Injury/Cell Death Flashcards

1
Q

What is etiology?

A

Why the disease occurs - underlying causes and modifiers

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2
Q

What is pathogenesis?

A

How a disease occurs - the development of the disease

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3
Q

What are some possible outcomes of cell injury?

A
  1. May be reversible
  2. Cell adaptation
  3. Cell death
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4
Q

What is hypoxia?

A

Lack of oxygen to cells

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5
Q

What are four targets for cellular injury?

A
  1. Cell membrane
  2. Mitochondria
  3. Cell proteins
  4. DNA
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6
Q

T/F: Clinical signs and symptoms often occurs simultaneously to cell injury.

A

FALSE

Clinical signs often several steps removed from cell injury

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7
Q

What are six types of cell injury mechanisms?

A
  1. ATP depletion
  2. Generate ROS
  3. Loss of Ca++ homeostasis
  4. Altered membrane permeability
  5. Mitochondrial damage
  6. DNA and protein damage
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8
Q

Describe some cellular pathology involved with hypoxia/ischemia.

A
  1. Mitochondria stop producing ATP
  2. ATP dependent Na pump loses function = cell swelling (Ca, H2O, Na all come in)
  3. Glycolysis = lactic acid build up
  4. Less protein synthesis
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9
Q

How can reactive oxygen species cause cell injury?

A
  1. Increase permeability: lipid peroxidation and protein fragmentation
  2. Single stranded DNA breaks
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10
Q

ROS cause ______ ______ breaks in DNA.

A

Single-stranded

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11
Q

What molecules help to control reactive oxygen species?

A
  1. Enzymes
  2. Antioxidants
  3. Serum protein: reduce iron and copper
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12
Q

What can happen when too much calcium pushes into the cell?

A

Increased enzyme activity breaks down various vital parts of the cell (ATP, membrane, protein, DNA, etc.)

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13
Q

T/F: In cell injury biochemical alterations occur prior to morphological changes.

A

TRUE

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14
Q

What are various factors that determine severity of cell injury?

A
  1. Physiologic state of cell
  2. Intensity of insult
  3. Duration of insult
  4. Number of exposures to insult
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15
Q

A cell injury of short duration and low intensity will typically result in what?

A

Reversible cell injury

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16
Q

T/F: There is NO signature biochemical event that equates with cell death.

A

TRUE

17
Q

What is the difference between necrosis and apoptosis?

A
Apoptosis = programmed
Necrosis = unplanned
18
Q

What are the four types of necrosis?

A
  1. Coagulation
  2. Liquefactive
  3. Caseous
  4. Enzymatic
19
Q

What type of necrosis is seen with bacterial infections (abscesses)?

A

Liquefactive necrosis

20
Q

Which type of necrosis is associated with tuberculosis?

A

Caseous necrosis: creates white “cheesy” tissue

21
Q

Acute pancreatitis can cause what type of necrosis?

A

Enzymatic (fat) necrosis

22
Q

What will a cell in coagulative necrosis look like?

A

Will retain cell outline but organelles will not be visible in pink cytoplasm