Exam I Flashcards
Occlude Q of VR➡️local ischemic necrosis
Infarct
Unresponsive to normal growth H➡️
Mass of cells
Neoplasm/tumor
Pathologic
Death of tissue in LIVING animal
Necrosis
Gross lesion description
Size Shape/colour Texture Distribution: focal, multifoc, diss, locally extensive, diffuse Sp gross ft
-opathy
Abnormal state of _____
-osis
Degen of
Non-inflam non-neoplastic dis of
Necrosis of
Morpho Dx
Dominant lesion
Extent
Duration
Distribution
Organ+lesion type
State of ⬇️Q
Ischemia
Coag necrosis
Outline of tissue cells, hypoxic cell death
Infarct➡️necrosis
Sk.M, ❤️, kidney
Liq necrosis
Influx of Neutrophils➡️bacteria
Pus/abscess
CNS : malacia
Pyometra
Reversible acute cell injury➡️
3 cell responses
DEGENERATION
Hydropic degen: cell swell/ballooning, cytotoxic edema, ☁️ swelling
Lipidosis: greasy liver, ❤️M, skM, kidney➡️Steatosis/fatty change
Glycogen accum: ab metabolism, pale large liver
Hyperplasia
⬆️#cells
Physio: GH compensatory
Patho: ⏫GH, wart, nodule spleen, liver, pancreas
Hypertrophy
⬆️size
Extracell accum: imm complex deposits in wall of bv➡️WBC destroy wall➡️ low Q➡️clot & hemorr
Fibrinoid necrosis
Patho glycoprotein secr & polymerize
AMYLOID: RIA IF
Reactive Sys amyloidosis Ig-derived Amyloid-ß Islets amyloid polypeptide Familial amyloidosis
Coag cascade
Int: hageman F12, 11, 9, 8
Ext: F3, 7
Com: stewart prower F10, 5,13, thrombin F2, fibrinogen F1
Vit K dep CF
CF 2,7,9,10
Protein C+S➡️⛔️CF 8a+5a
Vita K def➡️ BIG bleeds
Warfarin: ⬆️PT/PTT/ACT
Fibrinolysis
CF 12a➡️plasmin
t-PA:❇️plasminogen
Plasma +tissue➡️ u-Pa
All lyse clot/fibrinogen
vWF disease
Platelet ct: normal + ⬆️bucal bleed t
PT/PTT/ACT: normal
⬇️vWF
Hemophilia
⛔️ pro-coag protein in blood plasma
Hemo A: CF8
Hemo B: CF9
⬆️PTT/ACT t = int path
Thrombus fates
Dissolve (ideal)
Incorp bv wall➡️narrows
Recanalization
Embolus➡️ detach frag
Disseminated intravasc coag (DIC)
ALWAYS 2• + patho
⏫ clots➡️depletes CF: ✳️hemorr
Thrombo-hemorrhagic disorder
➡suffisive hemorr on ❤️ + lungs
Final common path for several lethal events: ⬇️ tissue perfusion+ cell hypoxia
Shock
Cardiogenic
Hypovolemic
Blood maldistr: septic, neurogenic (ANS), anaphylatic