8 Flashcards
what does electromyography in likely MND show
a decrease in number of action potentials with increase in amplitude
is chronic inflammation usually primary or secondary
usually primary
describe the main features of chronic inflammation
angiogenesis predominates, macrophages, plasma cells and lymphocytes
healing by fibrosis
when could you get splenic atrophy
coeliac disease
in terms of peritoneum where is spleen located
almost entirely covered in peritoneum which adheres firmly to its capsule
recesses of greater sac separate it from the stomach and kidney
what is most associated with early onset alz
presenilin 1
what type of cells are seen in CLL
smear cells
what is the mutation in sickle cell disease
point mutation in B chain and predisposes haemoglobin to polymerisation resulting in sickled cells and decrease RBC survival
what are hereditary thrombophilias caused by
Factor V Leiden, antithrombin III deficiency, protein C deficiency, protein S deficiency
what can female cells show
Barr bodies-inactivated condensed X chromosome
where is the substantia gelatinosa and what does it do
pain and temperature in posterior horn
describe pathway of anterior corticospinal tract (also called ventral)
the neurones converge and descend through the internal capsule
they remain ipsilateral, decussate and terminate in ventral horn of cervical and upper thoracic
describe pathway of lateral corticospinal tract
neurones converge and descend through internal capsule, decussate in medulla and then terminate in the ventral horn
what are the 2 parts of corticospinal tract and spinothalamic tract
both have anterior and lateral parts
what does anterior spinothalamic tract carry
sensory modalitites of pressure and crude touch
what does lateral spinothalamic tract carry
pain and temperature
what do the 1st order neurones in spinothalamic tract do
arise from sensory receptors in periphery-enter spinal cord, ascend 1-2 vertebral levels and synapse in tip of dorsal horn-substantia gelatinosa
what do second order neurones in spinothalamic tract do
from substantia gelatinosa to thalamus, they decussate within the cord and form 2 tract
what 2 tracts does spinothalamic form
anterior and lateral
where can ovarian tumours be derived from
surface epithelium, sex cord/stromal tumours, germ cell tumours
name the types of germ cell ovarian tumours
teratoma, dysgerminoma, choriocarcinoma, yolk sac tumour
name the types of sex cord/stromal tumours
fibroma, thecoma-granulosa, sertoli-leydig
what are the main features of brenner tumour
usually benign, contain Watthard cell rests
typically coffee bean nuclei
what is the other name for alemtuzumab
lemtrada