Path Flashcards

1
Q

Coagulation:

A

infarction

myocaridal infarction

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2
Q

Liquefaction

A

CNS

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3
Q

Caseous

A

TB

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4
Q

Enzymatic

A

Pancreas

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5
Q

Fatty

A

Liver

precurser to nutmeg liver

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6
Q

Zenker

A

aka Waxy

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7
Q

Wallerain

A

peripheral nerves

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8
Q

Cloudy swelling

A

albuminous

which of the following involves the injury of the membrane

swelling of cells due to injury of the mebrane

affecting the ionic transfer

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9
Q

Development changes

Agenesis

A

absence of a organ usually a paired organ

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10
Q

Development changes

Hupoplasia

A

organ usually smaller than the normal organ and usually defective

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11
Q

Development changes

Aplasia

A

lack of devlupment

remnants of the organ are there but not fully develuped

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12
Q

Disturbance of growth

Atrophy

A

decrease in size (disuse)

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13
Q

Disturbance of growth

Hypertrophy

A

increase in size (muscular exercise)

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14
Q

Disturbance of growth

Hyperplasia

A

increase in number of cells ( pregnants uterus)

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15
Q

Disturbance of growth

Metapalsia

A

changes from one cell type to another

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16
Q

Disturbance of growth

Lungs of a smoker?

A

PSeudostrficied ciliated cominlar changes to stratified squamous in a smoker

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17
Q

Disturbance of growth

Dysplasia

A

disorganized

change in size , shape , or function of a cell

(precede cancer but is reversible)

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18
Q

Disturbance of growth

Anaplasia

A

complete disorganization of a cell ( cancer)

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19
Q

TYPES~O:F CANCER~:

Condma

A

benign cartilaginous tumor

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20
Q

TYPES~O:F CANCER~:

Carcinoma

A

cancer of the epithelial tissue usually spread by the route of the lymphatic system

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21
Q

TYPES~O:F CANCER~:

Sarcoma

A

cancer of the connective tissue usually spread by blood

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22
Q

TYPES~O:F CANCER~:

Carcinoma in siti

A

cancers that has NOT invaded the

“basement membrane”

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23
Q

Bacteremia

A

bacteria in the blood

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24
Q

Septicemia

A

pathogens or toxins in the blood

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25
Anoxia
absence of oxygen
26
Hypoxia
deficiency of oxygen
27
Thrombus
platelet deposition
28
Clot:
fibrinogen into fibrin via thromboplastin
29
Embolus
foreign body in the blood that travels
30
Diapedesis:
nuetrophils and monocytes squeeze through the walls of blood vessels
31
Chemotaxis
Movement of WBC against the gradient of a avrety of tissue damage products
32
Phagocytosis
accomplished through neurtophils and macrophages
33
Pavmenting
adhesion of leukocytes the the endothelial lining of blood vessels
34
Metstatic calcficiation
calcification into normal tissue as a result of too much vitmnin D as a result calcium deposits
35
Dystophic calficicantion
calcification of dmaged tissue athtloma
36
PNEUMOCONIOSIS:
Deposition of particles in the lung
37
Silicosis :
silica (rocks of glass) in sandblasting seen in sandblaster quarry rock loans
38
Asbestosis
asbestos leads to mesothelioma --> Is malignant
39
Siderosis
iron dust
40
Byssinosis:
cotton dust called Brown lung
41
Berylliosis
Fibers- aircraft manufacturing
42
Arithracosis
Black lung disease from Miners (coal)
43
Toxicdymycosis
san jaunin valley fever
44
Histoplasmosis:
Missisippi OH fever
45
Syphilis congenital Stages
1. Hutchinson's teeth- notched permanent incisors 2. Rhagades - fissures and cracks at the end of the mouth 3> saddle nose deformity - bridge of nose deformity 4. Sabre blade tibia 5. Interstitial kerrititis produces visual changes. This also can be associated with deafness.
46
Syphilis Acquired 4 Stages of Syphilis Stage 1: Primary Stages
hard, singular painless nodule on perineum Known as a Shanke
47
Syphilis Acquired 4 Stages of Syphilis Stage 2: Secondary Stages
maculopapular rash and condylomata lata (flat | warts on the vulva
48
Syphilis Acquired 4 Stages of Syphilis Stage 3 : Latency
Mayor may not have symptoms
49
Syphilis Acquired 4 Stages of Syphilis Stage 4: Teritary
Neuro syphilis
50
Syphilis Acquired 4 Stages of Syphilis Stage 2: Secondary Stages
maculopapular rash and condylomata lata (flat | warts on the vulva
51
Syphilis Acquired 4 Stages of Syphilis Stage 3 : Latency
Mayor may not have symptoms
52
Syphilis Acquired 4 Stages of Syphilis Stage 4: Teritary
Tabes dorsalis aortic anerrism argyl roberson pupil - prosotutes pupil Gummas neucrosis in body tissue
53
Chanceroid
soft chanceroid painful caused by-Hemophilus ducrey
54
Gonorrhea:
gram negative diploccus causing burnign in the urine with yellow green pus in the urine can produce arthtits in the knee
55
Lymphogranuloma venereum
chlamydia is the organism produces rectal strictures Dx: frei test
56
Ghnorrea
MC PID
57
Granuloma inguinae
red nodules in ingual area
58
Trichonomas
purulents vaginal dischagre -- green frothy protzoan
59
GArdenalla vaginallis
foul smelling discharge. Clue cells
60
Dysphagia
trouble swallowing
61
Sliding hiatal hernia
due to anatomicallyshortened esophagus
62
Diverticula
outpouching in the intestine. Usually I :Lower left quadrant of the abdomen descending and sigmoid colon
63
volvulus:
Twisting of an organ around the lungs axis
64
Intussusception
telescoping of intestine onto itself
65
Celiac disease
intolerance to gluten on gluten free diet is how your
66
Crohns
regional ileitis - seen in young people affects the distal colon produces skip lesions
67
Hirschbrung's:
Congenital megacolon. Absence of the myenteric plexus
68
Ulcerative colities
Patholigcials intestianals changes ulcers, bloody diarhea complications produce toxic megacolon descending sigmid colon
69
Irritable bowel:
spastic colon, distention, pain, diarrhea . stress | related
70
Peutz Jegher's:
Polyposis characterized by polyps in the entire | GI tract
71
Caplans sydrome
affect coal miners / nodules in lungs
72
Belke sydrome
RA with splenomegaly
73
Emohezema
alpha - anti - trypsin - disease - deficiency
74
Pagets
ostetis defromisn - producued thcickeing and defromity of the bone MEN over <50 Cortical thickening PAtholigical is the osteocalstic
75
Stills
a form of juvenile Rheumatoid arthritis
76
Parkinsons
aka paralysis agitans problems with dopaminein th ebasal cell ganglia. Inclusiosn bodies called LeWY bodies PAtient has masked face stopped posture resting tremor festinating gait (shufflinf gait )
77
Multiple Sclerosis
Demyelinizationand plaguing of the SC or brain Charcot's triad scanning speech, intention tremor and nystagmus. Characterized by exacerbations and remissions.
78
Charcot's triad
scanning speech, intention tremor and nystagmus. Characterized by exacerbations and remissions.
79
Myethesia Gravis
Formationof antibodiesthat block the ACH receptorsat the myoneuraljunctionproducingexcess cholinesterase thymic enlargement causes progressiove weakness and fatigue FIRST starts with the occular muscles - especially with fatigued
80
ALS
Lou Gherigs disease Contical spinal tracts affects with no sensory loss UMNL in lower limbs LMNL in upper limbs
81
PLS
combined system disease results in pernicious anemia DUE to B12 anaemia
82
Synigomeleia
cyst formation loss of pain and temperature cape like distributions
83
Arnold Chiarii
congential brain stem through the foramen magnum
84
Huntington's: | chorea
Heredity onset 30-50 basal ganglia ( of caudate nucleus ) affected defiicnty of GABA produces dementia and death chromosoem #4 is afected
85
Alziemers
progressive serve atrophy of the cerebral cortex ACH decrease
86
Fradreichs ataxia
lesions and sclerosis of the spinocerebaelar tract
87
Guilliene barr peylonephrirtis
Pyloneuritis of PNS. seen follwoing immunizations and producesan ascending paralysis. Can be fatal~/~ If it affects the ******Anterior horn)it producesI *****LMN If it affects the brain stem, then cranial nerves are affected and the breathing apparatus may be damaged
88
Korsakoff:
Alcoholic psychosis. Depletion of thiamine due | to severe alcoholism
89
Charcot Marie
Hereditary progressive peroneal muscle atrophy
90
Tooth aka Peraneal mucosal atrophy
dushenes musclar dystropy of the claves usually boys 3-7 recessive linked gene recessive linked gene perineal and anterior tibialais msucles affected
91
Kwashiorkor
protein malnutrition
92
Marasmus
calorie malnutrition, includes protein
93
Wilson's
Inborn error of copper metabolism. "keiser fleisher rings of the iris
94
diabetes insipidus
decrease due to a posterior pituitary results in dehydration *****
95
Deisabetes melittus
decrease production of insulin of beta cells of the pancrease (islet and langerhans ) productions of polydysia , polyuria , polyphagia 1. usually myocardial infarct 2. Renal failure
96
Duschenes
muscle replaced to fat
97
1st sign of diebetes
in the eyes neuovascularization
98
Genetic disorders: Turners syndrome
45 XO Female short stature webbed neck lack female secondary sex characteristics
99
Genetic disorders: Down sydrome
Trisomy 21 chromosome Male or female Mental retardation flat hypo plastic face Sinuses crease of the palm
100
Genetic disorders: Fragile X
Is the most common forma of mental retardation involving a 2 X chromosomes and one or more Y chromosome
101
Genetic disorders: Phenoketoneuria
cannot convert phenyalanine to tyrosine due to a lack of phenyalanine hydrolase ***** retardation can be controlled by diet if caught early
102
Genetic disorders: Von Gierke's
lack of enzymes to break down glycogen excessive amounts of glycognen found in the liver
103
Genetic disorders: Tay Sach
increase gangliosides found in the brain (glycophinoilipid) *** hexosaminidase deficiency **** Cherry spots in the macula ***Infant death
104
Genetic disorders: Gauchers
excess glucocrebrocide in the brain , liver and spleen
105
Genetic disorders: Krebbes
increased Galactocrebroside in white matter
106
Genetic disorders: Neimons pick
abnormal increase in sphingomyelinase decrease in shingomylinase
107
Genetic disorders: Alkaptoneruia
accumulation of hemogensisits acid , blue black deposotus in the ears Produces *** ochonochrosis which is clacification of the the discs of the spine ** Build up of tyrosine
108
Genetic disorders: Duchenes MD
seen mostly in boys 3-7 years of age produces hypertrophy in the calf muscles ** recessive linked gene /Waddling gait INCREASE in CPK (mean the muscles are dying )
109
Genetic disorders: Edwards syndrome
Trisomy 18
110
Genetic disorders: Leukoplakia
white patches of muscosa that cant be scatched off
111
Genetic disorders: Teratoma
tumors of all 3 layers
112
Genetic disorders: Adenoma
tumor of the glandular tissue
113
Genetic disorders: krukenbergs
cancer of the stomach thats metastasizes to the ovary
114
Genetic disorders: Wilsm
mixed tumor of the kidney in children
115
Genetic disorders: Leioma
tumor of smooth muscle | fibroids in the uterus
116
Genetic disorders: Rhabdomyoma
Tumor of striated muscle or heart muscle
117
Genetic disorders: Osteosarcoma
Most common bone cancer in children
118
~Multiplemyeloma
most common malignancy in adults Bence jones and routoe formation
119
Metastasis
most common tumor in the spine
120
Lipoma
fatty tumor
121
Hemagioma
benign tumor of the blood vessels
122
Xanthoma
Yellow tumor of connective tissue
123
Chondroma
bengin tumor of cartilage
124
Papilloma
associated with warts HPV-16
125
Seminoma
cancer of the testies - most common
126
Virchow's nodes
Enlarged supraclavicular lymph nodes due to | metastasis usually in the GI tract
127
WBC Neutophils
60% increased in acute ****bacterial~infections *Acute inflamation
128
WBC Lymphocytes
30% increased in viral conditions *Chronic iinflamation
129
Monocytes
increase in chronic conditions changes in phagocytes
130
Eosinophils
parasitesand allergies *reduce anti histamines
131
Basophils
similar to mast cells ... produce heparin and histamines increase blood disorders
132
Mast produce the following
1. Hsitmine 2. Heparin 3. Serotonin 4. Badykinin
133
LYMPHOCYTES: B
B. Transforms to a plasma cell
134
LYMPHOCYTES: T
T. Matures in the thymus 1. Helper: activates B 2. Suppressor: decreases antibody production 3. Killer: kills foreign agents EX: transplant rejection
135
IMMUNE COMPLEX: Steps
1. antigen enters - proceeds by macophages 2. Pahgocytosed by macropahges aka antigen presenting cell by Cd4 cells 3. Exposes antigen to B cells and T helper cells 4. T cells make sure that B cells react 5. Plasma cells make anitbodies forming the immune complex
136
Cancer cells can be destoryed by
CD8 cells which are killer cells
137
HEART AND BLOOD VESSEL DISEASE: Arteriosclerosis:
thickening, calcification and loss of elasticity | of the arterial walls
138
HEART AND BLOOD VESSEL DISEASE: Atherosclerosis:
deposition of fatty plaques (atheroma) This is a form of arteriosclerosis
139
EART AND BLOOD VESSEL DISEASE: Monkeberg I s sclerosis
tunica media**** of ****medium sized arteries calcified
140
Aneurysm berry
in the circle of Willis, subarachnoid hemorrhage
141
Aneurysm | Dissecting
longitudinal tearing away of the aorta
142
Abdominal aorta
can cause low back pain due to erosion of the anterior vertebral body
143
Beuggers
thomboangitis obliterans person who smokes heavily Intermittent claudication Lower extemity is affected
144
Raynaud's
Vasospasm of the arteries may be primary or secondary to other collagen diseases such as lupus Found in the hands or feet producing a****** triphasic color change FROM pallor to cyanosis and rubor ***** brought on by cold or emotion
145
Temporal Artetites
aka giant cell artetities affects temporal arteries Asocoated with long standing hypertension
146
Takayasu arteritis
aka pulseless disease granulomatou sinflammation of theaortic arch
147
Congenital Tetrology of Fallot
Likely to cause cyanosis DRIP Dextro rotation of the aorta Rright ventricular hypertophy Interventricular spetal defect Pulmonic stenosis
148
Coarctationof the aorta
reverse normal BP aorta narrowing of the lumen produces increased blood pressure in the upper extremities and decreased blood pressure in the lower extremities
149
B-lymphocyes incolved in
Hormonal immunity ( b -lymphocytes to cell immunity )
150
T cell in mediated
mediated immunity
151
BLOOD CELL DISORDERS Hodgkin's lymphoma:
Causes seriously enlarged lymph nodes. Produces a Pel Epstein fever which comes and goes. diagnosis based upon tissue biopsy and presence of the Reed Sternberg cell
152
BLOOD CELL DISORDERS Non Hodgkin's lymphoma:
Mostly seen in older people. No Reed Sternberg ~ cells. Symptoms same as Hodgkin's, but more severe. Includes Burkett Is Ivmph~ which is described by its "starry sky appearance
153
BLOOD CELL DISORDERS Multiple myoloma
a leukemia of bone marrow. affects the plasma cells. usually over 50
154
BLOOD CELL DISORDERS Brutuons agammaglobulinemia:
a X linked hereditary disease Decrease IgG Decrease B cells B cell defieiciency
155
BLOOD CELL DISORDERs DiGeorges
a Tell cell defieicincy cause by a hypoplasia of the Thalamus
156
Leukemia: Acute lymphoblastic ALL
ALL seen in children
157
Leukemia Chronic lymphocytic CLL
older 75% over 60 increased mature - | lymphocytes
158
Leukemia Acutcute meyeloblastic (AML)
85% adult can happen at any age *worst prognosis
159
Leukemia Chronic myelocytic: (CML)
young adulthood, increased granulocytes "Philadelphia chromosome" 30-40 years old
160
ANEMIA
lack or loss of RBC
161
ANEMIA Loss: Hemorrhage Hemolytic Breakdown
Hemolytic breakdown of cells by some disease in the body such as sickle cell anemia or malaria
162
ANEMIA Loss: Thalassemia Major:
AKA Cooley's anemia Homozygous Beta Thalasmsia AKA medteranains thalasemia
163
ANEMIA Loss: Erythroblastosis fetalis
Rh- Mother, Rh+ Father, Rh+ baby
164
ANEMIA Decreased productions of RBC Nutritional Iron Defieicent
most common microcutic hypochromic - paler in color
165
ANEMIA Decreased productions of RBC pernicious:
due to lack of intrinsic factor
166
ANEMIA Decreased productions of RBC Folic acid
seen in pregnancy
167
ANEMIA Decreased productions of RBC B12
seen in vegetarians
168
ANEMIA Decreased productions of RBC Bone Marrow suppression
Decreased Rbc"s due to toxins or chemotherapy
169
ANEMIA POLYCYTHEMIA: Increase in RBC"S
Can be in response to high altitudes or lung problems Vera true pathological condition
170
ANEMIA Thrombocytopenia
decreased platlets in the blood megakarycytes
171
PROCESS OF COAGULATION:
1. Injury leads to release of thromboplastin 2. Leads to production of prothrombin to thrombin (acts as catalyst) 1. Thromboplastin is thought to be releseaed by damaged cells 2. Prothrombin is formed in the liver 3. Fibrinogen is formed in the liver Positive feedback: the more thrombin produced, the more fibrin is produced
172
Which is a decrease in platelet rbc and wbc ?
pancytopenia
173
What type of anemia is it when there is a degneration of bone marrow?
Aplastic anemia
174
IMMUNOGLOBULINS: IgA
Exocrine secretions, milk, tears and saliva
175
IMMUNOGLOBULINS: IgD
Unknown
176
IMMUNOGLOBULINS: IgE
Lines respiratory and intestinal tracts. Associated with allergies (increased eosinophils), asthma, Hay fever
177
IMMUNOGLOBULINS: IgG:
Major antibody against virus, bacteria, toxins. Passes placenta
178
IMMUNOGLOBULINS: IgM:
Early part of every immune response
179
HYPERSENSITIVITY REACTIONS: Type I:
ANAPHYLACTIC: Seen in bronchial asthma, Hay fever, food allergies, drug reactions, bee stings. Mast cells and basophils make histamine. Reaction occurs in minutes
180
HYPERSENSITIVITY REACTIONS: Type II
CYTOTOXIC or autoimmune: Eruthroplasosis fetalis Goodpatures IgG and IgM produced Reaction takes hours to days .
181
HYPERSENSITIVITY REACTIONS: Type III
IMMUNE COMPLEX Seen in serum sickness, acute glomerulonephritis, SLE, Arthus reaction. IgG/ antigen antibodycomplex produced. Takes days
182
HYPERSENSITIVITY REACTIONS: Type IV:
DELAYED: ``` Seen in TB testing, transplant rej ection, comtact dermatitis (poison ivy). ``` Antigen sensitive T cells. contact Takes a few days
183
ARTHRITIS: Rheumatoid:
Inflammatory condition usually begins in the hands. SYmmetrical distribution. Leads to deformity (ulnar deviation of the wrist) and ankylosis in the spine. produces)*******pannus jformation over the joints (an exudate on synovial cells. Hayqarth's and Bouchard's nodes.
184
Hayqarth's
MCP
185
Bouchard
PIP
186
ARTHRITIS: Osteoarthtis
A degenerative change that occurs in everyone. Usually unilateral in ,distribution in weight bearing joints such as thip and knees. Produces decreased joint spacee, subchondral sclerosis and osteophytes
187
ARTHRITIS: Gouty arthritis
inability to digest purines Produces synovial thickening and secondary inflammatory edema (no pannus) Excess uric acid in the blood leads to tophi formation
188
ARTHRITIS: Reiters Disease:
Associated with Chalamidya associated with | conjunctivitis, urethritis and rheumaoid arthritis
189
ARTHRITIS: SLE Malar Rash
A collagen disease (autoimmune) that can produce arthritis Produce skin changes Libman Sack endocarditis Formation of anutobies against DNA TEST - ANA tests
190
ARTHRITIS: Gonococoal
Usually affects the knee
191
ARTHRITIS: Hemophilia
usually affects the knee
192
Pannus
Hypertrophy of the synovium
193
Clotting cascade
Prothrombin: made in the liver and the liver puts it in the blood 2. Moves into the blood 3. With addition of calcium 4. Thrombin 5. Fibrinogen 6. Clots
194
Type I
Anaphylactic Time: 15- 30 min Imidiete Disorder: Bee Sting, Hay fever Bronchiol asma Immune Response: IgE , Mast cells Basophils
195
Type II
Cytotoxic TIme: Min to hours Disorders: Goodpateurs , Myseia Gravis, Erythroblastosis fetalis Blood transfusions , Graves Immune System: IGG Target cells , Phagocytosis
196
Type III
Immune Complex Disease Disorder: Arthus reaction, Serum sickness (Systemic Necrosis) RA Lupus IGG
197
Type Iv
Cell mediated Delayed hypersensitivity Disorder: TB, Contact Dermatitis, regected transplant Cell: T cell
198
Goodpasturas = l
lung and kidneys
199
II
Anitgen directly attack Use IgG
200
III
Antigen and antibody IgG