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| | ====Histological Appearance of Fatty Change==== | | ====Histological Appearance of Fatty Change==== |
| − | *** The fat appears either as globules or in varying sizes of vacuoles in the cytoplasm.
| + | |
| − | In the heart, it | + | * The fat appears either as globules or is contained in varying sizes of vacuoles in the cytoplasm. |
| − | appears as tiny groups of | + | ** In the heart, it appears as tiny groups of vacuoles dispersed along the myofibrils throughout the whole cell. |
| − | vacuoles dispersed along | + | ** In the liver and kidney, these vacuoles tend to, but not always, coalesce (come together; |
| − | the myofibrils | + | fuse with one another ) to form larger ones, and you may see one or more large globules filling the cytoplasm with displacement of the nucleus to the periphery of the cell. |
| − | throughout the whole | + | The nucleus remains normal unless the degree of fatty change becomes incompatible with the continued existence of the cell. |
| − | cell. In the liver and | |
| − | kidney, these vacuoles | |
| − | tend to, but not always, | |
| − | coalesce (come together; | |
| − | fuse with one another ) | |
| − | to form larger ones, and | |
| − | you may see one or | |
| − | more large globules | |
| − | filling the cytoplasm | |
| − | with displacement of the nucleus to the periphery of the cell. The nucleus remains normal | |
| − | unless the degree of fatty change becomes incompatible with the continued existence of the | |
| − | cell. | |
| | To decide whether or not a vacuole in the cytoplasm of a hepatocyte is fat ( because there are | | To decide whether or not a vacuole in the cytoplasm of a hepatocyte is fat ( because there are |
| | two further conditions which may produce vacuoles in hepatocytes, namely the vacuolar | | two further conditions which may produce vacuoles in hepatocytes, namely the vacuolar |
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| | These sections are over twice as thick as those attained by sectioning paraffin blocks, and so | | These sections are over twice as thick as those attained by sectioning paraffin blocks, and so |
| | there may be some overlap of cells on the section, and less clarity of the individual cells. | | there may be some overlap of cells on the section, and less clarity of the individual cells. |
| − | 17
| + | |
| − | Causes of 'fatty change' | + | ====Causes of Fatty Change==== |
| | 1. Dietary and Metabolic | | 1. Dietary and Metabolic |
| | a. Starvation - this is an increased mobilisation of fat from the body fat stores in response to | | a. Starvation - this is an increased mobilisation of fat from the body fat stores in response to |