Histopathology Buzzwords Flashcards

(88 cards)

1
Q

Malignancy
multiple emboli
no cardiac murmurs
echo shows vegetations
BCs neg

A

non-bacterial thrombotic endocarditis

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2
Q

Sterile fibrin and platelet vegetations are
present on cardiac valves

A

non-bacterial thrombotic endocarditis

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3
Q

tall, long limbs and long thin fingers
aortic regurg murmur
tearing chest pain radiating to back

A

marfan’s syndrome

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4
Q

Cystic medial necrosis = focal degeneration of elastic tissue and muscle fibres in the tunica media -> aneurysm

A

Marfan’s syndrome

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5
Q

How long after MI?
- extensive cell infiltration including polymorphs and macrophages
- extensive debris post necrosis and the cytoplasm is homogeneous
- no evidence of
collagenization or a scar

A

1-4 days

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6
Q

Arteries have onion skin appearance
Raynaud’s phenomenon
Swelling and stiffness of fingers

A

Diffuse Scleroderma
Anti-topoisomerase

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7
Q

Periorbital oedema
Purple Heliotrope rash on eyelids
Erythematous scaling rash on face
High SK-M enzymes

A

Dermatomyositis

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8
Q

MS patient has plaques, what is their classification (ICDNS):
presence of oedema and macrophages, and some myelin breakdown

A

Early chronic active plaque

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9
Q

Brain atrophy
loss of neurons
senile plaques
neurofibrillary tangles

A

Alzheimer’s disease

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10
Q

Phosphorylated tau protein
Aggregation of beta-amyloid

A

Alzheimer’s Disease

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11
Q

Cell change - Oesophageal biopsy shows columnar epithelium with goblet cells

A

Metaplasia

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12
Q

Barrett’s oesophagus is a change between what?

A

normal stratified squamous epithelium -> columnar epithelium

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13
Q

Histological examination of pancreas - parenchymal fibrosis and large
ducts containing insipissated secretions

A

chronic pancreatitis

Histology
shows chronic inflammation with parenchymal fibrosis, loss of pancreatic
parenchymal elements and duct strictures with formation of intrapancreatic calculi. Jaundice may occur; it is a presenting feature in
only a small proportion of patients and would be secondary to common
bile duct obstruction during its course through the fibrosed head of the
pancreas. Grossly, the pancreas is replaced by firm fibrous tissue within
which are dilated ducts and areas of calcification

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14
Q

Gutalim Acid Decarboxylase (GAD) antibody positive

A

Diabetes mellitus type 1

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15
Q

AMA antibody associated with which autoimmune conditions

A

Rheumatoid arthritis
Scleroderma
Primary biliary cirrhosis

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16
Q

Mutation of the copper transport ATPase gene on Ch13

A

Wilson’s disease

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17
Q

Arthritis
Myositis
Uveitis
Erythema nodosum
Pyoderma gangrenosum
Primary Sclerosing Cholangitis

A

Ulcerative Colitis

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18
Q

Chlamydia trachomatis infection
USS shows hydrosaplinx, which is a complication of?

A

Salpingitis

Hydrosalpinx,
a complication of salpingitis, is the dilation of the fallopian tube that is
thin-walled and contains clear fluid. This is believed to be a sequel to
previous inflammatory damage to the tube. The scarring sequelae are
believed to include plical fusion, adhesions to the ovary, tubo-ovarian
abscess, peritonitis, hydrosalpinx, infertility and ectopic pregnancy.

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19
Q

Dysmenorrhoea
Multiple large rounded nodules, well-circumscribed
With pseudocapsule

A

Fibroid, aka Leiomyoma

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20
Q

Acute onset severe abdo pain
USS shows mass in ovary with three embryonic germ cell layers

A

Cystic Teratoma of the ovary - torsion presentation

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21
Q

IDA blood film

A

Hypochromic and microcytic red blood cells with anisopoikilocytosis and
no evidence of basophilic stippling

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22
Q

Serological and histological findings of Coeliac Disease

A

Anti-endomysial antibodies and anti-tissue transglutaminase antibodies/
villous atrophy, crypt hyperplasia, increased intraepithelial lymphocytes

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23
Q

Shepherd’s crook deformity

A

polyostotic fibrous displasia - varus angulation of the proximal femur

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24
Q

Loose fibrous tissue with metaplastic immature or woven bone trabeculae arranged in Chinese letters formation

A

Fibrous dysplasia

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25
cotton wool calcification tumour composed of benign hyaline cartilage slight risk of malignant transformation
Enchondroma - benign intramedullary cartilage tumnour
26
bluish-grey lobules of hyaline cartilage thin lamellar bone layer surrounding cartilage nodules
enchondroma
27
elevated periosteum = codman's triangle ill-defined lytic and sclerotic mass
oscteosarcoma
28
cytopathology method in cervical smear test
Liquid-based cytology
29
Histology of lung tumour shows keratinisation and intercellular "prickles"
Squamous cell carcinoma
30
Erythema multiforme (target-shaped lesions) Fever Painful ulcers in mouth
Stevens-Johnson Syndrome
31
Splintered fracture with soft tissue in tact
Comminuted fracture
32
Subchondral cyst formation Joint space narrowing Osteophytes Subchondral Sclerosis
Osteoarthritis
33
Loin pain, fevers, rigors, vomiting Microscopic Haematuria White cell casts
Acute pyelonephritis
34
Red cell casts
Glomerulonephritis
35
Esopinophiluria
Tubulointerstitial nephirits
36
Large necrotic solid tumour with extrarenal invasion Immature-looking glomerular structures
Wilm's tumour
37
Red painful breast Cracks and fissures on nipple
Acute mastitis
38
Blood-stained nipple discharge Papillary mass lined by epitheliuma nd muoepithelium
Intraductal Papilloma
39
Histopath: scanty deposits of immunoglobulins and complement present with ANCA Urine casts of RBCs and WBCs
Pauci-immune crescentic glomerulonephritis
40
Urinary protein loss Interference with podocyte function No glomerular crescents
Nephrotic syndrome
41
Nutmeg liver Haemosiderin-laden macrophages in lungs Unknown cause of death
Left heart failure
42
Chest pain, fever, pericardial rub Complication of MI
Dressler's syndrome
43
Sydenham's chorea Hx Mitral regurg
Rheumatic Heart disease
44
Aschkoff bodies Anitschow cells
Mitral regurg from Rheumatic heart disease
45
Coughing up pink frothy sputum
pulmonary oedema
46
Anti-dsDNA positive
SLE
47
Renal failure and p-ANCA positive
Microscopic polyangitis
48
Gottron's papules Heliotrope rash High CK
Dermatomyositis
49
DAT scan reveals reduced uptake in the substantia nigra
Parkinson's DIsease
50
Degeneration of the substantia nigra and locus coeruleus of the basal ganglia leads to reduced production of dopamine
Parkinson's Disease
51
Elderly with delayed presentation after a fall
Extradural Haemorrhage
52
Nystagmus Intention tremor Blurred vision Weakness
Multiple sclerosis Clinical features include optic neuritis, intranuclear opthalmoplegia (disruption of medial longitudinal fasciculus) and cerebellar signs, as well as spasticity and weakness of limbs.
53
Gastric lesion - signet ring cells and linitis plastica
Gastric carcinoma
54
Ultrasound of the patient’s liver reveals irregular echogenicity demonstrating nodules
cirrhosis
55
liver biopsy sample stains blue with Perl’s Prussian blue stain
Haemochromatosis
56
Exposure to aflatoxin
Hepatocellular carcinoma
57
PBC associated with what syndrome?
Sjogren's syndrome
58
Nikolsky's positive
Pemphigus vulgaris
59
salmon-pink plaques with a silver– white scale on the extensor surfaces
Psoriasis
60
Biopsy of the lesion reveals solar elastosis
Actinic keratosis
61
Haematuria Hypertensive Red and white cell casts
Nephritic syndrome
62
AKI Crescent morphology
Goodpasture's syndrome
63
Statin-related rhabdomyolysis "Muddy" casts in urine
Acute TUbular necrosis
64
Green discharge from nipple
Duct ectasia
65
Lytic lesions in epiphysis of knee
Giant cell tumour
66
cafe-au-lait spots Numerous fractures Precocious puberty
McCune Albright Syndrome
67
HTN haematuria flank pain
Polycystic kidney disease
68
phospholipase A2?
idiopathic membranous glomerulonephritis
69
basement membrane thickening on light microscopy subepithelial spikes on sliver stain positive immunohistochemistry for PLA2
membranous glomerulonephritis
70
silver staining = subendothelial spikes in kidney histology
membranous glomerulonephritis
71
proteinuria, hypoalbuminaemia and oedema
nephrotic syndrome
72
Glomerular hypertrophy
acute post-streptococcal glomerulonephritis
73
proliferation of the mesangial cells
IgA nephropathy
74
Deposits of immune complex in the mesangial cells
IgA nephropathy
75
Thickening of the glomerular basement membrane
Nephrotic syndrome: diabetic nephropathy or membranous glomerulonephrotpathy
76
expansion of the mesangial matrix
diabetic nephropathy
77
REnal biopsy: granular appearance on immunofluorescence
Post-strep glomerulonephritis
78
Renal biopsy: subepithelial humps at the glomerular basement membrane on electron microscopy
Post-strep glomerulonephritis
79
immune complex (IgG, IgM and C3) deposition in the glomeruli
Post-strep glomerulonephritis
80
Kimmelstiel-Wilson lesions, nodular glomerulosclerosis
Diabetic nephropathy
81
Enlarged and hypercellular glomeruli
post-strep glomerulonephritis
82
Crescent moon shaped glomeruli
rapidly progressive (crescentic) glomerulonephritis
83
first-line treatment for acute pyelonephritis
Broad-spectrum cephalosporin or quinolone
83
a 35-year-old woman presents with pain on the right side of her back. This is constant and associated with fever and rigor
acute pyelonephritis
83
a 40-year-old man presents with severe pain on the right side of his back. This comes in waves. On examination he is restless with blood+ on the urine dipstick
renal colic
83
A 45-year-old woman with nephrotic syndrome is noted to have marked loss of subcutaneous tissue from the face
membranoproliferative glomerulonephritis (type II)
84
A 30-year-old man presents with haemoptysis and renal failure. A renal biopsy shows linear IgG deposits along the basement membrane
Goodpasture's syndrome
85