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60 Cards in this Set

  • Front
  • Back

3 things for hypertrophy to happen

1.Gene activation


2.Protein synthesis


3.Production of organelles

Physiological hyperplasia and hypertrophy

Uterus during pregnancy

Only hypertrophy

1.Neurons


2.Cardiac myocytes


3.Skeletal muscle

Pathological hyperplasia

Endometrial hyperplasia

Exception for pathological hyperplasia developing into dysplasia and cancer

BPH

Decrease in cell number occurs via

Apoptosis

Decrease in cell size occurs via

1.Ubiquitin-proteosome degradation pathway


2.Autophagy

Barrett oesophagus

Metaplasia

Change occurring in Barrett

Squamous epi to columnar nonciliated mucinous epi

Mech for metaplasia

Reprogramming of stem cells

Exception for progression of metaplasia to dysplasia and cancer

Apocrine metaplasia of breasts

Metaplasia due to vit A def

Keratomalacia

Leukemia due to changes in retinoid receptors

Acute promyelocytic leukemia

Rx for APL

Al trans retinoic acid

Mesenchymal tissue metaplasia eg

Myositis ossificans

Eg for dysplasia

CIN

Hypoplasia in Turner

Streak ovary

Causes of hypoxia (3)

1.Ischemia


2.Hypoxemia


3.Decreased O2 carrying capacity of blood

Budd Chiari

Thrombosis of hepatic vein

Most common cause of Budd chiari

Polycythemia vera

Another cause of budd chiari

Lupus (due to Lupus anticoagulant)

Partial pressure of O2 for Hypoxemia

PaO2 < 60 mm Hg; SaO2 < 90%

PaO2-N ; SaO2-N

Anemia

PaO2-N ; SaO2 - Decreased (2)

1.CO Poisoning


2.Methemoglobinemia

Common causes of CO poisoning

Smoke from fires; exhaust from cars and gas heaters

Cherry red skin

CO Poisoning

Early sign of CO poisoning

Headache

Form of iron which binds with O2

Fe2+

Iron in methemoglobinemia

Fe3+

Drugs causing methemoglobinemia (2)

1.sulfa drugs


2.nitrate drugs

Cyanotic with chocolate coloured blood

Methemeglobinemia

Rx of methemoglobinemia

IV Methylene blue

Initial phase of hypoxic injury

Cellular swelling

Irreversible damage in hypoxic injury-hallmark?

Membrane damage

Whr is ETC (electron transport chain)?

Inner mitochondrial membrane

Morphologic hallmark of cell death

Loss of nucleus

Pyknosis

Shrinking of nucleus

Karyorrhexis

Breaking up of nucleus

Coag necrosis eg.

Ischemic infarction exc in brain

Red infarction arises when...

Blood re-enters into loosely organized tissue

Liquefactive necrosis eg. (3)

1.brain infarction


2.abscess


3.pancreatitis

Gangrenous necrosis eg.

1.ischemia of lower limb


2.Ischemia of GI tract

Dry gangrene with superimposed inf

Wet gangrene

Caseous necrosis..appearance

Cottage cheese like

Caseous necrosis is a combo of

Coagulative and liquefactive necrosis

Eg of caseous nec

Granulomatous inflammation due to TB or fungal inf

Fat nec appearance..

Chalky white

Fat necrosis eg. (2)

1.trauma to fat (eg.breast)


2.peripancreatic fat

Eg of dystrophic calcification (2)

1.Saponification


2.psammoma bodies

Psammoma bodies seen in (3)

1.pap ca of thyroid


2.meningiomas


3.pap serous ca of ovary

Fibrinoid necrosis occurs to..

Blood vessel wall

Fibrinoid necrosis on histology

Bright pink staining

Fibrinoid nec is seen in (2) (eg.)

1.malignant htn


2.vasculitis

Fibrinoid nec in a 30s female

Pre-eclampsia (nec of placenta)

Eg of apoptosis (3)

1.endometrial shedding during menstrual cycle


2.removal of cells during embryogenesis


3.CD8 mediated killing of virally inf cells

Apoptosis is mediated by C...

Caspases

Caspases activate.. (2)

1.Proteases


2.endonucleases

3 pathways for activation of caspases


1.Intrinsic mitochondrial pathway (cytC)


2.Extrinsic receptor(CD95)-ligand(FAS) pathway


3.cytotoxic CD8+ T-cell pathway

Molecule stabilising mitochondrial membrane

Bcl2

Molecules involved in t cell mediated apoptosis (2)

1.perforins


2.granzymes