9.19 Injury, Inflammation, Healing 2 Flashcards

1
Q

Both acute and chronic cell injury can be

A

reversible

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2
Q

impaired cell function and ion content for an acute reversible injury with sublethal stimulus

A
  • increased ion content (Na+ and Ca2+)

- cell swells due to fluid retention

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3
Q

blebs

A

plasma membrane seals off and detaches

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4
Q

If this survives, the cell can recover

A

nucleus

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5
Q

What are the typical ways a cell adapts?

A
  • atrophy
  • hypertrophy
  • hyperplasia
  • metaplasia
  • dysplasia
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6
Q

Chronic adaptation allows the body to

A

survive in an altered environment and avoid injury

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7
Q

What do intracellular accumulations do?

A

alter cell function

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8
Q

What types of things can accumulate in cells?

A
  • lipids
  • proteins
  • carbs
  • pigment
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9
Q

example of an intracellular accumulation

A

hepatocytes

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10
Q

hepatocytes are often seen in

A

fatty liver with alcohol abuse

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11
Q

Irreversible injury leads to

A

cell death

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12
Q

apoptosis

A

programmed cell death

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13
Q

necrosis

A

end point of degradation of cells

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14
Q

What are the 3 types of necrosis?

A
  • dry gangrene
  • wet gangrene
  • gas gangrene
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15
Q

dry gangrene

A
  • bacterial infection

- ischemia

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16
Q

wet gangrene

A

liquefactive tissue

17
Q

gas gangrene

A

fermentation forms gas bubbles

18
Q

What are the irreversible cell injury types?

A
  • apoptosis
  • necrosis
  • calcification
19
Q

examples of calcification

A
  • atherosclerosis
  • TB (granulomas)
  • calcific tendonitis

etc.

20
Q

Dry vs. wet gangrene: infection?

A
  • dry: no

- wet: yes

21
Q

Dry vs. wet gangrene: tissue liquefaction?

A
  • dry: no

- wet: copious

22
Q

How does wet gangrene develop?

A

Usually develops rapidly due to blockage of venous and/or arterial blood flow

23
Q

Early stages of dry gangrene

A
  • dull, achy pain
  • extreme ttp
  • cold, dry, wrinkled
24
Q

Later stages of dry gangrene

A

skin changes color gradually to

  • dark brown
  • dark purplish blue
  • black
25
Q

tx for gangrene

A
  • surgical debridement

- amputation

26
Q

wet gangrene: odor and appearance

A
  • swollen, red, warm

- offensive odor