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Grossly, the cerebral infarction at the upper left here demonstrates liquefactive necrosis. WHAT IS THE COMMON CAUSE OF THIS LESION Metaplasia of the normal esophageal squamous mucosa has occurred here, with the appearance of gastric type columnar mucosa THIS IS FROM ESOPHAGUS, IDENTIFY THE LESION Cardiac hypertrophy IDENTIFY THE LESION It is a wedge-shaped pale area of coagulative necrosis (infarction) in the renal cortex of the kidney WHAT TYPE OF NECROSIS IS THIS? Coagulative necrosis, adrenal infarction Coagulative necrosis is most commonly caused by hypoxic conditions that do not involve severe trauma, toxins or an acute or chronic immune response. The lack of oxygen causes cell death in a localised area which is perfused by blood vessels failing to deliver primarily oxygen, but also other important nutrients. WHAT IS THE COMMON CAUSE OF THIS TYPE OF NECROSIS DRY GANGRENE IDENTIFY THIS LESION Giant cells are a "committee" of epithelioid macrophages. Seen here are two Langhans type giant cells in which the nuclei are lined up around the periphery of the cell. Additional pink epithelioid macrophages compose most of the rest of the granuloma NAME THE CELL POINTED BY ARROW. Seen here in a hilar lymph node is a granuloma. Granulomas due to infectious agents such as mycobacteria are often described as "caseating" when they have prominent caseous necrosis WHAT TYPE OF NECROSIS IS THIS? Gangrenous small intestine A Don’t kno B LABEL THIS IMAGE A. --------------B. -------------- Normal Pyknosis Karyorrhexis Label the nuclear changes seen during necrosis Karyolysis FAT NECROSIS Identify the type of necrosis Name the common cause Caused by: Release of activated pancreatic lipases into the substance of the pancreas & peritonial cavity