Non-malignant pathology Flashcards
What are the symptoms of hashimotos thyroiditis?
hypothyroidism - weight gain, fatigue, constipation, depression, hair loss
What is seen histologically for hashimotos thyroiditis?
lymphocytic infiltrates and fibrosis
What is seen immediately in the blood post splenectomy?
granulocytosis - WBC - neuts/ eosin/ basophils
What is seen immediately in the blood in the first few days post splenectomy?
target cells, siderocytes, reticulocytes
Other blood cells seen in a splenectomy?
Howell- jolly bodies, pappenheimber bodies, target cells, Heinz bodies
What is seen in peutz jeghers syndrome?
Hamartomous polyps, muccocutaneous hyperpigmentation (lips, face, palms, soles)
what is the genetic pathway for peutz jeghers syndrome?
Autosomal dominant
What gene mutation is seen in familial adenomatous polyposis?
APC gene mutation
What gene mutation is seen in Cowden disease?
PTEN gene mutation
What is required for diagnosis of Kartageners syndrome?
Primarily immotile cilia combined with situs inverses
Primary TB - what is the lung and hilarious lymph nodes known as?
Ghon Complex
When does secondary TB occur?
If a host becomes immunocompromised - an initial infection can reactivate - lungs are common site
What histology will be seen in a granuloma in a TB patient?
epithelial histiocytes, caseous necrosis in the centre
What type of stain is used for TB?
Zeihl-Neelsen staining
What type of hypersensitivity reaction is TB?
T4 - stimulates specific T cell response of cell mediated immunity
What does amyloid look like under the microscope?
apple befringence with polarised light
What is Plummer Vinson syndrome?
oesophageal web associated with iron deficient anaemia
How do you investigate dysphagia?
upper GI endoscopy, fluoroscopic swallow, ambulatory ph
Which symptoms makeup antiphospholipid syndrome?
-foetal loss, venous/ arterial thrombus/ thrombocytopenia - APTT prolonged
blood tests for antiphospholipid syndrome?
lupus anticoagulant, anti-cardiolipin, anti beta 2
What is the most common causative organism for iliopsoas abscess
staph aureus
Which cell failures causes pernicious anaemia
lack of production of IF by the parietal cells