Pathology 3 Flashcards

1
Q

What are the parts of death certificate?

A

Part 1 of death certificate -> sequence of events leading to death (underlying and contributory

causes)

1a - it is an event that is and immediate cause of death (leading to death)

1b, 1c etc go back through the sequence of events (underlying issues) leading to death

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2
Q

Factors predisposing to thrombosis

A

Factors predisposing to thrombosis (Virchow’s triad):

  1. Damage to the vessels wall
  2. Blood stasis / disturbance of flow of blood
  3. Changes in blood components (proteins, platelets) -> creation of hyper-coagulable state
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3
Q

Why C-reactive protein can be detected in atherosclerosis?

A
  • macrophages get involved (into the blood vessel and eat up LDL)

Therefore:

  • C - reactive protein will be elevated -> but it can be elevated because some other condition -> so it is not specific enough to diagnose atherosclerosis

* CRP may act as ‘red flag’ that atherosclerosis may be occurring (especially in a person with symptoms or risk factors)

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4
Q

Causes of L ventricular hypertrophy

A

- hypertension -> as heart must work harder to pump out the blood

  • aortic valve stenosis or aortic regurgtation -> in stenosis heart works harder to pump out the blood; in regurge, more blood volume is available for the heart to pump

out and therefore it must work harder to do so

  • mitral regurgitation (as above)
  • Hypertrophic cardiomyopathy -> hereditary/genetic condition (autosomal dominant)
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5
Q

Types of intracranial haemorrhage

A
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6
Q

Vessels involved in haemorraheges:

  • extradural
  • subdural
  • aubarachnoid
A
  • extradural -> middle meningeal artery
  • subdural -> venous sinuses
  • subarachnoid -> rupture of the arteries
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7
Q

What trauma to the brain may result in (3)

A
  • cerebral oedema
  • cerebral contusions (bruising)
  • haemorrhage
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8
Q

Cerebral edema

  • causes
  • danger
A
  • trauma - brain injury
  • stroke
  • infection
  • neoplasm
  • biochemical disturbances e.g. DKA
  • other: altitude, CO poisoning, some drugs,

venomous bites

As a result herniation may occur

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