Reversible Cell Injury & Degeneration

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Questions and Answers

Which of the following is NOT a type of cellular adaptation to stress?

  • Hyperplasia
  • Irreversible cell death (correct)
  • Atrophy
  • Metaplasia

Reversible cell injury always leads to cell death if the stressor is not removed.

False (B)

Define 'degeneration' in the context of cell injury.

Reversible morphological changes affecting cells due to absence of adaptation or when cell adaptation is exceeded

__________ change is characterized by the intracellular accumulation of fat.

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

Match the degree of hydropic degeneration with its description:

<p>Mild = Cloudy swelling Moderate = Vacuolar degeneration Severe = Hydropic degeneration</p> Signup and view all the answers

Which of the following organs is LEAST likely to be affected by hydropic degeneration?

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

Cloudy swelling in hydropic degeneration is primarily caused by increased influx of water into the cell.

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

List three causes of fatty change ('steatosis').

<p>Bacterial toxins (diphtheria), Chemical toxins, Malnutrition and chronic alcoholism</p> Signup and view all the answers

In fatty change, fat globules distend the cell and may unite into a single large one, pushing the nucleus to the side, creating a __________ cell.

<p>signet ring</p> Signup and view all the answers

Which of the following is a characteristic gross feature of organs affected by fatty change?

<p>Pale yellow color (C)</p> Signup and view all the answers

Accumulation of MPS in epithelial cells results in mucoid degeneration.

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

Describe the appearance of hyaline material.

<p>Homogeneous, structureless, eosinophilic</p> Signup and view all the answers

Hyaline degeneration involves the deposition of a __________ material either intracellularly or extracellularly.

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

Deposits of ____ cause mucoid change in nasal mucosa in case of catarrhal inflammation.

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

Accumulation of mucin in epithelial cells results in Myxomatus degeneration.

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

Match the cause of degeneration to its location

<p>Accumulation of mucin = Epithelial cells Accumulation of MPS = Connective tissue</p> Signup and view all the answers

Which of the following is NOT an example of reversible cell injury?

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

Mitochondrial fragments is a feature of hydropic degeneration.

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

What is the primary cause of cloudy swelling in hydropic degeneration?

<p>Mitochondrial swelling fragmentation, failure of sodium pump, retention of sodium and water inside cells</p> Signup and view all the answers

A liver affected by marked steatosis would appear __________ on gross examination.

<p>pale yellow</p> Signup and view all the answers

Which of the following is LEAST likely to be associated with fatty change of the liver?

<p>Vitamin C deficiency (B)</p> Signup and view all the answers

Steatosis can affect only the liver.

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

Define hyaline degeneration.

<p>Intracellular or Extracellular deposition of a homogeneous, structureless, eosinophilic material</p> Signup and view all the answers

In microscopy the hyaline deposits appear colorless or __________ colored

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

In case of catarrhal inflammation of the nasal mucosa what change is observed?

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

Mucoid change is defined as the excessive deposition of collagen.

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

Name two features of tissues that indicate hydropic swelling

<p>mild cloudy swelling and or severe hydropic degeneration</p> Signup and view all the answers

Bacterial and chemical toxins cause the abnormal accumulation of ________

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

Which statement summarizes hyaline degeneration in pathology:

<p>Homogenous material depositions intra or extracellularly (D)</p> Signup and view all the answers

Chronic alcoholism can result in fatty change.

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

Flashcards

Cell Stress

Cellular response to stressors, potentially leading to adaptation or injury.

Degeneration

Reversible morphological changes affecting cells due to absence of adaptation or exceeded cell adaptation limits.

Hydropic Degeneration

Reversible cell damage characterized by the accumulation of water inside cells.

Cloudy Swelling

Mitochondrial swelling and fragmentation leading to ATP production failure and retention of intracellular sodium and water.

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Hydropic Degeneration Mechanism

Increased cell membrane permeability leading to influx of water.

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Fatty Change (Steatosis)

Abnormal accumulation of fat inside cells.

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Microscopic Appearance of Steatosis

Fat globules distend the cell, unite, and push the nucleus to the side.

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Hyaline Degeneration

Intracellular or extracellular deposition of a homogeneous, structureless, eosinophilic material.

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Mucoid Degeneration

Accumulation of mucin in epithelial cells.

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Myxomatous Degeneration

Accumulation of MPS in connective tissue.

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Study Notes

  • Reversible cell injury includes cell stress, adaptation, and cell injury
  • Cell injury can be reversible via degeneration, or irreversible via cell death

Reversible Cell Injury and Changes

  • Reversible cell injury is associated with disturbed water, fat, and mucopolysaccharide metabolism, as well as hyaline change.

Degeneration Defined

  • Degeneration is the reversible morphological changes affecting cells in the absence of adaptation, or in the case of exceeded cell adaptation.

Hydropic Degeneration

  • Hydropic degeneration is reversible cell damage characterized by the accumulation of water inside cells.
  • The degree of water accumulation determines the naming of the degeneration:
    • Mild accumulation results in cloudy swelling.
    • Moderate accumulation results in vacuolar degeneration.
    • Severe accumulation results in hydropic degeneration.

Organs Affected by Hydropic Degeneration

  • Specialized cells of parenchymatous organs such as the kidney, liver, and heart are affected.

Pathogenesis of Hydropic Degeneration

  • Cloudy swelling involves mitochondrial swelling fragmentation.
  • ATP production fails due to the inactivation of the Na pump, causing retention of Na and water inside cells.
  • Hydropic degeneration involves increased cell membrane permeability, leading to an influx of water.

Fatty Change (Steatosis)

  • Fatty change, or steatosis, denotes the abnormal accumulation of fat inside cells.
  • Causes of steatosis include bacterial toxins (diphtheria), chemical toxins, malnutrition, and chronic alcoholism.

Organs Affected and Gross Appearance of Steatosis

  • The liver, kidney, and heart are organs affected by steatosis.
  • Grossly, affected organs increase in size and appear pale yellow and soft.

Microscopic Features of Steatosis

  • Fat globules distend the cell and unite to form a single, large globule that pushes the nucleus, creating a "signet ring cell" appearance.

Learning Resources for Practical Lessons

  • Accumulation of mucin in epithelial cells results in mucoid degeneration.
  • Accumulation of MPS in connective tissue results in myxomatous degeneration.

Hyaline Degeneration

  • Hyaline degeneration involves intracellular or extracellular deposition of a homogeneous, structureless, and eosinophilic material.
  • Hyaline changes can be observed in plasma cells and thickened blood vessel walls.

Mucoid Change

  • Mucoid change can be observed in the nasal mucosa in cases of catarrhal inflammation, where the pseudostratified columnar ciliated epithelium is affected.

Myxoid Background

  • Myxoid background manifests as a section in a tumor tissue showing a myxoid substance.

Liver Cirrhosis

  • Liver cirrhosis: a change in the tissue architecture and framework of the liver.
  • In contrast to a normal liver, this occurs with chronic malnutrition, which can lead to generalized atrophy and fatty change of the liver.

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