Pathology Flashcards
When describing a gross lesion, what are the 3 ways we can describe the distribution?
Diffuse (whole tissue is affected)
Multifocal (to coalescing)
Focal
What are the 7 things you should mention when describing a lesion?
Organ Location Distribution Size Shape (+ contours) Colour Consistency OLDSSCC
The skeleton can be divided into which 2 parts?
Axial skeleton: head, ribs, vertebrae, sternum
Appendicular skeleton: thoracic and pelvic limbs
What is meant by endochondral ossification?
The replacement of cartilage by bone
Bone consists of which 4 cell types?
Osteoblasts
Osteocytes
Osteoclasts
Osteoblastic precursors (Peritrabecular stromal cells of bone marrow)
What is bone matrix composed of?
Organic components:
Osteoid
Non-collagenous proteins
Growth factors
Inorganic components:
Hydroxyapatite
(Carbonate, magnesium, sodium, zinc, fluoride)
Mineralisation of osteoid does not occur until how long after deposition?
5-10 days
Which hormones are potent activators of osteoclastic bone resorption?
Parathyroid hormone
ActiveVitamin D
(Increase blood calcium)
Which hormone has a transient direct inhibitory effect on osteoclastic bone resorption?
Calcitonin
Reduces blood calcium
Which kinds of bones do chondrodysplasias affect?
Long bones, as they affect the growth plate
What is meant by hyperostotic?
Excessive bone formation
What is rickets caused by?
Anything that interferes with mineralisation of cartilage or bone matrix, however is most commonly associated with lack of vitamin D and phosphate
How do you differentiate between haemoglobinuria and haematuria?
Haemoglobinuria: when the urine sample is spun down, the supernatant (liquid part) remains red/brown
Haematuria: a spun urine sample forms a reddish sediment
What is the most common cause of hyperglobulinaemia?
Chronic inflammation
If sending blood to an external lab, what colour top tube should you use?
Grey: EDTA/ Na Fluoride tube