Necrosis Flashcards

1
Q

Stages of MI - histologically - first

A
  1. Wavy fibers, increased pink cells, loss of ATP, spilling of calcium, more clumped proteins
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2
Q

Stages of MI - histologically - second

A
  1. loss of nuclei and contraction band necrosis
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3
Q

Stages of MI - histologically - third - 2 days after injury

A

Infiltration of neutrophils and macrophag e

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4
Q

Stages of MI - histologically - end

A

Collagen deposition

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5
Q

Necrosis is always

A

pathological - result of irreversible cell injury

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6
Q

Coagulation of cytoplasmic proteins results in

A

Eosinophilia

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7
Q

coagulation of DNA

A

basophilia

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8
Q

Myelin figures are

A

Disrupted and coagulated phospholipids

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9
Q

Pyknosis is:

A

Nuclear shrinkage and basophilia

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10
Q

Karyorrhexis is

A

Nuclear fragmentation

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11
Q

Karyolysis is:

A

Fading of the nucleus

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12
Q

In order which cardiac proteins peak after injury

A
  1. Myoglobin first
  2. Cardiac creatinine kinase
  3. Troponins (20 hours after onset)
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13
Q

The tissue morphology of necrosis is dependent on:

A
  1. The concentration of active hydrolytic enzymes - coag vs liquefactive
  2. The etiology of the injury - caseous vs fibrinoid vs Fat necrosis
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14
Q

Examples of coagulative necrosis

A
  1. MI, renal infarct (localized area of coag necrosis)
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15
Q

Key features of coagulative necrosis

A
  1. preserved architecture
  2. Hypereosinophilia
  3. Loss of nuclei
  4. Delayed entry of neutrophils
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16
Q

Examples of liquefactive necrosis (rapid release of enzymes)

A
  1. Infections

2. Hypoxic death of CNS

17
Q

Key features of liquefactive necrosis

A
  1. Architectural destruction
  2. Hypereosinophilia of remaining cells
  3. loss of nuclei
    PUS -
18
Q

Example of caseous necrosis (cheeselike friable), granulomatous

A

TB

indigestible stimulus - mycobacterium

19
Q

Example of fibrinoid necrosis

A

Vasculitis

Immune mediated destruction of vessel walls

20
Q

Example of fat necrosis

A

acute pancreatitis with release of lipase

combine FA with Ca –> saponification

21
Q

FAT necrosis is not true

A

cellular necrosis

22
Q

Gangrenous necrosis -most similar to which type of necrosis if dry

A

Applied to a limb that has lost its blood supply -usually coagulative necrosis

23
Q

Gangrenous necrosis becomes similar to ….. necrosis when degradative enzymes are released by bacteria and neutrophils

A

Liquefactive