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Flashcards covering key vocabulary terms from the Pathology lecture.
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Pathology
The study of disease by scientific means, elucidating its causes and effects.
Biopsy
A sample of body tissue taken during life to aid in diagnosis.
Autopsy
Examination of body/organs after death to aid in determination of the cause of death.
Histopathology
Detection of structural abnormalities in tissues.
Cytology
Detection of structural abnormalities in cells.
Exfoliative Biopsy
Examination of secretions, tissue scraping for detection of cancerous cells
Fine Needle Aspirate (FNA)
Extracting cells from a suspected mass.
Haematology
Detection of blood and bone marrow abnormalities.
Biochemistry
Detection of abnormalities in body chemistry.
Microbiology
Detection of infectious disease.
Immunoserology
Detection of immune disease/status & infectious disease.
Molecular Pathology
Detection of abnormalities at molecular level (gene and gene products).
Medical Genetics
Detection of inherited disease.
Differential diagnosis
Clinician lists possible diseases that may cause the symptoms and signs.
Presumptive diagnosis
An initial diagnosis is made.
Definitive diagnosis
Following test results, a final diagnosis is made.
Prognosis
A forecast is made on the probable course and outcome of the disease.
Remission
State of absence of disease activity in patients with a chronic illness, with the possibility of return.
Relapse
State of renewed disease activity following the end of a remission.
Aetiology
The cause of a disease.
Pathogenesis
How the aetiology brings about the disease (the course of disease).
Cytogenetic Disorders
Chromosomal defects (structure/number).
Mendelian Disorders
Due to gene defects.
Multifactorial Inheritance Disorders
Often involve many genes (polygenic). May have an environmental influence.
Congenital Malformations
DNA expression errors.
Acquired Disease
Due to environmental factors.
Trauma
Physical disruption to tissue.
Sublethal Injury
Mild injury to tissues.
Hydropic change
Membrane ion pumps failing (cells accumulate water & electrolytes – ‘cloudy swelling’).
Fatty Change
Smooth endoplasmic reticulum (SER) damaged (fat metabolism stops, cytoplasm accumulates fat droplets – ‘signet ring’).
Glycogen depletion
Mitochondria damaged. Cell begins to produce more ATP anaerobically and demonstrate loss of glycogen.
Autophagy
Lysosomes damaged. Lytic enzymes released in pockets of cytoplasm.
Necrosis
Death of cells while still part of the living body.
Ischaemia
Interrupted blood supply.
Infarction
Necrosis from ischaemia.
Pyknosis
Nucleus shrinks and condenses.
Karyorrhexis
Nucleus fragments.
Karyolysis
Nuclear fragments dissolve away.
Coagulative Necrosis
Most common; in solid organs. Ischaemia leads to coagulation of proteins.
Colliquative (Liquefactive) Necrosis
Occurs in the brain, or in suppuration (pus formation) due to heterolysis with little coagulation.
Caseous Necrosis
Occurs in tuberculosis (infection with Mycobacterium tuberculosis). Due to hypersensitivity reaction and nature of the bacterium.
Haemorrhagic Necrosis
Result of ischaemia leading to necrotic tissue infiltrated with extravasated red blood cells.
Gummatous Necrosis
Due to infection with Treponema pallidum. Occurs in tertiary syphilis (esp. in CVS & CNS).
Fat Necrosis
Enzymatic type: Occurs only around the pancreas. Associated with adipose tissue injury and release of pancreatic lipases. Traumatic type: Occurs when adipose tissue in any site is injured by trauma.
Fibrinoid Necrosis
Occurs in connective tissue, blood vessel walls in hypertension & autoimmune diseases. Collagen degenerates, resembles fibrin.
Gangrenous Necrosis
Dark, discoloured, foul smelling tissue. Result of ischaemia & infection of necrotic tissue with anaerobic bacteria, especially Clostridium spp.
Apoptosis
"Shrinkage necrosis" (no inflammation/other degenerative changes). A “controlled” process of cell death, programmed into cells to occur at a certain stage in their life cycle.