Histology Flashcards

1
Q

Identify and discuss relevant characteristics

Name the structure; Identify PP, AP, P, H, V, O

A

Sagittal section through the pituitary. Anterior is to the right.

PP-neurohypophysis; AP-adenohypophysis; P-neurohypophysial tract; H-hypothalamus; V-third ventricle; O-probably optic chiasm

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2
Q

Identify and discuss relevant characteristics

Identify the structure, the names of the different sections and the tissue type

A

This shows the pituitary, including the pars distalis of the adenohypophysis (superior on image), which is glandular tissue, and the pars nervosa of the neurohypophysis (inferior), which is neural tissue. The reddish area in between is most likely the pars intermedia

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3
Q

Identify and discuss relevant characteristics

Identify tissue and relevant structures

A

This is a section of neurohypophysis. Fenestrated capillaries can be seen near axon terminals. Nucleated cells are pituicytes, similar in function to glial cells of the CNS

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4
Q

Identify and discuss relevant characteristics

Name the tissue, name the red-stained “things” (and what they actually are)

A

Neurohypophysis. Red stained structures are Herring bodies, unmyelinated dilations of neurohypophysial axons near the terminal end. They contain either AVP or OT(plusNP). Note fenestrated capillaries in close proximity. Nucleated cells are pituocytes, roughly equivalent to glial cells.

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5
Q

Identify and discuss relevant characteristics

Name the tissue. Identify three classes of cells based on their staining properties and give their relative abundance in this tissue. Where are do they tend to cluster?

A

Pars distalis of the adenohypophysis. First, note the capillaries and don’t confuse them with cells (light colored, no nuclei). Acidophils stain bright/reddish and compose 40% of the total cells (these will be somatotrophs and lactotrophs). They cluster at the periphery - most susceptible to trauma, most often give rise to tumors. Basophils stain dark and compose 10% of the tissue (gonadotrophs, thyrotrophs (most anterior), corticotrophs). Chromophobes play a supportive paracrine role for the other cells. They are the pale nucleated cells and make up 50% of the tissue

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6
Q

Identify and discuss relevant characteristics

Identify the tissue. Name the layers and the main product of each layer.

A

Adrenal gland. Capsule surrounds, in blue at top of image. Progressing in: Zona glomerulosa (aldosterone - not a component of HPA axis), Zona fasciculata (cortisol), Zona reticularis (DHEA). Medulla may be considered a second gland. Chromaffin cells derived from neural crest (rest of adrenal is from mesoderm) - only tissue in the body containing phenylethanolamine-N-methyltransferase, which converts norepi to epi. Produce both epi and norepi but epi is more significant

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7
Q
A

Adrenal medulla

Cords of polyhedral epitheliod chromaffin cells. Derived from neural crest; directly innervated by preganglionic sympathetic n.’s (splanchnic).

Granules in cytoplasm contain catecholamines

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8
Q
A

Gross specimen cross section - Adrenal Medulla

Chromaffin (“chromium affinity”) cells stain brown due to the oxidation of catecholamines to melanin when exposed chromium salts.

Chromaffin cells are also called pheochromocytes

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9
Q
A

Resting mammary gland - observe small lobules, lots of connective tissue relative to the rest of the tissue

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10
Q
A

Mammary gland - active. Observe hypertrophied, active lobules

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11
Q

Identify and discuss relevant characteristics

(slide shows pathology)

A

Thyroid in Graves disease - note significantly decreased colloid due to hyperactivity of T4/T3 synthesis and secretion

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12
Q
A

Parathyroid

Chief cells synthesize PTH

Oxyphil cells - no known function

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13
Q
A

Pancreas. Observe small islets of Langerhans amid exocrine pancreas tissue

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14
Q
A

Pancreas under high magnification - this specifically shows several clustered islets of Langerhans

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15
Q

Identify and discuss relevant characteristics

stromal cells (bone marrow)

A

part of central lymphoid tissue

stromal cells provide signals that direct development of progenitor cells into immature B cells

(recall immature → mature B happens in the periphery)

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16
Q

Identify and discuss relevant characteristics

thymic cortex

A

outermost part of the thymus, where immature T lymphocytes mature

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17
Q

Identify and discuss relevant characteristics

thymic corticomedullary junction

A

T cell progenitors (HSCs) enter; mature T cells leave

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18
Q

Identify and discuss relevant characteristics

thymic medulla

A

contains more mature, single-positive thymocytes, dendritic cells, and macrophages

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19
Q

Identify and discuss relevant characteristics

thymic cortical stroma

A

network of thymic epithelial cells where T cell precursors reside

provides unique microenvironment for T cell selection

has epithelial cells with long branching processes that express MHC-I and MHC-II - site of negative selection

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20
Q

Identify and discuss relevant characteristics

high endothelial venules (HEV)

(lymph nodes)

A

route of entry into lymph node for naive lymphocytes.

located in paracortical areas

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21
Q

Identify and discuss relevant characteristics

follicle (lymph node)

A

where B cells congregate

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22
Q

Identify and discuss relevant characteristics

cortex (lymph node)

A

outer area. contains follicles

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23
Q

Identify and discuss relevant characteristics

paracortical area (lymph node)

A

aka “deep cortex”

T cells diffusely scattered through this area

where free antigen is “trapped” on resident DC’s/macrophages

where migrating DC’s bring their antigens

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24
Q

Identify and discuss relevant characteristics

germinal center (lymph node)

A

where activated B cells undergo intense proliferation and differentiation into plasma cells (requires interaction with activated CD3/CD4 T’s)

25
Q

Identify and discuss relevant characteristics

red pulp (spleen)

A

majority of spleen

site of RBC disposal

26
Q

Identify and discuss relevant characteristics

white pulp (spleen)

A

lymphocytes surrounding the arterioles that run through spleen; keenly sample for immune complexes to present to BC’s

27
Q

Identify and discuss relevant characteristics

PALS (spleen)

A

periarteriolar lymphoid sheath

sheath of lymphocytes, mainly T cells, around an arteriole

28
Q

Identify and discuss relevant characteristics

follicle (spleen)

A

found adjacent to PALS as part of white pulp.

contain BC’s.

may be germinal centers?

29
Q

Identify and discuss relevant characteristics

marginal zone (spleen)

A

surrounds follicles

contains macrophages and resident, non-circulating BC’s

30
Q

Identify and discuss relevant characteristics

Peyer’s patches

A

important component of GALT

found in small intestine only

contain M cells (specialized epithelial cells that directly collect antigen - antigen enters follicle independent of blood)

follicle (large central dome of BC’s [IgA] surrounded by relatively fewer TC’s)

resident DC’s

31
Q
A

thymus

Hassall’s corpuscles are a distinct histological feature

Observe dark cortex - lots of immature T cells.

Medulla much less densely populated - most developing TC’s will undergo apoptosis. Medulla contains more mature, single-positive TC’s; TEC’s force negative selection

32
Q
A

Lymph node showing germinal centers

33
Q
A

spleen - red pulp showing cords (lighter) and sinusoids (darker)

34
Q

Identify and discuss relevant characteristics

Waldeyer’s ring

A

ring of lymphoid tissues around entrance to gut and airway

formed by tonsils and adenoids

35
Q

Identify and discuss relevant characteristics

IEL

intra-epithelial lymphocytes

A

a distinct population of lymphocytes (mostly CD8T’s) that are found interspersed with gut epithelial cells

(purpose not entirely clear but probablykill infected epithelial cells)

“sentinels” per Gierut

36
Q
A

young thymus - well developed

37
Q
A

old thymus

T cell production slows but already produced cells continue to be maintained by survival signals from peripheral lymphoid tissue

(tissue replaced by fat)

38
Q
A

high endothelial venule - lymphocytes “squeezing” out of circulation to get into lymphoid tissue

39
Q
A

Lymph node, high mag

In upper left corner, see a great, well-defined example of the medullary cords - where the (shorter-lived) plasmablasts develop, secreting antibody while other B’s are undergoing somatic mutation/isotype switch in the germinal centers.

Lighter areas are the sinuses, where efferent lymphatics are draining

40
Q
A

spleen.

note in spleen trabeculae track blood vessels rather than lymphatics

abundant stromal cells support parenchyma

(spleen lacks cortex/medulla but still divided into B/T areas)

41
Q
A

spleen: vascular sinusoids

42
Q
A

spleen:

macrophages in red pulp phagocytizing old RBC’s

43
Q
A

Peyer’s patch

small intestine

44
Q

Identify and discuss relevant characteristics

M cells

A

Microfold cells

Located in dome epithelium or follicle-associated epithelium, overlaying Peyer’s patch

Main function is transfer of substances across the epithelium to APC’s/DC’s beneath

45
Q

Identify and discuss relevant characteristics

Name the stain and what it is useful for

Identify background; negative; positive

A

Gram stain; bacterial peptidoglycan cell wall

Background - yellow

Negative - pink/red (LPS allows diffusion of crystal violet dye from membrane)

Positive - purple (retains crystal violet stain)

46
Q

Identify and discuss relevant characteristics

Name the stain and what it is useful for

Identify background; negative; positive

A

Periodic acid-Schiff (PAS); polysaccharides and mucous membranes. Useful for fungi, basement membrane

Negative: light pink

Positive (organisms): bright pink

47
Q

Identify and discuss relevant characteristics

Name the stain and what it is useful for

Identify background; negative; positive

A

Grocott methenamine silver (GMS) - useful for fungi; mucopolysaccharides in their cell walls react with silver nitrate

Background green

Positive black

48
Q

Identify and discuss relevant characteristics

Name the stain and what it is useful for

Identify background; negative; positive

A

Acid-fast stain; useful for bacteria with mycolic acid in cell wall (mycobacteria)

Background: blue

Positive: retains stain, colored red

49
Q

Identify and discuss relevant characteristics

Key characteristic(s) of cardiac muscle

A

Intercalated disks

50
Q

Identify and discuss relevant characteristics

Nerve tissue

A

Foamy cytoplasm with spindly nucleus

51
Q

Identify and discuss relevant characteristics

Skeletal muscle

A

multinucleated; striated

52
Q

Identify and discuss relevant characteristics

Connective tissue

A

borders not well defined (ECM obscures)

53
Q

Identify and discuss relevant characteristics

Arteries vs veins

A

Arteries - rounder, more prominent muscle

Veins - flatter, less muscle

54
Q
A
55
Q

Identify and discuss relevant characteristics

Name 4 characteristics of malignant neoplasm on cytology

A

(1) May be well-differentiated to completely anaplastic
(2) Cells are pleiomorphic
(3) Nuclei are prominent and hyperchromatic (high N:C ratio)
(4) Mitoses are more frequent

56
Q

Identify and discuss relevant characteristics

What is a normal nucleus to cytoplasm ratio?

A

1:4 - 1:6

57
Q

Identify and discuss relevant characteristics

What is the cytological signature of retinoblastoma?

A

Rosettes

58
Q
A

suppurative inflammation in pneumococcal pna

Thickened interstitum, profusion of PMN’s

59
Q
A

example of noncaseating granuloma