General Pathology Overview

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Questions and Answers

What determines the prognosis of a disease?

  • The age of the patient
  • The type of treatment administered
  • The specific tissue specimen obtained
  • The clinical picture and the results of investigations (correct)

Which type of biopsy involves sampling the whole diseased tissue?

  • Excisional biopsy (correct)
  • Punch biopsy
  • Core cut needle biopsy
  • Incisional biopsy

Which of the following is NOT a type of pathological specimen?

  • Autopsy specimens
  • Fluid specimens
  • Whole organ
  • Genetic specimens (correct)

What is the process called when the cell adapts to prolonged stimuli?

<p>Cellular adaptation (D)</p> Signup and view all the answers

Which of the following is a characteristic of atrophy in cellular adaptation?

<p>Decrease in cell size (D)</p> Signup and view all the answers

In cytology, what does Fine Needle Aspiration (F.N.A) typically examine?

<p>Deep-seated lesions for cytological examination (D)</p> Signup and view all the answers

What occurs when the limits of adaptive response to stimuli are exceeded?

<p>Irreversible cell injury happens (C)</p> Signup and view all the answers

Which specimen type is specifically used to determine the cause of death?

<p>Autopsy specimens (B)</p> Signup and view all the answers

What does general pathology primarily focus on?

<p>The general principles of disease and responses of living tissue (A)</p> Signup and view all the answers

Which of the following is considered a predisposing factor in disease etiology?

<p>Older age increasing infection risk (C)</p> Signup and view all the answers

What term describes the mechanism of the disease process?

<p>Pathogenesis (D)</p> Signup and view all the answers

Which type of microscope would be most suitable for observing fine structural details of cells?

<p>Electron microscope (C)</p> Signup and view all the answers

What are the signs of a disease?

<p>Features detectable by a physician (C)</p> Signup and view all the answers

Which of the following would be classified as an acquired cause of disease?

<p>Ischemia due to restricted blood flow (A)</p> Signup and view all the answers

Which aspect of disease study focuses on the observable changes in tissue structure?

<p>Morphological changes (A)</p> Signup and view all the answers

Which of the following best defines 'complications' in the context of disease?

<p>Additional pathological changes that develop during or after the disease (C)</p> Signup and view all the answers

What characterizes hydropic degeneration?

<p>Formation of large cytoplasmic vacuoles (A)</p> Signup and view all the answers

Which condition is associated with fatty change in the liver?

<p>Hypoxia (B)</p> Signup and view all the answers

Which of the following is NOT a cause of fatty change?

<p>Excessive exercise (B)</p> Signup and view all the answers

What is the significance of impaired lipoprotein secretion in fatty change?

<p>Leads to hyperlipidemia (D)</p> Signup and view all the answers

What is the typical gross appearance of a liver affected by fatty change?

<p>Soft, yellow, and greasy (A)</p> Signup and view all the answers

Which organ shows pale yellow coloration in the case of fatty change?

<p>Kidney (B)</p> Signup and view all the answers

What appearance do cardiac muscle bundles exhibit in the early stages of fatty change?

<p>Yellow and mottled (C)</p> Signup and view all the answers

What is the consequence of fatty change in the liver over time?

<p>Development of liver cirrhosis (B)</p> Signup and view all the answers

necrosis

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Flashcards

Cellular Adaptation

The ability of a cell to adapt to stress by changing size, number, or function.

Hypertrophy

A change in cell size, often due to increased workload.

Hyperplasia

An increase in the number of cells in a tissue.

Atrophy

A decrease in the size of cells and tissues due to a decrease in workload or nutrient supply.

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Metaplasia

A change in cell type, often due to chronic irritation.

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Irreversible Cell Injury

The point at which cell injury becomes irreversible and leads to cell death.

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Excisional Biopsy

A sampling of the entire diseased tissue.

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Incisional Biopsy

A sampling of a portion of the diseased tissue.

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Pathology

The study of diseases, focusing on structural and functional changes in tissues and organs.

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Disease

A state of ill-health resulting from changes in tissues or organs that are outside the normal range.

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General Pathology

General principles of disease and how living tissues respond to harmful stimuli.

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Predisposing Factors

Factors that make someone more likely to develop a specific disease.

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Exciting Factors

The direct cause of a disease, the trigger that sets things in motion.

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Pathogenesis

The mechanism or sequence of events by which disease develops.

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Morphological Changes

Visible changes in organs, tissues, and cells affected by disease.

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Clinical Picture

The observable signs and symptoms of a disease.

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Hydropic Degeneration

A severe form of cloudy swelling where cells accumulate excess water, creating large water-filled compartments within the cytoplasm.

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Fatty Change (Steatosis)

Abnormal and excessive buildup of triglycerides in non-fatty tissues, particularly in organs responsible for metabolism.

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Fatty Change of the Liver

The liver, being a major player in fat metabolism, is often the first organ to show signs of fatty change.

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Pathogenesis of Fatty Change in the Liver

Free fatty acids enter liver cells excessively, fat synthesis increases, and the liver struggles to break down and release fats, leading to buildup.

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Gross Picture of Fatty Liver

The liver becomes enlarged, soft, and yellow due to fat accumulation, feeling greasy to the touch.

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Microscopic Picture of Fatty Liver

Early stages show small fat droplets around the nucleus. Later, these droplets fuse into one large globule, pushing the nucleus to the side, creating a 'signet-ring' appearance.

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Fatty Change of the Kidney

Fatty change in the kidneys can lead to leakage of protein into the urine.

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Fatty Change of the Heart

The heart becomes soft, flabby, and enlarged. Damaged heart muscles appear yellow, contrasting with healthy red muscle, giving a mottled 'tigroid' appearance.

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Study Notes

Introduction

  • Pathology is the study of structural and functional changes in diseases
  • Disease is a state of ill-health due to changes in organ or tissue function
  • General pathology deals with the general principles of disease
  • Causes of disease can be genetic or acquired

Causes of Diseases

  • (A) Genetic*
  • Mongolism, Favism, Thalassemia
  • (B) Acquired*
  • Biological: Bacteria, viruses, parasites, protozoa, fungi
  • Physical: Heat, cold, trauma, radiation
  • Chemical: Acids, alkali, toxins, drugs
  • Immunological: Hypersensitivity reactions and autoimmune diseases
  • Endocrine: Hypopituitarism, Hyperthyroidism, hyper-adrenalism
  • Metabolic: Diabetes Mellitus
  • Hemodynamic: Ischemia, hypoxia, cerebral stroke, shock
  • Nutritional: Marasmus, scurvy, iron-deficiency anemia
  • Carcinogenic: Agents

Aspects of Disease Study

  • Etiology: Cause of the disease, including predisposing (e.g., immune deficiency, diabetes) and exciting (actual) factors.
  • Pathogenesis: The mechanism of the disease process and changes in cells and tissues due to the cause
  • Morphological changes: The characteristic structural changes in organs, tissues, and cells due to the disease

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