Pathology Flashcards
Better when blue
Blue dome cysts
Fibrocystic change of the breast
Better when blue
Pale gray blue gelatin appearance
Mucinous Carcinoma of the Breast
Better when blue
Blue sclerae
Brittle bone disease
Better when blue
Sky blue cytoplasmic puddles in sepsis
Dohle Bodies
Better when blue
Blue Bloater
Chronic Bronchitis
Better when blue
Perivascular Blue Haze in Necrotizing Pneumonia
Pseudomonas Aeruginosa
Better when blue
Rubbery bluish nodules over extremities, skin or sclera
Kaposi’s sarcoma
Better when blue
Blueberry muffins
Congenital CMV
Congenital Rubella
Disseminated Neuroblastoma
Fruits
Strawberry
Cervix- Trichomoniasis
Tongue- TSS, Kawasaki, Scarlet Fever
Gallbladder- Cholesterolosis
Fruits
Berry
Aneurysms - SAH, ADPKD, Coarctation of Aorta
Fruits
Mulberry
Mollars - congenital syphillis
Tumor- Tuberous Sclerosis
Fruits
Blueberry
Muffin Baby - Congenital Rubella and CMV
Fruits
Grapelike
Vesicles- hydatidiform hole
Clusters- S. aureus
Bunches- Sarcoma botyroides
Odor- P. Aeruginosa
Fruits
Cherry Red
Epiglotis - Epiglotitits
Spot in macula- CRAO, Tay-Sachs, Niemann-Pick
Pigment- S. marcescens
Skin- CO poisoning
Fruits
Orange
Peel skin- inflammation of breast CA
Cast Skin- leptospirosis
Colonies- N. Asteroides
Fruits
Banana- Shaped
Gametocyte - P. Falciparum
L Ventricle - hypertrophic Cardiomyopathy
Fruits
Pear- Shaped
Trophozoites- Trichomonas, Glardia
Organ- prostate gland
Hypersensitivity
Type 1 immediate
IgE
Dilated blood vessels
Smooth Muscle contraction
Asthma
Urticaria
Allergic rhinitis
Anaphylaxis
Hypersensitivity
Type 2 Cytotoxic
IgG, IgM
Phagocytosis/Lysis
+ Inflammation
Graves MG Blood transfusion Hemolytic disease Good Pastures
Hypersensitivity
Type 3 Immune Complex Mediated
Increase Ag- Ab
+ Inflammation
+ Necrotizing Vasculitis
Fibrinoid Necrosis
Serum sickness
SLE
IgA Nephropathy
Rheumatoid Arthritis
Hypersensitivity
Type 4 - delayed type
Increase T- Lympho
+ perivascular infiltrates
+ granuloma
+ edema
Syphillis Leprosy Hashimoto DM type 1 Contact allergic dermatitis multiple sclerosis Transplant rejection GBs
Meckel’s diverticulum
Rule of 2s
2% of population Within 2ft of ileocecal valve 2 inches long 2x more common in male Symptomatic by 2 years old
Meckel’s diverticulum
Pathophysiology
Failed involution of Vitelline Duct (8th week of Gestation)
Metastasis of Gastric AdenoCA
Virchow Node
Supra clavicular Sentinel LN
Metastasis of Gastric AdenoCA
Sister Mary Joseph
Periumbilical
Metastasis of Gastric AdenoCA
Bilateral Ovaries (composed of signet rings)
Krukenberg tumor
Metastasis of Gastric AdenoCA
Pelvic Culde Sac
Blumer’s shelf
Alzheimer’s disease
SANTHA
Senile Plaques –> AB Amyloid
Neurofibrillary –> Tau protein
Hiranon Bodies –> Actin Filaments
Parkinson’s disease
Pallor of substantia Nigra
Lewy Bodies –> synuclein
Huntington disease
+Anticipation
+ Accumulation of Ubiquitin
+ degeneration of caudate nucleus
Knife edge appearance
Pick disease
Pick bodies seen with silver stains
Amyotrophic lateral sclerosis
SOD 1 gene in CH 21 mutation
PAS + buni na bodies
Most frequently isolated organism in gallbladder bile
E.coli
Klebsiella
Streptococcus
Clostridium
Pathogenic Organisms in Necrotizing Enterocolitis
E.coli Klebsiella S.epidermidis C.perfringens Rotavirus
Vegetations
Rheumatic Heart Disease
Small WARTY vegatations
Along lines of closure
Vegetations
Non Bacterial Thrombotic Endocarditis
Bland Vegitations Sterile
Strep Bovis (Biotype I)
Vegetations
Libman-Sacks Endocarditis
Medium sized/Mixed both sides of Leaflets seen in SLE
Vegetations
Infective Endocarditis
Fragile, Bulky, destructive, irregular lesions
Anemia
Increase complement mediated lysis
Paroxysmal Nocturnal Hemoglobinuria
Anemia
Paroxysmal Nocturnal Hemoglobinuria
Descriptions
- CD59 is absent
- CD55 (DAF)
Decrease GPI- linked proteins
Anemia
RBC damage secondary to trauma eg. Heart valve prosthesis
Microangiopathic Hemolytic Anemia
Anemia
Microangiopathic Hemolytic Anemia
Descriptions
Schistocytes
Helmet cells
Burr cells/echinocytes
Anemia
Microcytic RBCs
Hypersegmented PMNs
May be caused by D. Latum
Megaloblastic Anemia
Anemia
Decrease IF
Decrease B12
B12 deficiency has neuro deficits folic acid deficit does not
Pernicious anemia
Anemia
Most common nutritional disorder
+ kolonychia
+ PICA
Iron deficiency anemia
Anemia
Iron deficiency Anemia
Plummer Vinson Syndrome
Esophageal webs
Microcytic Hypochromic Anemia
Atrophic Glossitis
Anemia
Chronic primary hematopoietic failure
+ Pancytopenia
- Splenomegaly
Normo Normo
Aplastic anemia
Anemia
Defect in D-Ala synthase
Increase iron but cannot incorporate into heme
Sideroblastic Anemia
Anemia
MCC of anemia among hospitalized patients
Increase IL-6 –> increase hepcidin –> ferriportin –> decrease iron transfer
Anemia of chronic disease
Large Sized arteritis
Temporal Arteritis (giant cell) Takayasu arteritis (pulse less disease)
Most common in adults
Involves temporal A, opthalmic A, verteral A and aorta
Temporal arteritis
Temporal arteritis
Other description
> 50 years old,
Nordic
+ multi- nucleated giant cells
+ polymyalgia rheumatica
Aortic arch + giant cells
Asian, children
Increase ESR
A corkscrew appearance
Takayasu arteritis (pulse less disease)
Takayasu arteritis (pulse less disease)
FAN My Skin On Wednesday
Fever Arthritis Night sweats Myalgia Skin nodules Ocular disturbances Weak pulse on UE
Medium Sized
Poly arteritis nodosa (PAN)
Kawasaki disease
Medium sized
Does not affect pulmonary artery
Different phases occur simultaneously 30% are HBsAg
Polyarteritis Nodosa
Renal > coronary > hepatic > mesenteric
Medium sized
Most common heart disease in children
Most common at coronary artery
Kawasaki disease
Associated with mucocutaneous lymph node syndrome
Kawasaki treatment
ASA
IVIg
Small sized
Microscopic polyangitis (polyarteritis)
Churg-Strauss (allergic granulomatosis)
Wegener Granulomatosis
Small size
Wegener granulomatosis
C-ANCA
Necrotizing
Granulomas
Vasculitis (prominent in lungs)
Glomerolitis
Wegener Granulomatosis
+Anti- PR3
C - ANCA
Cresenteric GN
Cyclophosphamide
Corticosteroids
Small sized
+eosinophilic necrosis associated with asthma! allergic rhinitis.
Spare renal vessels
Churg-Strauss (allergic granulomatosis)
Increase IgE
Small sized
Affects pulmonary artery
Lesions are all same age
+necrotizing GN in 90% of patients
Microscopic polyangitis (polyarteritis)
Microscopic polyangitis (polyarteritis)
Caused by
Drugs (penicillins)
Infection
SLE
Quadruple screen for Down syndrome
Increase b-HCG
Increase inhibin A
Decrease AFP
Decrease Estriol
UTZ finding in a patients with Down syndrome
Increase nuchal translucency
Limited Scleroderma
CREST syndrome
Calcinosis Reynaulds phenomenon Esophageal dysfunction Sclerodactily Telangiectasia
Limited scleroderma
+ anti centromere antibodies
Di George Syndrome
CATCH 22
Cardiac defects Abnormal facies Thymic aplasia Cleft palate Hypocalcemia
22q11.2 deletion
Branchial Pouch Derivatives
- Middle ear, Eustachian tube, mastoid air cells
- Palatine tonsils (epithelial lining)
- Thymus R and L inferior parathyroids
- R and L superior parathyroids
Chromaffin cells clusters into small nests or alveoli
Paragangliomas/Pheochromocytoma
Zellballen
Hypertensive Retinopathy
Elschnig Pearls
CRAO
Hollenhorst plaques
Saucer like depression in cornea
Pingueculum
Dellen
Hemangiomas
Port-wine stains
Bulimia Nervosa
Russell’s sign
Unilateral periorbital edema
Associated with Chagas’ disease
Romana’ ssign
Malarial granulomas
Durck Granulomas
Seen in tropical pulmonary eosinophilia in Filariasis
Meyers - Kouvenaar bodies
Pseudorosette
Central blood vessel
Ependymoma
Homer Wright (MEN)
Central tangle of fibrillar processes
Medulloblastoma
Ewing Sarcoma
Neuroblastoma
Flexner Wintersteiner
True lumen
Retinoblastoma