Pathology Flashcards
Seborrheic keratosis location and lesions?
On the trunk
Flat
Well demarcated
Round or oval
Dark, velvety surface
Stuck on
Seborrheic dermatitis location and lesions?
Face or scalp
Red plaques
Scale
Actinic keratosis
Papules or plaques
Round
Red brown
Melanocytic nevus location and lesions?
Trunk
Tan/brown
Uniform colour
Round or oval
<6mm
Dermatitis herpetiformis location and lesions?
Papules/vesicles in bilateral groups
Pruritic
Urticaria?
Wheals- reddish white papules/plaques
Flares- surrounding erythema
Squamous cell carcinoma?
Early:
Plaques
Sharp borders
Scale
Late:
Bleed
Crust
Ulcerate
Erythema nodosum location and lesions?
Shins
Erythematous nodules
Painful
Spreading slowly
Brown/purple
Histology of psoriasis?
Munro microabscesses
Histology of seborrheic keratosis?
Keratin filled cysts (horn cysts)
Histology of actinic keratosis?
Hyperkeratosis
Parakeratosis
Epidermal cell dysplasia
Histology of squamous cell carcinoma?
Keratin pearls
Prader-Willi syndrome?
Fat
Glutton
Hypotonia
Hypogonadism
Angelman syndrome?
Frequent laughter
Seizures
Creutzfeld-Jakob?
PrPSC prion for mad cow disease
Rapidly progressing dementia
Ataxia
Startle myoclonus
Creutzfeld-Jakob histology?
Intracellular vacuoles
Spongiform encephalopathy
Patterson-Kelly syndrome?
Sideropenic dysphagia
Iron deficiency anaemia
Post cricoid web
Koilonychia
Dandy-Walker?
Anomaly of 4th ventricle
Vermis agenesis
Hydrocephalus
Waterhouse-Friedrichsen?
Adrenal destruction due to meningitis by N. meningitidis
Guillian-Barre?
Autoimmune demyelination triggered by infection
Starts in the feet and moves upwards
Resolves after a few weeks
Krabbe’s disease?
Lysosomal storage disease
No galactocerebrosidase so galactocerebroside accumulates
Newborns:
Hypotonia
Spasticity
Areflexia
Physical symptoms of Wernicke-Korsakoff?
Ataxia
Nystagmus
Visual disturbances
Friedrich’s ataxia?
Mitochondrial dysfunction
Starts from adolescence
CVS
CNS
Diabetes
Kyphoscoliosis
Parkinson’s histology?
Sinuclein filled Lewy bodies
Screening for neural tube defects?
Alpha-fetoprotein
Prokinetic drugs for GORD?
Metocloperamide
Domperidone
Chari 2?
Myelomeningocele
Includes vermis
Beaked midbrain
Symptoms of Chiari 2?
Hydrocephalus
Paralysis
Acute diffuse encephalomyelitis (ADEM)?
Demyelination after viral infection
Diffuse
Headache
Lethargy
Coma
Rapid course
Imaging of ADEM?
Lesions not focal like in MS
Lesions similar to each other
Acute necrotising encephalomyelitis?
More severe histology appearance than in ADEM
Alzheimer’s histopathology?
Beta amyloid plaques
Neurofibrillary tangles
(Disease due to less ACh activity in brain)
Second cause of Wernicke-Korsakoff?
Thiamine (B1) deficiency
Anticonvulsive of choice in eclampsia treatment and prophylaxis?
Magnesium sulfate
Symptoms of cyanocobalamin (B12) deficiency?
Glove and stocking neuropathy
Usually pernicious anaemia or absorption issue patients
Placenta histology in pre-eclampsia?
Fibrinoid necrosis of vessels
Folate deficiency?
Irritability
Personality changes
Safest antihypertensive in pregnancy?
Alpha methyldopa
Labetalol
Nifedipine
Commonest adult CNS tumour and histology?
Glioblastoma in cerebral cortex
Pseudopallisading cells line up along edge of necrosis
Oligodendroglioma histology?
Fried egg cells
Chicken wire capillaries
Second most common adult CNS tumour and histology?
Meningioma near surface, external to brain
Psammoma body
Third most common adult CNS tumour and features
Schwannoma close to cranial nerve VIII
Expected symptoms
Neurofibromatosis features?
Genetic
Lumps around nerves/neurones
Lisch nodules
Café-au-lait spots
HELLP syndrome and features?
Severe variant of eclampsia
Haemolysis
Elevated Liver enzymes
Low Platelets
HELLP serology?
Schistocytes
Elevated bilirubin
Low haptoglobin
Commonest childhood CNS tumour and histology?
Pilocystic astrocytoma
Contain Rosenthal fibres
Childhood tumour causing ataxia and hydronephrosis?
Medulloblastoma in the cerebellum