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General path - pigments and deposits
Basic differentials
29
Veterinary Medicine
Undergraduate 3
04/20/2012

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Term
Amyloid
Definition
Pathologic proteinaceous substance, results from abnormal folding of certain proteins
Term
Amyloidosis
Definition
result of amyloid fibrils in extracellular tissues, which disrupts normal tissue function
Term
Amyloid stain
Definition
Congo red
Term
Dystrophic calcification
Definition
Calcium salt deposition in DEGENERATING AND NECROTIC tissues - unrelated to blood Ca++ levels
Can ossify e.g. calcinosis circumscripta, calcinosis cutis
Term
Metastatic calcification
Definition
PERSISTENTLY HIGH Ca++ CONC resulting in large amounts of Ca++ entering cells and precipitating in organelles
e.g. due to renal failure, excess vit D, hyperparathyroidism
Term
Calcinosis cutis
Definition
diffuse Ca++ deposition in dermis and subcutis - dytrophic calcification
Term
Calcinosis circumscripta
Definition
Raised nodules of chalky/putty/gritty material separated by c.t. bands - dystrophic calcification of damaged collagen?
Term
Calcium stain
Definition
Von Kossa (stains brown-black)
Term
Gout
Definition
deposition of crystals of uric acid / urates (end products of purine metabolism)
Term
Gout pathogenesis
Definition
There is a FB-reaction to urate crystalls and so get acute and chronic inflam, w. white, chalky nodules near / in joints
Term
Haemosiderin
Definition
Derived from Hb and part of storage pool of iron – iron stored in cells in assoc. w. apoferritin (protein) and these aggregate to form haemosiderin when there is an excess
Term
Haemosiderosis
Definition
Haemosiderin deposition in many tissues ie. systemic
Term
Causes of local haemosiderin deposits
Definition
Local breakdown of RBCs e.g. local haemorrhage (bruise!)
Term
Causes of haemosiderinosis ie. systemic
Definition
-incr. iron absorption
-chronic passive congestion (get 'heart failure cells' in lungs)
-haemolytic anaemia
Term
Haemosiderin stain
Definition
Perl's prussian blue stain
Term
Haemoglobin
Definition
Released w. haemolysis of RBC and toxic to renal tubular epithelium when crosses glomerulus
e.g. occurs in copper-toxity in cattle and sheep (causes haemolysis)
Term
Bilirubin
Definition
Bile pigment - produced from haemoglobin after iron and globin removed/recycled. Yellow.
Term
Jaundice
Definition
Caused by an excess of bilirubin in plasma - disrupted equilibrium between production and clearance.
Can be pre-hepatic, hepatic, post-hepatic
Term
Pre-hepatic jaundice
Definition
Excess production of bilirubin
e.g. haemolytic dz
Term
Hepatic jaundice
Definition
Reduced uptake / processing of bilirubin by hepatocytes due to damage
Term
Post-hepatic jaundice
Definition
Decr. bile excretion e.g. bile duct obstruction
Term
Lipofuscin
Definition
"wear and tear / ageing" pigment due to free radical damage
-pale brown pigment
-composed of lipids and phospholipids complexed w. protein
-non-harmful
Term
Lipofuscin stain
Definition
Schmorl's technique staining
Term
Ceroid
Definition
"wear and tear / aging" pigment but pathological; due to severe malnutrition, Vit E deficiency / high unsat. FA intake, cachexia
Term
Melanin
Definition
endogenous brown/black pigment formed in melanocytes
Normal in skin, may be deposited in organs (non-harmful)
Term
Melanosis
Definition
deposition of melanin in organs - non-harmful
Term
Melanocytoma
Definition
benign tumour of melanocytes/blasts
Term
Malignant melanoma
Definition
malignant tumour of melanocytes
Term
Carbon
Definition
Formed from air pollution - collects in lungs and draining LNs, mainly IC in macrophages
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