Pathology 2 Flashcards

1
Q

what type of epithelium lines the bladder

A

TRANSITIONAL stratified epithelium

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2
Q

what cells are on the surface of the bladder

A

umbrella cells (transitional epithelium underneath)

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3
Q

what lines the proximal and distal urethra

A

transitional epithelium

any disease effecting bladder can effect these too

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4
Q

what is cystitis

A

inflammation of the bladder (v common)

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5
Q

what are the rare forms of cystitis that are seen in the pathology lab

A

parasites and mycotic infection

aseptic

reactive

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6
Q

what type os schistosomiasis is seen in the bladder

A

haematobium (parasite that swims up urethra in water- lake Malawi)

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7
Q

how does schistosomiasis cause disease in the body

A

does not directly cause disease, damage is from the immune systems response against it

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8
Q

when does squamous cell carcinoma occur in the bladder

A

if there has been metaplasia change from transitional to squamous epithelium due to chronic inflammation

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9
Q

what type of carcinoma is most common in the bladder

A

transitional cell

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10
Q

what can cause chronic inflammation leading to metaplastic change in the bladder

A

-In-dwelling catheters - all the time

big problems in paraplegics who can’t feel the inflammation

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11
Q

what is asceptic (interstitial) cystitis

A

persistent UTI symptoms with persistently negative cultures/urinalysis

some inflammation sometimes but always negative cultures

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12
Q

what is cystitis cystic

A

descriptive term for a reactive phenomena when the infolding of the bladder mucosa appears like cysts

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13
Q

what is a bladder diverticular

A

out pouching of the bladder

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14
Q

complications of a bladder diverticular

A

things can get stuck in it eg:

  • stagnant urine
  • stones
  • cancer
  • infection
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15
Q

what happens to the badder in obstruction (often due to large prostate)

A

works harder to try get urine out - undergoes hypertrophy and hyperplasia and gets so big and thick it can’t work properly

(surface becomes trabeculated)

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16
Q

what is hydronephrosis

A

back pressure of urine on the kidneys due to blockages leads to the functional part of the kidney undergoing atrophy

there is baggy thin walled ureter

17
Q

what are the risk factors for urothelial neoplasia

A

middle ages and elderly
SMOKING ++++
Beta-naphthyline from the dye industry

18
Q

what is the most common bladder cancer

A

transitional cell carcinoma

19
Q

when can adenocarcinoma occur in the bladder

A

from a background of metaplasia

difficult to distinguish from colon cancer than has invaded the bladder

20
Q

what is a urachal adenocarcinoma

A

adenocarcinoma in Uranus - a remnant from the alantois in embryology (bladder connected to umbilicus)

v rare

21
Q

can you get squamous cell carcinoma in the bladder

A

yes if there is a history of metaplastic change

22
Q

what causes the prostate to enlarge physiologically

A

hormones - androgens

23
Q

symptoms of prostate enlargement

A
hesitancy 
can't stop peeing 
start and stop flow 
increased frequency 
dribbling
24
Q

risk factors for prostate cancer

A

not many

cadmium batteries

25
Q

what zone is the most common place for prostate cancer to arise

A

peripheral zone

26
Q

what zone does BPH arise in

A

central zone (surrounding urethra) which causes the problems with urination

27
Q

what is PSA

A

prostate specific antigen

28
Q

when is PSA useful

A

as follow up after treatment - a good marker of recurrence in people who has high PSA before treatment

29
Q

why is PSA not good for prostate cancer screening

A

lacks sensitivity and specificity (loads of things can make it high and u can have v severe prostate cancer without it being raised)

30
Q

how do you diagnose prostate cancer

A

transanal/rectal biopsies

6 in each lobe (12)

31
Q

what is the Gleason system

A

staging

high number = worse