Podcast
Questions and Answers
Which cellular adaptation involves the accumulation of triglycerides within parenchymal cells?
Which cellular adaptation involves the accumulation of triglycerides within parenchymal cells?
- Hemosiderosis
- Melanosis
- Anthracosis
- Fatty change (correct)
What is the primary mechanism by which alcohol consumption leads to fatty liver?
What is the primary mechanism by which alcohol consumption leads to fatty liver?
- Decreased uptake of triglycerides into parenchymal cells
- Decreased use of fat by cells (correct)
- Increased secretion of fat from cells
- Overproduction of fat in cells
Which of the following is an endogenous pigment that accumulates within lysosomes?
Which of the following is an endogenous pigment that accumulates within lysosomes?
- Lipofuscin (correct)
- Bilirubin
- Tattoo pigments
- Carbon
What causes jaundice due to the excess accumulation of bilirubin in the body?
What causes jaundice due to the excess accumulation of bilirubin in the body?
What is the primary mechanism behind cellular hypertrophy?
What is the primary mechanism behind cellular hypertrophy?
In what specific cell type does hemosiderin normally exist in small amounts as physiological iron stores?
In what specific cell type does hemosiderin normally exist in small amounts as physiological iron stores?
Which process involves the swelling and rupture of a cell membrane due to excess fluid intake?
Which process involves the swelling and rupture of a cell membrane due to excess fluid intake?
A patient with a long history of smoking develops a change in the lining of their bronchi. Which cellular adaptation is most likely responsible for the change?
A patient with a long history of smoking develops a change in the lining of their bronchi. Which cellular adaptation is most likely responsible for the change?
What key difference distinguishes necrosis in a living organism from the processes occurring in a dead organism?
What key difference distinguishes necrosis in a living organism from the processes occurring in a dead organism?
Which of the following is a physiological example of hyperplasia?
Which of the following is a physiological example of hyperplasia?
What cellular process is most closely associated with the presence of autophagic vacuoles?
What cellular process is most closely associated with the presence of autophagic vacuoles?
Which of the following is NOT a primary mechanism contributing to cell necrosis?
Which of the following is NOT a primary mechanism contributing to cell necrosis?
Which condition is characterized by a reduced production of melanin, leading to decreased pigmentation of the skin?
Which condition is characterized by a reduced production of melanin, leading to decreased pigmentation of the skin?
Which of the following is NOT a typical cause of cellular atrophy?
Which of the following is NOT a typical cause of cellular atrophy?
In response to a persistent injury, a cell has two main pathways it might take, what are they?
In response to a persistent injury, a cell has two main pathways it might take, what are they?
What is anthracosis characterized by?
What is anthracosis characterized by?
If a connective tissue is replaced by bone at the site of an injury, which of the following cellular adaptations occurred?
If a connective tissue is replaced by bone at the site of an injury, which of the following cellular adaptations occurred?
The enlargement of the left ventricle in hypertensive heart disease is an example of which cellular adaptation?
The enlargement of the left ventricle in hypertensive heart disease is an example of which cellular adaptation?
Which of the following BEST describes the process of metaplasia?
Which of the following BEST describes the process of metaplasia?
Which cellular adaptation is MOST likely to be observed in skeletal muscle during intense physical training?
Which cellular adaptation is MOST likely to be observed in skeletal muscle during intense physical training?
Which nuclear change is characterized by the clumping and shrinking of chromatin with increased basophilia?
Which nuclear change is characterized by the clumping and shrinking of chromatin with increased basophilia?
Which type of necrosis is most likely to occur following a cerebral infarction?
Which type of necrosis is most likely to occur following a cerebral infarction?
A patient presents with tissue damage in the breast due to trauma. Which type of necrosis is most likely to be observed?
A patient presents with tissue damage in the breast due to trauma. Which type of necrosis is most likely to be observed?
In which condition is caseous necrosis most typically observed?
In which condition is caseous necrosis most typically observed?
What distinguishes wet gangrene from dry gangrene?
What distinguishes wet gangrene from dry gangrene?
Which of the following best describes the mechanism of tissue damage in coagulative necrosis?
Which of the following best describes the mechanism of tissue damage in coagulative necrosis?
Which of the following is a feature of liquefactive necrosis?
Which of the following is a feature of liquefactive necrosis?
In contrast to apoptosis, which of the following best describes necrosis?
In contrast to apoptosis, which of the following best describes necrosis?
Which of these processes is most likely to follow necrosis?
Which of these processes is most likely to follow necrosis?
After an episode of acute hemorrhagic pancreatitis, what type of necrosis is predominantly expected in the affected pancreatic tissue?
After an episode of acute hemorrhagic pancreatitis, what type of necrosis is predominantly expected in the affected pancreatic tissue?
Flashcards
Fatty change
Fatty change
The accumulation of triglycerides inside cells, often seen in the liver, heart, or kidneys. Causes include alcohol, diabetes, malnutrition, obesity, and poisonings.
Melanin
Melanin
A pigment found in the skin produced by melanocytes. Increased melanin causes tanning and some diseases, while decreased melanin leads to albinism or vitiligo.
Bilirubin
Bilirubin
A yellowish pigment produced during hemoglobin degradation. Excess bilirubin causes jaundice, a yellowish discoloration of the eyes, mucous membranes, and internal organs.
Hemosiderin
Hemosiderin
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Necrosis
Necrosis
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Autolysis
Autolysis
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Heterolysis
Heterolysis
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Hypoxia
Hypoxia
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Free radicals
Free radicals
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Cell membrane damage
Cell membrane damage
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Cellular adaptation
Cellular adaptation
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Hypertrophy
Hypertrophy
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Hyperplasia
Hyperplasia
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Atrophy
Atrophy
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Metaplasia
Metaplasia
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Squamous Metaplasia
Squamous Metaplasia
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Osseous Metaplasia
Osseous Metaplasia
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Apoptosis
Apoptosis
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Reversible Cell Injury
Reversible Cell Injury
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What is necrosis?
What is necrosis?
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What is Coagulative Necrosis?
What is Coagulative Necrosis?
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What is Liquefactive Necrosis?
What is Liquefactive Necrosis?
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What is Fat Necrosis?
What is Fat Necrosis?
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What is Caseous Necrosis?
What is Caseous Necrosis?
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What is Gangrenous Necrosis?
What is Gangrenous Necrosis?
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What is Pyknosis?
What is Pyknosis?
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What is Karyorrhexis?
What is Karyorrhexis?
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What is Karyolysis?
What is Karyolysis?
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What is Apoptosis?
What is Apoptosis?
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Study Notes
Cellular Reactions to Injury
- Cell injury underlies all diseases. Understanding diseases begins with understanding cell injury.
- When a cell is exposed to an injurious agent, possible outcomes include:
- The cell may recover.
- The cell may experience reversible injury.
- The cell may experience irreversible injury and die.
- Cell death can occur via necrosis or apoptosis.
- The outcome of injury depends on the type, severity, and duration of injury, and the type of cell.
Cellular Adaptation
- Cellular adaptation is the ability of cells to adjust their structure and function in response to environmental changes or stressors.
- These adjustments aim to maintain cell homeostasis.
Types of Cellular Adaptation
- Hypertrophy: Increased cell size due to increased protein synthesis and organelle number. An example is an enlarged left ventricle in hypertensive heart disease.
- Hyperplasia: Increased number of cells, often causing an enlarged organ. This can be physiological (e.g., breast enlargement during pregnancy) or pathological (e.g., benign prostatic hyperplasia).
- Atrophy: Decreased cell size and organ size. Caused by disuse, malnutrition, decreased endocrine stimulation, or denervation. Shown by autophagic vacuoles.
- Metaplasia: Replacement of one differentiated cell type by another.
- Squamous metaplasia: The replacement of columnar epithelium (e.g., in the bronchi) by squamous epithelium (e.g., in smokers).
- Osseous metaplasia: Replacement of connective tissue by bone, often at sites of injury.
Reversible Cellular Changes and Accumulations
- Fatty change: Accumulation of triglycerides in parenchymal cells (hepatocytes, alveolar cells, renal tubular cells, and cardiomyocytes). Often occurs in the liver, heart, or kidneys. Causes can include alcohol, diabetes mellitus, malnutrition, obesity, and poisonings. Fatty change mechanisms include increased triglyceride uptake, reduced fat utilization, increased fat production, or reduced fat secretion.
- Pigment accumulation: Can be exogenous (from outside the body, e.g., carbon/coal dusts, tattoo pigments) or endogenous (from within the body, e.g., melanin, bilirubin, hemosiderin, lipofuscin). These pigments may accumulate in various tissues and cells.
Cell Death
- Necrosis:
- A process of cell death characterized by cell swelling, membrane rupture, and enzymatic digestion of the cell's contents.
- Occurs in living organisms, and is not controlled by the cell.
- Types of necrosis include:
- Coagulative necrosis: Characterized by the preservation of tissue structure for a time after cell death (e.g. in infarcted heart tissue). Marked by nuclear changes including pyknosis (chromatin clumping and shrinking), karyorrhexis (fragmentation of chromatin), and karyolysis (nuclear dissolution).
- Liquefactive necrosis: Characterized by the digestion of tissue, leading to liquefaction and pus formation (e.g., in brain abscesses or CNS ischemic injury).
- Fat necrosis: Death of adipose tissue, often due to trauma or pancreatitis.
- Caseous necrosis: A specific form of necrosis, characterized by a cheese-like appearance (e.g. in tuberculosis).
- Gangrenous necrosis: Death of a significant mass of tissue, often due to vascular occlusion.
- Apoptosis:
- A "programmed" cell death that occurs in a controlled manner, typically involving the shrinkage and fragmentation of the cell, producing apoptotic bodies.
- Important for normal development and homeostasis.
Pathologic Calcification
- Metastatic calcification: Abnormal calcium deposition in normal tissues due to excessive serum calcium levels (e.g. hyperparathyroidism).
- Dystrophic calcification: Abnormal calcium deposition in previously damaged tissues, not related to serum calcium levels (e.g. in atherosclerotic plaques or areas of trauma).
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