Pigments and tissue deposits

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Questions and Answers

Which of the following is NOT an endogenous pigment?

  • Haemosiderin
  • Melanin
  • Carbon (correct)
  • Bilirubin

Which pigment is responsible for the gross brownish color seen in aging cells? “Wear and tear pigment”

  • Haemosiderin
  • Lipofuscin (correct)
  • Bilirubin
  • Porphyrins

Which of the following exogenous pigments is derived from plant sources?

  • Carbon
  • Tetracyclines
  • Carotenoids (correct)
  • Haemosiderin

What color does haemoglobin turn when bound to carbon monoxide?

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

Methaemoglobin gives a tissue a:

<p>Chocolate brown color (C)</p> Signup and view all the answers

Anaemia is characterized by:

<p>Lack of haemoglobin or RBCs (C)</p> Signup and view all the answers

What does haemoglobin imbibition refer to?

<p>The red staining of tissues due to haemoglobin leakage after cell death (A)</p> Signup and view all the answers

Where are effete (old) RBCs primarily removed from circulation?

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

What happens to iron and globin during haemoglobin breakdown?

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

Heme is enzymatically converted to _________

<p>Bilirubin</p> Signup and view all the answers

What is the function of glucuronic acid in bilirubin metabolism?

<p>It conjugates bilirubin, making it soluble (C)</p> Signup and view all the answers

What happens to conjugated bilirubin in the body?

<p>It is secreted into bile (B)</p> Signup and view all the answers

When the RBC’s get old, they make their way to the spleen. The spleen breaks hemoglobin down into ________, _______ and _______

<p>Iron, globin and heme</p> Signup and view all the answers

Describe the metabolism of heme.

<p>Heme will undergo enzymatic catabolism by haem oxygenase, which will turn into biliverdin. Bv reductase acts on biliverdin to convert it to bilirubin. Lastly, bilirubin will bind to albumin and it will eventually head to the liver to get conjucated</p> Signup and view all the answers

Describe bilirubin processing.

<p>After catabolism of heme to bilirubin in the spleen, bilirubin attaches to albumin and makes its way to the liver. The bilirubin is unconjugated. Once it makes its way to the hepatocye, it will bind to diglucuroide acid to now become conjugated bilirubin. This conjugation allows bilirubin to be excreted via bile</p> Signup and view all the answers

Too much bilirubin in the blood is called:

<p>Hyperbilirubinemia</p> Signup and view all the answers

At what level of bilirubinemia does jaundice become clinically evident?

<p>2 mg/dl (B)</p> Signup and view all the answers

Which of the following best describes jaundice (icterus)?

<p>Increased bilirubin in tissues causing yellow discoloration (B)</p> Signup and view all the answers

Where is yellow discoloration most prominently observed in jaundiced animals?

<p>Mucous membranes and adventitial surfaces</p> Signup and view all the answers

Why is fat not a reliable indicator of jaundice in certain animals like livestock, corn-fed chickens, and monkeys?

<p>Fat naturally appears yellow in these animals (A)</p> Signup and view all the answers

Which of the following statements about jaundiced tissues is TRUE?

<p>Yellow-brown intracellular pigment is seen in cholestasis (B)</p> Signup and view all the answers

In which liver cells can yellow-brown pigment be observed in cases of cholestasis?

<p>Hepatocytes and Kupffer cells (D)</p> Signup and view all the answers

Where is extracellular bilirubin pigment most commonly seen in cases of cholestasis?

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

The ______ is the organ primarily responsible for processing bilirubin

<p>Liver</p> Signup and view all the answers

Which of the following can affect bilirubin processing in the liver?

<p>Increased red blood cell breakdown (A)</p> Signup and view all the answers

Match the clinical classification of jaundice to the correct description

<p>Prehepatic = Hemolysis (aka increased RBC breakdown) Hepatic = Decreased hepatocyte function/hepatocyte damage Posthepatic = Blockage of bile duct/severe Free bee = Free bee</p> Signup and view all the answers

In haemolytic jaundice, bilirubin production exceeds:

<p>Hepatocellular uptake capacity (B)</p> Signup and view all the answers

Extravascular hemolysis occurs primarily in the:

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

When you have extravascular hemolysis, the kidneys are okay because the hemoglobin isn’t free in the blood to be filtered by the kidney

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

Which of the following is NOT a feature of extravascular hemolysis?

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

Describe the steps of extravascular lysis in the spleen.

<p>There is an excess of RBC that are undergoing phagocytosis in the spleen, and the erythrophagocytosis leads to splenomegaly</p> Signup and view all the answers

In intravascular lysis, there is damage to ____________

<p>RBC in circulation</p> Signup and view all the answers

Intravascular lysis: The damage of RBC in circulation leads to the release of ____________

<p>Free hemoglobin.</p> Signup and view all the answers

Intravascular lysis: Eventually, the free hemoglobin goes to the blood circulation and eventually goes to the kidney, causing _________

<p>Hemoglobinamia</p> Signup and view all the answers

The first signs of extravascular hemolysis is ___________

<p>Splenomegaly</p> Signup and view all the answers

In intravascular hemolysis, hemoglobinaemia is more obvious than jaundice because it happens first and in higher amounts

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

What is the most prominent gross finding in intravascular hemolysis?

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

Which organ shows dark-red brown discoloration in intravascular hemolysis?

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

Microscopically, what is observed in the renal tubules in cases of intravascular hemolysis?

<p>Homogeneous red-orange material (B)</p> Signup and view all the answers

What are the three common types of hemolytic anemia?

<p>Infectious, toxic and immune mediated</p> Signup and view all the answers

Which infectious disease in cattle is also known as "Red Water" disease?

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

Babesiosis (“Red water”) in cattle causes _______________ (intravascular/extravascular) hemaglobinuria

<p>Intravascular</p> Signup and view all the answers

What is the primary mechanism of RBC destruction in Mycoplasma haemofelis infection in cats?

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

Toxic and immune mediated causes of hemolytic anemia only cause extravascular lysis.

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

Which of the following pathogens can cause immune-mediated hemolysis in dogs?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following toxic agents is responsible for haemolytic anaemia in sheep?

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

Which type of toxicity can cause both intravascular and extravascular hemolysis?

<p>Nitrite toxicity (C)</p> Signup and view all the answers

In immune mediated causes of hemolytic anemia, the ____________ (antibodies/antigens) target or destroy _____.

<p>Antibodies; RBC’s</p> Signup and view all the answers

Both intra and extra-vascular hemolysis can result in :

<p>Hyperbilirubinemia</p> Signup and view all the answers

What is the main cause of hepatic jaundice?

<p>Hepatocellular dysfunction and inability to process bilirubin (B)</p> Signup and view all the answers

Which of the following is NOT a mechanism by which hepatocellular damage leads to jaundice?

<p>Increased secretion in bile (C)</p> Signup and view all the answers

What happens to bilirubin when the liver is unable to process it properly?

<p>It remains in the body, leading to tissue yellowing (B)</p> Signup and view all the answers

What is the primary cause of post-hepatic jaundice?

<p>Obstruction of the bile duct (C)</p> Signup and view all the answers

Which of the following occurs in post-hepatic jaundice?

<p>Bile is not secreted into the intestines (B)</p> Signup and view all the answers

What happens when bile is not secreted into the intestines due to an obstruction?

<p>Bilirubin refluxes into the bloodstream (A)</p> Signup and view all the answers

What happens to excess iron in the body due to increased RBC breakdown?

<p>It binds to haemosiderin for storage</p> Signup and view all the answers

If there is NO excess iron in a cell, which protein stores iron instead of haemosiderin?

<p>Ferritin</p> Signup and view all the answers

Which organ is a major site of intracellular iron storage?

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

What gross appearance does haemosiderin accumulation cause?

<p>Brown discoloration if present in large amounts (C)</p> Signup and view all the answers

How does haemosiderin appear microscopically on an H&E stain?

<p>Dark-yellow-brown, coarse granular pigment (B)</p> Signup and view all the answers

Which stain is used to confirm haemosiderin deposits in tissues?

<p>Prussian Blue / Perls stain (D)</p> Signup and view all the answers

Erythropoietic porphyria is a developmental anomaly seen in:

<p>Calves, cats, and pigs (B)</p> Signup and view all the answers

Erythropoietic porphyria is caused by an inherited deficiency of which enzyme?

<p>Uroporphyrinogen III cosynthetase (A)</p> Signup and view all the answers

What is the main consequence of the enzyme deficiency in erythropoietic porphyria?

<p>Defective haem synthesis (A)</p> Signup and view all the answers

Which of the following is NOT a clinical feature of erythropoietic porphyria?

<p>Decreased iron storage in the spleen (D)</p> Signup and view all the answers

The pink coloration of teeth and brown bones in erythropoietic porphyria is due to the accumulation of:

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

What happens when porphyrins accumulate in the skin?

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

Haematin is most closely associated with which pigment?

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

Haematin is typically produced by:

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

In which parasitic infection is haematin particularly observed?

<p>Fasciola hepatica infection (B)</p> Signup and view all the answers

Flashcards

What is an exogenous pigment?

A pigment not produced within the body.

What is an endogenous pigment?

A pigment produced within the body.

Which is NOT an endogenous pigment?

Carbon is an exogenous pigment, not produced by the body.

What is Lipofuscin?

Brownish pigment in aging cells, indicating wear and tear.

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What are Carotenoids?

Exogenous pigments derived from plants.

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What color is hemoglobin bound to CO?

Cherry red color.

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What color does methaemoglobin give tissue?

Chocolate brown color.

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What is anemia?

Lack of haemoglobin or RBCs

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What is haemoglobin imbibition?

Red staining of tissues due to haemoglobin leakage after cell death.

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Where are old RBCs removed?

Spleen

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What happens to iron and globin?

Recycled.

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Heme is converted to what?

Bilirubin.

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What is glucuronic acids function?

It conjugates bilirubin, making it soluble.

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What happens to conjugated bilirubin?

It is secreted into bile.

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What is hemoglobin broken down into?

Iron, globin, and heme.

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Describe the metabolism of heme.

Heme is catabolized to biliverdin by heme oxygenase, then biliverdin reductase converts it to bilirubin.

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Describe bilirubin processing.

Bilirubin attaches to albumin in the blood, travels to the liver, binds to diglucuronide acid to become conjugated, and is excreted via bile.

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Too much bilirubin in blood is called?

Hyperbilirubinemia.

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Bilirubin level where jaundice is evident?

2 mg/dl.

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What best describes jaundice?

Increased bilirubin in tissues causing yellow discoloration

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Where is jaundice most prominent?

Mucous membranes and adventitial surfaces.

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Why is fat unreliable for jaundice?

Fat naturally appears yellow in these animals.

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What is true about jaundiced tissues?

Yellow-brown intracellular pigment is seen in cholestasis

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Which liver cells show pigment in cholestasis?

Hepatocytes and Kupffer cells.

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Where is extracellular bilirubin pigment?

Bile canaliculi.

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The ________ is the organ primarily responsible for processing bilirubin

Liver.

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What can affect bilirubin processing?

Increased red blood cell breakdown

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In haemolytic jaundice, bilirubin production exceeds:

Hepatocellular uptake capacity.

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Where does extravascular hemolysis occur?

Spleen.

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What is NOT a feature of extravascular hemolysis?

Haemoglobinuria

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