NECROSIS Flashcards

1
Q

What is necrosis?

A

A condition of cell death through injury of diseases, especially in a localized area of the body

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2
Q

What happens to the cytoplasm during Necrosis?

A

Cytoplasm undergoes digestion by enzymes released from lysosomes and phagocytic cells.

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3
Q

What do lysosomes of necrotic cells release?

A

Lysosomal enzymes for this purpose only when the cell is lethally injured.

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4
Q

What does cell digestion promote?

A

Elimination of the necrotic cell and thus speeds up the healing process.

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5
Q

Necrosis simple definition:

A

When there is IRREVERSIBLE changes within the cell, and it dies.

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6
Q

What are the necrosis forms?

A

1) Coagulative
2) Liquefactive
3) Casseous
4) Gummatous
5) Zenker’s
6) Fat Necrosis (Steatonecrosis)
7) Fibrinoid
8) Gangrene
9) Apoptosis

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7
Q

What does Coagualative Necrosis imply?

A

It implies the preservation of basic outline of coagulated cells for a period of at least some days.

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8
Q

What do the cells look like in regard to Coagulative Necrosis ?

A

There is death of some cells but the tissue is strong enough to prevent the whole tissue to be affected.

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9
Q

What forms in Coagulative Necrosis?

A

SCAR TISSUE

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10
Q

What is Coagulative Necrosis characterized by?

A

1) Denaturation of cytoplasmic proteins
2) Breakdown of cell organelles
3) Cell swelling

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11
Q

What is an example of Coagulative Necrosis?

A

Myocardial Infarction

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12
Q

Explain why Myocardial Infarction would be an example of Coagulative Necrosis:

A

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

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13
Q

What is Infarction?

A

It is a zone/portion of necrosis inside a tissue caused by oxygen deficiency

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14
Q

What are the 2 types of Infarction?

A

White and Red

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15
Q

What is “White Infarction?”

A

A characteristic of a single blood supply

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16
Q

What is “Red Infarction?”

A

It develops in the tissue because of dual blood supply

hemorrhagic lung

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17
Q

What happens during Liquefactive Necrosis?

A

There is complete digestion of the dead cells, resulting in transformation of the tissue into a liquid viscous mass

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18
Q

What is Liquefactive Necrosis characterized by?

A

1) Complete digestion of the dead cells

2) Transformation of the tissue into a liquid viscous mass

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19
Q

What would be an example of Liquefactive Necrosis?

A

Ischemic stroke to the brain

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20
Q

What happens during Ischemic stroke to the brain?

A

This form of Necrosis develops in the nervous tissue, especially in the brain, where there is little/no collagen fibers

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21
Q

What happens after ischemic stroke to the brain (Liquefactive Necrosis)?

A

WBC’s remove the debris and there are spaces left in the brain “Holes in the Brain”

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22
Q

Casseous Necrosis aka

A

Cheese Like

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23
Q

What are the 2 types of Casseous Necrosis?

A

1) Amorphous granular debris composed of Fragmented Coagulated cells
2) Amorphous granular debris enclosed within a distinctive inflammatory border known as Granulomatous Reaction

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24
Q

What is a granuloma?

A

A collection of immune cells that are trying to get rid of a foreign substance but are unable to eliminate forming this inflammatory response

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25
Q

What does Casseous Necrosis cause?

A

Caves and holes destroying vessels causing Profuse Respiratory Hemorrhages.

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26
Q

What does caseous Necrosis affect?

A

All but hair and Nails

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27
Q

What are examples of Casseous Necrosis?

A

Tuberculosis and Leprosy

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28
Q

Where does Gummatous Necrosis Develop?

A

Only in Syphillis aka Luis Disease

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29
Q

What is Gummatous Necrosis

A

This is death of the tissue caused by Treponema Pallidum and usually requires sexual transmission

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30
Q

What is aka of Syphilis?

A

Luis Disease

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31
Q

When is Syphillus not curable?

A

When it’s in the tertiary stage

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32
Q

What is Primary Syphillus?

A

Single Chancre (painless skin ulceration)

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33
Q

What is Secondary Syphillus?

A

Involves skin of the hand and feet

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34
Q

What is Tertiary Syphilis?

A

Involves gummas (type of granuloma), the CVS and NS

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35
Q

What are the symptoms associated with Tertiary syphilis?

A

Numbness and Paresthesia affecting the NS and CVS

36
Q

If the spinal cord is affected in the (posterior column) in Tertiary Syphillis, what is it called?

A

It is called Tabes Dorsalis

37
Q

What is the name of the gray matter atrophying in Tertiary Syphillis?

A

General Paresis aka General Paresis of Insane

38
Q

What is Zenker’s Necrosis?

A

It is a severe glassy or waxy necrosis of skeletal muscles in acute infectious diseases

39
Q

What is an example of Zenker’s Necrosis?

A

Typhoid/ Typhoid fever

40
Q

What is Typhoid fever caused by?

A

Salmonella Bacteria

41
Q

How does the Typhoid fever (Zenker’s Necrosis) occur?

A

Infection occurs by ingesting contaminated food or water. Prevented by washing hands

42
Q

What is another way that Zenker’s Necrosis can occur?

A

Snake Bite causing Necrosis of the tissue

43
Q

What is Fat Necrosis (Steatonecrosis)?

A

Necrosis of adipose tissue, characterized by formation of small quantities of calcium soaps, product of fat when is hydrolyzed into glycerol and fatty acids

44
Q

What is an example of Pancreatic Necrosis aka Pancreonecrosis?

A

Gall bladder stones block the bile duct so pancreas secretions are also blocked leading to degradation of pancreas

45
Q

What can happen during Pancreatic Necrosis (Fat Necrosis)?

A

It is a very common cause of death (within hours) in young people especially females

46
Q

Where does Fibrinoid Necrosis occur?

A

In walls of blood vessels when endothelial and smooth muscle cells are injured and dying

47
Q

When is Fibrinoid Necrosis usually developed?

A

In immunologically mediated disorders or immunopathologies

Active Immune System Participation

48
Q

What is an example of Fibrinoid Necrosis?

A

Aschoff’s Nodes

49
Q

What are Aschoff’s Nodes?

A

Neurotic Nodules located in heart as a cause of inflammation (strep infection)

50
Q

Where would Aschoff’s Nodes be seen?

A

In individuals with Rheumatic Myocarditis

Histological findings of rheumatic myocarditis are Aschoff’s Nodes

51
Q

Histological findings of Rheumatic Myocarditis are ______

A

Aschoff’s nodes

52
Q

What is Gangrene Necrosis?

A

A serious and potentially life-threatening condition that arises when a considerable mass of body tissue dies

53
Q

Gangrene is also known as _____

A

Gangrene of extremities and intestines (affect both)

54
Q

What is Gangrene characterized by?

A

It is a form of coagulative necrosis characterized by presence of noxious products of anaerobic bacterial metabolism

55
Q

What is Gangrene (Gangrenous Necrosis) associated with?

A

Infection, infection leads to gangrenous necrosis.

Lack of blood supply (could be a form of necrosis already existing)

56
Q

What are the 3 types of Gangrene?

A

Dry, Wet, Gas

57
Q

What is happening during Dry Gangrene?

A

Coagulation is sustained

58
Q

What can be the 3 causes of “Dry Gangrene?”

A

Ischemia, Atherosclerosis , and Diabetes Mellitus

59
Q

What is Ischemia?

A

Lack of blood supply to the organ or tissue

60
Q

What disease would you see ischemia associated with Dry gangrene?

A

Distal parts of fingers in Systemic Sclerosis (aka scleroderma).

61
Q

What is systemic sclerosis?

A

Over activity of the fibroblasts (make CT)

62
Q

What is a symptom associated with systemic sclerotic tissue?

A

Claw hands

63
Q

What is Atherosclerosis associated with?

A

Buerger’s Disease (aka thromboangitis obliterans)

64
Q

Buerger’s Disease aka

A

Thromboangitis Obliterates

65
Q

What does Buerger’s Disease affect?

A

Nerves and Veins, NOT arteries

66
Q

What type of gangrene is due to smoking?

A

Atherosclerosis (Dry Gangrene)

  • Necrosis must be removed so that no more tissue in extremities gets affected
67
Q

What is the disease associated with Diabetes Mellitus (Dry Gangrene under 8 Gangrene )

A

Diabetic Microangiopathy

68
Q

What is Diabetic Microangiopathy?

A

Obliteration of the distal small Vessels which results in gangrene of the fingers

69
Q

What is Wet Gangrene?

A

It occurs if enzymes of invading phagocytic cells break down the necrotic debris and produce some liquefaction.

70
Q

What will be seen with Wet Gangrene?

A

Swelling and Redness, with NO bone problems

71
Q

What is a cause of Wet Gangrene?

A

Anaerobic bacteria (clostridium perfringens, bacillus fusiformis)

72
Q

What 2 things are associated with Wet Gangrene?

A

1) Bed sores

2) Blockage of blood flow

73
Q

What are bed sores? (wet gangrene)

A

Continuous pressure of the tissue against bed causes decreased blood flow to the areas

74
Q

What is Blockage of Blood flow?(wet gangrene)

A

Wet gangrene in the distal parts of the fingers in polyarteritis nodosa

75
Q

What is Polyarteritis Nodosa?

A

Distal Phalanxes are open to the air “Naked Bones”

76
Q

What are the 2 examples of wet gangrene –> Blockage of blood flow?

A

Polyarteritis Nodosa and Intestinal Gangrene

77
Q

What is Intestinal Gangrene due to?

A

Anaerobic Bacteria in wounds, obstruction of blood supply or abdominal herniation

78
Q

What is Gas Gangrene?

A

A bacterial Infection that produces gas within tissues. Common in military

79
Q

What are the 2 bacteria associated with Gas Gangrene?

A

Clostridium Perfringens and Anaerobic Streptoccocci

80
Q

What is Apoptosis?

A

Greek for “Falling Off”

81
Q

What is Apoptosis full definition?

A

A pathway of cell death that is induced by a tightly regulated intracellular program in which cells destined to die activate enzymes that degrade the cells own DNA and nuclear and Cytoplasmic proteins.

82
Q

What are the 2 types of Apoptosis?

A

Physiological and Pathological

83
Q

What is physiological Apoptosis?

A

“Normal conditions of apoptosis”

The programmed destruction of cells during embryogenesis

84
Q

What 2 things would you see in Physiological Apoptosis?

A

Hormone dependent Evolution in the adult and cell death induced by cytotoxic T cells

85
Q

What is Hormone dependent evolution in relation to Physiological Apoptosis?

A

Destruction of the gonads with age in males and menstruation in woman where endometrium aka decidual cells die

86
Q

What is Pathological Apoptosis?

A

Cell injury in certain viral diseases, and death of neutrophils during an acute inflammation

87
Q

What is Caspase?

A

Group of the cysteine containing proteolytic enzymes, which play essential roles in apoptosis (programmed cell death) necrosis and inflammation