NECROSIS Flashcards
What is necrosis?
A condition of cell death through injury of diseases, especially in a localized area of the body
What happens to the cytoplasm during Necrosis?
Cytoplasm undergoes digestion by enzymes released from lysosomes and phagocytic cells.
What do lysosomes of necrotic cells release?
Lysosomal enzymes for this purpose only when the cell is lethally injured.
What does cell digestion promote?
Elimination of the necrotic cell and thus speeds up the healing process.
Necrosis simple definition:
When there is IRREVERSIBLE changes within the cell, and it dies.
What are the necrosis forms?
1) Coagulative
2) Liquefactive
3) Casseous
4) Gummatous
5) Zenker’s
6) Fat Necrosis (Steatonecrosis)
7) Fibrinoid
8) Gangrene
9) Apoptosis
What does Coagualative Necrosis imply?
It implies the preservation of basic outline of coagulated cells for a period of at least some days.
What do the cells look like in regard to Coagulative Necrosis ?
There is death of some cells but the tissue is strong enough to prevent the whole tissue to be affected.
What forms in Coagulative Necrosis?
SCAR TISSUE
What is Coagulative Necrosis characterized by?
1) Denaturation of cytoplasmic proteins
2) Breakdown of cell organelles
3) Cell swelling
What is an example of Coagulative Necrosis?
Myocardial Infarction
Explain why Myocardial Infarction would be an example of Coagulative Necrosis:
The left ventricle after an attack is strong enough to only do cell necrosis and keep the blood inside the heart preventing the persons death
What is Infarction?
It is a zone/portion of necrosis inside a tissue caused by oxygen deficiency
What are the 2 types of Infarction?
White and Red
What is “White Infarction?”
A characteristic of a single blood supply
What is “Red Infarction?”
It develops in the tissue because of dual blood supply
hemorrhagic lung
What happens during Liquefactive Necrosis?
There is complete digestion of the dead cells, resulting in transformation of the tissue into a liquid viscous mass
What is Liquefactive Necrosis characterized by?
1) Complete digestion of the dead cells
2) Transformation of the tissue into a liquid viscous mass
What would be an example of Liquefactive Necrosis?
Ischemic stroke to the brain
What happens during Ischemic stroke to the brain?
This form of Necrosis develops in the nervous tissue, especially in the brain, where there is little/no collagen fibers
What happens after ischemic stroke to the brain (Liquefactive Necrosis)?
WBC’s remove the debris and there are spaces left in the brain “Holes in the Brain”
Casseous Necrosis aka
Cheese Like
What are the 2 types of Casseous Necrosis?
1) Amorphous granular debris composed of Fragmented Coagulated cells
2) Amorphous granular debris enclosed within a distinctive inflammatory border known as Granulomatous Reaction
What is a granuloma?
A collection of immune cells that are trying to get rid of a foreign substance but are unable to eliminate forming this inflammatory response
What does Casseous Necrosis cause?
Caves and holes destroying vessels causing Profuse Respiratory Hemorrhages.
What does caseous Necrosis affect?
All but hair and Nails
What are examples of Casseous Necrosis?
Tuberculosis and Leprosy
Where does Gummatous Necrosis Develop?
Only in Syphillis aka Luis Disease
What is Gummatous Necrosis
This is death of the tissue caused by Treponema Pallidum and usually requires sexual transmission
What is aka of Syphilis?
Luis Disease
When is Syphillus not curable?
When it’s in the tertiary stage
What is Primary Syphillus?
Single Chancre (painless skin ulceration)
What is Secondary Syphillus?
Involves skin of the hand and feet
What is Tertiary Syphilis?
Involves gummas (type of granuloma), the CVS and NS