Histology Flashcards
what colour does H&E stain?
blue and pink
what stain would you use for sugars, cartilage collagen and gycogen?
PAS - magenta
what stain would you use for elastic?
Van Gieson
what stain would you use for mucins?
Alcian Blue
when would you use this stain?
Osmium - heavy metal
stains for lipids.
identified myelinated neurons
what stain has been used here?
Perls’ Prussian Blue
Detects Iron
what type of cell is this, where would you find it, and what is their function?
simple squamous epithelium.
alveoli, lining of heart, blood vessels and lymphatic vessels
allow passage through diffusion, secrete lubricating substance.
what type of cells are these, what is their function and where would you find it?
Simple cuboidal epithelium.
> secrete and absorb
> found in small ducts and kidney tubules.
what are these celss, what is their function and where can they be found?
Simple Columnar Epithelium
> absorb and secretes mucous and enzymes
> .Cilliated: found in bronchi, uterine tubes, uterus (wafting)
> Non cilliated: digestive tract (villi) and bladder
what type of cell is this?
where might it be found?
Pseudostratified Columnar Epithelium.
Cilliated
Respiratory Epithelium
where is stratified epithelium found?
parts of body exposed to frequent friction:
skin, mouth, cervix, oesophagus, vagina
continuously worn down
what types of cells are these?
Stratified Squamous Non-Keratinising Epithelium.
Keratin helps to waterprood epithelium - not needed in wet sights.
Top = oesophagus, Bottom = Vagina
where might you find each of these two cells?
This is Stratified Squamous Keratinising Epithelium.
Keratin = waterproofing.
The left is thin skin = eyelids
The right is thick skin = palm of hands
What are these cells and where would you find these kinds of cells?
Urothelium
(looks stratified, but umbrella cells dont touch basement membrane)
Found in Bladder, urethra, Ureters - allow urinary ograns to expand and stretch.
what is a basement membrane made from?
bonus: what stain would you use?
Collagen IV and Fibronectin
PAS (-magenta)
what junction is this?
what is it used for?
where might you find it?
Gap Junction - communication
>transfer/electrically couple
smooth and cardiac muscle
what type of junction is this and what is its function?
Desmosomes
share mechanical load of cells
what do tight junctinos do.
where could you find them?
Prevent diffusion between cells - establish and conc gradient.
eg Gut: only small molecules can pass
what is collagen secreted by?
Fibroblasts (secrete tropocollagen)
where would you find Type I, II, III, IV and V collagen?
Type 1: skin
Type II: Cartilage
Type III: liver, bone marrow, spleen (reticulin)
Type IV: Basement Membrane
Type V: Placenta
what are the arrows pointing to?
Where are the nucleus?
Collagen - extracellular
Nucleus = that of fibroblasts
how would you stain for reticulin?
silver stain.
where would you find brwon adipose tissue?
across the shoulders of newborns.
important in neonatal thermo-regulation
what are chondroblasts and chondrocytes?
immature and mature cartilage
what is this? where is it found?
hyaline cartliage:
- blue/grey matrix - no visible fibres
- entrapped chondrocytes
Found in synovial joints (knee, septum)
what is this and where is it found?
Elastic Cartilage
- visible elastin fibres and chondrocytes
Found in Epiglottis and Pinna
what type of cartilage is this?
Fibrocartilage
- Visible Collagen in matrix
Found in Intravertebral discs and symphysis pubis
This is Synovium.
Where would you find it?
Lines the inside of joint capsule.
Type A = phagocytes
Type B = rER
Vascular and innervated
what type of muscles are the following?
Is it striated?
Central Nuclei?
Branching?
Skeletal = Striated, edge, non Branching
Cardiac = Straiated, Central, branching
Smooth = non, central, non
from in to out, name the general structure of a blood vessel
which is missing from Arterioles?
veins?
venules?
Intima - Endothelium, BM, ConnTiss
Internal Elastic Lamina - fenetrated elastin
Media - Smooth Muscle, Collagem, Elastim
External Elastic Lamina - less defined elastin
Adventitia - Loos ConnTiss, Nerve, vasa vasorum
arterioles = no external elastic lamina
veins = no external or internal elatic lamina
veunules = no external or internal elastic lamina or media
capilliaries = only intima
what type of blood vessel is this and where would it be found?
elastic artery: much, well defined elastin in media
found in arteries near hearts eg aorta, PA
what is an arteriole defined as?
3 or fewer muscle layer in the media
what is it that regulates the size of capillaries?
pericytes
what is this? how can you tell?
Lymph.
Has valves, no blood, can cdee lymphocytes
what can you see here?
peripheral nerve (left)
arteriole (top right)
venule (bottom right)
most peripheral nerves are myelated (insulated sheath)
what cells produce myelin?
Schwann Cells
what is the red arrow pointing to in this silver-stained slide?
Gap between Schwann cells
= Nodes of Ranvier
In a myelinated axon in PNS how many schwann cells would you expect to see on a single axon?
A single cell myelinates 1.5mm long segments
label the arrows
what is the purpose of myelin?
myelinated axons are larger and transmit impulses faster than unmyelinated ones.
what is the pericadium made from?
squamous medothelial cells
what is the epicardium made from?
layer of fatty connective tissue, may see vessels and nerves
what is the myocardium made from?
specialised cardiac muscle
- striated, centralised, branching, discs!
what are the intercalated discs in the myocardium?
specialised connections between myocytes (connect actin filaments)
contain gap junctions, adhering junctions and desmosomes
where would the largest myocytes be found?
Left ventricle
What are the neuroendocrine granules of the heart and where would you find them?
Atrial Natriuretic peptide in the
myocardium of atrium.
released when cells are excessively stretched
describe the conducting system of the heart
SA node –> AV node –>His –> Purkinje fibres
what is this?
bonus: what stain?
Purkinje Fibres!
PAS
what is lipofuscin?
“aging pigment”
brownish pigment left over from breakdown and absorbytion of damaged blood cells - can be found in hte smooth muscle and cardiac muscle
what is the endocardium made from?
- thin layer of fibrous connective tissue
- single flat layer of endothelial cells on inner most surface (simple squamous)
what layer of the heart covers cardiac valves?
endocardium
what are the three layers of a cardiac valve?
- fibrosa
- spongiosa
- ventricularis
who is she?
platelet:
no nucleus, granules
1-3µm
who is she?
basophil
(blue granules)
who is she?
eosinophil - bilobes nucleus
parasites
phagocytic and neutralise histamine
who is she?
neutrophil
multi lobed
phagocytic
who is she?
monocyte
kidney shaped nucleus
differentiate unto several things
who is she?
lymphocyte - seem all nucleus!
b and T cells
Draw out the stages of haematopoeisi on a whiteboard
what are reticulocytes?
immature red blood cells
outline erythropoeisis
reduce cell size
produce heamoglobin
loss of organelles
basophillia –> eosinophilia
expell nucleus
mediated by erythropoeitin
happens AWA from bony trabeculae
Q1. What proportion of the blood is made up of white blood cells?
1%
plasma = 56%
red cells = 43%
white = 1%
where are these cells formed in adults?
These are erythrocytes. In utero they are formed first in the yolk sac, then in the liver, then in the bone marrow. In adults, haematopoiesis is confined to the marrow of the flat bones and proximal ends of the humeri and femurs. Red cells are destroyed in the liver and spleen.
what is the predominant leukocyte?
neutrophils
Granulocytes (contain visible granules)
40-75% Neutrophils
~ 5% Eosinophils
~ 0.5% Basophils
Agranulocytes (no visible granules)
20-50% Lymphocytes
1-5% Monocytes
Platelets (cell fragments)
Q4. A patient has a Strongyloides stercoralis infestation. This is a parasitic roundworm. Numbers of which cell type increase in patients with worms?
Eosinophils play a role in our defence against parasitic infections and their numbers increase in patients with parasites such as worms.
which leucocyte produce histamine?
basophils
which leukocytes are phagocytic?
Eosinophils, neutrophils and monocytes are phagocytic.
what cells secrete antibodies?
plasma cells
what can monocytes give rise to?
Tissue macrophages - everywhere
Kupffer cells – liver
Osteoclasts – bone
Antigen presenting cells - everywhere
Alveolar macrophages – lung
Q3. Which of these is a feature of a ventricular cardiac myocyte?
Formed from multiple myoblasts
Fusiform cells
Multinucleate
Myofibrils in register
Secrete hormones
Their myofibrils are in register, and so they appear striated.
where are purkinje fibres found?
immediately below endocardium
Q6. How do the myocytes of the sinoatrial node differ from normal cardiac myocytes?
no intercalated discs
Q8. Where in the heart will you find the nodules of Arantius?
aortic valve cusps
The nodules of Arantius are nodules of fibroelastic tissue on the centre of the free edge of each of the valve cusps in the aortic valve and pulmonary valve. They are more prominent in the aortic valve (due to increased pressure in that side of the circulation).
Q11. Which cells in the heart contain Weibel-Palade bodies?
Weibel-Palade bodies are storage granules found within the cytoplasm of endothelial cells (in the heart and elsewhere). They contain von Willebrand factor and other vascular mediators.
Q12. Which of the following lacks lymphatics?
Brain
Cartilage
Heart
Lung
Small intestine
Although it was long thought that the heart and brain did not have lymphatic vessels within them, it is now known this is not the case. Almost all tissues have lymphatics, except cartilage, the eye, bone marrow and perhaps spinal cord.
what type of vessel is this?
This is a muscular artery, such as the radial or splenic artery. The media comprises smooth muscle with very little elastin. Elastic arteries are much larger.
what type of vessel is this?
This is an arteriole – made harder to recognise as you cant see the adjacent venule clearly (there is just a little of its wall in the bottom left corner). It is a small afferent vessel, less than 100 um thick/less than 3 layers in the media.
label the arrows
Q10. How many axons are myelinated by a single Schwann cell?
1
While a single axon will be myelinated by many Schwann cells (with intervening nodes of Ranvier), each Schwann cell myelinates only a single axon. This is in contract to unmyelinated axons, many of which may be supported by a single Schwann cell.
Q12. If the structure shown relates to sensory peripheral nerves, where is it?
dorsal root ganglia
Q7. In the trachea, cilia beat rhythmically to propel mucus towards the larynx. Which two proteins are principally involved in the generation of ciliary movement?
Tubulin and dynein
what do hemidesmosomes do?
Hemidesmosomes bind the basal cell layer to the basement membrane.
Q12. A gland secretes by shedding individual cells. What type of secretion is this?
holocrine
Secretion via loss of entire cells from the gland is holocrine secretion.
Merocrine secretion is release of cell products by exocytosis from apical cell surface.
Apocrine secretion involves pinching off part of the apex of the cell.
Apocrine, merocrine and holocrine are all types of exocrine secretion.
Endocrine secretion is release of products from the cell base into the blood stream.
what are the visable extracellular fibres?
what forms the ground substance?
The visible fibres in extracellular material are collagen, elastin and reticulin. Fibronectin and laminin are invisible fibres. Glycosaminoglycans and proteoglycans form the ground substance.
Q9. Which of the following contains dense regular fibrous connective tissue?
Arterial adventitia
Dermis
Penile erectile tissue
Penile fascia
Tendon
Dense regular connective tissue is characterised by having all of the collagen fibres running in the same orientation. It is found in ligaments and tendons.
The penile fascia comprises dense irregular connective tissue.
The adventitia of arteries comprises loose irregular connective tissue.
The dermis contains dense and loose irregular connective tissue.
Penile erectile tissue comprises numerous blood vessels and dense irregular fibrous CT bounded by a dense irregular fibrous CT fascia.
what type of muscle is this and where would it be found?
This is smooth muscle. It is found in the walls of blood vessels, in the walls of the airways, in the walls of the gut, ureters, vas deferens etc. and forms the muscular layer (myometrium) of the uterus.
What cells make up the mucosa of the stomach?
- columnar epithelium - mucus secreting cells
- parietal in body and fundus
- chief in body and fundus
- g cells in cardium and pylorus
Label each image/where it is found.
- Duodenum: stratified glandular epithelium, Microvilli, brunner’s mucus secreting glands.
- & 3. Jejunum and ileum: simple columnar epithelium, Villous mucosa, Microvilli, Crypts of Lieberkuhn, Enterocytes, pareth cells, goblet cells, absorptive cells, lymphocytes, enteroendoncrine cells
- Ileum = peyer’s patches
Where would the myenteric plexus of Auerbach be found?
Jejunum & ileum: between circular & longitudinal layers of smooth muscle
What are these cells and where could they be found?
Interstitial cells of Cajal
Muscular is proprietary of small intestine
Where in the body could there cells be found?
Colon
Flat, no villi, straight crypts, looks more structured than stomach
What are these cells an example of?
Coeliac disease: crypt hyperplasia & villas atrophy in duodenum
How does the muscularis proprietor of the gut differ from the stomach?
Gut has two layers, stomach has three
Where in the mouth is this least
likely to have originated from?
Posterior third of tongue The image shows stratified squamous non-keratinising epithelium over a loose fibrous connective tissue stroma. This is found throughout the mouth. However, in the posterior third of the tongue, the epithelium overlies a lymphoid infiltrate (part of Waldeyer’s ring) as shown on the right.
Where are the circumvallate
papillae?
Anterior 2/3 tongue
The circumvallate papillae form a V-shaped line between the anterior two-thirds and posterior third of the tongue.
What do filliform papillae do?
Filiform papillae are the most numerous of the papillae on the tongue, but they do not contain taste buds. Instead, they roughen the dorsal surface of the tongue, which possibly aids in mastication.
Which salivary gland is this? How can you tell?
This is a purely serous salivary gland (mucous glands have clear cytoplasm), and so must be parotid.
The submandibular gland is mixed mucous/serous. The sublingual gland, buccal and lingual glands are mostly mucous glands.
This is the oesophagus.what feature confirms its site of origin?
A. Mucinous glands in the submucosa
B. Non-keratinising stratified squamous epithelium
C. Serous glands in the submucosa
D. Squamous lined ducts
E. Sub-epithelial lymphocytes
Oesophageal mucosa is recognised by the presence of a non-keratinising stratified squamous epithelium (but this is found in the mouth as well), lymphocytes in the submucosa, and mucinous glands in the submucosa that have squamous-lined ducts. The ducts are unique to the oesophagus and let us be confident this sample is from the oesophagus.
Note: Although the textbook states that the gland ducts are lined by columnar epithelium, this is wrong – it is squamous (or, at most, in places, cuboidal)
Where does this tissue originate from?
Duodenum
Gastric antrum
Gastric body
Gastric cardia
Gastric fundus
Where does this tissue originate from?
Duodenum
Gastric antrum
Gastric body
Gastric cardia
Gastric fundus
Gastric antrum
Long branching crypts lined by mucus secreting cells.
Lack of parietal cells(rues out body t fundus)
Mucus - more than half thickness in antrum and pylorus (about 50% in cardia)
Dudodensl mucosa would have villous architecture
What do parietal cells secrete?
Intrinsic factor and gastric acid
From where does this fissure originate? What do the glands in its submucosa secrete?
Duodenum: broad, leaf like villi
Submucosal brunner’s glands
Brunner’s glands secrete an alkaline mucus neutral se that helps gastric acid
Where does this tissue originate from? R
Ileum
Note the villas architecture prominent lymphoid aggregates (peyer’s patches) in the submuscosa and mucosa.
These lymphoid aggregates are not present in the jejunum or duodenum.
The appendix and colon do not have a villous architecture.
Which statement about the histology of the colon is true?
A. Auerbach’s plexus lies in the muscularis propria
B. It has a prominent brush border
C. It is lined by a serous epithelium
D.The caecum has a different histology to the ascending colon
E. The muscularis propria has three layers
A.
Two autonomic nerve plexuses innervate the gastrointestinal tract: Meissner’s plexus lies in the submucosa, Auerbach’s plexus lies between the layers of the muscularis propria.
The colon has a double-layered muscularis propria – inner circular, outer longitudinal.
The epithelium comprises a simple columnar layer of mucus-secreting enterocytes.
The histology of the different parts of the colon is the same.
Which statement about this tissue is the?
It does not have a muscularis mucosae
It is normal gastric body
It is supplied by a branch of the coeliac axis
It is the site of vitamin B12 absorption
Stem cells are located at the base of the crypts
This is colonic mucosa, and the epithelial stem cells lie at the base of the crypts of Lieberkhun. You cannot tell which part of the colon it comes from, as the entire colon looks the same.
The colon does have a muscularis mucosa, immediately below the lamina propria.
The colon is supplied by the superior mesenteric artery and the inferior mesenteric artery. Vitamin B12 is absorbed in the terminal ileum.
What are these cells called?
Hepatocytes (usually contain glycogen)
Can see portal tract & central veins
Liver is usually divided into classic lobules. Describe this structure
Classic lobule = are a drained by one central hepatic venule. Roughly hexagonal
What structures can be found in the portal tract?
Bile duct, portal vein, hepatic artery
In the classic lobule, which hepatocytes are most likely to be richly oxygenated.
The hepatocytes towards the edge
These are hepatocytes when the liver has undergone schematic damage. Where is the central venue and portal tracts likely to be locate?
How can we tell that These are heaptocytes?
Polyhedral epithelial cells
bundant mitochondria (granular cytoplasm)
Large spherical central nuclei
Prominent nucleoli
May be binueate
This is part of the intrakepartic biliary tree. Which part is the red star pointing to?
Bile ductule (simple cuboidal)
Describe the epithelium of the parts of the biliary tree from intrahepatic to extrahepatic
What to hepatocytes synthesize?
Bile
What are the three important surfaces of hepatocytes?
Sinusoidal(70 %) = permits exchange of material with blood
Canalicular (15%) = permits excretion of bile
Intercellular (15%)
What is the space between the sinusoidal space in hepatocytes called?
Space of diss
Name two things that can be found in the space of Disse
- reticulin fibres
- Ito cells (liver stem cells - fat storing)
What are sinusoids (form sinusoidal space of hepatocytes)
- Highly specialised, FENESTRATED blood vessels
- No basement membrane
- contain scattered kupffercells
What is this? Where can it be found and what does it do?
Kupffer cell
Found in sinusoid
Phagocytes/defence
help produce bilirubin
What is the function o the gallbladder?
Stores & concentrates bile by absorbing water
Where do these cells originate from?
Gallbladder:
Describe the specialised mucosa of bad the gall bladder
The exocrine function of the pancreas is what % of its function
90%
What is the exocrine function of the pancreas?
To synthesize and secrete enzymes & bicarbonate rich fluid into the duodenum