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16 Cards in this Set

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BARRET ESOPHAGUS

NONCILIATED MUCIN-PRODUCING COLUMNAR CELLS

VITAMIN A DEFICIT

KERATINIZING SQUAMOUS EPITHELIUM

KERATOMALASIA

CERVICAL INTRAEPITHELIAL NEOPLASIA

Related to Human Papiloma Virus (HPV).


CIN 1(<1/3)


CIN 2(1/3-2/3)


CIN 3(2/3<)

DYSPLASIA

OXIDATIVE PHOSPHORYLATION

OXYGEN LAST ELECTRON RECEPTOR

Uses H+ energy to create ATP

BUDD-CHIARI SYNDROME

Hepatic venous outflow tract obstruction


It can be primary (thrombosis or flebitis)


Secundary (cancer, parasites)

LEADS TO ISCHEMIA

METHEMOGLOBINEMIA

Tratment methylene blue which helps reduce Fe (3+) to Fe (2+)

Oxidized Fe (3+) which cannot bind oxygen.


Cause: Oxidant stress (sulfa and nitrate drug) or in newborns


Cianosis with chocolate colored blood.

REVERSIBLE CELULAR INJURY


-cytosol swelling>> loss of microvilli and membrane blebbing


-RER swelling>> ribosome dissociation and ⬇️ proteins

hallmark: cellular swelling

IRREVERSIBLE CELULAR INJURY

-Plasma membrane damage (enzymes in serum, Ca into cell)


-Mitochondrial membrane damage (loss of the electron transport chain, CYTOCROME C into cytosol)


-Lysosome damage (hydrolitic enzymes into cytosol activated by Ca)

Hallmark: membrane damage

NUCLEAR CONDENSATION

PYKNOSIS

NUCLEAR FRAGMENTATION

KARYORRHEXIS

NUCLEAR DISSOLUTION

KARYOLYSIS

INTRINSIC MITOCHONDRIAL APOPTOSIS PATHWAY

-Cellular injury, DNA damage, ⬇️hormonal stimulation>> inactivation of Bcl2


-⬇️Bcl2>> citocrome C (inner mitochondrial matrix) go to citoplasm and activate Caspases

EXTRINSIC RECEPTOR-LIGAND APOPTOSIS PATHWAY

-FAS -] FAS death receptor (CD95) >>activate caspases


-TNF -] TNF receptor >>caspases

CYTOTOXIC CD8+ T CELL-MEDIATED APOPTOSIS PATHWAY

-Perforins (CD8+ T cells) create pores in membranes


-Granzyme (CD8+ T cells) enter and activate caspases

Killing of virally infected cells

ACUTE INFLAMATION

Innate immunity

Edema and neutrophils

ARACHIDONIC ACID

1. Cyclooxygenase: Produces prostaglandins (PG)


PGI2, PGD2, PGE2>>vasodilatation and ⬆️vascular permeability


PGE2>>pain and fever


2. 5-Lipoxygenase: Produces leukotrienes (LT)


LTB4 attracts and activate neutrophils


LTC4, LTD4, LTE4>> vasoconstriction, bronchospasm, ⬆️vascular permeability

Released from phospholipid cell membrane by phospholipase A2


Acted upon by cyclooxygenase/5-lipoxygenase