Understanding Pathology: Disease Study

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Questions and Answers

What is the primary focus of pathology?

  • The development of new surgical techniques.
  • The scientific study of disease. (correct)
  • The study of normal biological processes.
  • The treatment of healthy individuals.

Which of the following best describes the aim of pathology?

  • Prevention of disease transmission
  • Promotion of public health
  • Diagnosis of disease (correct)
  • Development of new medications

What does the term 'etiology' refer to in the context of studying a disease?

  • The causes of the disease. (correct)
  • The evolution or mechanism of disease formation.
  • The nature of the disease.
  • The future prediction of the disease.

Which aspect of disease study involves predicting the future course and outcome of the condition?

<p>Fate &amp; Prognosis (D)</p> Signup and view all the answers

What are 'complications' in the context of a disease?

<p>The added problems to the natural course of the disease. (B)</p> Signup and view all the answers

What is the purpose of performing a biopsy?

<p>To obtain a tissue sample from a living organism for examination. (A)</p> Signup and view all the answers

What is an autopsy primarily used for?

<p>To examine a dead body for histological examination. (D)</p> Signup and view all the answers

Which of the following is classified as an acquired disease?

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

What is the significance of 'predisposing factors' in the etiology of a disease?

<p>They help in the development of the disease. (B)</p> Signup and view all the answers

Which of the following is an example of an 'exciting factor' in disease etiology?

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

What is the term used to describe structural changes occurring in tissue as a result of disease?

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

In the context of disease, what does 'pathogenesis' describe?

<p>The mechanisms by which causative agents produce pathological changes. (A)</p> Signup and view all the answers

What does 'morphology' refer to in pathology?

<p>The study of structural changes in diseased tissues. (C)</p> Signup and view all the answers

Which of the following best describes 'gross picture' in morphological examination?

<p>Naked eye description of pathological changes. (D)</p> Signup and view all the answers

Fate & Prognosis: Is the Prediction of the ______ of the disease?

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

What is the primary purpose of fixation in surgical pathology?

<p>To preserve the morphology of the tissue. (D)</p> Signup and view all the answers

What is the most common fixative fluid used in surgical pathology?

<p>10% formalin (A)</p> Signup and view all the answers

Which of the following is NOT an importance of fixation?

<p>Expand the tissue in the components (B)</p> Signup and view all the answers

What does the practice of surgical pathology mandatory for?

<p>All of the above (D)</p> Signup and view all the answers

What type of biopsy involves surgical resection of the entire lesion?

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

What is the primary goal of an incision biopsy?

<p>Obtaining a sample for diagnosis. (B)</p> Signup and view all the answers

Which type of biopsy uses large-bore needles to obtain a core of tissue?

<p>True-cut biopsy (A)</p> Signup and view all the answers

What is the main purpose of intraoperative consultation in surgical pathology?

<p>To provide rapid microscopic examination for immediate surgical decisions. (A)</p> Signup and view all the answers

Which method is commonly used during intraoperative consultations to prepare histologic slides quickly?

<p>Frozen section technique (A)</p> Signup and view all the answers

What is the primary difference between general and systemic pathology?

<p>General pathology covers changes in all tissues, and systemic pathology focuses on specific organs and systems. (D)</p> Signup and view all the answers

Which of the following techniques is best suited for visualizing specific protein markers in tissue samples?

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

What would be the most appropriate method to visualize the ultra-structural details of cellular organelles?

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

Which of the following investigations involves taking part of living tissue or organ for histological examination?

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

Which of the following investigations involves taking part of dead body or cadaver for histological examination.

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

Defective fetal development in the uterus is which type of Exciting factor?

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

Decreased body defense (favors infection) is a type of which factors?

<p>Predisposing factors (C)</p> Signup and view all the answers

The mechanisms by which the causative agents produce the pathological changes in the tissues is best know as?

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

Normal $\rightarrow$ Abnormal $\rightarrow$ Treat. Is a study of?

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

What is the application of frozen section technique?

<p>Intraoperative consultation. (D)</p> Signup and view all the answers

What is meant by complications?

<p>Added difficulties to the course of a disease (A)</p> Signup and view all the answers

What is meant by Prognosis?

<p>The forecast of the course of a disease (D)</p> Signup and view all the answers

Which of the following is a Congenital & Hereditary disease?

<p>Cystic fibrosis (C)</p> Signup and view all the answers

Which type of microscope is used to visualize Immunohistochemistry?

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

What is the best definition of Pathology:

<p>The scientific study of disease (A)</p> Signup and view all the answers

Is the direct cause of the disease (i.e. cause lesion) is?

<p>Exciting factors (A)</p> Signup and view all the answers

In which step of studying the disease we need to know the structural changes?

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

What fixative is used to minimize the loss of molecular components?

<p>10% formalin (C)</p> Signup and view all the answers

Which of the following statement is NOT true about surgical pathology?

<p>surgical pathology is optional for tumor detection (C)</p> Signup and view all the answers

A researcher is studying a new disease and wants to understand how the causative agent interacts with host cells at a molecular level. Which area of pathology is most relevant to this investigation?

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

A pathologist notices unusual crystal-like structures within kidney cells during a routine autopsy. To best identify the exact composition and origin of these structures, which advanced microscopic technique would be MOST suitable?

<p>Transmission electron microscopy (TEM) combined with energy-dispersive X-ray spectroscopy (EDS) (D)</p> Signup and view all the answers

Flashcards

Pathology

The scientific study of disease.

Definition (of a disease)

The nature of the disease.

Etiology

The causes of disease.

Pathogenesis

The mechanism of disease formation.

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Morphology

Structural changes due to the disease.

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Fate and Prognosis

Prediction of the disease's future.

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Complications

Added problems to the natural course of disease.

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Biopsy

Taking part of living tissue for histological examination.

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Autopsy

Taking part of dead body for examination.

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Congenital Diseases

Diseases present at birth.

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Hereditary Diseases

Diseases passed down through genes.

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Acquired Diseases

Diseases acquired after birth.

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Predisposing Factors

Factors that help the development of a disease.

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Exciting Factors

The direct cause of a disease.

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Lesions

Structural changes occurring in tissue as a result of disease.

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Pathogenesis

Mechanisms by which causative agents produce pathological changes.

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Morphology

Disease induced structural changes in diseased tissues.

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Gross Picture

A naked eye description of pathological changes.

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Microscopic Picture

Changes in cells or tissues detected on microscopic examination.

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Fate & Prognosis

Forecast of the course and termination of a disease.

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Complications

Additional pathological changes occurring during or after a disease.

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Fixation

Using fixative fluid to prevent autolysis of tissue samples.

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Good fixation

Important in the production of satisfactory results in histopathology

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General Pathology

Common changes in all tissue tissues.

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Systemic Pathology

Specific changes of disease in organs and systems.

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Surgical Pathology

Gross and microscopic examination of surgical specimens.

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Diagnosis

Identify the disease

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Determination

To determine the correct medical path for the patient affected by the disease.

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Follow up

Assess of the effectiveness of a therapy.

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Excision Biopsy

Therapeutic surgical resection of the entire lesion.

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Incision Biopsy

Surgical resection of part of the lesion for diagnosis.

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True-Cut Biopsy

Core of Tissue Obtained By Large-Bore Needles.

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Intraoperative Consultation

Rapid Microscopic Examination Of Fresh Tissue During Surgery.

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Study Notes

  • Pathology is the scientific study of disease and what is abnormal.
  • Pathology aims to properly diagnose diseases.
  • Pathology considers the progression from normal to abnormal, then treatment.

How to study disease:

  • Definition: Understanding the nature of the disease
  • Etiology: Identifying the causes, including predisposing and exciting factors
  • Pathogenesis: Studying the evolution/mechanism of disease formation
  • Morphology: Examining the structural changes (NE & ME)
  • Fate & Prognosis: Predicting the future of the disease
  • Complications: Recognizing added problems to the disease's natural course

Pathological Investigations

  • Biopsy: Involves taking part of a living tissue or organ for histological examination
  • Autopsy: Involves taking part of a dead body or cadaver for histological examination

Definition (Nature of the Disease)

  • Diseases can be categorized includes congenital and hereditary diseases
  • Acquired diseases include inflammation, degeneration, circulatory disturbance, and tumors

Etiology (Causes of Disease)

  • Etiology refers to the causes of a disease

Predisposing Factors

  • Predisposing factors help in the development of a disease
  • Decreased body defense favors infection
  • Increased susceptibility can be hereditary

Exciting Factors

  • Exciting factors refer to the direct cause of the disease; the cause lesion

  • Defective fetal development in the uterus can be congenital or hereditary

  • Acquired factors (after birth) can be exogenous (environmental) or endogenous (internal)

  • Lesions are defined as the structural changes occurring in tissue as a result of disease

Pathogenesis

  • Pathogenesis details the mechanisms by which causative agents produce pathological changes in tissues.
  • Pathogenesis mechanism describes lesion formation

Morphology (Pathological Examination of Lesions)

  • Morphology focuses on structural changes in diseased tissues

Gross Examination (Macroscopic Picture)

  • Gross examination involves naked eye descriptions of pathological changes

Microscopic Examination (Histological Picture)

  • Microscopic examination identifies changes in cells or tissues

Microscopic techniques utilized

  • Light microscopy
  • Electron microscopy
  • Florescent microscopy
  • Immunohistological techniques involve antibodies against human cell components

Fate and Prognosis

  • Fate & prognosis describes the forecast of the course and termination of a disease

Complications

  • Complications refer to additional pathological changes occurring during or after the disease's typical course
  • They affects or modify the prognosis of the disease

Surgical Pathology: Fixation

  • Materials obtained are immediately placed in fixative fluid, commonly 10% formalin, to prevent autolysis

Importance of Fixation

  • Preserves morphology
  • Prevents decomposition and autolysis
  • Minimizes microbial/fungal growth
  • Minimizes loss of molecular components
  • Proper fixation is crucial for satisfactory results in histopathology

Learning Pathology

  • General pathology involves common changes in all tissue types
  • Systemic pathology involves specific changes in organs and systems (general pathology)

Surgical Pathology

  • Surgical pathology includes the gross and microscopic examination of surgical specimens, as well as biopsies submitted by clinicians

Surgical pathology is mandatory for:

  • Diagnosis: To identify the disease
  • Determination of treatment: Including medical, surgical, radiotherapy, and chemotherapy
  • Follow up: To assesss the success and effectiveness of therapy

Surgical Pathology Specimens:

  • Excision biopsy: A therapeutic surgical removal of the entire lesion.
  • Incision biopsy: A surgical removal of part of the lesion.
  • True-cut biopsy: A core of tissue obtained by large-bore needles

Surgical Pathology: Intraoperative Consultation

  • It involves rapid microscopic examination of fresh tissue for urgent decisions during an operation.

Methods

  • Frozen section technique prepares histologic slides
  • Imprint cytologic slides.

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