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Cell Injury, Cell Death, Adaptations - A detailed structured Notes

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This document provides comprehensive, exam-oriented notes on Cell Injury, Cell Death, and Cellular Adaptations, designed specifically for Medical students, and allied health science students. The content is systematically structured, concept-driven, and clinically correlated, making it ideal for both theory preparation and last-minute revision. What this document covers Foundations of Pathology Definition, scope, branches of pathology Etiology, pathogenesis, morphology, and clinical manifestations of disease Cellular Responses to Stress Homeostasis, adaptation, reversible and irreversible cell injury Cell Injury Reversible injury (hydropic change, fatty change) Irreversible injury and point of no return Cell Death Necrosis: mechanisms, morphology, nuclear changes, biomarkers Patterns of necrosis: coagulative, liquefactive, caseous, fat, fibrinoid, gangrenous Apoptosis: physiologic & pathologic causes, morphology, intrinsic & extrinsic pathways Comparison of necrosis vs apoptosis Other Regulated Cell Death Pathways Necroptosis, pyroptosis, ferroptosis Autophagy Mechanism, regulation, physiologic and pathologic relevance Mechanisms of Cell Injury Mitochondrial dysfunction & ATP depletion Oxidative stress & free radical injury Calcium homeostasis disturbance Endoplasmic reticulum stress & unfolded protein response Clinicopathologic Correlations Hypoxia, ischemia, ischemia-reperfusion injury Chemical and toxic cell injury Cellular Adaptations Hypertrophy, hyperplasia, atrophy, metaplasia (with mechanisms & examples) Intracellular Accumulations Lipids (fatty liver, cholesterol) Proteins & hyaline change Glycogen and pigments (lipofuscin, melanin, hemosiderin, carbon) Key Features Highly structured & well-organized Integrated clinical correlations Clear explanations with mechanisms Exam-relevant tables, summaries, and comparisons Based on standard pathology textbooks (Robbins-oriented concepts)

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Uploaded on
December 18, 2025
Number of pages
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Written in
2025/2026
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Introduction to
Pathology

,Definition & Scope
Pathology = Study of structural, biochemical, and functional changes in cells, tissues, and organs underlying

Uses morphologic, microbiologic, immunologic, and Explains signs & symptoms a
molecular techniques. therapy.


Bridge between basic sciences & clinical medicine — Builds on knowledge of norm
scientific foundation for all of medicine. mechanisms of injury & dea

,Branches of Pathology
1 2
General Pathology Systemic Pathology
Studies common cellular & tissue reactions to injurious stimuli. Studies diseases of specific organ
Reactions often not tissue-specific (e.g., acute inflammation in Examines structural & functional
bacterial infection looks similar in most tissues). each system.

, Four Core Aspects of Disease
1. Etiology – Cause of disease 2. Pathogenesis – Seque
• Genetic: Inherited/acquired mutations, polymorphisms.
biochemical, and cellula
to disease expression.
• Environmental: Infectious, nutritional, chemical, physical
factors. • Central to understanding dise

• Many diseases are multifactorial (e.g., atherosclerosis, • Advanced tools: Genomics, p
cancer). data → precision medicine.
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