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Musculoskeletal Group Case #1 4/21/08 Brian Caserto
Lesion Cause Relationship Pig 1 Massive/ Centrilobular Hepatic Necrosis Vit E/ Selenium Deficiency    increased free rad   oxidative necrosis Vit E- Cell membranes   Free radical scavenger Selenium    Cytosol    free radical scavenger Pig 2 Gastric Ulcer Microangiopathy Induced by Vit E Selenium def Local ischemia   infarciton    necrosis and ulceration Epicardial Hemorrhage Microangiopathy Vessel damage   hemorrhage Both Pigs Skeletal muscle necrosis and calcification Vit E Sel Def   cell membrane damage    decreased Mitochondrial ATP ER cant sequester Ca++    Hypercontraction    myofiber coagulation
Oxidative cell injury and necrosis Antioxidant deficiency Increased Cellular free radicals Cell membrane damage Mitochondrial membrane damage Vitamin E Vitamin E Selenium- Glutathione peroxidase Mitochondria
Liver Affected Tissues Blood Vessels Skeletal Muscle Necrosis Ischemia and infarction Hemorrhage Myocyte degeneration and calcification Thrombosis Necrosis
Vitamin E Selenium Membrane protectors Cytosol protectors Cellular Defense against oxidant injury Free Radicals: Superoxide anion Hydrogen peroxide Hydroxyl radical Glutathione peroxidase: 2GSH + H 2 O 2  -> GS–SG + 2H 2 O Glutathione reductase: GS–SG + NADPH + H +  -> 2 GSH + NADP + .
Vitamin E- Alpha Tocopherol Vitamin C- Ascorbic Acid
Iron Fe3+ + •O2− -> Fe2+ + O2  Fe2+ + H2O2 -> Fe3+ + OH− + •OH  Ferric Hydroxide Dextran Free radicals from aerobic respiration ,[object Object]
Liver: Massive to centrilobular necrosis
Liver: Massive to centrilobular necrosis
Liver: Massive to centrilobular necrosis Necrosis
Stomach: Gastric ulcer
Heart: epicardial hemorrhage
Heart: epicardial hemorrhage
Heart: Myocardial hemorrhage
Skeletal muscle: Necrosis and calcification Necrosis
Skeletal muscle: Necrosis and calcification White areas are necrotic and gritty (calcification)
Skeletal muscle: Necrosis and calcification Muscle fibers are disrupted and hypercellular
Skeletal muscle: Necrosis and calcification Calcification

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Musculoskeletal group case 1