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PATH
TEST 3
68
Pathology
Graduate
09/08/2012

Additional Pathology Flashcards

 


 

Cards

Term
BODY CAVITIES EDEMA
Definition

HYDROTHORAX

HYDROPERICARDIUM

HYDROPERITONEUM-ASCITES

Term
LOCALIZED EDEMA
Definition
SECONDARY TO ISOLATED VENOUS OR LYMPHATIC OBSTRUCTION OR INFLAMMATION
Term
SYSTEMIC ADEMA
Definition

HEART FAILURE

ANASARCA: WHEN SEVERVE SYSTEMIC ADEMA

Term
NON INFLAMMATORY EDEMA
Definition

INCREASED HYDROSTATIC PRESSURE FORCES

DECREASED OSMOTIC PRESSURE

PRIMARY SODIUM RETENTION (BALANCED BY INCREASE IN TOTAL BODY H20)

LYMPHATIC OBSTRUCTION(USUALLY FROM TUMOR OR TRAUMA: LOCAL EDEMA)

Term
INCREASED HYDROSTATIC PRESSURE
Definition
FLUID FORCED OUT OF VESSELS (CHF- MOST COMMON CAUSE OF SYSTEMIC EDEMA)
Term
DECREASED OSMOTIC PRESSURE-DECREASE MOVEMENT OF FLUID INTO VESSELS
Definition

LOSS OF SERUM ALBUMIN:

ETIOLOGIES:

 PROTEINURIA NEPHROTIC SYNDROME

DECREASED SYNTHESIS IN LIVER CIRRHOSIS AND PROTEIN MALNUTRITION

Term

PRIMARY SODIUM RETENTION:

INCREASED WATER RETENTION & DECREASED OSMOTIC PRESSURE:

 

Definition

EXCESS WATER CONSUMPTION

RENAL DYSFUNTION:

ACUTE RENAL FAILURE AND POST STREPTOCOCCAL GLUMERULONEPHRITIS

Term
LYMPHATIC OBSTRUCTION-BLOCKS REMOVAL OF INTERSTITIAL FLUID
Definition

USUALLY LOCALIZED

MOST OFTEN RELATED TO INFLAMMATORY  OR NEOPLASTIC PROCESS

Term
EDEMA MORPHOLOGY
Definition

BEST RECOGNIZED GROSSLY,

MICROSCOPICALLY MANIFEST AS SUBTLE CELL SWELLING WITH SEPARATION OF THE EXTRACELLULAR MATRIX

Term
EDEMA TYPES:
Definition

.SUBCUTANEOUS

.OF SOLID ORGANS

.PULMONARY

.BRAIN

 

Term
.SUBCUTANEOUS EDEMA DIFFUSE TYPE
Definition

.DEPENDENT EDEMA

INFLUENCED BY GRAVITY: LEG W STANDING AND SACRUM W RECUMBENCY

.COMMON ETIOLOGIES: CHF AND HYPOPROTEINEMIA (MORE SEVERE, EDEMA IN LOOSE CONNECTIVE TISSUE, Eg, eyelids (periorbital edema)

Term
EDEMA SUBCUTANEOUS LOCALIZED TYPE
Definition
PRIMARILY AT SITE OF INCREASED HYDROSTATIC PRESSURE, LYMPHATIC OBSTRUCTION, OR INFLAMED REGION
Term
EDEMA OF SOLID ORGANS
Definition

INCREASE IN SIZE AND WEIGHT

SEPARATION OF PARENCHYMAL ELEMENTS

Term

 

PULMONARY EDEMA

Definition

-LUNG 2-3X NORMAL WEIGHT

-FROTHY, BLOOD TINGED MIXTURE OF AIR, EDEMA FLUID AND ERYTHROCYTES

-ETIOLOGY: .LEFT VENTRICULAR FAILURE, ADULT RESPIRATORY DISTRESS SYNDROME, INFECTIONS, HYPERSENSITIVITY RXN

 

Term
BRAIN EDEMA LOCALIZED
Definition
ABCESS AND NEOPLASM
Term
BRAIN EDEMA GENERAL
Definition

. ENCEPHALITIS, HYPERTENSIVE CRISES, OBSTRUCTION TO VENOUS OUTFLOW

.GROSSLY SWOLLEN WITH NARROWED SULCI & DISTENDED GYRI FLATENED AGAINST THE SKULL

Term
HYPEREMIA & CONGESTION
Definition
BOTH MEAN INCREASED VOLUME OF BLOOD IN PARTICULAR SITE, DIFFER BY MECHANISM
Term
HYPEREMIA
Definition
ACTIVE PROCESS W AUGMENTED BLOOD INFLOW CAUSED BY ARTERIOLAR DILATION: SKELETAL MUSCL DURING EXERCISE OR AT SITES OF INFLAMMATION, TISSUE REDDER THAN NORMAL
Term
CONGESTION
Definition

PASSIVE PROCESS CAUSED BY IMPAIRED OUTFLOW FROM A TISSUE: ISOLATED VENOUS OBSTRUCTION W LOCAL CONGESTION, SYSTEMIC OBSTRUCTION LEADING TO GENERALIZED CONGESTION (CHF),

TISSUES ARE BLUE-RED (CYANOTIC),

LONG STANDING STASIS OF DEOXYGENATED BLOOD CAN RESULT IN HYPOXIA SEVERE ENOUGH TO CAUSE CELL DEATH

Term
ACUTE HEPEREMIA AND CONGESTION MORPHOLOGY
Definition

VESSEL DISTENDED AND ORGANS GROSSLY HYPEREMIC

. INTERSTITIAL EDEMA ASSOCIATED W CAPILLARY BED CONGESTION

Term
CHRONIC HEPEREMIA AND CONGESTION MORPHOLOGY
Definition

.CAPILLARY RUPTURE W HEMORRHAGE: LEAVES RESIDUE OF

HEMOSIDERIN-LADEN MACROPHAGES

 

.PARENCHYMAL CELL ATROPHY AND SCARRING

 

.TISSUE BROWN W CONTRACTION & FIBROSIS

. COMMONLY AFFECTED ORGANS: LUNGS AND LIVER

Term
LUNG HYPEREMIA & CONGESTION
Definition

.S/P MI, CARDIOMYOPATHY, MITRAL VALVE DISEASE,

.ACUTE: ENGORGED CAPILLARIES & SEPTA EDEMA W TRANSUDATE IN AIR SPACES

 

Term
LUNG HYPEREMIA & CONGESTION CHRONIC
Definition
HEART FAILURE CELLS (HEMOSIDERIN LADEN MACROPHAGES), EDEMATOUS TO FIBROTIC SEPTA (BROWN INDURATION)
Term
LIVER HYPEREMIA & CONGESTION
Definition
S/P RIGHT HEART FAILURE >>HEPATIC VEIN OR SUPERIOR VENA CAVA OBSTRUCTION
Term
ACUTE LIVER HYPEREMIA & CONGESTION
Definition
DISTENTION OF CENTRAL VEIN & SINUSOIDS, +/- CENTRAL HEPATOCYTE NECROSIS
Term
CHRONIC LIVER HYPEREMIA & CONGESTION
Definition
. NUTMEG LIVER (CENTRAL REGIONS OF THE HEPATIC LOBULES GROSSLY RED-BROWN AND SLIGHTLY DEPRESS (LOSS OF CELLS)-RELATIVE TO SURROUNDING TISSUE
Term
CHRONIC LIVER HYPEREMIA & CONGESTION
Definition
MICROSCOPICALLY HAVE CENTRILOBULAR NECROSIS W HEPATOCYTE DROP OUT & HEMORRHAGE, HEPATIC FIBROSIS (CARDIAC FIBROSIS), CIRCULATION BASED
Term
SPLEEN HYPEREMIA & CONGESTION
Definition
RESPONSE TO SYSTEMIC INFLAMMATION (I.E. INFECTION)
Term
SLEEN HYPEREMIA & CONGESTION
Definition
CONNECTED TO THE PORTAL VENOUS SYSTEM PROXIMALAD TO THE LIVER
Term
SLEEN HYPEREMIA & CONGESTION
Definition
WITH HEPATIC CONGESTION (FROM CHF) OR INTRAHEPATIC OBSTRUCTION (CIRRHOSIS), THERE IS A INCREASED SPLENIC VEIN PRESSURE AND CONGESITON
Term
HEMORRHAGE
Definition

EXTRAVASATION OF BLOOD WITH RED BLOOD CELLS BECAUSE

.VESSLE RUPTURE: VASCULAR INJURY >>TRAUMA, ATHEROSLEROSIS, EROSION (INFLAMMATORY OR NEOPLATIC)

Term
HEMORRHAGE
Definition

EXTRAVASATION OF BLOOD WITH RED BLOOD CELLS B/C

.CAPILLARY BLEEDING, CONGESTION

.HEMORRHAGIC DIATHESIS (CLOTTING DEFICIENCY): TENDENCY TO HEMORRHAGE W/O SIGNIFICANT INJURY.

Term
HEMORRHAGE GROUPED ACCORDING TO SIZE:
Definition

PETECHIAE: 1-2mm:

.SKIN, MUCOUS MEMBRANES, SERORA

.INCREASED INTRAVASCULAR PRESSURE, LOW PLETELES, DEFECTS IN CLOTTING

Term
HEMORRHAGE GROUPED ACCORDING TO SIZE:
Definition

PURPURA: >/=3 mm:

. same as above +trauma, local vascular inflammation, increased vascular fragility

Term
HEMORRHAGE GROUPED ACCORDING TO SIZE:
Definition

ECCHYMOSES: (>1-2 cm):

.subcutaneous/bruises

.trauma, may be exacerbated by the above

 

Term
HEMORRHAGE GROUPED ACCORDING TO SIZE:
Definition

large accumulations in body cavities:

hemothorax, hemopericardium, hemarthrosis

Term
what organism cause meningitis in adolescent?
Definition
n. meningitidis
Term
what organism cause meningtis in neonates?
Definition
E. coli, group B strep, S. pneumonia, and listeria monocytogenesis
Term
What is suppurative meningitis?
Definition
a thick layer of suppurative exudate covers the brain stem and cerebellum and thickens the leptomeninges
Term
Which organism are most common offendong organism identified in nonimmunosuppressed populations?
Definition
Strepto and staph
with increase everything but no change in glucose content
Term
What is neurosyphyllis?
Definition
tertiary stage of syphillis and occurs in only about 10% of patients with untreated infection
HIV patients are at increased risk of neurosyphillis development
Term
What is the characteristic of neurosyphyllis?
Definition
syphillitic arteriris in association with meningitis and cerebral gummas (plasma cell-rich mass lesions)
Term
WHat is the charateristics of neurosyphyllis?
Definition
Tabes dorsalis: impaired joint position sense (locomotor ataxia); loss pain sensation (charcot joints); characteristic lightning pains, and absence of deep tendon reflexes
General paresis: insidious but progressive loss of mental and physical functions with mood alterations (including delusions of granduer), terminating in severe dementia (general parasis of the insane)
Term
What are the route that viral can infect the CNS?
Definition
invades both neural and meningeal areas
occur via an insect bite , gastrointestinal route (poliomyelitis),
or via the skin or mucosa herpes
Infection may reach CNS alternatively via peripheral nerves (rabies) or by hemaogenous spread
Term
What are the characteristic microspoic finding inviral encephalitis?
Definition
perivascular cuffs of lymphocytes A and microglial nodules
Term
What are acut herpes encephalitis?
Definition
grossly: extensive destruction of inferior frontal and anterior temporal lobes
Necrotizing inflammatory process and intranuclear inclusions (cowdry type A)
Term
What herpes encephalitis occurs most commonly in children and young adults, subacute course with clinical manifestations (weakness, lethargy, ataxia, seizures) that evolve during prolonged period
Definition
HSV-1
Term
What acute herpes encephalitis manifests in adults as a meningitis, developed in 50% of neonate born by vaginal delivery transplacental transmission to women with active primary HSV geniral infections
Definition
HSV-1
Term
What is infection of CNS associated with Negri Body (located within purkinje cell in figure0
Definition
Rabies
Term
What organism associate with CNS as follow?

occurs in fetuses and immunosupressed individual
Periventricular necrosis that produces severe brain destruction followed later by microcephaly with periventricular Calcificaitons

Intracytoplasmic Inclusion (gianted cells)
Definition
Cytomegalovirus
Term
If a patient with AIDS has neurologic symptoms, multiple ring-enhancing leasions, associated with CAT, from mother to the babies what organism must be considered?
Definition
toxoplasmosis
Term
What is relapsing-remitting course of bilateral optic neuritis and prominent spinal cord involvement, associate with irregular shaped plaques?
Definition
Multiple slerosis
Term
What krabbe's disease associated with, myelin cerebroside is defective, inborn errors of metabolism which the formation myelin or its compositions is abnormal?
Definition
Leukodystrophies
Term
What disease associated with involved upper and lower neurons of brainstem and spinal cord, weakness and atrophy of various muscle groups, outcome fatal due to respiratory paralysis, most severe in the cervical cord?
Definition
Amaotrophic Lateral Slerosis
Term
What degeneration of lower motor neurons of the spinalcord and medullar, respiratory insufficiency and superimposed of infection usually are the causes of death?
Definition
Werdnig-hoffmann disease (infantile spinal muscular atrophy)
Term
What disease associate with the development of an abnormal cavity in the center of spinal cord tissue, unknown cause, Classic sign="dissociated sensory impairment"
Definition
Syringomyelia
Term
What disease associate with Lewy bodies, pallor of the substantia nigra and locus ceruleus?
Definition
Parkinson's disease
Term
What disease associate with prion, fatal dementia caused by a virus-like agent, very short and lack growth hormone, prion disease, don't eat animal brain?
Definition
WhatCreutzfeld-jakob disease
Term
What associate with alpha and beta neuritic senile plaques, neurofibrillary tangles, and amyloid angipathy?
Definition
Alzheimer's disease
Term
what disease associate with pick's diseaese?
Definition
pick bodies
Term
What associate with well-differentiated fibrillary astrocytomas?
Definition
Glioma, astrocytoma
oligodendrogliomas
Ependymomas
Term
What associate with necrosis and vascular endothelial cell proliferation, fast proliferate?
Definition
Glioblastoma
Term
What associate with Fied egg and slow growth tumor?
Definition
Oligodendrogliomas
Term
What associate with pseudorosette, age 3-4 and blepharoplasts?
Definition
Ependymomoas
Term
What assiociate with gangliocytoma?
Definition
gangliocytomas
Term
What is cerebellar and happen in children, radiosensitive, cerebellar folia, leptomenignis, Blue cell?
Definition
medulloblastoma
Term
What is benign tumor, syncytial, fibroblastic, transitional, psammomatous palliary like growth with calcificaiton, secretory, microcystic?
Definition
Meningiomas
Term
What associate with cerebellopontine angle, NF2-gene on chromosome 22, cellular antoni A and myxoid regions antoni B?
Definition
Schwannoma
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