Pathology Flashcards
Rhinitis
Rhinovirus, allergic rhinitis, Type I hypersensitivity, eosinophils
Associated with asthma and eczema
Nasal polyp
Cystic fibrosis
Aspirin intolerant asthma
Angiofibroma
benign tumor in nasal mucosa, epistaxis
Nasopharyngeal carcinoma
Malignant
EBV
Pleomorphic keratin-positive epithelial cells
Acute epiglottis
H. influenza B
Inspiratory stridor
Laryngotracheobronchitis (CROUP)
Upperairway inflammation, parainfluenza
Hoarse barking cough
Vocal cord nodule (singer’s nodule)
myxoid, hoarseness, rest voice
laryngeal papilloma
Benign, HPV6 and 11
Laryngeal carcinoma
squamous cell carcinoma
Risks alcohol and tabacco
hoarseness, cough, stridor
Pneumonia
Fever chills, productive cough with yellow-green sputum( pus) or rusty (blood), tachypnea with pleuritic chest pain, decreased breath sounds, dullness to percussion, elevated WBC
Diagnose: CXR, sputum culture, blood culture
three types: lobar pneumonia, bronchopneumonia, interstitial pneumonia
Lobar pneumonia
consolidation of entire lobe, S. Pneumoniae, Klebsiella.
Congestion, red hepatization (due to exudate n filling alveolar), gray hepatization (degradation), resolution
Bronchopneumonia
scattered pathy consolidation centered around bronchioles, multifocal, bilateral.
Interstitial (atypical) pneumonia
Diffuse interstial infiltrates, mild upper resp symptoms (minimum sputum, low fever)
Bacterial or viral
Aspiration pneumonia
Alcoholics, comatose patients, Bacteroides, fusobacterium, peptococcus
Tuberculosis (TB)
Mycobacterium tuberculosis Primary TB (asymptomatic) Secondary TB (AIDS)
Chronic obstructive pulmonary disease
Chronic bronchitis
Emphysema
Asthma
Bronchiectasis
Chronic Bronchitis
Blue bloater, Reid index >50%, persistent cough with buckets of mucus
Emphysema
Pink puffer, A1AT panacinar w liver cirrhois , smoking centriacinar. Hypoxema, cor pulmonale
Asthma
TH2, leukotrines, eosinophils, aspirin, spiral-shaped mucus plugs, Charchot-Leyden crystals.
Bronchiectasis
inflammation, purulent sputum (smelly)
Restrictive lung diseases
Sarcoidosis, IPF, Pneumoconioses, hypersensitivity pneumonitis
Idiopathy pulmonary fibrosis
TGF beta, bleomycin, amiodaone, honeycomb lung, transplantation
Pneumoconioses
Asbestosis, Berylliosis, Coal miners pneumoconiosis, Silicosis
Asbestosis
Lung cancer, mesothelioma,, pleural plaques, asbestos bodies
Silicosis
Fibrotic nodules in upper lobes of lungs, TB risk increases
Coal Miners pneumoconiosis
Caplan syndrome, anthracosis, Rheumatoid arthitis, black lung
Berylliosis
Aerospace, noncaseated granuloma, risk lung cancer
Tx: corticosteroids
Sarcoidosis
Elevated ACE, Hypercalcemia, asteroid bodies, AA females, noncaseating granulomas,
Tx: Steroids or goes away
Hypersensitivity pneumonitis
Pigeon breeder’s lung, granulomatous, fever, flu-like symptoms
Pulmonary Hypertension
> 25 mmHg, primary (BMPR2) and secondary
Respiratory Distress syndrome
whiteout, hyaline membrane, give PEEP
Neonatal respiratory distress syndrome
hyaline, low surfactant (lecithin/ DPPC)
Norm ratio >2
Small cell carcinoma
Chemo, smoking, central, syndromes
Squamous cell carcinoma
Keratin pearls, male smoker, central PTHrP
Adenocarcinoma
Most common, nonsmokers, female smokers, glands mucin, pleural involvement
Large cell carcinoma
poorly differentiated, smoking, central or peripheral, poor prognosis
Bronchioloalveolar carcinoma
Not related to smoking, peripheral, Pneumonia-like
Carcinoid tumor
Not related to smoking, central or peripheral . low-grade malignancy
Metastasis to the lung
From breast and colon
Pneumothorax
spontaneous or tension
Spontaneous pneumothorax
trachea side of collapse
Tension pneumothorax
trachea opposite side, MEDICAL EMERGENCY
Mesothelioma
Exposure to asbestos, malignant neoplasm
Presents: Recurrent pleural effusions, dyspnea, and chest pain; Tumor encases the lung