General Flashcards
Hypoxia
Oxygen deprivation which means the cell cannot form aerobic respiration is often due to ischmea. Four types
Hypoxaemic, anaemic hypoxia, ischemic hypoxia, histocytic
Ischemia
Loss of blood supply to reduced arterial supply or reduced venous drainage. Symptoms for serve than hypoxia since loss of metabolites not just oxygen and so they also develop more quickly
Hypoxaemic hypoxia
Arterial content of the oxygen is low due to lung disease or altitude
Anaemic hypoxia
Arterial content of the oxygen is low due to anemia or carbon monoxide
Ischeamic hypoxia
Inrruption to blood supply due to blockage of a vessel or heart failure
Histocytic hypoxia
Failure of the production of the oxidative enzymes needed in metabolism
Nuclear pyknosis
Shrinkage of the nucleus because of condensation of chromatin
Nuclear karyolysis
Dissolution of the nucleus
Nuclear karyorrhesis
Fragmentation of the nucleus into bits
Necrosis
Changes that occur after cell death
Oncosis
Cell death with swelling due to ischemia the changes that occur in injured cells right before death
Acute inflammation
The innate, immediate and early response of living tissue to injury it is is no specific. Can be from a variety of causes microbal infection. Viruses, tissue necrosis
Chronic inflammation
Tissue’s response to injury with associated fibrosis. It is specific response different for different tissues
What are giant cells and what are the three types?
Multinucleated made by the fusion of macrophages via fustrated phagocytosis. Inside is a collection of cells trying to be phagocytoses. Langhans horse shoe shaped with TB, foreign body type, touton foam cytoplasm around the outside places of fat necrosis
What is a granuloma
Localised aggregation of epithelial histocytes +\~ lymphocytes, giant cells, caseous necrosis
What are the four conditions in which granulomas are seen?
Mycobacteria
Syphilis
Sarcordosis
Crohns disease
Define homeostasis
The maintance of a constant internal environment within set limits. It can be described as dynamic
What are the lines of zahn. What are the lighter and darker bits correspond to?
Lighter- platelets dark- RBC
What does a thrombus look like in the arterial and venous look like.
In the arterial system there are more cells it is more granular and more pale due to the increased number of platelets. Venous soft gelatinous there are more cells but more RBC rather than platelets therefore it more of a deep red colour than pale
What other than artheroma can effect the vessel wall?
Direct injury, inflammation, hypertension
What are the 5 outcomes of thrombosis
Lysis Propogation Organisation Recannulation Thrombo-embolism
How does thrombomodulin work?
Prothrombin is converted to thrombin which binds to thrombomodulin which in the endothelium this iniates protein C which stops the activation of some clotting factos
What are the 5 effects of chronic inflammation?
Fibrosis Increase function Atrophy Simulation of immune response Impaired function
What is the definition of thrombosis
Formation of solid mass of blood within the circulatory system in life
Artheroma
The accumulation of inta and extra cellular lipid in the tunica intima and media of large and medium sized arteries
Atherio-sclerosis
The thickening and harding of arterial walls as a consequence of atheroma
Aterio-sclerosis
The thickening and hardipening of arterial walls not as a consequence of atheroma, instead by things like hypertension/ diabetes mellitus
What are the microscopic features of a arthromatus plague
Smooth muscle proliferation
Foam cells
Extracellular lipid in the wall
Then later a fibrous cap, area of necrosis, plague fissering, cholestrol clefts
What are the macroscopic features of arthroma
Fatty streak- lipid in tunica intima, yellow
Simple plague- small necrotic core, thick fibrous cap, raised, irregular stable angina
Complex plague- large necrotic core, thin fibrous cap which is subject to fissuring and rupture
What is mallory hylaine?
Pink blobs seen in the cytoplasm of the cell due to increased keratin often seen in hepatocytes in alcoholic liver disease
Give an example of an exogenous and endogenous pigaments
Exo- melain. Tatooing,coals
Endo- lipofuscin (ageing cells) evidence of oxidative stress
Bilibruin and haemosterin (iron)