lec 1 patho

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Questions and Answers

What adaptation mechanism involves an increase in cell size without an increase in cell number?

  • Metaplasia
  • Atrophy
  • Hypertrophy (correct)
  • Hyperplasia

Which of the following is a cause of pathologic hyperplasia?

  • Viral infections (correct)
  • Decreased workload
  • Hormonal changes during puberty
  • Increased functional demand

What is a consequence of persistent metaplasia in tissues?

  • Increased risk of cancer (correct)
  • Reversal to original cell type
  • Enhanced functional capacity
  • Decreased cell size

Which adaptation mechanism is characterized by the decrease in cell size and function?

<p>Atrophy (D)</p> Signup and view all the answers

What cellular alteration is indicated by the presence of columnar epithelium with goblet cells in an erythematous area of the lower esophageal mucosa?

<p>Metaplasia (D)</p> Signup and view all the answers

Which of the following statements about physiologic hyperplasia is true?

<p>It can result from hormonal stimulation during pregnancy. (B)</p> Signup and view all the answers

What cellular process accounts for the reduction in size and function seen in atrophied cells?

<p>Increased degradation and autophagy (D)</p> Signup and view all the answers

Which adaptive cellular response is primarily observed in the uterus of a pregnant female?

<p>Hyperplasia (C), Hypertrophy (D)</p> Signup and view all the answers

Which of the following adaptations involves a change from one cell type to another due to stress?

<p>Metaplasia (D)</p> Signup and view all the answers

What is a potential risk associated with bronchial epithelium exhibiting squamous metaplasia in a heavy smoker?

<p>Increased risk for lung cancer (C)</p> Signup and view all the answers

Vitamin A deficiency leads to which of the following conditions regarding epithelial tissue?

<p>Squamous metaplasia (C)</p> Signup and view all the answers

What is NOT considered a cause of atrophy?

<p>Excessive usage of a limb (C)</p> Signup and view all the answers

What type of adaptation occurs due to diminished blood supply and leads to reduced cell function?

<p>Atrophy (A)</p> Signup and view all the answers

What type of injury does hypoxia directly contribute to in cellular health?

<p>Reversible injury (A)</p> Signup and view all the answers

Which example best illustrates compensatory physiologic hyperplasia?

<p>Enlargement of the liver after partial resection (B)</p> Signup and view all the answers

Which of the following conditions is least likely to lead to dysplasia?

<p>Acute infections (B)</p> Signup and view all the answers

Ischemia is characterized by which of the following situations?

<p>Lack of oxygen due to reduced blood supply (D)</p> Signup and view all the answers

What factor is NOT typically considered in the process of cellular adaptation?

<p>Uniformity in cellular size (D)</p> Signup and view all the answers

What type of epithelium is expected to be found in patients with chronic irritation from smoking, especially in the respiratory tract?

<p>Squamous metaplastic epithelium (B)</p> Signup and view all the answers

Which of the following is a common consequence of a Vitamin A deficiency in epithelial tissues?

<p>Altered cellular differentiation (C)</p> Signup and view all the answers

Atrophy can occur due to decreased workload or loss of innervations.

<p>True (A)</p> Signup and view all the answers

Pathologic hyperplasia is solely caused by hormonal stimulation.

<p>False (B)</p> Signup and view all the answers

Metaplasia is an irreversible change in cell type that decreases the cell's ability to cope with stress.

<p>False (B)</p> Signup and view all the answers

Physiologic hyperplasia occurs in response to tissue loss and repair, such as after partial liver resection.

<p>True (A)</p> Signup and view all the answers

Diminished blood supply and inadequate nutrition are recognized causes of cellular adaptation.

<p>True (A)</p> Signup and view all the answers

The process of autophagy is a mechanism leading to increased protein synthesis during atrophy.

<p>False (B)</p> Signup and view all the answers

Chronic ischemia can lead to both atrophy and pathologic changes in tissues.

<p>True (A)</p> Signup and view all the answers

Stem cells are reprogrammed during metaplasia to adapt to stress conditions.

<p>False (B)</p> Signup and view all the answers

Increased functional demand can trigger hypertrophy in tissues.

<p>True (A)</p> Signup and view all the answers

Benign prostatic hyperplasia is a form of pathologic hyperplasia induced by estrogen.

<p>False (B)</p> Signup and view all the answers

Vitamin A deficiency can lead to squamous metaplasia of the bronchi.

<p>True (A)</p> Signup and view all the answers

Oxygen deprivation only refers to a lack of oxygen due to ischemia.

<p>False (B)</p> Signup and view all the answers

Squamous metaplasia found in a chronic smoker is often considered an irreversible alteration.

<p>False (B)</p> Signup and view all the answers

Hyperplasia in the uterus during pregnancy is characterized by an increase in cell size.

<p>False (B)</p> Signup and view all the answers

Chronic exposure to chemical agents can lead to adaptive responses in epithelial cells.

<p>True (A)</p> Signup and view all the answers

The presence of columnar epithelium with goblet cells in the lower esophagus is indicative of dysplasia.

<p>False (B)</p> Signup and view all the answers

Infectious agents are considered one of the causes of cellular adaptation.

<p>True (A)</p> Signup and view all the answers

Immunologic reactions have no role in cellular alterations.

<p>False (B)</p> Signup and view all the answers

Aging has no impact on tissue adaptation mechanisms.

<p>False (B)</p> Signup and view all the answers

Exposure to physical agents can disrupt normal cellular functions.

<p>True (A)</p> Signup and view all the answers

Flashcards

Cell Hypertrophy

Increase in the size of a cell.

Cell Hyperplasia

Increase in the number of cells.

Cell Atrophy

Decrease in the size of a cell and its function.

Cell Metaplasia

Change from one cell type to another type.

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Physiologic Adaptation

Normal, healthy response to stressors.

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Pathologic Adaptation

Unhealthy response to stressors. Can lead to disease.

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Causes of Cell Injury (Physiologic)

Increased functional demand, hormonal stimulation, growth factors.

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Causes of Cell Injury (Pathologic)

Excessive hormonal stimulation, viral infections, and more.

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Mechanism of Atrophy

Decreased protein synthesis and increased protein degradation.

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Causes of Atrophy

Decreased workload, loss of innervation, inadequate nutrition, and aging.

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Squamous metaplasia of bronchi

A change from one type of cell to another, in this case, from columnar to squamous cells in the bronchi, often due to vitamin A deficiency or chronic irritation

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Hypoxia vs. Ischemia

Both refer to a lack of oxygen, but ischemia specifically involves a lack of blood flow.

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Esophageal Columnar Epithelium

Specialized cells lining the esophagus showing columnar shape and goblet cells, normally found in intestines/stomach.

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Adaptive cellular responses

Changes cells undergo in response to internal or external stimuli, such as injury or hormonal changes. Hyperplasia, hypertrophy, atrophy, and metaplasia are examples.

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Hyperplasia

Increased number of cells in a tissue or organ.

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Dysplasia

Abnormal changes in the size, shape, and arrangement of cells, often seen as a pre-cancerous condition.

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Metaplasia (2)

The change from one adult cell type to another in response to something like smoking or chronic cough.

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Pregnancy & Uterus

Pregnancy causes uterine cells to increase in size and number (hypertrophy & hyperplasia) to accommodate the growing fetus.

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Squamous metaplasia and smoking

Smoking can cause a change in bronchial cells to squamous cells, increasing risk of respiratory problems.

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Irreversible Metaplasia

Sometimes, even if the cause is removed, the change in cell type cannot be fully reversed.

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Hypertrophy vs. Hyperplasia

Hypertrophy is an increase in cell size, while hyperplasia is an increase in cell number.

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What causes physiologic hypertrophy?

Physiologic hypertrophy is caused by increased functional demand, hormonal stimulation, or growth factors.

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What's pathologic hyperplasia?

Pathologic hyperplasia is an abnormal increase in cell number due to excessive stimulation, like hormones or viruses.

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Why is atrophy a problem?

Atrophy is a decrease in cell size and function, which can lead to organ dysfunction.

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What causes atrophy?

Atrophy can be caused by decreased workload, loss of innervation, inadequate nutrition, or aging.

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Is metaplasia reversible?

Metaplasia is generally reversible if the stressor is removed.

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What's the danger of metaplasia?

Metaplasia increases the risk of cancer because the new cell type may be less resilient to further stress.

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What's the difference between hypoxia and ischemia?

Hypoxia is a lack of oxygen, while ischemia specifically involves a lack of blood flow.

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Example of physiologic hyperplasia

The uterus growing during pregnancy is an example of physiologic hyperplasia.

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Epithelial Differentiation

The process by which epithelial cells develop into their specific forms and functions.

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Squamous Metaplasia

A change from one type of epithelial cell to another, typically from columnar to squamous.

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Bronchial Squamous Metaplasia (Cause)

Vitamin A deficiency can lead to squamous metaplasia of the bronchi.

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Lower Esophageal Mucosa

The lining of the lower part of the esophagus, close to the stomach.

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Columnar Epithelium with Goblet Cells

Specialized cells found in the intestines and stomach, often seen in the lower esophagus after certain changes.

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Hyperplasia in Pregnancy

The uterus (womb) increases the number of cells during pregnancy.

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Chronic Cough and Metaplasia

A chronic cough can lead to squamous metaplasia of the bronchial epithelium.

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Smoking and Metaplasia

Smoking can cause squamous metaplasia in the bronchi, increasing the risk of respiratory problems.

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Study Notes

Cellular Adaptations

  • Cellular adaptations are responses to stress, including hypertrophy, hyperplasia, atrophy, and metaplasia.
  • Hypertrophy is an increase in cell size and function, frequently occurring in response to increased workload.
  • Hyperplasia is an increase in the number of cells, often driven by hormonal stimulation or compensatory mechanisms.
  • Atrophy is a decrease in cell size and function, resulting from reduced workload, loss of innervation, diminished blood supply, or loss of endocrine stimulation.
  • Metaplasia is a change from one cell type to another, a cell type better suited to withstand the harmful stimuli, but often with reduced function.
  • Pathological adaptations can progress to cell injury if the stressor isn't removed.
  • Physiologic adaptations are often reversible and beneficial for the organism.
  • Causes of cellular injury include oxygen deprivation (ischemia or hypoxia), chemical agents, infectious agents, immunologic reactions, genetic factors, nutritional imbalances, and physical agents.
  • Cell injury and death can result in irreversible damage.

Types of Adaptations

  • Hypertrophy: Increased size and function of cells, often due to hormonal stimulation, growth factor stimulation, or increased functional demand.

    • Can be physiologic or pathological (e.g., cardiac muscle in hypertension).
  • Hyperplasia: Increase in the number of cells, often due to hormonal stimulation.

    • Can be physiologic (e.g., breast during puberty, liver after resection) or pathological. Pathological hyperplasia is a precursor to cancer.
  • Atrophy: Decreased size and function of cells, often due to reduced workload, loss of innervation, diminished blood supply, or loss of endocrine stimulation.

  • Metaplasia: Change from one cell type to another, often due to chronic irritation or injury.

    • Examples include squamous metaplasia of the bronchi in smokers.

Cell Injury and Death

  • Cell injury can result from various factors like oxygen deprivation, chemical exposure, infections, immune reactions, or genetic defects.
  • The outcome of cellular injury can be either reversible or irreversible, which can lead to cell death. Irreversible cell injury leads to either necrosis or apoptosis.
  • Necrosis involves uncontrolled cell death, often leading to inflammation.
  • Apoptosis is programmed cell death involved in normal development and tissue homeostasis.

Mechanisms of Injury

  • Oxygen Deprivation (Hypoxia/Ischemia): Insufficient oxygen supply.
  • Chemical Agents: Toxins, drugs, and poisons.
  • Infectious Agents: Viruses, bacteria, parasites.
  • Immunological Reactions: Autoimmune diseases, allergic reactions.
  • Genetic Factors: Mutations, inherited diseases.
  • Nutritional Imbalances: Deficiencies or excesses in nutrients.
  • Physical Agents: Trauma, extreme temperatures, radiation.
  • Aging: Accumulation of cellular damage over time.

Case Studies (Examples of application of concepts)

  • A 43-year-old male with esophageal mucosa changes showing columnar epithelium with goblet cells, likely demonstrates metaplasia.
  • A 22-year-old female experiencing missed menstrual cycles, likely experiencing hyperplasia of the uterine lining in response to pregnancy hormones.
  • A 56-year-old smoker with increased sputum production, likely exhibiting metaplasia of the bronchial epithelium due to smoking.

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