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Intro to Clinical Medicine
Cell Injury Objectives
34
Health Care
Graduate
06/30/2007

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Term
Differentiate between reversible cell injury and irreversible cell injury
Definition
cell injury occurs with exposrue to persistant sublethal environmental stress; if stress is removed in time, or if the cell is able to withstand the assault, structural and functional integrity is restored and the injury is thus reversed. Sufficiently severe stress beyond point of no return results in irreversible injury and death of the cell
Term
morphological pattern of cell death
Definition
environmental stresses and coagulative necrosis
Term
coagulative necrosis
Definition
changes in cell cytoplasm and nucleus common to all forms of cellular death
Term
hydropic swelling
Definition
condition of reversible cell injury characterized by a large, pale cytoplasm and a normally located nucleus
*impairment of cellular volume regulation, a process that controls ionic concentrations
Term
List four ultrastructural changes on intracellular organelles which may occur in the hydropic swelling of reversible cell injury
Definition
*endoplasmic reticulum become distended by fluid
*mitochondria swell
*plasma membrane form cytoplasmic blebs
*nucleolus fibrillar and granular components may segregate
Term
List six major cellular adaptive responses to chronic stress
Definition
*atrophy
*hypertrophy
*hyperplasia
*metaplasia
*dysplasia
*intracellular storage
Term
atrophy
Definition
a decrease in the size and function of a cell or organ
Term
hypertrophy
Definition
an increase in the size of a cell/organ accompanied by augmented functional capacity
Term
hyperplasia
Definition
an increase in the number of cells in or organ or tissue
Term
metaplasia
Definition
the conversion of one differential cell to another
Term
dysplasia
Definition
an alteration in size, shape, and organization of the cellular components of a tissue
Term
intracellular storage
Definition
normal function on tissues in multicellular organisms; stores nutritional constituents for use at a later time.
Term
Three Common intracellular nutitional constituents which can accumulate abnormally during dysfunction on intracellular storage
Definition
*fat
*glycogen
*iron
Term
List the three most common causes of cellular death
Definition
*viruses
*ischemia
*physical agents (radiation, extreme temperatures, toxic chemicals)
Term
ischemia
Definition
interference of blood supply to tissues
Term
Morphological Stages that occur during Coagulative Necrosis
Definition
*cell nucleus shows clumping of chromatic with redistribution along the nuclear membrane
*nucleus becomes smaller (pyknosis) and may fragment throughout the cytoplasm (karryorrhexis), or the pyknotic nucleus may be extruded from the cell. The nucleus may show progressive loss of chromatic staining (karyolysis).
Term
pyknosis
Definition
A condensation and reduction in the size of a cell or cell nucleus
Term
karyorrhexis
Definition
fragmentation of the nucleus of a cell undergoing programmed cell death
Term
karyolysis
Definition
nucleus shows progressive loss of chromatic staining
Term
Conditions in which liquefactive necrosis may occur
Definition
Polymorphonuclear leukocytes (PMNs) are acute inflammation cells which congregate generally in response to a bacterial infection; contain hydrolases which are capable of completely digesting dead cells, often forming an abscess. dissolution of tissue.
*brain, CNS
Term
liquefactive necrosis
Definition
when a localized collection of acute inflammatory cells produce rapid death and dissolution of a tissue, often resulting in an abscess
Term
abscess
Definition
collection of pus that has accumulated in a cavity formed by the tissue on the basis of an infectious process (usually caused by bacteria or parasites) or other foreign materials (e.g. splinters or bullet wounds). It is a defensive reaction of the tissue to prevent the spread of infectious materials to other parts of the body.
Term
Etiology of fat necrosis
Definition
affects adipose tissue and most commonly results from pancreatitis or trauma. digestive enzymes found in pancreatic duct and small intestine are released from injured pancreatic cells and ducts into the extracellular space; they digest the pancreas and surrounding tissue including adipose cells
Term
fat necrosis
Definition
when digestive enzymes are released from injured cells into the extracellular space resulting in digestion of surrounding tissues including adipose tissue
Term
Differentiate caseous necrosis from coagulative and liquefactive necrosis
Definition
in caseous necrosis, the necrotic cells do not retain their cellular outlines; however, the cells fail to disappear by lysis as in liquefactive necrosis
Term
caseous necrosis
Definition
the typical lesion of tuberculosis in which the dead cells persist indefinitely as amorphous, coarsely granular, eosinophilic debris
Term
Name an important cause of coagulative necrosis and give a common clinical etiology
Definition
ischemia is the most importnat cause. complications of atherosclerosis are a common cause of ischemic cell injury in the brain, heart, intestines, kidney, and lower extremities
Term
Differentiate between direct and indirect cyopathic viruses
Definition
direct causes lethal injury without involving the host immune system; indirect requires participation of the immune system
Term
Describe two types of pathologic calcification
Definition
dystrophic- deposition of Ca++ salts in the extracellular fluid of injured tissue, and is often visible with naked eye.
metastatic- deranged calcium metabolism and is associated with increased serum calcium concentration
Term
dystrophic
Definition
any abnormal condition (usually nutritional)
Term
metastatic
Definition
change in position, state, or form; spreading from initial site
Term
cell injury
Definition
occurs when environmental changes exceed the capacity of the cell to maintain normal homeostasis through normal cellular adaptations
Term
fibrinoid necrosis
Definition
an alteration of injured blood vessels with the influx and accumulation of plasma proteins
Term
apoptosis
Definition
death of a single cells as a result of activation of a genetically programmed suicide pathway
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