Pathology Flashcards
1
Q
- What is a Gliomas?
- Come From? - How are Gliomas classified?
- What is Astrocytoma?
A
- Primary form of brain tumor.
- arise from glial cells
They can be further classified - by the cells from which they arise.
- Common derivative of gliomas
2
Q
- How do Astrocytoma appear on image?
- Why CT Brain done w/ contrast?
- What is an aneurysm?
- Common locations?
A
- Astrocytoma = areas of low attenuation, with displacement of the midline.
- to be able to delineate the tumor from the surrounding tissue.
- An aneurysm = localized dilation and weakening of an arterial wall.
- thoracic or abdominal aorta
3
Q
- What appears as areas of low attenuation, with displacement of the midline in CT Brain?
- What can be found in the medial layer and is associated with turbulent blood flow, from a bifurcation, or from an atheroma?
- What is localized dilation and weakening of an arterial wall.
A
- Astrocytoma
- Aneurysm
- Aneurysm
4
Q
- Aneurysm shape is based on?
- Aneurysm defect is found?
- Causes of Aneurysm:
A
- A. different shapes depending on how it develops
- in medial layer and is associated with turbulent blood flow, from a bifurcation, or from an atheroma
- Trauma, atherosclerosis, syphilis, congenital defects, and hypertension
5
Q
- Aortic aneurysms are typically imaged in what phase?
- Why? - Two types of strokes:
- Stoke Protocol is what type of CT?
A
- ARTERIAL PHASE
- Aneurysms occur in any artery - Ischemic & Hemmorrhagic
- CT brain without &/or CTA Head
6
Q
- Which strokes occur when a vessel in the brain ruptures and bleeds into the brain
- What is a condition that sometimes can be detected as palpable pulsating masses with bruits.
- Which stroke arise when a vessel in the brain develops a blood clot, and blood flow is reduced?
A
- Hemorrhagic
- Abdominal aneurysms
- Ishemic
7
Q
- How may Ischemic strokes be diagnosed?
- What is an Ischemic stroke?
- What can occur from Ischemic?
A
- use of CT Head without contrast and/or a CTA Head
- arise when a vessel in the brain develops a blood clot, and blood flow is reduced.
- If blood flow to brain is reduced for a long period of time, an area of infarction may develop.
8
Q
- When might an infarction develop?
- What is Hemorrhagic stroke?
- Symptoms of Hemorrhagic stroke?
A
- Blood flow to part of brain is reduced / stop
- ISCHEMIC STROKES - strokes occur when a vessel in the brain ruptures and bleeds into the brain
- usually rapid and are preceded by an intense headache
9
Q
- What type of stroke is usually rapid and are preceded by an intense headache
- What is a collection of blood that collects as a result of a ruptured vessel
- What is an excessive collection of CSF fluid within the ventricles of the brain?
A
- Hemorrhagic Stroke
- Hematomas
- Hydrocephalus
10
Q
- Hemorrhage Stroke CT Protocol?
- How does it appear on image?
- What is a Hematoma?
- Results In?
A
- Brain without contrast
- blood from ruptured vessel will appear denser than the surrounding brain tissue
- a collection of blood that collects as a result of a ruptured vessel
- pressure on brain tissue and an increase in intracranial pressure
- distention of ventricles of brain and atrophy of brain tissue
11
Q
- What is Hydrocephalus?
- Causes? - Hydrocephalus can lead to/result in:
- What is Spondylosis?
A
- An excessive collection of CSF fluid within the ventricles of the brain
- flow of CSF fluid through brain is obstructed, or if an increase amount of CSF produced - distension of the ventricles of the brain and atrophy of brain tissue
- Spondylosis– occurs when there is hypertrophy of the facets of a vertebra.
12
Q
- What is result if flow of CSF fluid through brain is obstructed, or if an increase amount of CSF produced?
- What is Spondylolysis
- What is Spondylolisthesis
A
- Hydrocephalus
- occurs when there is damage to the pars interarticularis of a vertebra.
- occurs when an upper vertebral body slips over a lower vertebral body.
13
Q
- How remember the different Spondys?
- Causes of Herniated Discs?
- What is a Herniated Disc?
A
- LOSIS = Hypertrophy Facet
LOLYSIS = Damage Pars
LOLITHESIS = Upper Slips Over Lower - Degenerative disease or trauma.
- Result of the nucleus pulposus pushing through a weakened annulus fibrosus, which results in the nucleus pulposus putting pressure on the spinal cord
14
Q
- What’s result of the nucleus pulposus pushing through a weakened annulus fibrosus & putting pressure on spinal cord?
- What is the nonaeration or collapse of a lung or part of a lung?
- What is a lung infection that is often caused by bacteria, viruses, or mycoplasmas?
A
- Herniated Disc
- Atelectasis
- Pneumonia
15
Q
- What CT may diagnose Herniated Disc?
- What is Atelectasis?
- Where does Atectasis begin?
A
- Myelogram
- is the nonaeration or collapse of a lung or part of a lung
- Alveoli
16
Q
- When can occur if Atelectasis is not treated?
- Symptoms of Atelectasis
- How does Atelectasis appear on image
A
- If lungs are not reinflated quickly, the lung tissue can become necrotic, infected, and cause permanent damage
- dyspnea, increased heart rate and respiratory rate, and chest pain.
- May present with pleural thickening, pleural effusion, or an airless lung
17
Q
- What condition appears as pleural thickening, pleural effusion, or an airless lung
- What appears as areas of patchy infiltrates or densities within the lungs?
- What refers to air in the pleural cavity?
A
- Asctecalitis
- Pneumonia
- Pneumothorax
18
Q
- What is Pneumonia caused by?
- Result in? - Pneumonia impacts:
- How does Pneumonia appear on image?
A
- lung infection caused by bacteria, viruses, or mycoplasmas
- results in inflammation of the lung. - impact a lobe, segment, bronchi, or interstitial tissue of the lung
- as areas of patchy infiltrates or densities within the lungs.
19
Q
- What is a Pneumothorax?
- Symptoms - This can develop to / result in?
- Pneumothorax Appearance on an image?
A
- refers to air in the pleural cavity.
- atelectasis, dyspnea, cough, and chest pain. - Hypoxia
- sympathetic response - no lung markings within the thorax, where the lung would be expected.
20
Q
- What condition appears as no lung markings within the thorax, where the lung would be expected
- What is the presence of excessive fluid in the pleural cavity?
- What is blunting of the costophrenic angles on imaging?
A
- Pneumothorax
- A pleural effusion
- Pleural Effusion
21
Q
- How does pleural effusion appear on image?
- What is pleural effusion?
- What determines severity? - What can pleural effusion lead to?
A
- blunting of the costophrenic angles on imaging.
- the presence of excessive fluid in the pleural cavity.
- type and rate of accumulation of fluid. - increases the pressure in the pleural cavity and causes separation of the pleural membranes, preventing cohesion during inspiration
- Atelectasis / Vena Cava impaired
22
Q
- What condition increases the pressure in the pleural cavity and causes separation of the pleural membranes, preventing cohesion during inspiration?
- What is Cystic Fibrosis
- Where does Cystic Fibrosis affect?
A
- Pleural Effusion
- inherited disorder in children, linked gene on the 7th chromosome, and causes abnormally thick secretions
- lungs and pancreas where sticky mucus obstructs passages
23
Q
- How does Cystic Fibrosis appear?
- CT Protocol for Cystic Fibrosis?
- What is chronic respiratory disorders that are characterized by progressive tissue degeneration and obstruction of the airways?
A
- bronchial thickening, bronchiectasis, cysts formation, and overinflation of the lungs and chest wall on imaging
- Air Trapping - CT High Resolution Chest
- Chronic Obstructive Pulmonary Disease
24
Q
- What condition may appear as bronchial thickening, bronchiectasis, cysts formation, and overinflation of the lungs and chest wall on imaging
- What is COPD?
- COPD appearance on image?
A
- Cystic Fibrosis
- Chronic Obstructive Pulmonary Disease
- chronic respiratory disorders that are characterized by progressive tissue degeneration and obstruction of the airways - thickening of the bronchial wall, air trapping, and narrowing of the trachea in CT.
25
Q
- What condition appears as thickening of the bronchial wall, air trapping, and narrowing of the trachea in CT?
- What is usually a secondary problem that develops with cystic fibrosis or COPD?
- most common type of malignant tumor?
- type of cell?
A
- COPD
- Bronchiectasis
- Bronchogenic carcinoma is
- squamous cell carcinoma
26
Q
- COPD leads to / results in?
- What is Bronchiectasis caused by?
- What is Bronchiectasis?
A
- irreversible and progressive damage to the lungs and may eventually cause respiratory failure.
- Secondary problem that develops with cystic fibrosis or COPD
- is an irreversible abnormal dilation of the medium sized bronchi and is the result of inflammation and infection in the airways
27
Q
- Bronchiectasis leads to?
- What CT Protocol used for Bronchiectasis?
- How does it appear on an image?
A
- lead to and obstruction of the airway or weakening of the muscles and elastic fibers in the bronchial walls
- CT High Resolution Chest
- dilated airways, thickening of bronchial walls, and obstruction of the airways.