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Histopath Flashcards

(57 cards)

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1
Q

70 year old gp tight chest pain radiates left arm , relieved by rest , her ecg revealed some st depression

A

Stable Angina

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2
Q

50 year old smoker
Hun
Continuous crushing central chest pain
Radiate left arm
Ecg st elevated

A

Acute MI

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3
Q

63 year old obese
Diabetic male
Presents a and e tight chest pain
Radiate left arm
Lasted less than 20 mins
CK wasn’t raised

A

Acute CS

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4
Q

68 year old man presents with sudden onset chest pain
Radiated to back
Patient was shocked
Hemiplegia and chest X-ray shows mediastinal enlargement

A

Aortic dissection

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5
Q

73 year known hx of peripheral vascular disease
A and e
Sudden onset hemiplegia resolved within 24 hours

A

TIA

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6
Q

What is decubitus angina?

A

When patient lays down
Complication of cardiac failure
Strain on heart

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7
Q

Acute MI , pansystolic murmur on auscultation

A

Myomalacia cordis

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8
Q

28 year old sportsman a and e
Severe chest pain and breathlessness
He has a hx of asthma
Systolic murmur

A

Hypertrophic cardiomyopathy

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9
Q

Sharp retrosetanl pain
Worst on inspiration

A

Pericarditis

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10
Q

Middle aged lady
Faint at gym
Systolic ejection murmur

A

Aortic stenosis

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11
Q

A & E our of breathe
Severe chest pain
Mid systolic click late systolic murmur

A

Myxomatous mitral valve

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12
Q

Young boy
Skin rash
Joint pain in elbow and knee
Ejection systolic murmur
Friction rub

A

Acute rheumatic fever

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13
Q

Woman
Sudden onset fever and malaise
No prev hx or heart disease
Auscultation= heart murmur
Sepsis

A

Acute bacterial endocarditis

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14
Q

40 year old man
Sharp chest pain
Percardial friction rub
Diminished heart sounds
Raised JVP

A

Pericarditis

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15
Q

25 year old
Palpitation
Chest x ray enlarged heart
Echo thickened septum

A

Hypertrophic cardiomyopathy

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16
Q

4 MI
Shortness of breath and ankle swelling
Enlarged liver
Echo shows dilated heart

A

Cardiac failure

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17
Q

Bronchiectasis
Inhaled tobramycin
Pseudomonal infection
Delta F508 mutation

A

Cystic fibrosis

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18
Q

Smoker
Jaundice
Abdo pain
Scratch marks
He has lost 5kg in 2 months
Dilated intrehepatic bile ducts

A

Carcinoma of head of pancreas

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19
Q

Severe diarrhoea
Hypokalaemia
Metabolic acidosis
RUQ mass
Stool bicarbonate high , urine anion gap negative

A

VIPoma - Werner Morrison syndrome

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20
Q

Back pain
Lose appetite
Dropping dress sizes
She recently diabetes
Large central mass ,
hepatosplenomegaly

A

Carcinoma tail of pancreas

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21
Q

Worsening abdo pain
Poor diet
And weight loss
Thiamine

A

Chronic alcohol pancreatitis

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22
Q

65 year old female
Large cystic mass on tail of pancreas
Further cytology
Reported presence of epithelium

A

Cystadenoma

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23
Q

55 year old
Diabetic
Afro Caribbean
Weight loss
Poor diet
Gnawing pain on his back
Felt under the chest

Study These Flashcards
A

Carcinoma of pancreas

24
Q

Inflammatory condition
Exocrine pancreas
Injury to acinar cells

25
ERCP finding incomplete fusing of pancreatic divisum
Pancreas divisum
26
Pancreatic pseudo cyst and cystadenoma
Pancreatic pseudo cyst - Well defined capsule - fibrous and granulation tissue / combo of both Cystadenoma - doesn’t possess an epithelial lining - contains a fluid collection
27
Barrett oesophagus
Squamous turn to Columnar GOR Ulcer Undergoing malignant change
28
Causes of action acid and pepsin Duodenal mucosa Increased output of stomach acid Include pain upper abdo Esp when stomach is empty
Duodenal ulcer
29
Failure to produce IF Reduction in absorption of b12 fr the bowel Presence megaloblasr in bone marrow
Pernicious anaemia
30
Dilated veins Lowe oesophagus Portal hypertension Rupture life threatening haematemesis Bleeding stopped compression balloon Scleropathy Applying elastic bands via endoscope
Oesophageal varices
31
Spiral flagellated gram neg bacteria Found stomach within mucosal layer Occurs majority of Middle Aged people Progressive gastritis Duodenal and gastric ulceration
H pylori
32
Breach in mucosa extends muscularis mucosa into submucosa and deeper
Peptic ulcer
33
Present in almost all patients duodenal ulcer and 70 gastric ulcer
H pylori
34
Duodenal ulcer and 70% gastric ulcer
H pylori infection
35
10% primary lymphoma HLA b8
Coeliac disease
36
Commonest cause of oesophagitis
GORD
37
Re epithelialisarjon by metaplatic columnar epithelium by goblet cells
Barrett’s oesophagus
38
40 year old male Long hx of burning epigastric pain Worse on lying flat Endoscopy reveals squamous lining and increases basal cell proliferation
GORD
39
38 year old rheumatoid arthritis Single ep of malaena Neutrophilic infiltrate
Acute gastritis
40
Diarrhoea Weight loss Biopsy of duodenum Intraepithelial cytotoxic T cells
Coeliac disease
41
Duodenal ulcer
Epigastrc pain Relieved by antacids and meals pos CLO test
42
Epigastric pain Endoscopy. Reveals 3.2cm columnar metaplasia In lower oesophagus Goblet cells are seen
Barrett oesophagus
43
Epigastric pain Dyspepsia Pain gets worse at night when he is hungry Nausea and flatulence NSAIDS
Duodenal ulcer
44
Low retrosternal dysphagia Initial to solids now also to liquids Chest pain and WL over last 3 months Social hx reveals she has been a heavy smoker Drinks around 20 units of alcohol a week
Carcinoma of oesophagus
45
Watery diarrhoea Abdo cramps Nausea Vomit Low grade fever 3 days after BBQ
Cryptosoporidiosis
46
Zolinger Elinson syndrome
Haematemesis Diarrhoea Recurrent peptic ulceration Persistently high serum gastrin levels Large 3cm actively bleeding ulcer
47
Chest pain Regurgitation post solids and liquids Occur after swallowing Beak like tapering Failure of relaxation of LOS
Achalasia
48
3 month hx Anorexia , wl , epigastric pain Iron def anaemia Leather bottle stomach Signet ring
Adenocarcinoma
49
Severe headache Scalp tenderness Esr and crP raised Giant cells
Temporal arteritis
50
Hep B Weight loss Muscle aches Abdo pain High bp Blood and protein
Polyarteritis nodosa
51
Treatment renal failure Tingling wrist and hands
Haemodilayiss relayed amyloidosis
52
Peripheral oedema Hepatosplenomgealy Bone Erosion High levels kappa uniform lights chain
Myeloma associated amyloidosis
53
Hodgkin
Painless enlarged lymph node Hepatosplenomaly No night sweats Weight loss Fever Raise esr Abnormal liver biochemistry
54
Chronic rheumatology is disease Abdo discomfort Pos Congo red stain
Reactive amyloidosis
55
Abdo discomfort Fresh blood rectum No palpable mass Outpovhing though muscular layer
Diverticula’s disease
56
Rectal bleed Bright red Constipated Polyps in colon Lost lots weight Mass n right lumbar region - non tender
Colon cancer
57
Crohns T
Terminal ileum Transmural inflammation with granulomas

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