Chapter 1 - Introduction to Pathology Flashcards
Pathology
Study of changes in structure and function as a result of disease including:
- Cause, nature and course of disease
Disease
Unhealthy state caused by the affects of injury
- Structural changes: result in abnormal function
- Abnormal function: result in structural changes
Acute disease
Arises rapidly.
- Distinct symptoms
- Short duration
Chronic disease
Begins slowly.
- Signs/symptoms difficult to interpret
- Long duration
- Not prevented by vaccine or cured with medication
Etiology
The cause of a disease
Idiopathic
Unknown cause
Pathogenesis
Sequence of events leading from causes to manifestations of the disease
Pathophysiology
Mechanism by which the abnormal function is spread
Sign
Manifestation of a disease seen by an observer
- Vomitting
Symptom
Manifestation of a disease reported by the patient
- Nausea
Syndrome
Collection of signs and symptoms
Lesion
Structural changes in a tissue or organ (change in morphology)
Localize change representing a wound or injury
Morbidity
Short term or long term disability due to a disease “illness”
Mortality
Outcome of a disease is death
Incidence
The frequency of a disease over a period of time in a given population
Incidence = # of new cases per year/ # of persons in the population
“Rate”
Prevalence
The number of cases present in a given population at any one time
Prevalence = # of persons with disease at
any moment in time/
# of persons in the population
”%”
Anatomic pathology
Structural.
Involves examination of solid tissues using:
- Naked eye: “gross exam” “macroscopic”
- Microscope: light and electron
Surgical pathology
Includes:
- All material removed at surgery
- Biopsies
- Frozen sections
Cytology
The study of cells. Includes:
- Cervical and vaginal smears: pap smear
- Sputum smears: material coughed up
- Urine and body fluid – bladder cells are shed during urination
- Fine needle aspirates
- Cellular materials obtained during endoscopic exams
Autopsy pathology
Necropsy
Routine hospital autopsy
- Requires family’s permission
- Quality control mechanism that evaluates clinical impressions of disease and results of treatment
- Teaching and research tool: becomes data
Clinical pathology
– Functional
– Involves laboratory study of fluid tissues
Clinical chemistry
Blood levels of:
- Electrolytes
- Enzymes: released into the blood from damage cells
- Hormones
- Drugs
Infections
Virology, microbiology, parasitology
- Identification of microorganisms
- Evaluation of sensitivity of antibiotics