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Necrosis
Examples of Necrosis PP
33
Veterinary Medicine
Professional
01/21/2015

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Term
Definition: Coagulation Necrosis
-Example?
Definition
-necrosis in which the affected cells or tissue are converted into dry, dull, fairly homogenous tissue, as a result of the coagulation or protein
-Ex: acutre ischemia (ex: infarct), some toxins, some infectious agents
Term
Microscopically describe coagulation necrosis
Definition
-the necrotic process causes death of cells with remnants of histologic elements (ex: elastin, collagen, muscle fibers) and cell "ghosts" still recognizable
Term
Definition: Cell ghosts
Definition
-structures and cells are still histologically recognizable, but it is dead
Term
What is a renal infarct an example of? What is it?
Definition
-an acute interruption of blood flow to an area of tissue
-a pale or hemorrhagic infarct in the kidney is the classical example of coagulation necrosis
Term
What is a zonal pattern in a liver affected by coagulation necrosis?
Definition
-all lobules are affected
Term
Visually describe coagulation necrosis.
Definition
-less nuclei, acute cellular swelling, no definitive cell borders, vacuolation
Term
What causes lipidosis?
Definition
-cellular inability to metabolize fats
Term
Definition: Liquefactive Necrosis
Definition
-necrosis characterized by a fairly well-circumscribed, visible lesion that contains purulent exudate
Term
What is purulent exudate? What is it the result of?
Definition
-pus
-the remnants of tissue that became necrotic and was digested by proteolytic enzymes released from disintegrating neutrophils
Term
When is purulent exudat classically observed?
Definition
-in suppurative inflammation and abscesses
Term
True or False: Neutrophils release enzymes that liquefy the tissue when they degenerate.
Definition
-TRUE
Term
Jowl abscesses are common in pigs and are due to _________ infection of the mandibular lymph nodes. It is an example of what kind of necrosis?
Definition
-Streptococcus
-liquefactive necrosis
Term
What are a few ways in which liquefactive necrosis can happen in the brain?
Definition
-middle ear infections that track up to the brainstem
-retroglobe infection follows optic nerves
Term
Definition: Caseous necrosis
Definition
-cheese-like due to macrophage that INCOMPLETELY digest the dead tissue
-the affected tissue appears dry, with crumbly consistency and dull, opaque, often pale yellow (similar to feta cheese)
Term
Machrophage infiltration leads to __________ as opposed to neutrophils that more completely digest tissue into __________.
Definition
-caseation
-pus
Term
Caseous necrosis is characteristic of chronic ______ inflammations (ex: tuberculosis, histoplasmosis) where macrophages are the predominate inflammatory cell in the lesion.
Definition
-granulomatous
Term
Why doe macrophages cause caseous and not liquefactive necrosis?
Definition
-due to low concentrations of proteolytic enzymes
Term
True or False: Caseous necrosis of lymph nodes are very common in goats and to a lesser extent in sheep.
Definition
-FALSE, reversed
Term
Definition: Gangrene
Definition
-death of tissue, usually in considerable mass, generally associated with loss of vascular (nutritive) supply and followed by anaerobic bacterial invasion and putrefaction
Term
Definition: Putrefaction
Definition
-a state of decomposition accompanied by an offensive odor
-in this case, the affected tissue is undergoing post mortem- type decay while the animal is alive
Term
What happens in gangrene cases of distal extremities (ex: due to ergot toxicity, frostbite with secondary bacterial infection)
Definition
-feet will actually slough off
Term
Gangrenous pneumonia is usually associated with __________ and _________. In which type of animals is it particularly severe?
Definition
-aspiration of stomach contents
-accompanying anaerobic bacterial infection
-ruminants
Term
Definition: Fat Necrosis
Definition
-a condition in which the neutral fats in the cells of adipose tissue are split into fatty acids and glycerol, followed by mineralization (saponification) and the deposition of chalky white deposits
Term
Characteristically describe fat necrosis..
Definition
-rigid and chalk-like
-white
Term
When does peripancratic fat necrosis commonly occur in dogs?
Definition
-due to leakage of pancreatic enzymes after/during a case of pancreatitis
Term
The process by which fat necrosis forms is known as _________.
Definition
-saponification
Term
Definition: Ulcer
Definition
-area of cutaneous or mucosal necrosis with sloughing of the external necrotic tissues and exposure of underlying viable tissue
Term
Skin ulcers are often seen overlying ________ or chronic ________ in associated with viral, bacterial, or fungal _________, or with certain immune-mediated skin diseases.
Definition
-tumors
-inflammation
-infections
Term
What are a few causes of gastrointestinal ulcers?
Definition
-chronic renal failure
-non-steroidal anti-inflammatory drug treatment
-bacteria
-viruses
-tumors
-stress
Term
Where are malignant melanomas common in dogs? (we will see overlying ulcers)
Definition
-oral
Term
What is a common cause of lingual ulcers in canines?
Definition
-chronic renal failure
Term
What is feline leprosy? How does it present?
Definition
-rare Mycobacterial infection resembling human leprosy
-presents with cutaneous ulcers
Term
Definition: Immune-mediated disease
-name for this group?
Definition
-group of skin deseases due to antibodies against skin antigens
-name= Pemphigus
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