Pathology Flashcards
In terms of cellular change, what is atrophy?
Decreased SIZE and NUMBER of cells
In terms of cellular change, what is hypertrophy?
Increased SIZE of cells
In terms of cellular change, what is hyperplasia?
Increased NUMBER of cells
In terms of cellular change, what is metaplasia?
Reversible replacement of one cell type by another
What is lipidosis?
An abnormal accumulation of triglycerides in the parenchymal walls
What is lipofuscin?
Lipid/protein polymers
Yellow-Brown
Wear and tear pigment
What is haemosiderin?
Yellow-brown pigment
Storage form of iron
Where is haemosiderin found and what does it indicate?
Mø’s - degradation of haemoglobin (post- haemorrhage)
What is coagulative necrosis?
Hypoxic cell death.
Cell outlines preserved.
What is liquefactive necrosis?
focal bacterial/fungal infections –> complete cell digestion
What is caseous necrosis?
Tissue architecture obliterated w/ inflammatory cell border
Which type of necrosis presents with chalky white areas in tissue?
Fat necrosis
What are the 4 stages of apoptosis?
- Shrinkage
- Chromatin Condensation
- Apoptotic body formation
- Phagocytosis
Which cells remove dead neurones?
Microglia
What is primary haemostasis?
Formation of the primary platelet plug
What are the 4 steps to 1e haemostasis?
- Exposed endothelial collagen.
- P selectin release (rolling of PLTS).
- Release of VwF
- PLTS aggregate.
What is secondary heamostasis?
Fibrin stabilisation of the PLT plug –> CLOT
What mediates secondary haemostasis?
Thrombin (converts fibrinogen to fibrin)
Which clotting factors make up the intrinsic pathway of the coagulation cascade?
XII
XI
IX
VIII
Which clotting factors make up the common pathway of the coagulation cascade?
X
V
II
I
Which clotting factors make up the extrinsic pathway of the coagulation cascade?
VII + Tissue Factor
Where are the coagulation factors produced?
LIVER
What is tertiary haemostasis?
Fibrinolysis
What mediates tertiary haemostasis?
Plasmin
Where is albumin produced?
Liver
What is the most common cause of hyperalbuminaemia?
DEHYDRATION
What are positive and negative acute phase proteins?
+ inc with inflammation.
- dec with inflammation.
Hyperfibrinogenaemia is most suggestive of inflammation in which species?
Cattle
Name 2 negative acute phase proteins
ALbumin
transferrin
What are 2 common causes of panhypoproteinaemia?
Acute Haemorrhage
GI loss
What diseases may cause decreased production of albumin?
Chronic Liver Dz
Malnutrition
Maldigestion/malabsorption
What diseases may cause increased loss of albumin?
PLN
GI loss
Burns
Which enzymes are suggestive of liver damage in small animals?
ALT
AST (also muscle)
GLDH
Which enzymes are suggestive of liver damage in large animals?
ALP
GGT
AST (also muscle)
GLDH
Which markers are suggestive of cholestasis?
ALP
GGT
Bilirubin/Bile salts
What are 3 causes of jaundice? Name an additional cause in horses.
Cholestasis
Haemolytic anaemia
Reduced hepatocellular fct
HORSE: starvation
What 4 ways can we test liver function?
Inc bilirubin.
Inc ammonia.
Dec metabolites
inc immunoglobulins
What is the most specific/sensitive test for exocrine pancreatic inflammation in the dog?
cPLI
How do we diagnose pancreatitis
Inc Lipase
PLI
U/S
What is the most specific/sensitive test for exocrine pancreatic insufficiency?
TLI (trypsin like immunoreactivity)
What is the best way to test for DM in cats?
Glycated proteins (fructosamine vs blood glucose)
What is the role of LDLs?
cholesterol > tissues
What is the role of HDLs?
Tissue cholesterol > bile
What is the role of chylomicrons?
deliver dietary TG to cells
What is the role of VLDLs?
deliver LIVER synthesised TG to cells
What 2 things do we measure when looking for blood lipids?
Triglycerides
Cholesterol