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Lesion
structural change; cut, pimple, bruise, etc.
Pathogenesis
how a lesion developsU
Ulcer
open sore on internal/external surface of the body
Degeneration
type of injury, cells are not yet dead, can lead to cell death, reversible
Cell Death
type of injury, process of death, irreversible
Stimulus
good outcome (ex. running release endorphins), causes adaptation and is reversible
Injury
bad outcome, causes degeneration or death, can be reversible or irreversible
Stimulus vs. Injury
depends on duration, severity, and physiological state
Hypertrophy
an adaptation to stimulus, cells get bigger and is possible in ALL cells; skeletal muscle, heart, organs with no stem cells
Hyperplasia
an adaptation to stimulus, cells proliferate, can be labile or stable cells (only with active stem cells); skin, bone marrow
Permanent Cells
cells that only undergo hypertrophy, already fully differentiated (no stem cells); neurons, cardiac myocyte, skeletal myocyte
Stable Cells
have inactive stem cells, can divide when injured; liver, kidney, major organs, fibrous tissue
Labile Cells
cells with active stem cells; skin, stomach lining, intestine, bone marrow
Cytotoxic Chemotherapy
cancer treatment, targets labile cells which is why it causes hair loss (epithelial labile cells), bone marrow changes, GI issues
Regeneration
type of healing, when the body replaces lost cells, the body chooses this first always
Growth Factors
factors that send cells into the cell cycle, can be positive or negative
Embryonic Stem Cells
pluripotent (immature), can produce any cell in the body (often found in bone marrow)
Adult Stem Cells
when they divide, they can only produce cells in that area, can be reverted back to embryonic stem cells
Necrosis
process of death
Accidental Cell Death
traumatic death; animal hit by car, burn, cut, etc.
Regulated Cell Death
anything other than accidental cell death, including programmed cell death, cell death pathways (found in every cell)
Oncotic Necrosis
Type 3, hydropic cell death, cell swelling
Coagulative Necrosis (Gangrene)
cell stays the same (dead cells look the same as alive ones)
Apoptotic Cell Death
Type 1, cell shrinks, taken up by neighbouring cells/macrophages
Efferocytosis
macrophages carry and remove dead cells from the body
Macroscopic Descriptor
what we can see without a microscope
Histological Descriptor
what we can see under a microscope
Liquifactant Necrosis
cell death with pus, abscess
Caseous Necrosis
cell death that is crumbly, pasty, cheese like
Fatty Change
cell swelling, fat filled instead of water, common in the liver
Autophagic Cell Death
cells digest themselves from the inside out, type II of cell death
Cornification
process of making cornified cells of the epidermis (upper layer falls off)
Intrinsic Cellular Aging
theory that telomeres shorten → can only replicate DNA a certain amount of times
nematodes - have clock genes, and die at a set time
Extrinsic Cellular Aging
exposure to free radicals causes aging (RONS like ODFR and nitric oxide)
ODFR
oxygen derived free radical
Antioxidant
counteracts free radicals (vitamin A, E, C)
BMR and Aging
higher BMR → higher free radical formation → increased aging