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11 Cards in this Set

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Ischemia
inadequacy of blood flow
will lead to cell atrophy or even cell death
hypoxia
What is the process of cellular injury?
1. Biochemical changes
2. Functional abnormality
3. Morphological change
4. Adaptation
4 steps
Biochemical changes of cellular injury
few injuries understood at this level
Functional abnormality caused by cellular injury
normal cell function disturbed
fail to contract, secrete or whatever else cell is supposed to be doing
Morphological change caused by cell injury
accumulation of water (cellular swelling or cloudy swelling) occurs when metabolism (i.e. active transport) is interfered with

hydropic or vacuolar change cell organelles converted to enlarged vacuole like sacs
card 1
Morphological change caused by cell injury
accumulation of lipid - especially common in liver because liver is active in exchange of lipids.
Cell removes lipids from circulation and:
oxidizes it for energy
combines it with protein for transport in blood
card 2
Morphological change caused by cell injury
fat accumulation?
too much fat is presented to cell
metabolism interfered with
protein deficient (proteins usually combine with lipid to keep it soluble for transport in the circulation)
card 3
Adaptation after cell injury
Hypertrophy - increase in size (increase output to match increased demand)
Atrophy - reduction in size (reduces demand for nutrients, etc to match supply)
Inflammation
vascular reaction resulting in delivery of fluid, dissolved substances, and cells to the injured area
Cardinal signs of Inflammation
redness (due to hyperemia or congestion)
heat (also due to increased blood flow)
swelling (due to fluids and cells)
pain
Fluid aspects of inflammation
changes in capillary dynamics - helps bring more raw material to battleground
increase in local BP (histamine dilates blood vessels)
increased permeability to protein - actual change in endothelium due to histamine