic aplasia, Cleft palate, Hypocalcemia.

Pearl
Failure of 3rd/4th pharyngeal pouches. T-cell deficiency.
E

EMT

Metastasis

Epithelial-Mesenchymal Transition: loss of E-cadherin, gain of N-cadherin/vimentin, gain of motility.

Pearl
Driven by Snail, Slug, Twist, ZEB1/2. Critical step in invasion.

Exosome

Exosomes

30–150 nm extracellular vesicle derived from MVB. Carries proteins, mRNA, miRNA.

Pearl
Tumor exosomes prepare the pre-metastatic niche.
F

Fragile X

Genetics

Most common inherited intellectual disability. CGG trinucleotide expansion in FMR1 (Xq27.3).

Pearl
Long face, large ears, macroorchidism. Anticipation in maternal transmission.
G

Gangrenous Necrosis

Cell Death

Ischemic necrosis of a limb. Dry: coagulative. Wet: superimposed bacterial liquefactive.

Pearl
Diabetic foot, mesenteric ischemia. Treatment: debridement, antibiotics, revascularization.

Granuloma

Inflammation

Focal collection of epithelioid macrophages, often with multinucleated giant cells and lymphocytes.

Pearl
Caseating (TB, fungi) vs non-caseating (sarcoidosis, Crohn, foreign body).
H

Hyperplasia

Cellular Adaptations

Increase in cell number. Physiologic (endometrium) or pathologic (endometrial hyperplasia).

Pearl
Reversible. May predispose to malignancy if persistent.

Hypertrophy

Cellular Adaptations

Increase in cell size. Common in non-dividing cells (cardiac, skeletal muscle).

Pearl
Cardiac hypertrophy in HTN, aortic stenosis. Sarcomere addition.
I

Imprinting

Epigenetics

Parent-of-origin-specific gene expression via differential methylation.

Pearl
Prader-Willi (paternal del 15q), Angelman (maternal del 15q).
K

Klinefelter Syndrome

Genetics

47,XXY. Tall stature, gynecomastia, small testes, infertility, learning issues.

Pearl
Most common cause of male hypogonadism. Increased FSH/LH, low testosterone.

Knudson Two-Hit

Tumor Suppressors

Tumor suppressors require biallelic inactivation. Familial cancers inherit one hit.

Pearl
Original example: retinoblastoma (RB gene).
L

Leukemia

Anemia

Malignant clonal proliferation of hematopoietic cells in bone marrow.

Pearl
AML (Auer rods), ALL (children), CML (Philadelphia t(9;22) BCR-ABL), CLL (smudge cells).

Liquefactive Necrosis

Cell Death

Tissue digested by enzymes → fluid/pus. Classic in brain infarcts and bacterial abscesses.

Pearl
Why brain? Lack of structural protein and abundant lysosomes.
M

Marfan Syndrome

Genetics

AD mutation in FBN1 → defective fibrillin-1 → weak elastic tissue.

Pearl
Tall, arachnodactyly, lens dislocation (upward), aortic root dilation/dissection.

Metaplasia

Cellular Adaptations

Replacement of one mature cell type with another. Reversible if stimulus removed.

Pearl
Barrett's esophagus: squamous → columnar (GERD). Predisposes to adenocarcinoma.

Metastasis

Metastasis

Spread of malignant cells from primary to distant site.

Pearl
Cascade: invasion → intravasation → arrest → extravasation → colonization (rate-limiting).

MYC

Neoplasia

Transcription factor proto-oncogene. Translocation t(8;14) in Burkitt lymphoma.

Pearl
Starry sky pattern on biopsy; tumor lysis syndrome on treatment.
N

Necrosis

Cell Death

Accidental, ATP-deplete cell death with membrane rupture and inflammation.

Pearl
Patterns: coagulative, liquefactive, caseous, fat, fibrinoid, gangrenous.

Neutrophil

Inflammation

First responder of acute inflammation. Phagocytic; releases NETs.

Pearl
Hallmark cell of bacterial infection and acute inflammation.
O

Oncogene

Neoplasia

Mutated proto-oncogene with gain-of-function driving proliferation.

Pearl
RAS (point mutation), MYC (amplification/translocation), HER2 (amplification), BCR-ABL (translocation).
P

p53 (TP53)

Tumor Suppressors

'Guardian of the genome'. Senses DNA damage → arrest (p21), repair, or apoptosis (BAX↑).

Pearl
Mutated in >50% of all human cancers. Germline mutation = Li-Fraumeni.

PTEN

Tumor Suppressors

Lipid phosphatase that opposes PI3K. Loss → constitutive AKT signaling.

Pearl
Loss → immunotherapy resistance (T-cell exclusion, ↑PD-L1).
R

RB1

Tumor Suppressors

Retinoblastoma protein. Binds E2F → blocks G1→S transition until phosphorylated.

Pearl
First tumor suppressor identified. Germline loss → bilateral retinoblastoma.

Reed-Sternberg Cell

Lymphoma

Large bi/multinucleated B-cell with 'owl-eye' nuclei. Diagnostic for Hodgkin lymphoma.

Pearl
CD15+ CD30+ CD45−. Origin: germinal center B-cell.
S

Sickle Cell Disease

Genetics

AR HbS: Glu→Val at position 6 of β-globin. Sickling under deoxygenation, acidosis, dehydration.

Pearl
Vaso-occlusive crises, autosplenectomy, hand-foot syndrome in children.
T

Tamoxifen

Hormone Malignancies

Selective Estrogen Receptor Modulator. Antagonist in breast, agonist in endometrium/bone.

Pearl
DVT and endometrial cancer risk. Used in ER+ breast cancer.

Thalassemia

Anemia

AR. Reduced synthesis of α or β globin chains → microcytic anemia.

Pearl
α-thal: gene deletions. β-thal major: skull 'crew-cut', extramedullary hematopoiesis.

Trisomy 21

Genetics

Down syndrome. Most common chromosomal disorder. Maternal age risk factor.

Pearl
AV septal defects, duodenal atresia, ↑risk of AML/ALL, early Alzheimer.

Tumor Suppressor Gene

Tumor Suppressors

Gene whose loss-of-function promotes cancer. Requires biallelic inactivation.

Pearl
TP53, RB, APC, BRCA1/2, PTEN, NF1, VHL, WT1.

Turner Syndrome

Genetics

45,X. Short stature, primary amenorrhea, streak ovaries, webbed neck.

Pearl
Coarctation of aorta, horseshoe kidney, lymphedema in infancy.
V

VEGF

Neoplasia

Vascular Endothelial Growth Factor. Master regulator of angiogenesis.

Pearl
Target of bevacizumab (anti-VEGF mAb). Side effects: HTN, bleeding, impaired wound healing.
X

X-Linked Recessive

Genetics

Males hemizygous, affected. Females heterozygous = carriers. No male-to-male transmission.

Pearl
DMD, hemophilia A/B, G6PD deficiency, Lesch-Nyhan.