Histopathology Flashcards

1
Q

How do you differentiate between adult thymus and infant thymus

A

From the abundance of adipose tissue

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2
Q

What are the densely staining and lightly staining regions in the thymus

A

Densely staining are the cortex whereas the lightly staining is the medulla. Cortex is densely staining because of the high number of lymphocytes and their high nucleus to cytoplasm ratio

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3
Q
A

Starry sky appearence of the cortex in the thymus due to the presence of macrophages

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4
Q
A

Macrophages.

Most cell death occurs in the cortex of the thymus, macrophages carry out this function

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5
Q

What is the distinguishing feature of Medulla in the thymus? What is the name of this structure and what is its role

A

Hassles corpuscles

Important in Regulatory T cell development

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6
Q

What is this structure

A

Epithelia reticular cells, important in thymocytes education

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7
Q

What is the stroma of the thymus consist of

A

Epithelial cells

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8
Q

What is the stroma of the spleen consist of

A

Reticular cells

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9
Q

What is the stroma of the lymph nodes consist of

A

Reticular cells

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10
Q

What is this structure?

What is the distinguishing feature of this structure?

A

Macrophage, the distinguishing feature is the debris found around the cell.

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11
Q

What kind of cells form the Hassel’s corpuscle and what is a marker to check for that?

A

Epithelial cells, keratin since hassale’s corpuscles are keratinized

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12
Q

How do you differentiate between thymus and lymph node

A

Thymus doesnt have any germinal centers

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13
Q

What is the difference between normal and reactive lymph node?

Explain the details of the structures that are found in the reactive lymph node

A

Germinal centers are obvious in a reactive lymph node, the B cells in the center of the germinal centers are differentiating and pumping out antibodies whereas the germinal center itself is lined by light staining immature B cells

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14
Q
A

HEV

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15
Q

What is the area surrounding the germinal centers in the lymph node

A

It is called the paracortex, it is the place where dendritic cells present antigens to the T cells

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16
Q

Know the structures of follicles and their types on lymph nodes and what is their function

A

Antigens presented to B cells at this site by follicular dendritic cells, follicles encircle the germinal centers in reactive lymph nodes

17
Q

What cells are found at different sites of the lymph node

A
  1. Paracortex: T cells
  2. Cortex: B cells
  3. Medulla: Plasma cells
18
Q

Tonsils are examples of?

A

Mucosa Associated Lymphoid Tissue (MALT)

19
Q

What are the 3 pais of tonsils

A

Pharyngeal, Palantine and Lingual tonsils

20
Q

How to differentiate between tonsils and other structures of the immune system

A

Tonsils have characteristic crypts

21
Q

How can we differentiate between pharyngeal tonsil and palantine tonsil

A

Palantine has stratified squamous epithelium whereas the pharyngeal has ciliated pseudostratified columnar epithelium

22
Q

What are these and what are their funciton

A

Cuboidal epithelium of HEVs in tonsils, delivery of lymph to tonsils

23
Q

MALT, SALT, GALT, etc

A

These are transient lymphoid associated structures found in Gut (GALT), Skin (SALT), etc where they form germinal centers and stay until the infection is fought off.

24
Q

Peyer’s patch

A

Permanent structure found underneath the lumen of the ilium where the dendritic cells present antigens and B cells and T cells proliferate to fight off the antigen

25
Q

How do you differentiate spleen from other tissues

A

By the presence of red pulp and white pulp

26
Q

What is this region, what is present here and what is its physiological function

A

White pulp, periarteolar lymphoid sheath surrounds this artey in the white pulp, this sheath is lined by T cells.

This is where the T cells are seeded when they leave the spleen after they are educated

27
Q

Describe the structure of the follicles found in the spleen

A

Starting from outermost region in the spleen

  1. Contain an outermarginal zone where there are T cell-Independent B cell, they identify the antigen themselves and develop an immune response towards it
  2. Mantle zone which consist of T cell-Dependent B cells
  3. Germinal center which contain mantle zone derived B cells which are making antibodies
28
Q

What kind of circulation is in the spleen and what is its function

A

Open circulation, this allows macrophages to destroy the old red blood cells and scan them for antigens