Fundamentals of histology Flashcards
Neutrophil infiltration
Acute inflammation
Lymphocyte / plasma cell infiltration
Chronic inflammation
Neutrophil + lymphocyte / plasma cell infiltration
Acute-on-chronic inflammation
Differential for sheets of lymphocytes
Chronic inflammation
Lymphoma
Multi-lobar (2-5) nucleus
Pink on H+E stain
Granular cytoplasm
Neutrophil
Granules stain red with eosin (high affinity for acid)
Romanowsky method
Eosinophils
3 causes of eosinophilia
Allergic reaction
Parasitic infection
Hodgkin’s lymphoma
Feline contraction
‘Asthma of the oesophagus’
Eosinophilic oesophagitis
Raised in allergic reactions
Granules contain histamine + heparin
Mast cells
Appear late in acute inflammation + form granulomas
Specialise in different tissues (e.g. Kupffer cells in liver)
Derive from monocytes
Macrophages
Bi-lobed nucleus
Eosinophil peroxidase + ribonuclease granules
Eosinophil
How do you know if a sputum sample is superficial or deep?
Presence of macrophages - alveolar macrophages deep in lungs so if present know it is a good sample. May be black from phagocytosis of pollutants
Macrophage cluster
Macrophages = ‘epithelioid’ as look like epithelial cells + elongated nucleus
Granuloma
Caseating granuloma
Dark patches of cell necrosis with loss of cell nucleu
TB (most common), leprosy, fungal, histoplasmosis, cat scratch disease
Non-caseating granuloma
No necrosis
Sarcoidosis, Crohn’s