Podcast
Questions and Answers
What is the most common cause of coagulative necrosis?
What is the most common cause of coagulative necrosis?
- Hypoxia in the brain
- Enzymatic digestion
- Bacterial infections
- Ischemia in solid organs (correct)
Which type of necrosis is characterized by a transformation of tissue into a liquid viscous mass?
Which type of necrosis is characterized by a transformation of tissue into a liquid viscous mass?
- Liquefactive necrosis (correct)
- Fat necrosis
- Caseous necrosis
- Coagulative necrosis
During reversible cell injury, which of the following changes occurs?
During reversible cell injury, which of the following changes occurs?
- Complete loss of membrane integrity
- Clumping of nuclear chromatin (correct)
- Total destruction of cellular details
- Denaturation of cellular proteins
What defines caseous necrosis?
What defines caseous necrosis?
Which feature is NOT associated with reversible cell injury?
Which feature is NOT associated with reversible cell injury?
What happens to the architecture of tissue during caseous necrosis?
What happens to the architecture of tissue during caseous necrosis?
What is a common consequence of liquefactive necrosis in the central nervous system?
What is a common consequence of liquefactive necrosis in the central nervous system?
What determines the occurrence of necrosis in cells?
What determines the occurrence of necrosis in cells?
What characteristic distinguishes tuberculosis granuloma from coagulative necrosis?
What characteristic distinguishes tuberculosis granuloma from coagulative necrosis?
What refers to the destruction of fat cells due to activated pancreatic lipase?
What refers to the destruction of fat cells due to activated pancreatic lipase?
Which of the following changes occur in necrotic cells?
Which of the following changes occur in necrotic cells?
What histological change is associated with fat necrosis?
What histological change is associated with fat necrosis?
Which process involves programmed cell death, significant in both physiological and pathological contexts?
Which process involves programmed cell death, significant in both physiological and pathological contexts?
What is a potentiating factor in the development of fibrinoid necrosis?
What is a potentiating factor in the development of fibrinoid necrosis?
Which of the following is a physiologic process that can induce apoptosis?
Which of the following is a physiologic process that can induce apoptosis?
What is typically observed in irreversibly damaged cells?
What is typically observed in irreversibly damaged cells?
What is the primary focus of pathology?
What is the primary focus of pathology?
Which of the following is NOT a cause of cell injury?
Which of the following is NOT a cause of cell injury?
How does hypoxia primarily cause cell injury?
How does hypoxia primarily cause cell injury?
What distinguishes ischemia from hypoxia?
What distinguishes ischemia from hypoxia?
Which of the following can lead to oxygen deprivation in tissues?
Which of the following can lead to oxygen deprivation in tissues?
Which type of agent can cause cellular injury through immunologic reactions?
Which type of agent can cause cellular injury through immunologic reactions?
Which of the following is a common infectious agent that can cause cell injury?
Which of the following is a common infectious agent that can cause cell injury?
What type of disorder is an example of genetic derangement causing cell injury?
What type of disorder is an example of genetic derangement causing cell injury?
What type of epithelium replaces normal ciliated columnar epithelial cells in habitual smokers?
What type of epithelium replaces normal ciliated columnar epithelial cells in habitual smokers?
Which condition is an example of squamous to columnar metaplasia?
Which condition is an example of squamous to columnar metaplasia?
What describes the process of connective tissue metaplasia?
What describes the process of connective tissue metaplasia?
Which of the following factors can lead to cell adaptations such as metaplasia?
Which of the following factors can lead to cell adaptations such as metaplasia?
Which term describes an increase in the number of cells?
Which term describes an increase in the number of cells?
Which of the following is NOT a physiological cause of hyperplasia?
Which of the following is NOT a physiological cause of hyperplasia?
What can persistent stimuli leading to metaplasia result in?
What can persistent stimuli leading to metaplasia result in?
What does hypertrophy refer to?
What does hypertrophy refer to?
Which of the following is an example of physiological hypertrophy?
Which of the following is an example of physiological hypertrophy?
What is the primary mechanism responsible for atrophy?
What is the primary mechanism responsible for atrophy?
Which condition can lead to pathologic atrophy?
Which condition can lead to pathologic atrophy?
Which of the following best describes metaplasia?
Which of the following best describes metaplasia?
What triggers myocardial hypertrophy primarily?
What triggers myocardial hypertrophy primarily?
Which of the following is NOT a cause of pathologic atrophy?
Which of the following is NOT a cause of pathologic atrophy?
What commonly happens to the uterus during pregnancy that represents hypertrophy?
What commonly happens to the uterus during pregnancy that represents hypertrophy?
Which can lead to senile atrophy in the brain?
Which can lead to senile atrophy in the brain?
What characterizes apoptosis compared to necrosis?
What characterizes apoptosis compared to necrosis?
Which statement is true about hyperplasia?
Which statement is true about hyperplasia?
Which type of hyperplasia occurs as a response to tissue damage?
Which type of hyperplasia occurs as a response to tissue damage?
What is the likely consequence of pathological hyperplasia?
What is the likely consequence of pathological hyperplasia?
What triggers hormonal hyperplasia in the mammary glands?
What triggers hormonal hyperplasia in the mammary glands?
What occurs during the intrinsic pathway of apoptosis?
What occurs during the intrinsic pathway of apoptosis?
What structural change is NOT associated with apoptosis?
What structural change is NOT associated with apoptosis?
In which condition does endometrial hyperplasia commonly occur?
In which condition does endometrial hyperplasia commonly occur?
Which of the following describes hypertrophy?
Which of the following describes hypertrophy?
What can result from excessive hormonal stimulation in pathological hyperplasia?
What can result from excessive hormonal stimulation in pathological hyperplasia?
Which of the following is a primary mechanism that leads to cell injury due to insufficient blood supply?
Which of the following is a primary mechanism that leads to cell injury due to insufficient blood supply?
Hypoxia can occur without ischemia and refers only to the reduced amount of oxygen in the blood.
Hypoxia can occur without ischemia and refers only to the reduced amount of oxygen in the blood.
What is the term for the condition that results from a lack of adequate oxygen supply to the cells?
What is the term for the condition that results from a lack of adequate oxygen supply to the cells?
_______ is a type of cell injury that occurs when cells cannot adapt to stress and become irreversibly damaged.
_______ is a type of cell injury that occurs when cells cannot adapt to stress and become irreversibly damaged.
Which of the following substances can cause cell injury as a result of chemical exposure?
Which of the following substances can cause cell injury as a result of chemical exposure?
Match the type of necrosis to its characteristic description:
Match the type of necrosis to its characteristic description:
Genetic derangements can lead to congenital malformations and cell injury.
Genetic derangements can lead to congenital malformations and cell injury.
Name a common agent that can cause cell injury through infectious processes.
Name a common agent that can cause cell injury through infectious processes.
Which of the following is a physiological example of hypertrophy?
Which of the following is a physiological example of hypertrophy?
Atrophy can be caused by decreased workload and inadequate nutrition.
Atrophy can be caused by decreased workload and inadequate nutrition.
Myocardial hypertrophy is an adaptation to increased _____________.
Myocardial hypertrophy is an adaptation to increased _____________.
Match the following causes of atrophy with their descriptions:
Match the following causes of atrophy with their descriptions:
Which type of atrophy is caused by the immobilization of a limb?
Which type of atrophy is caused by the immobilization of a limb?
Metaplasia is an irreversible change in cell type.
Metaplasia is an irreversible change in cell type.
Identify one mechanism of protein degradation in atrophy.
Identify one mechanism of protein degradation in atrophy.
Which of the following is NOT a cause of necrosis?
Which of the following is NOT a cause of necrosis?
Hypoxia and ischemia are the same condition affecting cells.
Hypoxia and ischemia are the same condition affecting cells.
Name one characteristic feature of coagulative necrosis.
Name one characteristic feature of coagulative necrosis.
___ is characterized by dominant enzyme digestion and is often seen in bacterial infections.
___ is characterized by dominant enzyme digestion and is often seen in bacterial infections.
Match the type of necrosis with its primary characteristic:
Match the type of necrosis with its primary characteristic:
Which of the following correctly describes a cause of hypoxia?
Which of the following correctly describes a cause of hypoxia?
All types of necrosis result in complete destruction of the cell's architecture.
All types of necrosis result in complete destruction of the cell's architecture.
What is the end result of liquefactive necrosis?
What is the end result of liquefactive necrosis?
Flashcards
What is pathology?
What is pathology?
The study of disease and suffering, bridging clinical practice and basic science.
What is a disease?
What is a disease?
An abnormal condition affecting the structure or function of living organisms, leading to negative consequences.
What is cell injury?
What is cell injury?
Cell injury occurs when cells are stressed or severely damaged beyond their ability to adapt.
What are physical agents that cause cell injury?
What are physical agents that cause cell injury?
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What are chemical agents that cause cell injury?
What are chemical agents that cause cell injury?
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What are infectious agents that cause cell injury?
What are infectious agents that cause cell injury?
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What are immunologic reactions that cause cell injury?
What are immunologic reactions that cause cell injury?
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What is oxygen deprivation and how does it cause cell injury?
What is oxygen deprivation and how does it cause cell injury?
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Liquefactive Necrosis
Liquefactive Necrosis
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Coagulative Necrosis
Coagulative Necrosis
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Caseous Necrosis
Caseous Necrosis
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Necrosis
Necrosis
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Reversible Cell Injury
Reversible Cell Injury
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Irreversible Cell Injury
Irreversible Cell Injury
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ATP Depletion
ATP Depletion
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Mitochondrial Damage
Mitochondrial Damage
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What is hypertrophy?
What is hypertrophy?
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What is atrophy?
What is atrophy?
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What is metaplasia?
What is metaplasia?
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What is disuse atrophy?
What is disuse atrophy?
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What is denervation atrophy?
What is denervation atrophy?
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What is ischemic atrophy?
What is ischemic atrophy?
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What is nutritional atrophy?
What is nutritional atrophy?
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What is senile atrophy?
What is senile atrophy?
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Fat Necrosis
Fat Necrosis
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Fibrinoid Necrosis
Fibrinoid Necrosis
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Pyknosis
Pyknosis
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Karyorrhexis
Karyorrhexis
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Karyolysis
Karyolysis
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Apoptosis
Apoptosis
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Physiologic involution of cells in hormone-dependent tissues
Physiologic involution of cells in hormone-dependent tissues
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Cellular Adaptation
Cellular Adaptation
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Hyperplasia
Hyperplasia
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Physiological Hyperplasia
Physiological Hyperplasia
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Pathological Hyperplasia
Pathological Hyperplasia
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Hypertrophy
Hypertrophy
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Intrinsic Pathway of Apoptosis
Intrinsic Pathway of Apoptosis
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Extrinsic Pathway of Apoptosis
Extrinsic Pathway of Apoptosis
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Apoptotic Bodies
Apoptotic Bodies
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Metaplasia
Metaplasia
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Columnar to Squamous Metaplasia
Columnar to Squamous Metaplasia
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Barrett's Esophagus
Barrett's Esophagus
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Connective Tissue Metaplasia
Connective Tissue Metaplasia
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Myositis Ossificans
Myositis Ossificans
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Metaplasia and Cancer Risk
Metaplasia and Cancer Risk
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Mechanism of Metaplasia
Mechanism of Metaplasia
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Stem Cell Reprogramming in Metaplasia
Stem Cell Reprogramming in Metaplasia
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What is hypoxia and how does it cause cell injury?
What is hypoxia and how does it cause cell injury?
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What is ischemia and how does it differ from hypoxia?
What is ischemia and how does it differ from hypoxia?
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How can genetic derangements cause cell injury?
How can genetic derangements cause cell injury?
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What is reversible cell injury?
What is reversible cell injury?
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What is irreversible cell injury?
What is irreversible cell injury?
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What is ATP depletion and how does it affect cells?
What is ATP depletion and how does it affect cells?
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How does mitochondrial damage contribute to cell injury?
How does mitochondrial damage contribute to cell injury?
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Atrophy
Atrophy
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Disuse atrophy
Disuse atrophy
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Denervation atrophy
Denervation atrophy
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Ischemic atrophy
Ischemic atrophy
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Nutritional atrophy
Nutritional atrophy
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Senile atrophy
Senile atrophy
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Increased Cytosolic Calcium
Increased Cytosolic Calcium
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Reactive Oxygen Species
Reactive Oxygen Species
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Membrane Damage
Membrane Damage
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Study Notes
Cell Injury
- Cell injury occurs when cells are stressed or unable to adapt to severe conditions.
- Causes of cell injury include:
- Physical agents (e.g., mechanical trauma, extreme temperatures, radiation, electric shock)
- Chemical agents and drugs (e.g., glucose, oxygen, poisons, alcohol, environmental pollutants, insecticides, herbicides)
- Infectious agents (e.g., viruses, bacteria, fungi)
- Immunological reactions (e.g., allergic reactions, autoimmune diseases)
- Oxygen deprivation (e.g., hypoxia, ischemia)
- Genetic derangements (e.g., Down syndrome, sickle cell anemia)
- Nutritional imbalances (e.g., malnutrition, overnutrition)
Definition of Pathology
- Pathology is the study of suffering.
- Patho means suffering.
- Logos means study.
- It bridges clinical practice and basic science, investigating the cause (etiology) and underlying mechanisms of disease (pathogenesis).
- A disease is an abnormal condition negatively affecting the structure and function of an organism's organs.
- Pathology is divided into general and systemic.
Cellular Response to Stress
- Normal cells experience homeostasis.
- Stress/injury can cause adaptive changes.
- Inability to adapt leads to cell injury.
- Reversible injury can resolve with resolution of the stressor, resulting in various changes in the cells (e.g., cellular swelling, blebbing of the plasma membrane, detachment of ribosomes, clumping of nuclear chromatin).
- Irreversible injury can lead to cell death, either necrosis or apoptosis.
- Necrosis is cell death with an inflammatory response while apoptosis is cell death without an inflammatory response.
Causes of Hypoxia
- A deficiency of oxygen.
- Loss of oxygen-carrying capacity (e.g., anemia)
- Reduced amount of oxygen in the blood (e.g., hypoxemia)
- Impacted blood supply due to impeded arterial flow or reduced venous drainage (ischemia).
Ischemia
- Loss of blood supply.
- Impacts oxygen and metabolic substrates' supply to tissues.
- Ischemic tissues experience injury more rapidly and severely than hypoxic tissues.
Genetic Derangements
- Genetic injury can result in severe defects, like congenital malformations associated with genetic abnormalities (e.g., Down syndrome) or hereditary disorders (e.g., sickle cell anemia).
Nutritional Imbalances
- Malnutrition or overnutrition can cause cell injury.
Mechanism of Cell Injury
- Injury causes various cellular changes (e.g., ATP depletion, mitochondrial damage, increased cytosolic calcium, reactive oxygen species, membrane damage).
- These steps eventually lead to irreversible damage, resulting in necrosis or apoptosis.
Types of Necrosis
- Coagulative necrosis: Denaturation of proteins is the primary pattern, often preserving the basic tissue architecture for some time. Common in most solid organs except the brain.
- Liquefactive necrosis: Dominant enzyme digestion, resulting in tissue liquidification. Common in brain infections.
- Caseous necrosis: A combination of coagulative and liquefactive necrosis, appearing as a cheesy material. A hallmark of tuberculosis.
- Fat necrosis: Focal fat destruction due to activated pancreatic lipase, presenting with a chalky white appearance with calcium deposits.
- Fibrinoid necrosis: Fibrin deposition in damaged blood vessels. Common in vasculitis and hypertension.
- Gangrenous necrosis: Typically coagulative necrosis, often in a limb due to loss of blood supply. Wet gangrene involves bacterial infection superimposed.
Change in Necrotic Cell
- Nuclear alterations include:
- Pyknosis: condensation of chromatin
- Karyorrhexis: fragmentation of the nucleus
- Karyolysis: Dissolution of the nucleus
- Cytoplasmic alterations, including an eosinophilic appearance, granular changes, vacuolization.
Irreversible Cell Injury and Necrosis
- Irreversible damage leads to necrosis; this is a series of changes resulting from the enzymes' degrading action on severely damaged cells.
- Causes include protein denaturation, enzymatic digestion, and loss of cell membrane integrity.
Apoptosis
- Apoptosis is a coordinated, internally programmed cell death.
- It has significance in various physiological and pathological conditions.
- Physiological processes trigger apoptosis, as seen in endometrial shedding, regression of lactating breast, and embryonic development.
- Pathologic processes trigger apoptosis, as seen in viral infections, tumor suppression, and chemotherapy.
Morphologic Changes in Apoptosis
- Involvement of cells in a viable background is a characteristic feature.
- Typically round or oval shrunken cell masses, with intensely eosinophilic cytoplasm.
- The nucleus undergoes changes including chromatin condensation and fragmentation (apoptotic bodies form).
- Importantly, unlike necrosis, no acute inflammatory reaction is associated with apoptosis.
Cellular Adaptations
- Adaptations are altered steady states allowing cells to cope with stress.
- These changes are typically reversible when the stimulus is removed.
Hyperplasia
- Hyperplasia is an increase in cell number.
- Can be physiological (needed) or pathological (excessive).
- Physiological hyperplasia is prompted by hormonal stimulation, like in the proliferation of glandular epithelium during pregnancy or compensatory hyperplasia when tissues need to increase in mass post-damage.
Hypertrophy
- Hypertrophy is an increase in cell size.
- Common in non-dividing cells like myocardial fibers.
- It can be physiological (in response to increased functional needs, like in the growing uterus during pregnancy) or pathological (excessive) due to various stimuli (e.g., increased workload).
Atrophy
- Atrophy is a decrease in cell size and/or number.
- Can be physiological (needed, as in embryonic structures or shrinkage after childbirth).
- Pathological atrophy (excessive) due to diminished workload, denervation, decreased blood supply, nutritional deficiencies, endocrine stress, compression, aging.
- Mechanism of atrophy involves decreased protein synthesis, increased protein degradation, and autophagy.
Metaplasia
- Metaplasia is the reversible replacement of one adult cell type (epithelial or mesenchymal) by another adult cell type.
- Example: columnar to squamous epithelium in habitual smokers (trachea and bronchial changes) or squamous to columnar epithelium (Barrett's esophagus). Connective tissue metaplasias (tissues like cartilage, bone, and adipose tissue form in tissues that don't usually have these elements, like Myositis ossificans) are also observed.
- Mechanism of metaplasia involves signalling events that stimulate reprogramming of stem cells or other resident cells to transform into other cell types.
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