Gross descriptions & Dx Flashcards

1
Q

Decription

A
  • what you see
  • precise word picture
  • generally the description is not subjective
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

MDx

A

“interprets” the decription and makes subjective conclusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why describe the lesions?

A
  • helps figure out what lesion is
  • part of medical record
  • imparts a great deal of info to the lab/pathologist
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How to record a description

A
  • clean person
  • digital images
  • little personal recorder in a bag
  • memory (not recommended)
  • take the time to review necropsy findings before leaving
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Features of a description

A
  • number
  • size
  • location
  • distribution
  • shape
  • color
  • consistency
  • margins/surface
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Size

A
  • use an actual measurement or estimate in metric units
  • use approximations (width of thumb) then convert
  • enlarged, thickened
  • size comparisons: orange size, pea size
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Locations

A
  • SPECIFIC
  • kidney: cortex, medulla, pelvis
  • lung; cranioventral, dorsal
  • skin: head, feet, tail
  • position relative to other organs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Distribution

A
  • overall a way to state the pattern & extent of lesions
  • give a % estimate of total tissue effected
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Focal

A

one isolated lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Multifocal

A

numerous similar lesions that can be of variable size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diffuse

A

throughout a large portion of the effected tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Miliary

A

type of multifocal where there are numerous pin-point foci

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What can distibution tell you?

A
  • route of spread

- symetrical- indicates systemic/metabolic cause of the lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Geometric lesion

A

involves vasculature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Straight line lesion

A

lesion is following an anatomic structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Raised lesion

A

something has been added (edema, blood)

17
Q

Depressed lesion

A

something has been lost (necrosis)

18
Q

Red lesion

A

hemorrhage (focal), congestions (more difuse/patchy)

19
Q

White lesion

A

leukocytes, bilirubin, fat, fibrin

20
Q

Green lesion

A

bile pigment, eosinophils, algal/fungal

21
Q

Black lesion

A

melanin, fluke pigment, exogenous pigment, decomposition

22
Q

Translucent lesion

A

mucous, parasite

23
Q

Consistency

A
  • can spread w/ knife = necrosis & exudate
  • cant spread w/ knife= viable tissue & cells
  • hard is bone; gritty is mineral
24
Q

Well demarcated margins

A
  • the lesion represents a different tissue (tumors)
  • infarcts
  • chronic lesions w/ fibrous capsule
25
Q

Poorly demarcated margins

A
  • the lesion & adjacent tissue may be similar

- the process is gradually infiltrating into the normal tissue; is poorly contained

26
Q

Features of a MDx

summary of the lesion

A
  • organ
  • pathological process
  • distribution
  • chronicity
  • severity
27
Q

When you do your necropsy reports:

A
  • provide a description, not interpretation
  • using the descriptive features discussed today
  • talk w/ your pathologist to come up w/ a decent MDx