Basic Histopathology Flashcards
to set a fire
{Inflammare”
Protective response of the tissues of the body to irritation or injury.
Inflammation
It is composed of a series of physiologic and morphologic changes in the blood vessels, blood components and surrounding connective tissues for the purpose of protecting the body against injury.
Inflammation
[5] Cardinal signs of inflammation.
[RTCDF]
- Rubor
- Tumor
- Calor
- Dolor
- Functio laesa
“redness”
[cardinal signs of inflammation]
Rubor
Due to arteriolar and capillary dilatation with increased rate of blood flow towards the site of injury.
[cardinal signs of inflammation]
Rubor
“swelling”
[cardinal signs of inflammation]
Tumor
Due to increased capillary permeability causing extravasation of blood fluid; recruitment of phagocytes.
[cardinal signs of inflammation]
Tumor
“heat”
[cardinal signs of inflammation]
Calor
Due to transfer of internal heat to the surface or site of injury, brought about by increased blood content.
[cardinal signs of inflammation]
Calor
“pain”
[cardinal signs of inflammation]
Dolor
Due to pressure upon the sensory nerve by the exudate/tumor.
[cardinal signs of inflammation]
Dolor
“diminished function”
[cardinal signs of inflammation]
Functio laesa
Destruction of the functioning units of the tissue.
[cardinal signs of inflammation]
Functio laesa
[3] Classification of inflammation.
[ASC]
- Acute
- Subchronic
- Chronic
A rapid response to an injurious agent that aims to rapidly bring mediators of inflammation.
Acute inflammation
The escape of fluid, proteins and blood cells from the vascular system into interstitial tissue or body.
Exudation
[2] Types of Exudation
- Exudate
- Transudate
Increase specific gravity, increased protein with infection.
[types of exudation]
Exudate
Low specific gravity.
[types of exudation]
Transudate
[5] Character of exudate
[SF, CHS]
- Serous inflammation
- Fibrinous inflammation
- Catarrhal inflammation
- Hemorrhagic inflammation
- Suppurative or Purulent inflammation
Accumulation of serous fluid.
[terms]
Effusion
Creamy fluid composed of large number of PMNs and necrotic tissue debris.
[terms]
PUS
Large accumulation of Pus.
[terms]
Abscess
Small accumulation of pus.
[terms]
Pustule
Represents and intergrade between acute and chronic.
[classification of inflammation]
Subchronic inflammation
Persistence of the injuring agent for weeks/years.
[classification of inflammation]
Chronic inflammation
[3] Cellular death
[ANN]
- Apoptosis
- Necrobiosis
- Necrosis
PROGRAM CELL DEATH
[cell death (ANN)]
Apoptosis
Vital process that helps eliminate unwanted cells. An internally programmed series of events effected by dedicated gene product.
[cell death (ANN)]
Apoptosis
Physiologic death of cells.
[cell death (ANN)]
Necrobiosis
Pathologic death of cell which is due to disease or injury.
[cell death (ANN)]
Necrosis
[5] Cellular Death
[CL, CGF]
- Coagulation necrosis
- Liquefaction necrosis
- Caseous necrosis
- Gangrenous necrosis
- Fat necrosis
Consists of more or less rapid coagulation of cytoplasm. Encountered when there is infarction.
[5’ cell death]
Coagulation necrosis
Most common “TOMBSTONE FORMATION”.
[5’ cell death]
Coagulation necrosis
Due to enzymes, necrosis of tissue rich in liquid.
[5’ cell death]
Liquefaction necrosis
yellow, cheesy, crumbly material.
[5’ cell death]
Caseous necrosis
“SULFIDE GAS FORMATION”
[5’ cell death]
Gangrenous necrosis
[2] Gangrenous necrosis
[5’ cell death]
- Dry gangrene
- Wet gangrene
Involves the destruction of adipose tissue. Fat destruction due to release of pancreatic lipases. “CHALKY WHITE APPEARANCE”
[5’ cell death]
Fat necrosis
Serum secretion from serosal mesothelial cells/certain PTB.
[character of exudate]
Serous inflammation
Exudation of large amount of fibrinogen (diptheria, Rheumatic pericarditis, early stage of pneumonia).
[character of exudate]
Fibrinous inflammation
Hypertension of the mucosa.
[character of exudate]
Catarrhal inflammation
Admixture of blood and other elements of exudate/bacterial infection and others.
[character of exudate]
Hemorrhagic inflammation
Pus/purulent exudate.
[character of exudate]
Suppurative or purulent inflammation
[2] Microscopic changes
- Nuclear changes
- Cytoplasmic changes
[3] Nuclear changes
[PKK]
- Pyknosis
- Karyorrhexis
- Karyolysis
Indicates reduction in size and condensation of the nuclear material.
[nuclear changes]
Pyknosis
Indicates the segmentation and fragmentation of the nucleus, whereby nuclear contents are broken up and released into the cytoplasm.
[nuclear changes]
Karyorrhexis
Means the dissolution of the nucleus where all basophilism is lost and the nucleus dissapears.
[nuclear changes]
Karyolysis
The cell may appear larger and granular
“CLOUDY SWELLING’’
[microscopic changes]
Cytoplasmic changes
Refers to the death or complete cessation of metabolic and functional activities of the organism or body.
[death]
Somatic death
Cells survive 4-6 minutes after lungs and heart stop functioning.
[death]
Somatic death
[3] Primary changes in Somatic death.
[CRN]
- Circulatory failure
- Respiratory failure
- Nervous failure
Death because of cardiovascular integrity.
[primary changes’ somatic death]
Circulatory failure
Leads to death due to absence of oxygen and accumulation of carbon dioxide.
[primary changes’ somatic death]
Respiratory failure
Causing loss of coordination of various body functions.
[primary changes’ somatic death]
Nervous failure (CNS failure)
[6] Secondary changes of Somatic death
[ARL, DPA]
- Algor mortis
- Rigor mortis
- Livor mortis
- Desiccation
- Putrefaction
- Autolysis
This is the first demonstrable change observed, characterized by cooling of the body. 7°F PER HOUR.
[secondary changes’ somatic death]
Algor mortis
Refers to the rigidity or stiffening of the muscles, occurring 6-12hours after death.
[secondary changes’ somatic death]
Rigor mortis
Refers to the purplish discoloration or lividity of the skin.
[secondary changes’ somatic death]
Livor mortis
Refers to the drying and wrinkling of the cornea and the anterior chamber of the eye.
[secondary changes’ somatic death]
Desiccation
Characterized by foul-smelling gases, due to multiplying saprophytic organisms.
[secondary changes’ somatic death]
Putrefaction
This implies self-digestion of the cells, bacteria enhance the destruction of tissue.
[secondary changes’ somatic death]
Autolysis
A healthy, relaxed sedentary 70kg man who is killed instantly in an accident will usually have organ weights in these ranges:
right lung:
300-400 g
Left lung
250-350 g
Heart:
250-300 g
Liver:
1100 - 1600 g
Adrenals:
2 grams or each
Thyroid:
10 - 50 g
Spleen:
60 -300 g
Brain:
1150 - 1450 g
Clear of RBC
Chicken fat
RBC
Currant jelly