Introduction to Pathology Flashcards

1
Q

What is disease

A

Any harmful devation from or interruption of any part or system of the body which is manifested by a characteristc set of symptoms (what the patient feels) and signs (what the clinician sees)

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2
Q

What is Pathology

A

‘Study of disease’
The structural, biochemical and functional changes in cells, tissues and organs that occur in disease

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3
Q

Importance of pathology

A

Fundamental to understanding how a disease occurs and how disease can be diagnosed, treated and prevented

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4
Q

General Pathology

A

Basic responses of cells and tissues to insults and injuries, irrespective of the organs, systems, or species of animal involved

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5
Q

Systemic Pathology

A

Pathology of organ systems
Alterations in specialized organs and tissues

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6
Q

Anatomic Pathology

A

Examination is tissues taken during life (biopsy) or after death (autopsy, necropsy)
Can be gross or histopathology
-> examines nature and extent of disease process

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7
Q

Clinical Pathology

A

Examination of blood and other body fluids, as well as (cytology) during life, laboratory diagnostics and technology

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8
Q

What is aetiology

A

Cause of the disease

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9
Q

What is pathogenesis

A

How the disease develops

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10
Q

4 aspects of disease

A

Aetiology, pathogenesis, molecular and morphological changes, and clinical manifestation

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11
Q

What is inflammation

A

Vascular and interstitial tissue changes that develop in response to tissue injury and that are designed to sequester, dilute and destroy the causal agent
‘-itis’

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12
Q

What is healing

A

Repair of injured tissue, occurs after or during inflammation

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13
Q

Angiogenesis

A

Formation of new blood vessels

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14
Q

Fibrosis

A

Formation of fibrous connective tissue by fibroblasts

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15
Q

Which organs will undergo regeneration

A

Some organs such as intestines will generate, stable organs such as the heart will not

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16
Q

Epithelisation

A

The regenerative process that covers defects in injured skin and other epithelial surfaces

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17
Q

Thrombosis

A

Interaction of the blood coagulation system and platelets to form, within a vascular lumen, an aggregate of fibrin and platelets (=thrombus)

18
Q

What is neoplasia

A

Cancer- can be benign or malignant
Intrinsic genetic mutation in somatic cells that underlie abnormal mechanisms for growth and control of mitosis, differentiation and cell-to-cell interactions, all of which lead to unrestrained mitosis
Disruption of normal cell boundaries -> abnormal cell growth
leads to disruption of normal tissues through replacement or compression

19
Q

Metabolic dysfunction

A

Metabolism is the chemical process that takes place in an organism in order to maintain homeostasis
Dysfunctions can be genetic, due to a chemical imbalance, or an organ malfunction (e.g. pancreas in diabetes)

20
Q

Necrosis

A

Death of cells or tissues in the living animal, can be diffuse or just part of an organ affected

21
Q

What is a biopsy

A

Removal and examination of a tissue sample from a living animal body for diagnostic purposes

22
Q

Post mortem exam

A

Methodical examination of the dead animal

23
Q

What is the Pathological Description

A

How to describe lesions observed during the biopsy or autopsy

24
Q

What is included in the pathological description (8)

A

Location
Number/ extent
Demarcation- can you tell the lesion apart from normal tissue
Distribution
Colour
Size
Shape
Consistency and texture
* smells or sounds should also be recorded

25
What does varrucose mean
wart like shape
26
How to describe distribution of pathology
Focal, multifocal, focally extensive, multifocal to coalescing, diffuse (entire organ), random, segmental etc.
27
What is a clinical diagnosis
Based on data obtained from the case history, clinical signs and physical examination
28
what is a clinical pathological diagnosis
Based on changes observed in the chemistry of fluids and the haematology, structure, and function of cells collected from the living patient e.g. azotaemia, hypernatremia etc
29
What is a morphological diagnosis
Based on what is seen- the predominant lesions in the tissues Can be microscopic/histological or macroscopic/gross
30
What does the morphological diagnosis describe (5)
Location (organ) Distribution- Focal, multifocal, diffuse, segmental Severity- mild, moderate, severe Duration- peracture, acute, subacute, chronic Nature/ Process - degenerative, inflammatory, neoplastic (indicated by -itis, -osis .....)
31
What is morphology
Study of what can be seen through microscopis and/or macroscopic examination
32
Macroscopic examination of morphology
Observe deviation in size, colour, texture and location
33
What is autolysis, when does it occur
changes due to “self-digestion”, intracellular enzymes leak through cell membranes Post mortem
34
What is putrefaction, when does it occur
Colour and texture changes, gas production, and odours that are caused by post-mortem bacterial metabolism and dissolution of host tissues (post-mortem decomposition)
35
What is rigor mortis and why does it occur
Contraction of muscles occurring after death Due to depletion of ATP and glycogen, commences 1 to 6 hours after death and persists for 1 to 2 days
36
What is livor mortis
Gravitational pooling of blood to the down side of the animal, can be seen on skin or in organs
37
What is haemoglobin imbibition
Red staining of tissues Once the integrity of blood vessel walls is lost, haemoglobin released by lysed erythrocytes penetrates the vessel wall
38
What is bile imbibition
Bile in the gal bladder stains adjacent tissue yellow/green/brown
39
What is pseudomelanosis
Blue-green discolouration of the tissue by iron sulphide (FeS) formed by the reaction of hydrogen sulphide (H2S) generated by putrefactive bacteria and the iron from haemoglobin released from lysed erythrocytes
40
What to include in morphological diagnosis of neoplasia and malformations
Organ + Name of neoplasia/malformation
41
What does per acute mean
v. quick-> quicker than acute
42
What is agonal
Abnormal pattern of breathing characterised by laboured, gasping breaths that occur because of insufficient oxygen.