click below
click below
Normal Size Small Size show me how
bi240 cell injury
grcc bi 240 cell injury
Question | Answer |
---|---|
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. |