Rudolf Virchow
Physician and biologist that introduced the concept of cellular pathology.
What can be seen under a light microscope vs electron microscopes?
Nuclei and basic cell shapes.
Small details such as cell membranes.
Lipofuscin
Brown pigment composed of oxidised lipids and known as the “brown fat of aging”
Undigested complex lipids that accumulate in aging tissues.
What is ischemia
Low blood supply
What is hypoxia
Low oxygen
What is anoxia
No oxygen
Cellular swelling
Swollen microvilli, invagination of the cell membrane, swollen mitochondria, dilated RER, loss of intracellular contact.
Nuclear changes in irreversible cell injury
Pyknosis, karyorrhexis, and karyolysis.
Pyknosis
Nuclear condensation
Karyorrhexis
Nuclear fragmentation
Karyolysis
Dissolution of the nuclear structure as a result of enzymatic digestion
What is troponin in blood indicative of
Myocardial infarction as cells release contents into the extracellular space when undergoing lysis.
Liver cell evidence of lysis
Aspartate aminotransferase, alanine aminotransferase.
Cyanide cell injury
Block cytochrome C oxidase in the mitochondrial ETC, blocking ATP production.
Quebec beer-drinker’s cardiomyopathy
Cobalt poisoning after CoSO4 was used to improve foam stability
S. aureus food poisoning cell injury
Exotoxin crosses enterocytes to act on T cells and induce violent inflammation, diarrhea, and vomiting.
S. aureus impetigo cell injury
Invades skin and replicates, neutrophils respond and attack. Can be identified in skin using a gram stain.
Directly cytopathic
Virus alone is toxic to the cell
Indirectly cytopathic
Damage caused by host inflammatory cells in response to the infection
RSV cell injury
Directly cytopathic. Results in multinucleation of lung pneumocytes
Chronic Hep B cell injury
Indirectly cytopathic to hepatocytes
Candida cell injury
Induces brain abscesses. Silver stain shows the fungi.
Giardia cell injury
In the duodenum causes inflammation and diarrhea.
Mediators of inflammation that cause cell injury
Sepsis
Cytokines
Complement proteins