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Path Lecture 2
Causes & Interpretation of Necrosis
30
Veterinary Medicine
Not Applicable
02/09/2017

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Cards

Term
What might cause cells to be deprived of oxygen
Definition
-poor oxygenated blood (hypoxia)
-poor oxygen-carrying capacity of blood (anemia)
-poor delivery of blood to tissue (ischemia)
Term
What is an infarct?
Definition
area of ischemic necrosis where all tissue elements are dead
Term
What cellular events lead to necrosis in cases of hypoxia/ischemia?
Definition
[image]
Term
What factors influence how significantly cells/tissue will be affected by ischemia?
Definition
-collateral circulation
-metabolic activity of the tissue
-how quickly ischemia developed
-whether ischemia is arterial or venous
-reperfusion injury
Term
How does the appearance of ischemic tissue vary, depending on whether it was caused by arterial or venous damage?
Definition
arterial: will be pale at first
vemous: will be dark bc of congested blood
Term
Why is interlobular kidney tissue, or tissue supplied by arcuate arteries in the intestine, more susceptible to infarction?
Definition
they are supplied by the 'end' of an artery, more likely to be affected, don't have collateral supply
Term
Describe the pathologic process that might occur in skin affected by septicemia
Definition
-endotoxins damage endothelium of blood vessels
-vessels supplying the skin suffer thrombosis
-infarction in the skin
-lesions become visible
Term
Are intestinal infarcts more likely to be venous or arterial in nature?
Definition
venous, often due to twisting of the intestines creating a kink in venous drainage
Term
What is reperfusion injury / what causes it?
Definition
-returning blood flow = more free radical generation and inflammation
-cells that are already experiencing some degeneration (bc of hypoxia) may be pushed past 'the point of no return' and become necrotic
Term
A fibrotic, depressed region on a kidney is most likely due to...
Definition
old renal infarction
Term
Diamond-shaped skin lesions on a pig are most likely due to..
Definition
septicemia
Term
Intestine with a clear margin between normal healthy tissue and dark red tissue has most likely suffered...
Definition
venous infarction
Term
Large, pale green regions of equine colon are most likely damaged due to...
Definition
loss of arterial supply
Term
A pig with renal stricture, inability to pass feces and damage to the intestinal mucosa at the end of the GIT most likely suffered from...
Definition
enteric salmonellosis inhibiting arterial blood supply, leading to ischemic necrosis, scarring
Term
Chronic administration of NSAIDs in horses often causes...
Definition
renal papillary necrosis
Term
What are two possible causes of ischemic necrosis in an animal's feet?
Definition
frostbite -> vasoconstriction -> ischemia

ergotamine toxin -> vasoconstriction -> ischemia
Term
What influences the pattern/type of a necrotic lesion?
Definition
-whether the noxious insult was bloodborn or inhaled

-suscpetibility of the cells
(cell metabolism, blood supply)
Term
On necropsy, you see a multifocal random distribution of necrotic areas in the liver of a calf. Was this calf most likely infected by a blood-borne or inhaled infectious agent?
Definition
blood borne
Term
How would cells appear differently in a liver affected by hypoxia?
Definition
Zone 1: cells may be swollen/enlarged
Zone 2: cells will show signs of degeneration (eosiniphillic homogenous cytoplasm)
Zone 3: necrosis
Term
What is fibrin?
Definition
polymerized fibrinogen, forms a thin white layer
Term
What is fibrosis?
Definition
scar tissue
Term
A lung lesion that runs in a cranioventral pattern was most likely due to an injurious stimulus that was (inhaled / blood-borne). Why?
Definition
inhaled

-CV lobes are the first to be exposed to bacteria when air enters the lungs, localized lesions are often due to an inhaled substance
Term
A calf's esophagus is covered in multiple lesions & fibrin. What may have caused this?
Definition
-ulcers leading to necrotic tissue caused by a virus
Term
Why do ulcers typically heal by scarring?
Definition
-large area to heal, to repair this area you would need a large number of cells to migrate and cover the surface via regneration

-easier to heal the lesion via fibrosis
Term
What is an ulcer?
Definition
loss of mucosal layer
Term
You euthanize a young animal with a deformed limb. Necropsy reveals a necrotic area in the growth plate of the femur. What caused this and how is it associated with the limb deformity?
Definition
-bacteria likely travelled and settled in the growth plate
-necrosis of one side of the growth plate means that side of the bone would not develop as rapidly
-healthy side of bone will growth more quickly = curved femur (curved towards the necrotic area)
Term
What is sequestrum?
Definition
necrotic tissue that was left behind (necrotic cells weren't removed)
Term
Why is bone tissue prone to sequestrae? What is the signiicance?
Definition
poor blood flow = necrotic region poorly infiltrated by blood = cells not removed

-increases risk of fractures
Term
Why might you see cortical atrophy in the adrenal gland of a dog that has been given corticosteroids?
Definition
exogenous steroids = adrenal gland does not need to produce the same level of steroids itself = cells undergo apoptosis bc lack of use/need
Term
What is capture myopathy?
Definition
mineralization of muscle cells often seen when wild animals are trapped, due to massive release of Ca2+ release and muscle exertion, prolonged anaerobic metabolism etc.

-mineralization of cells as a result of necrosis = muscle will appear white on necropsy
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