Quiz 1 Flashcards
Humors
Blood
Phelgm
Yellow Bile
Black Bile
Diseases
Has a cellular basis
all diseases are due from cell injury
Changes in:
Arrangement
Structure
Products of cells
Lethal vs Sublethal
Proliferation
Lethal - cell death, necrosis
Sublethal - altered function w/o necrosis. Cell degeneration (reversible)
Proliferation - increase in cell size or number
Cellular Injury
Interference with:
- Membrane function (Nucleus)
- energy production (Mitochondria)
- protein synthesis (Endoplasmic reticulum)
- lysosomal changes (Dissolves food, invaders)
- operation of genome
Types of degenerations
(reversible)
- Cloudy Swelling - defective sodium pump
- Hydropic degeneration - intracellular swelling
- Fatty Degeneration - Steatosis, fat accumulation
- Hyaline Degeneration - Hyalinosis, Degeneration of the cytoplasm (glassy appearence)
- Mucoid Degeneration - Accumulation of mucus
- Amyloid Degeneration - Deposition of abnormal proteins in the cell
Cellular Morphology of Necrosis
Pyknosis
Karyolysis
Karyorrhexis
Nucleus shrinks
Nucleus dissolves
Nucleus breaks into fragments
Types of Necrosis
- Coagulation necrosis - Cytoplasm thickens, protein degeneration (caused by Ischemia-lack of blood supply to tissues)
- Liquefaction necrosis - Pus due to dead WBC (caused by bacterial infection)
- Caseous necrosis - liquifaction + Coagulation. Cheesy. (caused by fungal & mycobacterial infection)
- Fat necrosis - injury to fat in pancreatitis causing it to release enzymes that damages the fat. The fatty acid is then converted into soap w/ C, Mg, Na interaction. (chalky white)
- Gangrenous necrosis - caused by hypoxia and secondary bacterial infection
- Ischemia
- Hypertrophy
- Hyperplasia
- Agenesis
- Aplasia
- Hypoplasia
- Atrophy
- Metaplasia
- Dysplasia
- Neoplasia
- Shortage of oxygen due to insufficient blood
- Increase in cell size
- Increase in cell numbers, overgrowth
- Lack of organ development
- Incomplete organ development
- Deficient, under growth
- Shrinking of developed cells
- Changes into different type of cell
- Abnormal cell size, shape, architecture, appearence
- Disordered growth of cells (cancer)
Labile Cells
Stable Cells
Permanent cells
Divides frequently (Bone marrow, skin)
Divides when needed/induced (Kidney, Liver)
Do not divide (Muscles, Neurons)
Inflammation
- Innate immune system
- Local reactions to injury
- Removes injurious agent
- Healing the injury site
Involves:
Blood vessels
Blood
Connective Tissue
Rubor
Calor
Tumor
Dolar
Functio Laesa
Redness
Heat (hot)
Swelling
Pain
Loss of function
Inflammation Descriptive
Severity of Lesions
Mild
Moderate
Marked (severe)
Location of Lesions
Focal - single foci
Multifocal - multiple foci
Locally extenstive - all the tissue is affected on a particular zone
Diffuse - entire organ or tissue is affected
Duration of Lesions
Peracute - Occurs quickly
Acute - Classical signs, inital change following insult
Subacute - Regressing signs
Chronic - Persistent stimulus
Acute Inflammation
- Vasodilation
- Swelling due to fluid accumulation
- Increase Vascular permability (Edema)
- WBC infiltration
- Increase Leukocytosis
- Decrease Leukopenia
Pyrexia (Fever) - Cytokines/Prostaglandins
Catarrhal - Mucus
Exudate - Fluid caught in inflamed tissues
Granulocytes - Neutrophils, Basophils, Eosinophils
Chronic Inflammation
- Persistent
- Swelling due to cellular infiltration
- mononuclear cells (Monocyte/Lymphocytes)
Healing
- Fibrins fill wound
- Forms clot/scab
- Neutrophils responds
- Macropages move in
- Angiogensis - grows vascular tissue
- Fibroblast proliferation - Deposit collagen
- Epithelial regeneration