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Pathology
Cellular Pathology
73
Medical
Professional
02/10/2007

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Term
Atrophy
Definition
decrease in size of the organ or cell by decrease cell size or number of cells.
Term
Nuclear changes
Definition
1. clumping of DNA histone complexes (chromatin)
2. loosening of interchormatinic substances
3. blebbing of the nuclear membrane
4. nucleolus fragmentation
Term
what is physiologic atrophy
Definition
reduction in uterus size following hormonal withdrawal.
Term
what is pathological atrophy?
Definition
muscle atrophy following denervation or ischemia.
Term
what is aging atrophy
Definition
brown atrophy of the heart.
Term
Hypertrophy
Definition
increase in size of the cell or organ
Term
what is the cause of left ventricular


hypertrophy? and muscle atrophy?
Definition
high blood pressure


weight lifting
Term
Apoptosis
Definition
programmed cell death
Term
Apoptosis mechanism:
Definition
active dying involves gene activation and enzymes action. Occur normally during development, but can be induced by viruses, drugs or others. Does not induce significant inflammatory reaction.
Term
Direct cell killing by viruses
Definition
killing by infection, producing a cytopathic effect. usually virus enters the cell membrane, producing a pore that leads to fatal fluid and ion shifts.
Term
Two ways of cell killing by viruses
Definition
direct killing and secondary immune-mediated killing
Term
secondary immune mediated cell killing by viruses
Definition
Killing of virus-infected cells. were the viruses induce neoantigens, which are recognized by the cellular immune system. Infected cells are killed by immune cells such as T-lymphocytes or natural killer cells.
Term
Coagulation necrosis
Definition
may be caused by ischemia or parenchymal organs and is typically seen in a myocardial infract caused by coronary artery obstruction. Also resembels cooked meant/eggs (yack!!).
Term
fat necrosis
Definition
caused by enzymatic action of lipase on fat. typically, it is found in association with acute pancreatitis, but sometimes it is also found in areas of traumatic injury to fat.
Term
caseous necrosis
Definition
found in tuberculosis and some fungal diseases. Its name is derived from the cheesy apperenace of the necrotic tissue, which resembles the curds that develop during the production of cheeses.
Term
caseous necrosis in TV
Definition
this necrosis is usually found in the center of granulomas and composed to epitheliod macrophages, a GIANT CELLS, and lymphocytes.
Term
examples of Giant cells
Definition
longer ells
foreign body---cells
tumor---cells
juvenile xanthomate
Term
fibrinoid necrosis
Definition
histological change seen in small blood vessels affected by autoimmune diseases such as polyarteritis nodosa or by malignant hypertension. The walls of the vessels contain foci of homogeneous or granular eosinophilic material rich in fibrin.
Term
Inflammation
Definition
is a natural defense response of multicellular organisms reacting to an injury or irritation. It can be causes by chemical, physical, living organism, electrical, and immunological agents.
Term
predominate cells of acute inflammation
Definition
Neutrophils are predominate in this inflammation. hallmark of mammalian response to injury.
Term
predominant cells of chronic inflammation
Definition
monocytes, macrophages, lymphocytes and plasma cells (mononuclear leukocytes) are predominate in this inflammation.
Term
predominant cells of parasitic reaction?
Definition
eosinophils are predominate cells in this reaction
Term
Contents of Macrophages




Action of Macrophages
Definition
acid hydrolase, protease, lysozymes, pyrogen.



Action: ingest micro molecules by pinocytosis.
Term
membranous inflammation
Definition
an epithelium becomes coated by fibrin, desquamated epithelial cells and inflammatory cells. An example is the grey membrane seen in pharyngitis or laryngitis due to Corynebaeterium diphtheriae.
It also causes pseudomembranous colitis.
Term
Pseudomembranous colitis
Definition
caused by Clostridium difficile bacteria
Term
Pseudomembranous colitis
Definition
caused by Clostridium difficile bacteria
Term
repair
Definition
replacement of dead cells by living ones
Term
two types of repair
Definition
1. healing by primary union, a clean surgical incision wound.

2. healing by secondary union, large irregular wound.
Term
regeneration
Definition
is a form of healing in which the tissue defects is replaced by identical cells.
Term
parenchymatous repair
Definition
occurs in organs composed of cells that divide.
Term
fibrous repair
Definition
repair of organs that are not capable of cell division is accomplished by scarring
Term
stable cells
Definition
in kidney tubules
Term
permanent cell
Definition
cells found in heart, brain, skeletal muscle. Cannot go complete generation
Term
natural immunity
Definition
does not require priming or sensitization, and it is not enhanced by previous exposure to the inciting agents. It does not discriminate btw various types of injurious agents, lacks specificity.
Term
acquired ammunity
Definition
immunity maintained by several sets of cells that undergo a complex interaction when stimulated by foreign materials or microbes called antigens. it is able to respond to almost any antigen it may encounter. the primary components are lymphocytes and plasma cells. It has specificity
Term
Antibody IgM
Definition
first antibody to be secreted on antigen stimulate. it is the largest immunoglobulin, and is a pentamere of high molecular weight.
Term
Antibody IgG
Definition
most abundant inmmunoglobulin in blood. It is the only antibody to cross placenta, and is produced by re-exposure to the same antigen.
Term
macrophages
Definition
these cells are part of the mononuclear phagocytic system. they function in inflammation, natural immunity, and aquired immunity
Term
the macrophages functions in acquired immunity
Definition
1. processing and presentation of antigen to T lymphocytes

2. production of cytokines which acts on other cells of immune system.
Term
Hypersensitivity I
Definition
immediate hypersensitivity. it is initiated by antigen reacting with cell-bound antibody-IgE. Mast cell and basophil are attached by IgE. Immune mediators such as histamine, leukotriene, prostaglandin are released causing vasodilation, increased vascular permeability.
Term
Hypersensitivity II
Definition
It is also called antibody-mediated cytotoxcicity. the antibodies (IgM or IgG) react with normal or altered cell surface component leading to subsequent destruction or inactivation of the target cell.
Term
Hypersensitivity Type II-two antibody mediated cytotoxicity occur
Definition
1. Complement mediated cytotoxicity

2. Antibody dependent cell mediated cytotoxicity
Term
Complement mediated cytotoxicity
Definition
in this reaction, the binding of antibody with cell surgace antigen causes complement to be activated via classical pathway. this results in activation of terminal complement component (membrane attack unit) which directly lyse the cell membrane.
Term
antibody dependent cell mediated cytotoxicity
Definition
in this reaction, target cell coated with antibody are lysed by killer cells.
Term
Hypersensitivity III
Definition
It is also called cell mediated or delayed hypersensitivity. It does not require the presence of antibody and characteristically delayed from any where from about 24 hours to 2 weeks.
Term
Hypersensitivity III--Three types of cell mediated hypersensitivity
Definition
1. delayed type hypersensitivity: example-tuberculin reaction and sarcoidosis
2. cell mediated cytotoxicity: example-transplant rejection
3. NK cell cytotoxicity: example-viral or tumor target.
Term
SLE autoantibodies
Definition
autoimmune dz. antibody to native double stranded DNA antibody is highly diagnostic for lupus.
Term
Rheumatoid arthritis: etiology and pathogenesis
Definition
autoimmune disease: rheumatoid factor (antibody against immunoglobulin G) is characteristics. Serum titre depend on severity of disease.
Term
Scleroderma Marker
Definition
autoimmune disease: Antibody o Scl-70, antinucleaolar antibodies are diagnostic for systemic sclerosis, antibody to centromere (anticentomere antibody) is diagnostic for lesser aggressive form called crest syndrome.
Term
Sjogren Syndrome
Definition
autoimmune disease:
-dry mouth,eyes, and salivary gland enlargement.
-Increased risk of lymphoid malignancy
-Anti-SS-B and antiSS-A antibody are diagnostic
Term
Primary Billiary cirrhosis
Definition
autoimmune disease: jaundice and pruritus. antimitochondrial antibody is diagnostic.
Term
Etiology of AIDS
Definition
HIV virus; a retrovirus
Term
embolism
Definition
when embolus (clot) objects migrate from one part of the body through circulation and causes a blockage of a block vessel in another part of the body.
Term
etiological factors of cancer
Definition
1. age
2. hereditary
3. race and geography
Term
squamous cell carcinoma
Definition
tissue or cell of origin is squamous epithelium.
Term
leiomyosarcoma
Definition
mesenchymal smooth muscle tissue of origin
Term
rhabdomyosarcoma
Definition
tissue of origin is mesenchymal striated muscle.
Term
grading
Definition
cellular differentiation of the tumor. is based on microscopic features of tumor cell and arrangement. the appearance of cell, presence of cytologic and histologic features of anaplasia. it is rated as low, high, and intermediate. Low=better prognosis than high.
Term
staging
Definition
is the assessment of extent of tumor spread by clinical and pathologic means. TNM system is used. Size and local invasion of primary tumor, involvement of regional distant lymphnode, presence or absence of mets to organs other than primary site.
It is the most important prognostic indicator.
Term
venous thrombosis
Definition
seen in hypercoagulation
Term
thrombosis
Definition
solid aggregates of blood formed during coagulation.
Term
Conditions where thrombosis is considered pathologic
Definition
1. when formed under inappropriate circumstances (in intact vessels as in varicose vein)
2. when formed in some pathologically altered vessels (atherosclerotic aorta, carotid artery)
3. when formed uncontrollably (as in DIC)
Term
klinefelters
Definition
47 XXY eunuchoid tall male, infertility, testicular atrophy, high FSH and estrogen, no male type hair body, gynecomastia (female breast).
Term
turner syndrom
Definition
45, x, one abnormal ring chromosome. short female with web neck (pterygium coli), infertility, streak gonads, coarctation of aorta, broad chest with wide spaced nipple, estrogen therapy restores secondary sex characteristics ut not fertility.
Term
down syndrome
Definition
47, xx 21*, typical facies, mental retardation
Term
atherosclerosis
Definition
narrowing of arteries. characterized by formation of atheroma, elevated plaque. atheroma narrow arterial lumen, damage tunica media, forming calcification, ulceration with thrombus formation, intraplague hemorrhage.
Term
risk of atherosclerosis
Definition
1. hypercholesterolemia

2. hypertension
Term
arteriolosclerosis
Definition
narrowing of arteries. characterized by band liked calcification within the tunica medial of medium of medium sized arteries and arterioles.
Term
arteritis
Definition
primary generalized disease of the arteries resulting from inflammatory of immunologically mediated process. an abscess is not arteritis
Term
giant cell arteritis
Definition
is characterized by the presence of ----cells in the inflammatory lesion of the arteries. However, the presence of the ---cells is not required for histological diagnosis.
Term
temporal arteritis
Definition
form of giant cell arteritis found most commonly in old women
Term
gummetal (gumma) necrosis
Definition
syphilitic aneurysm, where syphilis occludes vasa vasorum by endarteritis with perivascular infiltration of plasma cells.
Term
Digeorge syndrome
Definition
disorder caused by the deletion of a small piece of chromosome 22. Characteristics include heart defects, an opening in the roof of the mouth, learning disabilities, recurrent infections caused by problems with the immune system, and mild differences in facial features. Affected individuals may also have kidney abnormalities, low levels of calcium in the blood (which can result in seizures), significant feeding difficulties, autoimmune disorders such as rheumatoid arthritis, and an increased risk of developing mental illnesses such as schizophrenia and bipolar disorder.
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