Intracellular accumulations and pathologic calcifications L5 Flashcards

1
Q

what are sub cellular alterations ?

A

alterations in cells that cannot be seen through a microscope

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2
Q

what are intracellular accumulations ?

A

accumulations in abnormal amounts that take place within the cell

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3
Q

what are pathologic calcifications ?

A

deposition of calcium in areas of cell death or normal tissue.

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4
Q

what are the 3 groups of accumulations ?

A
  1. )accumulations of constituents of normal cell metabolism produced in excess ex: excess in lipids.
  2. )accumulation of abnormal substances produced as a result of abnormal metabolism ,
  3. )accumulation of pigments
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5
Q

what can be accumulated within the cell?

A

proteins , lipids , and carbohydrates

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6
Q

where exactly can these intracellular accumulations occur?

A

cytoplasm of nucleus

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7
Q

give an example of accumulation of lipids in the body .

A

free fatty acids in the liver

ex: obesity and diabetes

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8
Q

how do normal macrophages change to foamy macrophages ?

A

when they start ingesting excess fat or cholesterol in an attempt to rid the body from these accumulations but fails , the lipid molecules store themselves in the form of lipid vacuoles in the macrophages

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9
Q

when does accumulation of protein occur?

A

excessive reabsorption of protein in kidneys

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10
Q

when does accumulation of glycogen occur?

A

when glycogen cannot turn itself into glucose and when the cells capacity to carry glucose is reduced

ex: diabetes

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11
Q

what are some endogenous pigmentations ?

A

melanin
hemosiderin
lipofuscin

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12
Q

what cells produce melanin ?

A

melanocytes which are present in the basal cell layer of the epithelium

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13
Q

is melanin a hemoglobin derived pigment ?

A

no

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14
Q

what enzyme converts tyrosine to melanin ?

A

tyrosinase

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15
Q

what is oral melanosis ?

A

excessive melanin deposition due to hyperactivity of melanocytes

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16
Q

what is hemosiderin ?

A

iron containing pigment derived from the breakdown of hemoglobin .

17
Q

hemoglobin normally breaks down and when there is breaking down of hemoglobin molecule accompanied by disturbances in iron metabolism . this produces granular or crystalline yellow brown pigment

hemosidren is often seen in macrophages in areas of recent hemorrhage

ex: anemia , excessive dietry intake of iron

A

..

18
Q

what are the 2 types of pathological calcification

A

dystrophic and metastatic calcifications

19
Q

what is dystrophic calcification ?

A

calcium salts are deposited in areas of dead or dying tissue with normal serum calcium levels

it is usually seen in areas of necrosis

20
Q

what is metastatic calcification ?

A

occurs in normal , viable tissue in the setting of hypercalcemia

increased calcium levels

Vitamin D related disorder