Fundamentals of Path Flashcards
Decrease in size
Atrophy
Increase in size
Hypertrophy
Increase in cell number
Hyperplasia
Change from one cell type to another
Metaplasia
Change in size, shape, function of a cell
Dysplasia (e.g. sickle cell anemia)
Disorganization of a cell (i.e. Cancer)
Anaplasia
Defective development of a cell
Hypoplasia
Lack of development
Aplasia
Absence of growth
Agenesis
Type of degeneration of the brain?
Liquefaction
Caseous degeneration associated with?
Lungs (TB)
Single lesion in TB =
Ghon Complex
Type of degeneration in Tertiary Syphilis?
Gummatous
Type of degeneration on peripheral nerves?
Wallerian
Wallerian degeneration occurs ___ to ___ (Proximal/Distal)
Distal to Proximal
Name for the system that includes the lymph organs, lymph capillary network, and lymph nodes
Reticuloendothelial System
AKA for the Reticuloendothelial system
Mononuclear Phagocyte System (MPS)
Immunity cells of the liver?
Kupffer cells
Immunity cells of the brain?
Microglial cells
Immunity cells of the lungs?
Dust cells
Immunoglobulins in mother’s milk?
IgA
Smallest, most numerous immunoglobulins?
IgG
First response, largest immunoglobulins?
IgM
Humoral immunity is associated with ___ cells. Found in spleen, tonsils, lymph, GI, and bone marrow
Antibodies (B cells)
Sensitized lymphocyte T cells (found in the thymus) are associated with ____ immunity.
Cellular
This type of immunity protects the body from its own defense system, bacteria, viruses, and prions
Cellular
Pneumonic for hypersensitivity reactions?
I
AM
I
T
Type I hypersensitivity reaction
Immediate (e.g. anaphylaxis)
Type II hypersensitivity reaction
Antibody Mediated (e.g. Myasthenia Gravis)
Type III hypersensitivity reaction
Immune (e.g. SLE, RA)
Type IV hypersensitivity reaction
T-cell Mediated, aka Delayed (e.g. Dermatitis)
Type of WBC elevated in bacterial infection (these are phagocytic)
Neutrophils
Type of WBC elevated in viral infection or chronic disease
Lymphocytes
Type of WBC elevated in a chronic infection
Monocytes
Type of WBC elevated in allergic reaction or parasitic infection
Eosinophils
This type of WBC is similar to mast cells..it makes heparin and histamine. These are the “bad” guys
Basophils
Pneumonic for Ivory White Vertebra?
MPH
Ivory White Vertebra can be caused by? (MPH)
Mets (blastic)
Paget’s (blastic stage)
Hodgkin’s Lymphoma
Cell associated with Hodgkin’s lymphoma?
Reed Sternberg cell
Most common PRIMARY malignancy of the spine
Multiple Myeloma
Multiple Myeloma is associated with ___ proteinuria
Bence Jones
A RETROVIRUS that attacks T4 helper cells. Associated w/Kaposi’s Sarcoma and Parasitic pneumonia
AIDS
Most common type of hypothyroidism - autoimmune
Hashimoto’s
Cancer of chromosome 8. In children, aggressive. ”Starry sky” cellular appearance. Associated with Epstein-Barr virus
Burkitt’s Lymphoma
____ is present in ALL leukemia’s
Anemia
This leukemia peaks in children ages 3-5. Similar to Burkitt’s lymphoma (starry cell)
ALL
This leukemia is most common in young adults (peak 15-20 yo)
AML
This leukemia is present in all ages, but peaks at 40-50 yo. Associated with a chromosomal abnormality (Philadelphia chromosome)
CML
This leukemia is simply associated with the elderly
CLL
Fluids, proteins, and blood cells into the interstitial tissue
Exudate
Increased fluid in interstitial or serous cavities
Edema
Purulent exudate (mostly neutrophils)
Pus
Free fluid in the peritoneal cavity
Ascites
Whole body is swollen
Anasarca
A protein mediator that activates and orchestrates the inflammatory response
Cytokines
Right sided heart failure (disease of lungs or pulmonary vessels)
Cor Pulmonale
A Berry aneurism occurs in what artery?
Anterior communicating branch
Angina at rest
Prinzmetal
Dissecting aneurysm common in ____ syndrome
Marfan’s
Male, smoker = ___ disease (inflammation and damage to arteries that leads to blockage and eventually gangrene)
Buerger’s (Thromboangiitis obliterans)
Cell suicide
Apoptosis
List the 5 steps of Emigration (immune response to injury - mostly neutrophils)
- Margination
- Rolling
- Tight adhesion
- Migration (across vessel wall)
- Diapedesis (migration to injured tissue)
Increases vascular permeability
Kinin
Histamine is released during inflammatory responses by ____ cells
Mast
Malignant tumors mostly end in ___ if of epithelial tissue origin or ____ if of connective tissue origin
Carcinoma, Sarcoma
Pneumonic for the most common PRIMARY bone tumors
MOCE
Benign tumors usually end in ___ and are encapsulated
“oma”
The exceptions to the benign “oma” rule?
Melanoma, Multiple Myeloma
List the 4 most common primary bone tumors (MOCE)
Multiple Myeloma
Osteosarcoma
Chondrosarcoma
Ewing’s Sarcoma
Tumor of glandular tissue
Adenoma
Benign, rare, young, destroys bone, epiphyseal origin
Chondroblastoma
Most common benign bone tumor of the HAND
Enchondroma
More than 1 enchondroma =
Ollier’s disease
Benign tumor of smooth muscle
Leiomyoma
Benign tumor of the cerebellum
Medulloblastoma
Primary benign tumor of the heart
Myxoma
Nocturnal pain relieved by ASPIRIN, radiolucent nidus, benign bone tumor
Osteoid osteoma
Cafe au lait spots (Coast of Maine), compresses nerves (benign tumor)
Neurofibromatosis
Benign tumor of the adrenal medulla and sympathetics
Pheochromocytoma (neuroblastoma)
Benign tumor of skeletal muscle
Rhabdomyoma
Tumor of all three germinal layers (e.g. teeth, hair, etc.)
Teratoma
“Brittle bone” disease, blue sclera of the eye
Osteogenesis Imperfecta
Aka Albers-Schoenberg disease. Stone bone, “sandwich vertebra”
Osteopetrosis
This tumor is QUASI-MALIGNANT (can be both benign and malignant). Epiphyseal origin, lytic, knee, tends to recur
Giant Cell tumor
Common malignant tumor of the large intestine
Adenocarcinoma
Most common location for a chondrosarcoma?
Pelvis
Malignant tumor, 5-20 yo, onion skin/laminated periosteal reaction, diaphyseal origin
Ewing’s Sarcoma
Malignant tumor of smooth muscle
Leiomyosarcoma
Primary malignant tumor of bone, SUNBURST periosteal reaction, most common in knee or pelvis
Osteosarcoma
Malignant tumor from remnant of notochord. Found in sacrum or occipital
Chordoma
Malignant tumor of astrocytes
Glioblastoma (astrocytoma)
Carcinoma of the ovary, metastasized from GI tract
Krukenberg’s tumor
Aka Plasma cell cytoma, REVERSED A/G RATIO, diaphyseal origin, Primary malignancy of bone, lytic
Multiple Myeloma
Malignant tumor of the testes
Seminoma
The primary cause of squamous cell carcinoma?
Cigarette smoking
Malignant tumor of the kidney in children. Aka nephroblastoma. Associated with Deny’s-Drash syndrome
Wilms tumor
Type of periosteal reaction in Mets and Multiple Myeloma?
NONE
This primary malignant tumor of bone shows an IgG “M-spike” on electrophoresis
Multiple myeloma