Perfect description Flashcards
Perfect description has N? parts
12
Parts of the perfect description
Distribution, demarcation, contour, shape, colour, size, texture, consistency, special features, extent, chronicity, severity
distribution
focal multifocal multifocal to coalescing miliary locally extensive segmental diffuse
pale lesion tells about
necrosis or exudate
red lesion tells about
blood
segmental lesions found from
tubular organs or animals
the paradox of descriptive pathology
the most severe lesion might be difficult to identify if nothing to compare
for example, diffuse or hypertrophy/-plasia and atrophu
demarcation
well demarcated
poorly demarcated
countour
flat
raised
depressed
raised contour
something is added, there is expansion
ie tumor
depressed contour
something is removed or lost
shape
geometric figure the lesion represents
colour
the colour of the lesion
size
in cm or in comparison of standardized item, it there are multiple lesions, please tell if they are uniform in size or not
what does size uniformity tell about?
if uniform -> same age
if non uniform-> different age and progression
dynamic organs
change shape according to physiologic state
rapidly dynamic organs
change size in s to min
for example,
lungs or bladder
moderately dynamic organs
change size in min to hours
spleen
gi
brain
slowly dynamic organs
change size in days to months as a response to physiologic demands
heart
liver
ln
endocrine glands
texture
amorphous (can be spread with a butter knife)
solid (cannot be spread with a butter knife)
consistency
gas
fluid
firm
hard (calcified)
fluids can be?
serous serosanguineous serofibrinous to fibrinous chylous purulent to seropurulent
special features
sound
odor
sound can be?
crepitant (kuplamuoviääni)
sloshing
hard
odor can be?
foul (rottening)
ammonia
apple cider
no odor
apple cider odor?
gastric hemorrhage or swallowed blood
