Pathology Flashcards
What makes up your morphological diagnosis?
organ, severity + timing( acute, subacute, chronic ) + distribution + process ( infection or disease)
Causes of cell injury
-oxygen deprivation
-mechanical
-chemical agents
-infection
-immunological
-genetics
nutritional
Name some reversible cell injury ( degeneration )
-cellular swelling
-fatty change
due to depletion of ATP
Name irreversible cell injury
-necrosis
-apoptosis
How tell difference between apoptosis and necrosic cell injury ?
-necrotic - pathological always and cell membranes damaged and inflammation
-apoptosis - patho or physiological , cell membrane intact , no inflammation
What changes would you see in necrotic cell injury ?
microscopic and macroscopic
-microscopically - lots of eosinophills , pyknosis ( chromatin condense ) , karyolysis ( nuclear fading , karyorrhexis ( fragmented nucleus)
-macroscopic
- coagulative ( ischaemia ,cut off blood supply ) -liquefactive ( tissue into liquid viscous mass) -gangrenous (ischaemia and infection )
-caseous ( cheese like)
-fat necrosis (occurs in fat )
infarction
cell death due to poor blood supply
What morphological changes do you see in apoptosis ?
-cell shrink
-apoptotic bodies
TRUE/FALSE sometimes cells adapt in response to stress to prevent cell injury
true
Name types of adaptions cells can undergo under stress to prevent injury .
-hypertrophy -increase in size - bigger swollen
-hyperplasia - increase in number
-atrophy - shrink
-metaplasia - replaced by another cell type ( step on way to neoplasia)
labile cells
routinely proliferate
Causes of hypertrophy
-increased functional demand
-stim hormones
-growth factors
*same causes for hyperplasia
When does atrophy occur pathologically ?
-decreased workload
-loss of innervation
-diminished blood supply
How is metaplasia caused ?
-chronic irritation
-deficiencies
-trauma
-oestrogen toxicity
What does neoplasia mean?
abnormal new growth of cells
What anticoagulant tube do we use for blood ?
EDTA
serum/plasma
How does haemolysis effect lab sample ?
- increase value of compounds/enzymes found in rbc
-interfers if do test with colorimetry or chemical interactions
How does lipaemia effect lab results ?
-effects colorimetry
-less aqueous