Block 1 Chart From Big (from Part 4 To End) Flashcards
Early plasma membrane injury sign
- increased membrane permeability -> increased amts of Na, Ca, and water
Late plasma membrane damage signs
- blebs
- vesicles
- distorted microvilli
Last sign/stage of plasma membrane damage
Breaks in plasma membrane
Signs of mitochondrial damage
- swelling
- translucent matrix
- condensation of mitochondrial matrical proteins (flocculation; EARLIEST SIGN)
Signs of ER damage
- swelling
- ribosomal detachment
- disaggregation of polysomes
- fragmentation
2 types of reversible cellular injury
- cellular swelling
- fatty change
Cellular swelling
- early sign of cellular illness
- cell unable to maintain ionic and fluid homeostasis
Fatty change
- abnormal fat accumulation in parenchymal cells
- late stage cell illness
Best Carmine stains
Glycogen
Oil red and sudan red stain
Fat/lipids
Necrosis/onchosis
Physical changes caused by degradation via lysosomal enzymes on lethally injured cell
Coagulative necrosis definition
- gross and microscopic structure of tissue and some cells preserved
Physiology of coagulative necrosis
- Structural and enzymatic proteins denatured; insoluble after cell death
- state of coagulation
Microscopic and gross structure of coagulative necrosis
- microscopically: tissue structure and cellular outlines recognizable; nuclei absent or pyknotic; cytoplasm: acidophilic and opaque
- gross: tissue white/pale and dense
Coagulative necrosis causes…
- sudden, severe ischemia
- certain acute acting toxins
- certain bacteria prod. toxins
- mild burns
- Zenker’s necrosis (coagulation of protein in sarcoplasm of only striated muscle)
Definition of liquefactive necrosis
- necrosis that disintegrates into liquid mass causing loss of cellular and architectural outlines
Physiology of liquefactive necrosis
- dead cells digested, creating defect filled by invading neutrophils
Microscopic and gross structure of liquefactive necrosis
- microscopically: empty spaces w/ frayed and irregular edges or dehydrated neutrophil residue, tissue debris and fibrin
- gross: cavity w/ clear fluid or abscess
Extras for liquefactive necrosis
- occurs in nervous tissue (hi fat, low protein)
- all necrotic tissue usually disappears by this slow process
Definition of caseous necrosis
- combination of coagulative and liquefaction necrosis
Physiology of caseous necrosis
- assc. w/ diseases with granulomatous lesions
- caseous material stays in place for long pds. of time & calcify
Mircoscopic and gross structure of caseous necrosis
- microscopic: cells not liquefied; outline not preserved; amorphous granular debris
- gross: soft-firm, grayish white-yellow tissue similar to cottage cheese
T or F: liquefaction and disappearance seldomly occur in caseous necrosis
True
Enzymatic fat necrosis is in what tissue and assc. w/ what types of trauma
- primarily in SQ adipose tissue
- assc. w/ mechanical trauma and pressure
Pathology of enzymatic fat necrosis
- unknown exactly
- idea: damage to fat cells causes release of fatty acids
Microscopic and gross structure of gangrenous necrosis
- microscopic: combo of liquefactive and coagulative necrosis w/ bacteria
- gross: in dry gangrene tissue, cool, dry, pale, shriveled like leather; wet gangrene swollen, soft, pulpy, stinks, and dark
In gangrenous necrosis, if coagulative necrosis dominant, then which type of gangrene is present? What organs are assc?
- dry gangrene
- extremities
In gangrenous necrosis, if liquefactive necrosis dominant, then which type of gangrene is present? What organs are assc?
- wet gangrene
- visceral organse
Microscopic and gross structure of enzymatic fat necrosis
- microscopic: macrophages in tissue
- gross: soapy deposits in tissue
Gangrenous necrosis definition
- coagulative necrosis that has been invaded by saprophytic or putrefactive bacteria
Physiology of gangrenous necrosis
- tissues go through coagulative necrosis
- saprophytic or putrefactive bacteria invade coagulated tissue; neutrophils attracted
- liquefactive bacterial action and lysosomal enzymes released by neutrophils mod. coagulated tissue
T or F: Gas gangrene invading bacteria produce large amts of gas
True
Dystrophic calcification
- Ca2+ salts deposited in dead/dying tissues
- normal serum levels of Ca2+ IN ABSENCE OF DERANGEMENT IN Ca2+ metabolism)
Metastatic calcification
- occurs following some derangement in Ca2+ metabolism that results in hypercalcemia
Pyknosis
Condensation of chromatin
Karyorrhexis
Fragmentation of chromatin
Karyolysis
Dissolution of chromatin by DNAses
Adapted cell
- altered, but steady state
- functions performed at different level than a normal cell
Sick cell
- reversibly injured
- damaged, not killed by injurious agent
Dead cell
- irreversibly injured cell
- can be completely degraded by necrosis or apoptosis assc. mechanisms
Liquefaction by autolysis & heterolysis w/ formation of cyst-like accumulations of fluid
- when fluid accumulates faster than its drained away by blood and lymph
Liquefaction by autolysis & heterolysis w/ formation of abscesses
- when pyogenic bacteria present in necrotic tissue (pus)
Encapsulation w/o liquefaction
- little moisture
- inflammatory rxn not intense enough to help w/ liquefaction of necrotic mass
- proliferation of fibrous CT around the necrotic mass
Desquamation or sloughing of necrotic tissue
- separation of necrotic tissue from viable tissue on external/internal body surfaces
- desquamation-> sloughing of thin layers -> larger masses
Regeneration or replacement by CT of cells lost
- terminal stage
- after necrotic tissue removed, damaged organ/part restored as best as possible
Post mortem putrefaction
Decomp. of tissues by bacteria enzymes (soft and stinky tissue)
Rigor mortis
- begins 1 to 6 hrs postmortem
- disappears 24-48 hrs
- enhanced by hi metabolic activity and temp.
- delayed by cold temps and starvation
- cardiac m. -> anterior skeletal m. -> posterior skeletal m.
Algor mortis
Loss of body heat
Hypostatic congestion
Accumulation of blood in ventral portions of body due to gravity
Imbibition w/ bile
Leakage of bile thru autolyzed walls of gallbladder
Pseudomeloanosis
Gray, black, or green pigment in tissues post mortem
Postmortem emphysema
Accumulation of gas in tissues due to bacterial fermentation
(Not bloat)
Postmortem rupture
Gases prod. by bacterial fermentation causes progressive distention of body structures until rupture
Postmortem displacement of organs
Dead animal is rolled over and organs move from original position
(Usually intestines)
Postmortem blood clotting
- can be dark red or yellow
- smooth, shiny
- uniform texture
- unattached to vessel or heart wall
Antemortem clot
- friable
- rough surface
- attached to vessel wall
Left ventricle post mortem
Rigor mortis contracts strongly and empties its blood content
Before rigor mortis (left ventricle)
Left ventricle has unclotted and non-hemolyzed blood
After rigor mortis (left ventricle)
- contains dark, hemolyzed, unclotted blood
No rigor mortis (left ventricle)
Clotted blood