Altered Tissue and Cellular Proliferation Flashcards
DIFFERENTIATION
Organization or specialization of different cell types, programmed by their genetic makeup
ERYTHROPOIETIN
Hormone made by the kidneys, helps in stimulating growth and development of red blood cells
APOPTOSIS
A form of “programmed” normal death of a cell. The body creates and kills 10 billion new cells daily
NECROSIS
Abnormal cell death, when a cell is injured and reaches the “irreversible” point
CELLULAR INJURY
A continuum in which cellular homeostasis is affected to a varying degree
Injury to cell –> metabolic pathway disrupted –> cell has less ATP –> malfunction of Na/K pump on cellular membrane –> Na enters cell freely while K goes out –> water follow Na into cell –> cell swells and cell membrane loses integrity leading to leakage of intracellular substances –> cell swells, endoplasmic reticulum dilates –> ribosomes detach –> disrupted protein synthesis –> abnormal functions or death
INTRACELLULAR SUBSTANCE SERUMS
Any of these intracellular substances found in blood, from cell leakage, can be diagnosed with serum measurement
Creatine kinase (CK) - enzyme found in most muscle cells, catalyzes transference of phosphate groups between ADP and ATP
Myoglobin - found in most muscle cells
Troponin - a protein molecule only found in heart muscle
ISCHEMIA
Oxygen deprivation to cells due to decrease in arterial circulation to the area - narrowed and/or blocked arteries
ACUTE ISCHEMIA
Hypoxia to tissues from sudden lack of blood supply.
Example:
Aterial embolous - clot that travels in the arteries until it gets lodged in arteriole or capillary
Sickle cell crisis: sickle cell RBCs get stuck in capillaries and decreases blood supply to joints (ischemic pain)
CHRONIC ISCHEMIA
Better tolerated issue, as tissues adapt to some degree overtime. Gradual hypoxia to tissues
Example:
Atherosclerosis - gradual narrowing of arteries
Thrombus - slow developing clot in leg artery or coronary artery
INFARCTION
Ischemic situation, acute or chronic, left untreated, that leads to necrosis that is specifically caused by lack of arterial blood supply to an area
Example:
Myocardial infarction = coronary artery clogged with clot –> ischemia to tissues distal to clot –> anoxia –> infarct of distal tissue
DECUBITUS ULCER
Pressure ulcer, or stasis ulcer.
Unrelieved pressure on skin due to immobility –> skin capillaries prevented from receiving oxygenated blood –> tissue injury and breakdown
CARBON MONOXIDE POISONING
CO has a high affinity for hemoglobin (Hgb), about 3000 times more so than oxygen, making it bind to the hemoglobin forming carboxyhemoglobin (HgCO) –> HgCO prevents oxygen from binding to hemoglobin leading to hypoxic cell damage.
S&S = relative to nervous system, headache, giddiness, confusion, seizures, coma.
Treated by 100% oxygen mask and/or hyperbaric chamber
FATTY LIVER
Abnormal cellular accumulation of lipids from diseases such as alocholism
GOUT
Systemic disease caused by buildup of uric acids in the blood (hyperuricemia)
Uric acid crystals (breakdown product of purine) accumulate and settle in joints, causing inflammation, swelling, and pain - generally in first metatarsal joint of big toe or in the ankle joint.
Treated with medications plus a diet low in food that is high in purines
FREE RADICALS
Separate molecular “species” that are a product of abnormal, accelerated, or uncontrolled reactions. Generally redox reactions
Caused by:
simple aging, environmental pollutants, drug and alcohol abuse, radiation damage, foods high in preservatives and charred meat