Chapter 1: Pathological Definitions Flashcards
Pathology
General concepts
The study of disease
Disease
General concepts
A state in which a living organism is not in homeostasis
Homeostasis
General concepts
A state of dynamic balance of life processes that exists in a healthy living organism
Lesion
General concepts
An abnormality that arises in living tissue as a result of a loss of homeostasis. It may be 1. biochemical, 2. biochemical and microscopic, or 3. biochemical, microscopic and macroscopic.
Somatic pathology
General concepts
The study of disease of the body.
soma = body
Psychopathology
General concepts
The study of disease of the mind.
psyche = mind
Aetiology
General concepts
The proximate cause of a specific disease.
Specific disease
General concepts
A disease in which the proximate cause (aetiology) is known.
Pathogenesis
General concepts
The development of a lesion and/or a disease in space and time.
Diagnosis
General concepts
The identification of a disease by its name.
Aetiological diagnosis
General concepts
The identification of the proximate cause of the disease that has been diagnosed.
Lesion description
General concepts
What the lesion is perceived to be by using the senses of sight, touch and smell.
Morphological diagnosis (MD)
General concepts
The identification of a lesion at macroscopical and/or microscopical level in terms of what the lesion is conceived to be.
Root
of Morphological Diagnosis (MD)
General concepts
The fundamental name for the lesion.
Qualifiers
of Morphological Diagnosis (MD)
General concepts
Terms that provide more information about the root for example degree (severity), time span, distribution, cause
Genetic diseases
General concepts
Diseases in which the aetiology is primarily a defect or defects in the genes themselves.
Environmental diseases
General concepts
Diseases in which the aetiology is primarily an environmental factor/s
Mendelian Disorders
General concepts
Genetic dieases involving a single recessive or dominant gene pair
Polygenic Disorders
General concepts
Genetic diseases involving more than one pair of genes
Cytogenetic Disorders
General concepts
Genetic diseases involving abnormalities of parts of chromosomes or whole of chromosomes
Infectious Diseases
General concepts
Diseases caused by pathogenic microscopic organisms
pathogenic microscopic organisms = pathogens
Contagious Diseases
General concepts
A subset category of infectious diseases caused by pathogens which are easily transmitted by physical contact
Iatrogenic
General concepts
Caused by the clinician
From the Greek word “iatros” = “healer” and “gennan” = “as product of”
Idiopathic
General concepts
Of unknown cause. An idiopathic disease is one in which the aetiology is unknown or uncertain
The suffix: ‘itis’
General concepts
Denotes an inflammatory lesion
e.g. “hepatitis” = inflammation of the liver
The suffix: ‘osis’
General concepts
Denotes diffuse cell injury
e.g. “hepatosis” = diffuse liver cell injury
The suffix: ‘opathy’
General concepts
Denotes the presence of a lesion of unknown nature in an organ and should only be used to indicate that you have no idea what the lesion is
e.g. “encephalopathy” = lesion(s) in the brain (nature unestablished)
Atrophy
Adaptations of cells to chronic injury
The decrease in size of an organ or tissue due to a decrease in the size of the constituent cells (quantitative atrophy) and/or a decrease in the number of cells (numerical atrophy)
Hypertrophy
Adaptations of cells to chronic injury
The increase in the size of an organ or tissue due to an increase in the constituent cells
Hyperplasia
Adaptations of cells to chronic injury
The incease in the size of an organ or tissue due to an increase in the number of the constituent cells
Metaplasia
Adaptations of cells to chronic injury
The change in an organ or tissue of a cell from one type of mature cell to another type of mature cell of the same embryonal origin
Dysplasia
Adaptations of cells to chronic injury
The disorderly differentiation of the cells in a tissue, most often seen in the epidermis of the skin
Aplasia
Adaptations of cells to chronic injury
The failure of an embryonal anlage for an organ or tissue to develop (the anlage is present but not developed)
Agenesis
Adaptations of cells to chronic injury
The failure of an embryonal anlage to form (the anlage is absent)
Hypoplasia
Adaptations of cells to chronic injury
The failure of an organ or tissue to develop to its full size
Developmental defects
Adaptations of cells to chronic injury
The failure of specific embryological and/or foetal developmental processes
Hamartoma
Adaptations of cells to chronic injury
An overgrowth of normal tissue in a location in which it is normally found
Choristoma
Adaptations of cells to chronic injury
An overgrowth of normal tissue in a location in which it is not normally found
Involution
Adaptations of cells to chronic injury
The physiological decrease in the size of an organ or tissue following completion of a normal function
(like mammary glands after weaning)
Cachexia
Adaptations of cells to chronic injury
The term used to describe an animal that shows atrophy of all the parenchymatous organs and skeletal muscles, serous atrophy of the body fat, and (non-regenerative) anaemia. Usually caused by starvation or chronic debilitating diseases.
Sublethal cell injury
Sublethal and lethal cell injury
Mild to moderate injury to the cell which is reversible should the cause of injury be removed
Lethal cell injury
Sublethal and lethal cell injury
Severe injury to the cell resulting in cell death
Direct membrane injury
Sublethal and lethal cell injury
Injury to the plasma membrane by a host of agents.
Indirect membrane injury
Sublethal and lethal cell injury
Injury to the plasma membrane secondary to ATP depletion caused by cellular hypoxia or cyanide poisoning
Oncosis
Sublethal and lethal cell injury
This is cell swelling (osmotic cell oedema) following on direct or indirect membrane injury, which may or may not be lethal
Lipidosis
Sublethal and lethal cell injury
The accumulation of triglkycerides in the cytoplasm of a cell
“osis” = diffuse cell injury
Necrosis
Sublethal and lethal cell injury
A process following cell death involves hydrolytic enzyme release from lysosomes with consequent denaturation and coagulation of the cytoplasmic proteins
Coagulative necrosis
Sublethal and lethal cell injury
The usual type of necrosis in which cell and tissue architecture is retained
Liquefactive necrosis
= malacia
Sublethal and lethal cell injury
The type of necrosis in the CNS that is associated with softening of the tissues
Caseous necrosis
Sublethal and lethal cell injury
The type of necrosis seen in tuberculosis and caseous lymphadentis in which the necrotic tissue resembles crumbly cheese
Fat necrosis
Sublethal and lethal cell injury
The change seen in adipose tissue following the release of free fatty acids from adipocytes
Saponification
Sublethal and lethal cell injury
The chemical process induced in adipose tissue by free fatty acids that react with calcium ions to form alkaline salts known as soaps
Gangrene
Sublethal and lethal cell injury
Necrosis of tissues, usually the distal limbs and ears, mostly because of failure of the blood supply
Apoptosis
Sublethal and lethal cell injury
A process involving the activation of caspases and the Bcl2 gene in the cell, leading to cell death via a complex molecular cascade
caspases = protease enzymes
Bcl2 gene = regulates cell death
Autophagy-associated cell death
Regulate cell death
A process in which cells generate energy and metabolites by digesting their own organelles and macromolecules, leading to cell death if nutrients are not received by the cell.
Programmed cell death
Regulate cell death
Genetically controlled cell death, which includes apoptosis and autophagy-associated cell death
Pycnosis
Regulate cell death
The process of condensation of nuclear chromatin following cell death
Karyorrhexis
Regulate cell death
The disintegration of the nucleus into bits of condensed chromatin following cell death
“rrhexis” = rupture
Karyolysis
rupture of any vessel
The dissolution of nuclear chromatin following cell death
“lysis” = break down
Lipid deposits
Intracellular and extracellular accumulations
Intracellular vacuolar deposits with a variety of causes
Cholesterol deposits
Intracellular and extracellular accumulations
Intracellular deposits in smooth muscle cells of arterial walls (=atherosclerosis) or extracellular deposits in old heaemorrhages
“rrhage” = excessive flow
Protein deposits
Intracellular and extracellular accumulations
Intracellular deposits in renal PCT cells in nephrotic syndrome, and overstimulated plasma cells. Extracellular deposits in the alveoli, blood vessel walls and on the basement membrane
PCT = Proximal Convoluted Tubule
Glycogen
Intracellular and extracellular accumulations
Exessive intracellular accumulation in hepatocytes in glycogen storage
Carbon
Intracellular and extracellular accumulations
An exogenous pigment that causes anthracosis if inhaled or ingested
“osis” = diffuse cell injury
Silica
Intracellular and extracellular accumulations
An exogenous pigment that causes silicosis if inhaled or ingested
Asbestos
Intracellular and extracellular accumulations
An exogenous pigment that causes asbestosis if inhaled or ingested
Copper
Intracellular and extracellular accumulations
An exogenous pigment that may accumulate in the liver if ingested
Lipofuscins
Intracellular and extracellular accumulations
Endogenous pigments derived from the breakdown of cell membranes that accumulate in post-mitotic cells of older individuals
Ceroid
Intracellular and extracellular accumulations
An acid-fast, autofluorescent variant of lipofuscins
Melanin
Intracellular and extracellular accumulations
A normal endogenous black pigment which is sometimes fount in abnormal locations
Pseudomelanin
Pseudomelanin
Intracellular and extracellular accumulations
A black pigment (iron sulphide) formed post mortem (PM)
Haemosiderin
Intracellular and extracellular accumulations
Intracellular aggregates of the endogenous pigment ferritin, mostly found in macrophages
ferritin = iron + apoferritin
Bile pigments
Intracellular and extracellular accumulations
Endogenous pigments derived from the breakdown of haemoglobin, which accumulate in bile cannaliculi, hepatocytes and renal PCT cells in diseases characterized by icterus
icterus = jaundice (geelsig)
Haematoidin
Intracellular and extracellular accumulations
A bright yellow pigment derived from haemoglobin at sites of haemorrhage in tissues
Acid haematin
Intracellular and extracellular accumulations
A blackish brown pigment derived from haemoglobin as an artefact in tissues fixed in unbuffered (acid) formalin
Calcium salts
Intracellular and extracellular accumulations
are responsible for the radiopacity of bone, calcified cartilage, and arteriosclerotic plaques in arteries. Also used to prevent osteoporosis and to treat cardiac arrest and hyperkalaemia
Pathologic Calcification
Pathologic Calcification
The deposition of calcium salts in the cells and tissues of the body
Dystrophic Calcification
Pathologic Calcification
The deposition of calcium salts in dying and dead tissues
Hypercalcaemic calcification
= metastatic calcification
Pathologic Calcification
The deposition of calcium salts in certain living tissues due to hypercalcaemia
Calcinosis
Pathologic Calcification
A disease complex in which their is calcification in the dermis of the skin
Cacinosis cutis
Pathologic Calcification
A calcinosis associated with hypercortisolism in dogs
Calcinosis circumscripta
Pathologic Calcification
An idiopathic calcinosis of mainly German Shepherds and Great Danes
idiopathic = of unknown aetiology (cause)
Ectopic bone
The formation of new bone material where it does not belong
Ectopic = tissue forms where it doesn’t belong
Oedema
Circulatory disorders
The swelling of tissues and organs by the presence of excessive serous fluid in the extravascular compartment
Transudate
Circulatory disorders
The term used to decribe the serous fluid that accumulates in the extravacscular compartment
Modified transudate
Circulatory disorders
A transudate containing some protein and cells
Hyperaemia
Circulatory disorders
An increased volume of blood in a tissue or organ due to an increase in blood flow to that tissue or organ
Congestion
Circulatory disorders
An increased volume of blood in a tissue or organ due to impaired venous drainage of that tissue or organ
Haemorrhage
Circulatory disorders
Is the extravasation of blood
Haemorrhage per rhexis
Circulatory disorders
Is due to physical injury to the vessel wall
e.g. cuts or tears
Haemorrhage per diabrosis
Circulatory disorders
Is due to pathological processes affecting the vessel wall
e.g. vasculitis