What are physiologic adaptations?
Responses of cells to normal stimulation by hormones or mechanical stress.
What are the three patterns of nuclear changes in necrotic cells?
Pyknosis, karyorrhexis, and karyolysis.
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Physiologic Adaptations

What are physiologic adaptations?

Responses of cells to normal stimulation by hormones or mechanical stress.

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Cell Injury

What are the three patterns of nuclear changes in necrotic cells?

Pyknosis, karyorrhexis, and karyolysis.

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Cell Injury

What occurs during karyorrhexis?

Fragmentation of the pyknotic nucleus.

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Cell Injury

What stimulates the local host response called inflammation?

Leakage of cell contents through damaged plasma membrane.

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Homeostasis

What is homeostasis in the context of cellular adaptation?

The ability of the cell to maintain a dynamically stable internal state.

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Causes of Cell Injury

What are examples of genetic abnormalities?

Chromosomal abnormalities and specific gene mutations, such as congenital malformations in Down syndrome and sickle cell anemia.

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Causes of Cell Injury

What is hypoxia?

Oxygen deficiency that affects aerobic oxidative respiration and ATP generation.

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Causes of Cell Injury

What are some causes of hypoxia?

Ischemia due to arterial obstruction, inadequate oxygenation of blood, and reduction in oxygen-carrying capacity (e.g., anemia, carbon monoxide poisoning).

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Cell Injury

What happens during karyolysis?

Dissolution of the nucleus with fading basophilia due to DNase activity.

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Physiologic Adaptations

What are the two types of hypertrophy?

Physiologic and pathologic.

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Pathologic Adaptations

What can cause metaplasia in the urinary bladder?

Bilharzial infection can cause transitional epithelium to change into squamous epithelium.

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Cell Injury

What is a characteristic feature of necrotic cells observed by electron microscopy?

Discontinuities in plasma and organelle membranes.

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Reversible vs Irreversible Cell Injury

What is reversible cell injury?

A stage of cell injury where function and morphology can return to normal if the damaging stimulus is removed.

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Reversible vs Irreversible Cell Injury

What causes cellular swelling in cell injury?

Sodium and water influx due to failure of energy-dependent ion pumps in the plasma membrane.

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Cell Death

What enzymes are responsible for the digestion of the cell during necrosis?

Enzymes derived from lysosomes of dying cells or from recruited leukocytes.

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Physiologic Adaptations

Give an example of physiologic hypertrophy.

Enlargement of the uterus during pregnancy due to estrogen.

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Pathologic Adaptations

What is an example of mesenchymal metaplasia?

Bone formation in soft tissues, particularly in areas of injury.

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Pathologic Adaptations

What are pathologic adaptations?

Responses to stress that allow cells to modulate their structure and function to escape injury, but at the expense of normal function.

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Cell Injury

What characterizes pyknosis?

Nuclear shrinkage and increased basophilia with DNA condensing into a dark shrunken mass.

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Reversible vs Irreversible Cell Injury

What gross changes occur in organs affected by cellular swelling?

Pallor due to compression of capillaries and an increase in organ weight.

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Physiologic Adaptations

What causes physiologic hypertrophy?

Increased functional demand or hormonal stimulation.

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Cell Injury

What cytoplasmic change is observed in necrotic cells under a light microscope?

Increased eosinophilia due to increased binding of eosin to denatured cytoplasmic proteins and loss of basophilic RNA.

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Physiologic Adaptations

What stimulates cellular proliferation in hyperplasia?

Hormones or growth factors.

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Cellular Adaptation

What is atrophy?

Shrinkage in the size of cells due to loss of cell substance.

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Cellular Adaptation

What happens to tissue when a sufficient number of cells undergo atrophy?

The entire tissue or organ is reduced in size.

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Pathologic Adaptations

What is metaplasia?

A change where one adult cell type is replaced by another adult cell type better able to withstand adverse environments.

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Reversible vs Irreversible Cell Injury

What characterizes reversible cell injury?

It occurs when the stress is mild or transient, allowing cells to return to their stable baseline.

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Causes of Cell Injury

What physical agents can cause cell injury?

Trauma, extremes of temperature, radiation, electric shock, and sudden changes in atmospheric pressure.

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Reversible vs Irreversible Cell Injury

What is fatty change manifested by?

The appearance of cytoplasmic lipid vacuoles.

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Reversible vs Irreversible Cell Injury

What are some ultrastructural changes of reversible cell injury?

Plasma membrane changes, mitochondrial swelling, dilation of the ER, nuclear changes, and myelin figures.

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Necrosis and Apoptosis

What morphological changes characterize necrosis?

Changes in the cytoplasm and nuclei of injured cells.

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Pathologic Adaptations

What is epithelial metaplasia?

A type of metaplasia where normal epithelial cells are replaced by a different type, such as in smokers where ciliated columnar cells are replaced by stratified squamous epithelium.

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Cell Injury

What appearance may necrotic cells have due to loss of glycogen?

A glassy, homogeneous appearance.

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Causes of Cell Injury

How does aging affect cells?

Aging impairs replicative and repair abilities of cells, diminishing their ability to respond to damage and leading to cell death.

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Types of Cellular Adaptations

What is hypertrophy?

An increase in the size of cells resulting in an increase in the size of the organ, without the formation of new cells.

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Cell Death

What are the two main forms of cell death?

Necrosis and apoptosis.

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Physiologic Adaptations

What is the aim of cellular adaptation?

To achieve a new steady state while preserving viability and function.

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Causes of Cell Injury

What nutritional imbalances can lead to cell injury?

Excess or deficiency, such as protein-calorie insufficiency, specific vitamin deficiencies, and excessive dietary fat intake.

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Reversible vs Irreversible Cell Injury

What do small, clear vacuoles within the cytoplasm represent?

Distended and pinched-off segments of the endoplasmic reticulum.

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Reversible vs Irreversible Cell Injury

In which organs is fatty change principally seen?

In organs involved in lipid metabolism.

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Cell Injury

What may replace dead necrotic cells?

Myelin figures that may be phagocytosed or degraded into fatty acids.

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Pathologic Adaptations

What is pathologic hypertrophy?

Hypertrophy caused by conditions like systemic hypertension or aortic stenosis.

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Physiologic Adaptations

What is hyperplasia?

An increase in the number of cells in an organ due to increased proliferation.

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Physiologic Adaptations

Give an example of physiologic hyperplasia.

Hormonal hyperplasia of the female breast at puberty.

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Causes of Cell Injury

What are some causes of atrophy?

Decreased workload, loss of innervation, diminished blood supply, inadequate nutrition, loss of endocrine stimulation, and aging.

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Necrosis and Apoptosis

What does necrosis refer to?

Morphological changes accompanying cell death due to loss of membrane integrity.

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Cell Injury

What happens to cells when they are exposed to stress or pathological stimuli?

Cells may adapt, become injured reversibly, or suffer irreversible damage and die.

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Causes of Cell Injury

What leads to irreversible cell injury?

Severe, persistent, and rapid onset stress that exceeds the adaptive capability of the cell.

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Cell Injury

What happens to mitochondria in necrotic cells?

Marked dilation with large amorphous densities.

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Reversible vs Irreversible Cell Injury

What are the two most consistent forms of reversible cell injury?

Cellular swelling and fatty change.

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Reversible vs Irreversible Cell Injury

What characterizes irreversible cell injury?

Inability to restore mitochondrial function, loss of membrane structure, and loss of DNA integrity.

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Causes of Cell Injury

What are immunologic reactions?

Reactions such as autoimmune reactions against an individual's own tissues and allergic reactions against environmental substances.

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Causes of Cell Injury

What are common causes of cell injury?

Hypoxia, ischemia, chemical agents, and infectious agents.

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Causes of Cell Injury

What is ischemia?

Reduced blood supply to tissues, often leading to hypoxia.

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Causes of Cell Injury

What types of agents can cause cell injury?

Chemical agents like air pollutants, insecticides, and drugs, as well as infectious agents like viruses and bacteria.

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Cell Injury

What can result from the degradation of dead cells into fatty acids?

Calcified dead cells due to binding with calcium salts.

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