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27 Cards in this Set

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When a normal cell is in a steady state it is called what?
Homeostasis
A change in homeostasis due to stimuli can cause what 2 options?
1.Cellular Adaption in which the cell adapts to its new environment to survive and is reversible.
2.injury and Cell death (necrosis) which is irreversible
Stress affects normal cell function by either 2 ways:
1. cellular adaptation to maintain func.
2. fail to func and cause an injury which will lead to maladaptive changes and cell death.
What is Cellular Adaptation?
Allows the stressed tissue to survive and maintain function.
Name the 5 types of cellular adaptations:
1. Atrophy
2. Hypertrophy
3. Hyperplasia
4. Dysplasia
5. Metaplasia
What is Pathogenesis?
Events that lead to expression of the disease due to response to cell injury. (how the disease process evolved)
*many times the cause is unknown (idiopathic)
What is Pathognomonic?
characteristic or diagnostic of a specific disease.
you can find signs that resemble a specific disease for diagnosis.
7 Causes (mechanisms) of Cell Injury:
1. Neoplasia
2. Nutritional Imbalance
3. Hypoxia & Free Radical Injury
4. Physical & Chemical Agents
5. Genetic Derangement
6. Infectious Organisms
7. Immunological Rxns
What is a Free Radical?

What 3 things does it to do a cell?
1.Highly reactive chemicals w/unpaired electron causing high reactivity & unstable.
2. a)lipid peroxidation-damage cell membrane
b)damages nucleic acids that make up DNA
c)oxidative modification of proteins- free radical attaches to O2 which changes the shape & func of protein. also cause cross links
What is Hypoxia?
Depletion of oxygen to cell; interrupts production of ATP
Depletion of ATP <5-10% of normal levels causes:
Lose control of:
Na/K pump
Cell Metabolism
Ca metabolism
Protein synthesis
Impaired Calcium Homeostasis is caused by:
ischemia and toxins which increase infux across cell membrane releasing calcium from intracellular stores.
What does an increase in calcium do to the body when it becomes imbalanced?
1. release phospholipases which damage the cell membrane
2. ATPase released that damage ATP
3.Endonuclease released that fragment chromatin
name this types of adaptations
normal
atrophy
hypertrophy
hyperplasia
metaplasia
dysplasia
Review: things that cause membrane damage?
1. increased calcium causing imbalance
2. damaged lipids
3. loss of phospholipids
4. reactive oxygen species
5. cytoskeletal damage
Reversible Cellular Adaptations include:
1. Atrophy
2. Hypertrophy
3. Hyperplasia
4. Dysplasia
5. Metaplasia
6. Accumulations- hydropic changes, fat, amyloid, etc.
observe changes in function
only microscopic changes are seen much longer after death has occured
What is Cellular Atrophy?
Shrinkage in the size of the cell by loss of cell substance
What are causes for cell atrophy?
1. lack of oxygen
2. decreased workload
3. loss/decreased blood supply
4. inadequate nutrition
5. aging
6. loss of endocrine stimulation
Atrophy of the kidneys can be caused by chronic low pressure which send chemicals that do what?
raise BP and cause high BP
What is Cellular Hypertrophy?
an increase in the size of the cell.
there are NO new cells.
what are causes for hypertrophy?
an increase in functional demand or specific hormonal.

Example: bodybuilders
what is a cause of heart hypertrophy?
1.chronic high BP can cause the heart to work harder and the muscle to increase in size.
2.leaky valves also cause the heart to pump harder
What is Cellular Hyperplasia?
an increase in the number of cells in an organ. the tissue volume is increased.
Examples of Hyperplasia?

Examples of Pathologic Hyperplasia?
*caused by excessive hormonal stimulation
1. Hormonal: uterine and breasts growth in pregnancy
2. Compensatory: liver regeneration
1. Endometrial hyperplasia
2. Benign prostatic hyperplasia
What is cellular metaplasia?
reversible change in which one cell type is replaced by another that can better withstand that environment.
What is the most common type of cell change in metaplasia?
columnar to squamous epithelial tissue