General medical pathological findings Flashcards

1
Q

Barrett’s Oesophagus typical pathological changes

A

Metaplasia of lower oesophagus epithelium to become gastric / intestinal-types epithelium (squamous –>columnar)

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2
Q

Coeliac disease typical pathological changes

A

Total / sub-total villous atrophy in small bowel

Crypt hyperplasia

Inflammatory cells in mucosa

Terminal ileum

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3
Q

Crohn’s disease typical pathological changes

A

Macroscopically: Skip lesions (normal bowel between disease segments), Cobblestone appearance, fissured ulcers,

Microscopically: Thickened wall with transmural inflammation, granulomas

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4
Q

Ulcerative colitis typical pathological changes

A

Large Bowel only
Affects mucosa and submucosa only
Crypt abscesses and superficial ulcers

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5
Q

Acute viral hepatitis typical pathological changes

A

Swelling of hepatocytes

Necrosis

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6
Q

Alcoholic hepatitis typical pathological changes

A

Fatty accumulation in cytoplasmic vacuoles
Necrosis
Hyaline material

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7
Q

Haemochromatosis typical pathological changes

A

Excessive Hepatic iron (shows up blue on Perl’s stain)

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8
Q

Liver cirrhosis typical pathological changes

A

Macroscopic: macro nodular or micro nodular

Microscopic: fibrous tissue

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9
Q

Asbestos exposure typical pathological changes

A

Asbestos bodies in lung

Plaques

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10
Q

Pulmonary fibrosis typical pathological changes

A

Proliferation of type II pneumocytes with thickening of alveolar walls

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11
Q

Diabetic glomerulosclerosis typical pathological changes

A

Thickened capillary basement membrane

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12
Q

Hodgkin Lymphoma typical pathological changes

A

Reed-Sternberg cells

Abnormal LN architecture

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13
Q

Myelofibrosis typical pathological changes

A

Bone marrow fibrosis secondary to fibroblast proliferation

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14
Q

Multiple Myeloma typical pathological changes

A

Plasma cell proliferation in BM

CRAB (Calcium high, Renal fail, Anaemia, Bone lesions)

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15
Q

Temporal Arteritis Biopsy

A

Plasma cells, lymphocytes and multinucleate giant cells

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16
Q

Pituitary tumours effects

A

Acromegaly
Hyperprolactinaemia
ACTH excess

17
Q

Alzheimers typical pathological changes

A

Thinning of gyro (esp periventricular)

Microscopically: Neurofibrillary tangles, plaques

18
Q

Parkinson’s typical pathological changes

A
Substantia nigra deterioration
Lewy bodies (inclusions in neurons)