Exam 3: Pigmentations and Tissue Deposits Flashcards
What are the 2 categories of pigments
- Endogenous
2. Exogenous
What are the 3 categories of Endogenous pigments
- Haematogenous
- Melanin
- Lipofuscin
What are the 4 types of Haematogenous pigments
- Haemoglobin
- Bilirubin
- Haemosiderin
- Porphyrins
What are the 3 exogenous pigments
- Carbon/Dust
- Carotenoids
- Tetracyclines
Haemoglobin is normally ___ when bound to O2
Red
Leakage of hemoglobin from RBCs
Hemoglobin imbibition
Carbon monoxide toxicity is usually what color?
Cherry red
Why is carbon monoxide toxicity red?
Carboxyhaemoglobin
Nitrate poisoning is usually what color and why?
chocolate brown, due to oxidation of haem group to methaemoglobin
What is the pathogenesis of cyanide toxicity?
venous hemoglobin retains O2 due to cyanide binding cytochrome oxidase and is the same color as arterial blood
What is the normal cascade of hemoglobin cataboslim?
- RBC removed from circ. by spleenic macrophages
- Fe and globin recycled leaving haem
- Haem is enzymatically converted to bilirubin
- Insoluble bilirubin bound to albumin and transported to liver
- Liver removes bilirubin from blood and conjugates with glucuronic acid
- secreted in bile
Why does the liver conjugate bilirubin with glucuronic acid
to make soluble
Unconjugated bilirubin is carried by ____ to the liver
Albumin
too much bilirubin in the blood
hyperbilirubinemia
When bilirubinemia is greater than ___ you will get yellow staining of tissues
2mg/dl
Inc. bilirubin in tissues
Jaundice/icterus
T/F. If you see an animal with jaundice, you can assume it is liver failure
F. Jaundice Does NOT only indicate liver dz
What 3 things can processing of bilirubin be affected by?
- Inc. RBC breakdown
- Dec. Hepatocyte function
- Blockage of Bile duct
What are the 3 clinical classifications of jaundice
- Prehepatic (hemolytic)
- Hepatic (hepatocellular)
- Posthepatic (obstructive)
What is the cause of prehepatic jaundice?
Inc. RBC breakdown
What type of jaundice is being described:
Bilirubin production from haemolysed RBCS exceeds hepatocellular uptake.
Prehepatic jaundice
Inc. RBC breakdown
Hemolysis
What are the two types of hemolysis
- extravascular lysis
2. intravascular lysis
Where does extravascular lysis of RBCs occur?
- Spleen
- Dam. tissues (bruise)
- chronically congested tissue
What is intravascular lysis
Dam. of RBC in circ. causing release of free hemoglobin
What transports free hemoglobin?
haptoglobins
Excess unbound hemoglobin in circ.
hemoglobinemia
Hemoglobinaemia overspills into kidney where it is toxic and detectable in urine
hemoglobinuria
Splenomegaly is an ex. of Extra/Intra vascular lysis
Extravascular
Type of hemolysis where hemoglobin is not free in blood to be filtered by the kideny
Extravascular hemolysis
Type of hemolysis where hemoglobin is filtered by the kidney
intravascular
What are the 3 common types of hemolytic anemia
- infectious
- Toxic
- Immune Mediated
What is an ex. of infectious hemolytic anemia
Babesia in cattle
mycoplasma haemofelis in cats
Copper poisoning in sheep is an example of which type of hemolytic anemia
Toxic
Type of hemolytic anemia where oxidative damage to RBC surface by drugs, chemicals, or plants
Toxic
type of hemolytic anemia where antibodies target or destroy RBCs
Immune mediated
T/F. immune mediated hemolytic anemia is only caused by intravascular lysis
F. intra or extravascular lysis
Canine Autoimmune deficiency causes which type of haemolytic anemia
Immune mediated
Neonatal isoerythrolysis Causes which type of haemolytic anemiA?
Immune mediated
Incompatable blood transfusions cause which type of haemolytic anemia
immune mediated
T/F. Both Extra and Intravascular lysis can cause jaundice
T
Obstruction of Bile duct causes which type of jaundice
posthepatic jaundice
What is the outcome of Posthepatic jaundice
Bile refluxes into bloodstream
Iron is stored as ____
Haemosiderin
Iron is stored as ___ intracellularly
Ferritin