blood flow Patterns of necrosis. 2. primary hemostatic plug – action of the platelete 1. Liquefactive necrosis- usually seen in the brain. aggregation Bacterial infection, suppuration and amoebic 3. secondary hemostatic plug – more stable abscess . hemostatic plug 2. Gangrenous necrosis - lost of blood supply = 4. thrombosis and anti-thrombotic evnets- stop the liquefactive + coagulative excessive accumulation of the thrombus. - a. Wet- associated Normal hemostasis b. Dry - 3. Caseous necrosis – coagilative + liquefactive and Functions : associated with TB and is cheesy yellow 4. Fat - pancreas- saponification - yellowish spots 1. maintenance of blood in a fluid, clot free state of the fatty tissues. 2. ability to produce hemostatic plug at the site of vascular injury Lipochrome pigment – wear and tear pigment – old age , light brown
Hemosiderin pigments- black pigments. ; iron
Coal – black mockenberg medial calcific sclerosis – calcific deposits
ith luminal narrowing and medial inflammation with a. Carbon – anthracosis b. Tattoo lympophycitis . most common in elderly and female. c. Coal dust – coal worker’s pneumoconiosis Immunologic reaction vs arterial wall, 2. Endogenous Systemic manifestation. a. lipofuscin b. melanin c. hemosiderin Wegenere’s – multinucleated giant cell.
Kawasaki- very young , pediatric age group – viral in
CHF – widened, congested alveolar capillaries with fection ,headache, fever, lymph node enlargement . fibrosis, alveolar edema, hemorrhages and hemosiderin avasculatitis – involving the coronary artery laden macrophages ( chronic passive congestion of the lungs )
Active hyperemia- arteriolar dilatation
Vasculitis – inflammation of the BV – Hemostasis pattern – Few are direct, majority are immune directed . 1. transient vasoconstriction 2. platelet activation 3. activation of coagulation cascade 4. thrombosis Buerger’s disease ( thromboangitis obliterans ) - young, 5. antithrombosis male , .