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bi240 cell injury

grcc bi 240 cell injury

QuestionAnswer
How are most diseases started? with cell injury
How does cell injury occur? if it can't maintain homeostasis.
Can injured cells recover? they may or may not recover, they may die...it really depends.
How many causes lead to cell injury FATMANCOP- 9
F of fatmancop fluid imbalance due to lyte imbalance or dehydration leads to cell injury
A of fatmancop Autoimmune- body's ability to attack itself (i.e. lupus) leads to cell injury
T of fatmancop Thermal as heat/cold or radiation can injur cells (think of boiling an egg)leads to cell injury
M of fatmancop Mechanical damage due to physical stress, membrane rupture due to crush injury leads to cell injury
2d A of fatmancop accumalation of wastes due to a build up of waste metabolytes or toxic materials leads to cell injury
N of fatmancop nutritional deficits due to starvation, lack of essential nutrients or enzyme cofactors leads to cell injury
C of fatmancop chemical- exposure to toxins or foreign substances leads to cell injury
O of fatmancop Oxygen deprivation due to hypoxia, hypoxemia or ischemia leads to cell injury
P of fatmancop Pathogens such as a virus or bacteria that can injure cells leads to cell injury
Which is programmed cell death? apoptosis
apoptosis the normal occurence in the body where a cell dies
How do cells self destruct (apoptosis) digest themselves enzymatically then they disintgrate
what is normal apoptosis? development of tissues/organs such as embryogenesis or reduction of WBC's following an infection.
What is pathologic apoptosis? a degenerative disease that leads to cell death
examples of pathologic apoptosis Parkinsons, ALS, Huntington, Alzheimers
When a cell dies due to injury or trauma necrosis
with necrosis, the progression of cell death begins with injury or trauma, then cell swells and then lysis
liquefaction necrosis is common in the brain
examples of liquefaction necrosis brain infarctions or cavitary TB
Liquefaction necrosis- dead cells liquefy due to Bacterial infection which releases enzymes that develop a cavity in brain tissue Neutrophils release lysosomal enzymes that liquify living tissue forming and abscess
coagulative necrosis cell proteins denature (like hard boiled eggs)preventing autolysis
coagulative necrosis found in which organs kidneys, heart and adrenal gland
causes of coagulative necrosis ischema, hypoxia or chemical injury
example of coagulative necrosis area of MI results in scar tissue.
Fat necrosis Lipases breakdown fatty tissue into fatty acids and glycerol
fat necrosis commonly occurs where? breast, pancreas, and abdominal structures.
fat necrosis example acute pancreatitis where enzymes are released into abd cavity resulting in chalky white deposits in fat cells.
caseous necrosis tissue architecture lost ("say cheese")
Common cause of caseous necrosis TB
Caseous necrosis is a combination of liquificative necrosis and coagulation Dead cells disintegrate but debris is not digested completely by hydrolases
Caseous necrosis- what are the Dead cells made of that disintegrate but debris is not digested completely by hydrolases produced by bacterial and fungal infections.
What does caseous necrosis look like or what forms? Thick yellow "clumped cheese" substance forms
What is found inside TB granulomas? it is a mass containing macrophages and lymphocytes, covered by CT then it goes undergoes liquefaction.
gangrene A form of necrosis caused by ischemia, bacterial invasion and putrefacation (foul smelly matter)
Gangrene is caused by severe hypoxia to an extremity due to extreme cold or artherosclerosis.
putrefacation smelling includes ammonia, hydrogen sulfide and mercaptans due to decay of proteins.
Wet (true) gangrene Develops when neutrophils invade site & cause liquefactive necrosis
Were does wet (true) gangrene occur unsually internal organs. Example gangrenous appendicitis
What happens to wet gangrene site site becomes cold, swollen, black and foul smelling.
Dry gangrene usually result of coagulative necrosis
What happens if dry gangrene sets in skin becomes dry and shrinks, turns black/brown
Causes of dry gangrene DM and frostbite
Gas gangrene caused by species of clostridium which is an anaerobic bacteria that produces enzymes and toxins.
What does gas gangrene do? Destroyes connective tissue and RBC cell membranes are destroyed, and gass bubbles are produced in muscle cells.
Gas gangrene results could lead to shock or death
Treatment for gas gangrene antitoxins and oxygens- hyperbaric oxygen therapy
Infarction areas of cells die due to lack of oxygen
Hypoxic injury Lack of oxygenated blood in the heart, or any part of the body
What happens in an infarction? Scar tissue replaces dead tissue.
what happens in an mi hypoxia- decrease in ATP - anaerobic glycolisis- lactic acid production - decrease pH - protein synthesis suppressed - decreased Na and K pump- lytes not regulated- organelles swell.
What are the metabolic/morphologic changes Cell death- releases of lysosomal enzymes into surrounding tissue causing inflammation that could lead to cell destruction.
What is released from necrotic cells & diffuses into blood and can provide clues as to the location of damaged cells enzymes
complications of excessive tissue damage arrythmias, cardiogenic shock, chf, rupture of necrotic tissue, thromboembolism.
Created by: Wends1984
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