Necrosis Flashcards
Stages of MI - histologically - first
- Wavy fibers, increased pink cells, loss of ATP, spilling of calcium, more clumped proteins
Stages of MI - histologically - second
- loss of nuclei and contraction band necrosis
Stages of MI - histologically - third - 2 days after injury
Infiltration of neutrophils and macrophag e
Stages of MI - histologically - end
Collagen deposition
Necrosis is always
pathological - result of irreversible cell injury
Coagulation of cytoplasmic proteins results in
Eosinophilia
coagulation of DNA
basophilia
Myelin figures are
Disrupted and coagulated phospholipids
Pyknosis is:
Nuclear shrinkage and basophilia
Karyorrhexis is
Nuclear fragmentation
Karyolysis is:
Fading of the nucleus
In order which cardiac proteins peak after injury
- Myoglobin first
- Cardiac creatinine kinase
- Troponins (20 hours after onset)
The tissue morphology of necrosis is dependent on:
- The concentration of active hydrolytic enzymes - coag vs liquefactive
- The etiology of the injury - caseous vs fibrinoid vs Fat necrosis
Examples of coagulative necrosis
- MI, renal infarct (localized area of coag necrosis)
Key features of coagulative necrosis
- preserved architecture
- Hypereosinophilia
- Loss of nuclei
- Delayed entry of neutrophils