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Necrosis and Gangrene: Pathological Processes

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18 Questions

What is the consequence of severe injury?

A pathologic process

Which type of necrosis is most commonly seen in hypoxic death of all tissues except the brain?

Coagulative necrosis

What is the characteristic of affected cells in coagulative necrosis?

Acidophilic, opaque mass with loss of nucleus

What is the result of microbial stimulation in liquefactive necrosis?

Accumulation of leucocytes and liberation of enzymes

What is the gross morphology of affected area in liquefactive necrosis?

Affected area is soft, liquid, viscous mass

What is the difference between coagulative necrosis and liquefactive necrosis?

Coagulative necrosis affects all tissues except brain, while liquefactive necrosis affects brain tissue

What is the appearance of the affected area in caseous necrosis?

Soft, friable white cheesy material

What is the cause of fat necrosis in acute haemorrhagic pancreatitis?

Release of activated pancreatic lipases

What type of necrosis is characterized by complete destruction of cells and is amorphous acidophilic fluid?

Gangrenous necrosis

What is the result of the combination of fatty acids with calcium in fat necrosis?

Visible chalky white areas

What is the predominant type of necrosis in dry gangrene?

Coagulative necrosis

What is the cause of liquefactive necrosis in gangrenous necrosis?

Bacteria and the attracted leucocytes

What is the characteristic histological feature of fibrinoid necrosis?

Bright pink and amorphous appearances in H&E stains

What is the primary cause of dry gangrene?

Arterial occlusion

What is the characteristic difference in the distribution of dry and wet gangrene?

Dry gangrene affects only limbs, while wet gangrene affects limbs and bowel

What is the characteristic gross appearance of wet gangrene?

Moist, soft, and swollen

What is the primary difference in the presence of bacteria between dry and wet gangrene?

Bacteria are present in wet gangrene but absent in dry gangrene

What is the characteristic feature of traumatic fat necrosis?

Due to trauma to superficial adipose tissue

Assess your understanding of necrosis and gangrene, including their definitions, types, and clinical examples. This quiz covers coagulative, liquefactive, caseous, fat, and fibrinoid necrosis, as well as dry and wet gangrene.

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