Pathology Overview and Cell Death Types
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Questions and Answers

What distinguishes dry gangrene from other types of necrosis?

  • Involves extensive cellular inflammation
  • Characterized by apoptotic bodies
  • Presence of liquefactive necrosis
  • Only coagulative necrosis is observed (correct)

Which change is NOT typically seen in necrosis?

  • Nuclear shrinkage
  • Fragmentation of the nucleus
  • Leukocyte apoptosis (correct)
  • Increased eosinophilia

Which process is characterized by the removal of individual cells without causing inflammation?

  • Cellular decay
  • Necrosis
  • Apoptosis (correct)
  • Infarction

What feature is a characteristic of apoptosis?

<p>Formation of apoptotic bodies (D)</p> Signup and view all the answers

What morphological change occurs in the nucleus during pyknosis?

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

What is the main difference between necrosis and apoptosis?

<p>Necrosis results in an inflammatory response, while apoptosis does not. (A)</p> Signup and view all the answers

Which of the following is NOT a cause of necrosis?

<p>Natural cell death (B)</p> Signup and view all the answers

What type of necrosis is characterized by a cheese-like appearance?

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

Which type of necrosis is primarily associated with bacterial infections that lead to pus formation?

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

Which mechanism can lead to cell injury in necrosis?

<p>Free radical-induced cell injury (D)</p> Signup and view all the answers

Gangrenous necrosis primarily occurs due to which condition?

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

What term describes the diminished blood flow to a tissue that can result in acute cell injury?

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

Fat necrosis is most commonly caused by damage to what type of tissue?

<p>High fat content tissue (D)</p> Signup and view all the answers

Flashcards

Necrosis

Cell death with loss of membrane integrity and leakage of cellular content, often due to enzyme damage to injured cells.

Morphology of Necrosis

Necrotic cells reveal changes, including increased pink staining (eosinophilia) and altered/broken-down nuclei.

Apoptosis

Programmed cell death of individual cells, typically within a larger group of cells, without inflammation.

Apoptotic Changes

Apoptotic cells shrink, stain more acidic, and fragment into apoptotic bodies.

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Dry Gangrene

A type of necrosis with only coagulative necrosis, not liquefactive necrosis.

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Pathology Definition

The scientific study of disease.

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Necrosis Causes

Causes include reduced blood flow (ischemia/hypoxia), toxins, infections, immune reactions, and genetic defects.

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Coagulative Necrosis

Type of necrosis where tissue protein denatures, often due to blood supply interruption.

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Liquefactive Necrosis

Type of necrosis where tissue is digested and liquefied, often in infections.

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Gangrenous Necrosis

Necrosis caused by vascular blockage, often in limbs or intestines.

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Causes of Cell Injury

Causes include reduced blood flow, toxins, infections, immune responses, and genetic mutations.

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Study Notes

Definition of Pathology

  • Pathology is the scientific study of disease.
  • The word "pathology" comes from Latin words "patho" (disease) and "logy" (study).

Cell Death Types

  • Cells can die in two ways: Necrosis and Apoptosis.

Necrosis Mechanisms

  • In necrosis, excess fluid enters the cell, causing swelling and rupture of its membrane.
  • Enzymes for cell digestion are derived from dying cells and leukocytes.
  • Necrosis can be caused by:
    • Hypoxia (lack of oxygen)
    • Free radical-induced cell injury
    • Cell membrane damage
    • Increased intracellular calcium level

Causes of Cell Injury and Necrosis

  • Ischemic and Hypoxic Injury: Reduced blood flow to a tissue.
  • Chemical (Toxic) Injury: Exposure to harmful substances like mercury, often from contaminated food.
  • Infectious Agents: Infections by viruses, bacteria, or fungi.
  • Immunologic Reactions: Immune responses that damage tissues.
  • Genetic Defects: Errors in cellular processes.

Types of Necrosis

  • Coagulative Necrosis: Occurs due to sudden interruption in blood supply to an organ (especially heart).
  • Liquefactive Necrosis: Tissue digestion and liquefaction, often seen in suppurative infections (pus formation).
  • Fat Necrosis: Trauma to fatty tissues, such as the breast.
  • Caseous Necrosis: Cheese-like appearance, often associated with tuberculosis.
  • Gangrenous Necrosis: Vascular occlusion, often affecting lower extremities or bowel. Can be wet (liquefactive component) or dry (only coagulative component).

Necrosis Morphology

  • Cytoplasmic changes: Increased eosinophilia (pink stain).
  • Nuclear changes: Karyolysis (chromatin fading), Pyknosis (nuclear shrinkage), Karyorrhexis (fragmentation).
    • Nucleus may completely disappear in 1-2 days.

Apoptosis

  • Apoptosis is the death of individual cells within a cluster of other cells.
  • Necrosis leads to cellular cluster death.
  • Features of apoptosis include:
    • Cell shrinkage
    • Acidophilic staining
    • Fragmentation into apoptotic bodies
  • Apoptosis is a normal process for tissue remodeling during development and other physiological processes. Can also occur in response to mild injury.
  • Apoptosis is not followed by inflammation or calcification.

Apoptosis Morphology

  • Apoptotic cells have fragmented nuclei with condensed chromatin and shrunken cell bodies.

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Necrosis Lecture Notes PDF

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Explore the fundamental concepts of pathology and the different types of cell death, including necrosis and apoptosis. This quiz will guide you through the mechanisms of necrosis, causes of cell injury, and the role of various agents. Enhance your understanding of disease processes and cellular responses.

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