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166 Cards in this Set
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Goljan Path
Moblitz I |
Usually due to inferior MI. Rarely goes into 3rd degree block.
Txt w/Atrophine or Isoproterenol |
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Goljan Path
Moblitz II |
BBB association.
Often goes to 3rd degree AV block Usually due to anterior MI. |
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Goljan Path
P wave |
Atrial depol
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Goljan Path
a wave |
LA contraction
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Goljan Path
T wave |
Vetricular repol
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Goljan Path
Wavy fibers |
Eosinophilic bands of necrotic myocytes.
Early sign of MI. |
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Goljan Path
Janeway's lesions |
Acute bacterial endocarditis
Nontender, erythematous lesions of palms & soles |
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Goljan Path
Osler's nodes |
Subacute bacterial endocarditis
Tender lesions of fingers & toes |
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Goljan Path
Thiamine defcy |
Wet Beri Beri heart. Dilated (congested) cardiomyopathy due to chronic alcohol consumption.
Dyr Beri Beri = peripheral neuropathy Wernicki-Korsakoff=ataxia; confusion; confabulation; memory loss |
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Goljan Path
Fibrinous Pericarditis |
Associated w/MI: Dressler's
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Goljan Path
Serous Pericarditis |
Associated w/nonbacterial
viral (Coxsakie) infection immunologic reaction |
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Goljan Path
Friction Rub |
Pericarditis association
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Goljan Path
Hemorrhagic Pericarditis |
Associated w/ TB or neoplasm
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Goljan Path
Restrictive Cardiomyopathy |
Aka infiltrative cardiomyopathy that stiffens the heart
Due to amyloidosis in the elderly Due to, also see schaumann & asteroid bodies in young(over 25 yoa) |
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Goljan Path
PML's infectious agent |
JC Virus (Papovavirus=dsDNA, naked icosahedral capsid)
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Goljan Path
Edema |
Increased Pc (more seeps out)
Decreased pie c (less reabsorbed) Increased permeability Bloack lymphatic drainage |
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Goljan Path
Adult Adult Polycrystic Kedney Disease |
Commonly see liver cysts & Berry aneurysmns along w/kidney cysts. Hematuria & HTN also present.
3 cysts in ea. Kidney w/+family history confirms diagnosis |
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Goljan Path
Malignant HTN & Kidneys |
Petehial hemorrhages are seen on kidney surfaces = Flea-Bitten surface = young black men
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Goljan Path
Nephritic signs |
Hematuria
RBC casts HTN |
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Goljan Path
Hephrotic signs |
Proteinuria
Hypoalbuminemia Edema |
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Goljan Path
Podocyte Effacement seen w/ |
Minumal Change (Lipoid nephrosis) disease
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Goljan Path
ASO seen in |
Acute post-streptococcal GN (due to betaHGASrtep)
Anti Streptolysin O |
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Goljan Path
Crescentic GN |
Rapidly progressive GN - nephritic syndrome
Associated w/multi system disease or post-strep/post infectious glomerular nephritis |
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Goljan Path
Hereditary Nephritis |
Alport's syndrome. X linked
Renal disease w/deafness & ocualr abnormalities |
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Goljan Path
Membranoproliferative GN |
Can be secondary to complement deficiency; chronic infections; CLL
See tram tracking |
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Goljan Path
TypeI Membrano Proliferative GN deposits |
C3 & IgG deposits
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Goljan Path
TypeII Membrano Proliferative GN deposits |
Only C3 deposits
Aka Dense deposit disease |
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Goljan Path
Focal segmental glomerulosclerosis deposits |
IgM & C3 deposits
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Goljan Path
Cold agglutnins |
Seen in atypical pneumonia
It is IgM Ab with specificity for I Ag on adult RBCs |
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Goljan Path
Scrofula |
TB in the lymph nodes
|
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Goljan Path
Aspirin-Asthma Triad |
Nasal polyps -
Rhinitis - bronchoconstriction |
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Goljan Path
Ferruginous badies |
Hemosiderin (pigment w/Fe3) covered magrophages that have been pahgocytised
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Goljan Path
Pancoast's tumar causes |
Ulnar nerve pain & Horner's syndrome
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Goljan Path
Fatty degeneration |
Made up primarily of triglycerides
Most commonly due to alcoholism which commonly leads to hepatic cirrhosis Associated w/ CCl4 |
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Goljan Path
Cloudy swelling |
Failure of cellular Na pump
Seen in Fatty degeneration of the liver & in Hydropic(Vacuolar) degeneration of the liver |
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Goljan Path
Hydropic degeneration |
Severe form of cloudy swelling
Seen with hypokalemia induced by vomitting/diarrhea |
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Goljan Path
Liquefaction necrosis |
Rapid enzymatic break down of lipids
Seen commonly in Brain & Spinal cord (CNS) injuries Seen in suppurative infections=pus formation |
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Goljan Path
Coagulation necrosis |
Result of sudden ischemia
Seen in organs w/end arteries limited collateral circulation) = heart, lung, kidney, spleen |
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Goljan Path
Caseation necrosis |
Combination of both coagulation & liquefaction necrosis
Seen w/M. tuberculosis & Histoplasma capsulatum infection |
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Goljan Path
Fibrinoid necrosis |
Seen in the walls of small arteries
Associated w/malignant hypertension, polyarteritis nodosa, immune mediated vasculitis |
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Goljan Path
Fat necrosis |
Result of lipase actions liberated from pancreatic enzymes
Seen w/Acute pancreatitis = saponification results |
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Goljan Path
Hemoptysis |
Blook in sputum
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Goljan Path
Pulmonary embolism |
Most commonly thrombus from lower extremity vein
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Goljan Path
Phlebothrombosis |
From a vein of lower extremities, of a pregant uterus, in Congestive heart failer, bed ridden pt
As a complicaiton in a pt w/Pancreatic CA due to increased d blook coagulability |
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Goljan Path
Saddle embolus |
Embolus lodged in bifurcation of pulmonary trunks
Increased RV strain = RV & RA dilate = Acute cor Pulmonale |
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Goljan Path
Paradoxical embolism |
Right to Left shunt allose a venous embolism to enter arterial circulation
Patent ovale foramen or Atrial septal defect |
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Goljan Path
Tuberculoid granuloma |
Collection of macrophages w/o caseation
Seen w/Sarcoidosis (non-caseating); Syphilis; Brucellosis & Leprotic infections |
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Goljan Path
Cellulitis |
Spreading infection due to streptococcus
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Goljan Path
PSA |
Prostate Specific Antigen = elevated in prostatic CA
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Goljan Path
Increased 5-HT |
In cases of metastatic carcinoid, txt w/ Methysergide (5HT antagonist)
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Goljan Path
Increased aFeto Protein |
Hepatocarcinoma
Neural tub defects |
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Goljan Path
CEA |
Carcinoembryonic Antigen - elevated in Colon CA
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Goljan Path
Chromosome 13 |
Retinoblastoma
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Goljan Path
Chromosome 11p |
Wilms tumor of the kidney
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Goljan Path
Vinyl Chloride |
Associated w/ Angiosarcoma of the liver
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Goljan Path
Agent Orge |
Contains dioxin
Implicated as a cause of Hodgkin's disease, non-Hodgkin's lymphoma & soft tissue sarcomas |
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Goljan Path
Parasites & CA |
Schistosoma haematobium = Urinary bladder CA
S.mansoni- Colon CA Aspergillus flavus = potent hepatocarcinogen |
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Goljan Path
Ochronosis |
Alkaptonuria
Error in tyrosine metabolism due to Homogentisic acid (oxidizes tyrosine) Involving intervertebral disks = Ankylosing Spondilitis = Poker spine See dark urine; dark coloration of sclera, tendons, cartilage |
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Goljan Path
Lead poisoning |
Acid fast inclusion bodies
Increased urinary coproprophyrin Anemia: microcytic/ hypochromic Stippling of the basophils Gingival line & lead line in bones: x-ray Mental retadation |
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Goljan Path
Heroin OD, clinically |
Massive pulmonary edema w/ frothy fluid from the nostrils
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Goljan Path
Fetal alcohol syndrome |
Small head,
small eyes, funnel chest, ASD, Mental deficiency, hirsutism |
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Goljan Path
Atypical mycobacterium |
M. kanasasii & M.avium intracellulare
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Goljan Path
Cold abscesses |
Liquefied TB lesions similar to pyogenic abscesses but lacking acute inflammation
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Goljan Path
Actinomyces isrealli |
Farmers infection
Lumpy jaw (from chewing grain) & PID (IUD), but most common is due to saprophyticus |
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Goljan Path
Congenital Syphilis |
Saddle nose,
Saber shin, Hutchinson's teeth, nerve deafness, interstitial keratitis |
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Goljan Path
Warthin-Finkeledy cells |
Reticuloendothelial giant cells on tonsis, lymph nodes, spleen
Seen with Rubeola (measles) due to paramyxovirus |
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Goljan Path
Diphyllobothrium latum |
Tapeworm infection causing megaloblastic anemia by consuming large amoutn of vit B12 in the host
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Goljan Path
Subacute Bacterial Endocarditis |
alpha Hemolytic Streptococci (S. Viridans) = usually in pt w/pre-existing heart problem
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Goljan Path
Acute Bacterial Endocarditis |
Staph aureus, beta Hemolytic Streptococci, E. coli
Common among drug addicts & diabetics |
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Goljan Path
Mitral Insufficiency |
Ruptured papillary muscle
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Goljan Path
Left Anterior Descending branch |
Branch of the Left Coronary artery
Highest frequency of thrombotic occlusion MI=anterior wall of the LV, especially in apicalpart of interventricular septum |
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Goljan Path
Left Circumflex branch |
Branch of the Left Coronary artery
Occlusion = MI of posterior/lateral wall of the LV |
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Goljan Path
Dissecting Aneurysm |
False aneurysm: it is splitting of the media of the aorta
Usually accompanied w/long history of severe hypertension, also seen w/familial hyperlipidemia, atherosclerotic disease, Marfan's Collagen disease Zones of medial necrosis +/- slitlike cysts=Medial Cystic Necrosis of Erdheim |
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Goljan Path
Cor pulmonale |
Right ventricular strain, associated w/right ventricular hypertrophy
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Goljan Path
Acute Cor Pulmonale |
Sudden right ventricular strain due to a massive pulmonary embolism
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Goljan Path
Bronchopneumonia |
Lobular (rather than lobar)
Due to Staph aureus; Pseudomonas aeruginosa; Klebsiella; E. coli Abscess formation is common |
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Goljan Path
Lobar pneumonia |
Due to Strep. Pneumoniae infection (5% due to Klebsiella)
Red Hepatization: days 1-3 of the pneumonia Gray Hepatization: days 3-8 of untreated pneumonia Complications:pleural effusion: atelectasia; fibrinous pleuritis; empyema; fibrinous pericarditis; otitis media |
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Goljan Path
Bronchiectasis |
Permanent dialation of the bronchi - predisposed by chronic sinusitis & post nasal drip
Supparation associated Lower lobe > than upper lobe involvement |
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Goljan Path
Cold Agglutinins |
Found w/Mycoplasma pneumoniae
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Goljan Path
Panlobular Emphysema |
alpha1 - antitrypsin deficiency, causing elastase increased = increased compliance in the lung
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Goljan Path
Bulla |
Associated w/Emphhysema = "Bleb" = outpouching /
If it ruptures causes Pneumothorax |
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Goljan Path
Farmer's Lung |
Due to Micropolyspora faeni (thermophilic actinomycetes)
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Goljan Path
Bagassosis |
Due to M. Vulgaris (actinomycetes)
Inhalation of sugar cane dust |
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Goljan Path
Silo-Filler's Lung |
Due to Nitrogen dioxide from nitrates in corn
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Goljan Path
G6PDH Deficiency |
Sex-linked chronic hemolytic anemia w/o challenge of after eating fava beans
Heinz Bodies appear in RBCs |
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Goljan Path
HbF greatly increased |
Sickle Cell Anemia
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Goljan Path
Multiple Myeloma |
Lytic lesions of flat bones ("salt & pepper lesions") = vertebrae, ribs, skull;
Hypercalcemia; Bence-Jones protein casts |
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Goljan Path
Hodgkin's Disease |
Malignant neoplasm of the lymph nodes causing pruritis;
fever = looks like an acute infection Reed Stern berg cells |
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Goljan Path
Polyarteritis Nodosa |
Immune complex disease of Ag-Ab complexes on blood vessel wall
Half of the immune complexes have Hepatitis B Ag Can see fever; abd.pain: increased wt; HTN; muscle aches |
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Goljan Path
Sprue |
Celiac disease due to a gluten-induced enteropathy = small intestine villi are blunted
High titers of anti-gliadin Abs & increased IgA levels |
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Goljan Path
Regional Enteritis |
Crohn's Disease
Association w/Arthritus Uveitis Erythema Nodosum |
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Goljan Path
Whipple's Disease |
Intestinal Lipodystrophy = malabsorption syndrome
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Goljan Path
Kulchitsky cells |
Neural cest cells from which carcinoids arise = of the Bronchi:
GIT: Pancreas |
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Goljan Path
Ulcerative Colitis |
Inflammatory disease of the colon w/increased colon CA incidence
Crypt abscess in the crypts of Lieberkuhn Pseudopolyps when ulsers are deep Not transmural involvement |
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Goljan Path
Vaginal Adenosis |
Women exposed to DES (Diethylstilbesterol) in utero before the 18th week of pregnancy
Some develop clear cell adenocarcinoma of the vagina & cervix |
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Goljan Path
Scirrhous Carcinoma |
Infiltration Duct Carcinoma w/ fibrosis - most common type of breast carcinoma
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Goljan Path
Hofbauer Cells |
Lipid laden macrophages seen in villi of Erythroblastosis Fetalis
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Goljan Path
Retinopathy of Prematurity |
Retrolintal Fibroplasia = cause of blindness in premies due to high O2 concentrations
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Goljan Path
IgA deficiency |
Pt has recurrent infections & diarrhea w/increased respiratory tract allergy & autoimmune diseases
If givend blood w/IgA = develop severe, fatal anaphylaxis reation |
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Goljan Path
Primary Sjorgen's |
Dry eyes & dry mouth
arthritis Increased risk for B cell lymphoma HLA-DR3 frequent. Autoimmune disease |
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Goljan Path
Secondary Sjorgen's |
Rheumatoid arthritis, SLE or systemic sclerosis association
RA association shows HLA-DR4 |
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Goljan Path
LDH1 & LDH2 |
Myocardium
LDH1 higher than LDH2 = Myocardial Infarction |
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Goljan Path
LDH3 |
Lung tissue
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Goljan Path
LDH4 & LDH5 |
Liver cells
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Goljan Path
Keratomalacia |
Severe Vit A deficiency.
See Bitot's spots in the eyes = gray plaques = thickened, keratinized ET |
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Goljan Path
Metabisfite Test |
Suspending RBCs in low O2 content solution
Can detect Hemoglobin S, which sickles in low O2 |
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Goljan Path
Microangiopathic Hemolytic Anemia |
Can be due to Hemolyitc Uremic Syndrome & Thrombotic Thrombocytopenic Purpura (TTP)
See Helmet cells |
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Goljan Path
Wright's stain |
Stain for Burkitt's lymphoma
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Goljan Path
Mononucleosis |
Due to EBV infeciton
If Mono is treated w/Ampicillin, thinking that it is a strep pharyngitis, a rash will occur |
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Goljan Path
T(8;14) |
Burkitt's lymphoma = c-myc oncogene overexpression
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Goljan Path
T(9;22) |
CML = c-abl/bcr gene formation = Philadelphia translocation
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Goljan Path
Langerhan Cell Histiocytosis |
Letter Siwe syndrome; Hand Schuller Christian Disease; Eosinophilic Granuloma
Birbeck granules are present = tennis racket shape |
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Goljan Path
Myeloid Metaplasia |
Alkaline phosphatase increased/normal compare to CML = low to absent
Anemia; splenomegaly; platelets increased 1 million = extensive extra-medullary hematopoisis |
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Goljan Path
Multiple Myeloma |
Weakness; wt. loss; recurrent infection; proteinuria; anemia; increased proliferation of plasma cells in BM=plasma cell dx
Serum M protein spike - most often of IgG or IgA Hypercalcemia (increased bone destruction) |
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Goljan Path
T(14;18) |
NH Lymphoma = bcl2 proto-oncogene overexpression seen w/ Small Cleaved Cell (Follicualr) Lymphoma
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Goljan Path
Focal Segmental GN exs |
IgA Focal GN = Berger's disease
SLE PAN Schonlien-Henoch purpura (anaphylactoid purpura) |
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Goljan Path
Nephrotic syndrome exs |
Focal (Segmental) GN
Membranous GN Lipoid (Minimal Change) GN Membranoproliferative GN Hep B Syphilis Penicillamine |
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Goljan Path
Schistosoma Haematobium |
Infection is associated w/Squamous cell CA of the Bladder (most common Bladder CA is transitional cell type)
Associated w/portal HTN due to intrahepatic obstruction |
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Goljan Path
Penicillin Resistant PID |
PID is usually due to N.Gonorrhoeae, but if unresponsive to penicillin think of Bacteroides species
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Goljan Path
Duret Hemorrhages |
Severe increase in ICP w/ downward diplacement of cerebellar tonsils into Foramen Magnum causing a compression on the brainstem w/hemorrhaging into the pons & midbrain
Nearly always associated w/death due to damage to the vital centers of these areas |
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Goljan Path
Hypertensive Hemorrhage |
Predilection for lenticulostriate arteries = putamen & internal capsule hemorrhages
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Goljan Path
Cerebral Emboli are from |
MI w/Mural Thrombi
Atrial Fib Thrombi = Marantic thrombi L-sided Bacterial Endocarditis; Paradoxical Embolism of septal defect |
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Goljan Path
Neurosyphilis |
Tabes Dorsalis = increase joint position sensation, increase pain sensation, ataxia, Argyl Robertson pupils
Syphilitic meningitis Paretic neurosyphilis |
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Goljan Path
5p- |
Cri di Chat: mental retardation
small head wide set eyes low set ears cat-like cry |
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Goljan Path
Trisomy 13 |
Patau's small head & eyes
cleft lip & palate many fingers |
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Goljan Path
Acute Cold Agglutinaiton |
Abs to I blood group Ag. Mediated by IgM Abs
Complication of EBV or Mycoplasma pneumoniae infections |
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Goljan Path
Chronic Cold Agglutinaiton |
Associated w/lymphoid neoplasms,
See agglutination & hemolysis in tussue exposed to cold IgM Abs |
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Goljan Path
RBC Osmotic Fragility |
Hereditary Spherocytosis
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Goljan Path
Non-Hodgkin's Lymphomas |
Small Lymphocytic: low grade B cell lymphoma of the elderly. Related to CLL
Small Cleaved cell (Follicualr); low grade B cell lymphoma of the elderly. T(14;18) bcl-2 oncogene Large cell Lymphoblastic: high grade T cell lymphoma of kids progressing to T-ALL Small Non Cleaved = Burkitt's: high grade B cell lymphoma. EBV infection. Starry sky histo appearance. T(8:14) c-myc proto-oncogene. Retlated to B-ALL |
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Goljan Path
Singer's Nodules |
Benign laryngeal polyps associated w/smoking & oversue of the voice
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Goljan Path
Paraseptal emphysema |
Associated w/blebs (large subpleural bullae) that can rupture & casue pneumothorax
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Goljan Path
Superior Vena cava Syndrome |
Obstructed due to bronchogenic carcinoma.
Causing swollen face & cyanosis |
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Goljan Path
Betal nuts |
Associated to oral cancer
|
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Goljan Path
Fundal (Type A) Gastritis |
Antibodies to parietal cells
pernicious anemia autoimmune disease |
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Goljan Path
Antral (Type B) Gastritis |
Associated w/Helicobacter (Campylobacter) pylori infection.
90% of duodenal ulcer |
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Goljan Path
Primary Biliary Cirrhosis |
Autoimmune origin; middle aged women; anti-mitochondrial Abs
Jaundice; itching; hypercholesterolemia (can see cutaneous xanthomas) |
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Goljan Path
Acute Pancreatitis |
Increased pancreatic enzymes = fat necrosis; sapponification = sypocalcemia; increased serum amylase
Severe epigastric ab pain; prostration; radiation to the back |
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Goljan Path
Radiating Back Pain |
Chronic pancreatitis
|
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Goljan Path
Complete Hydatidiform Mole |
No embryo.
Paternal derivation only. 46XX |
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Goljan Path
Partial Hydatidiform Mole |
Embryo
2 or more sperms fertilized 1 ovum triploidy/tetraploidy occurs |
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Goljan Path
Cold Nodules |
Hypoplastic Goiter nodules that do not take up radio active iodine. [Opposite; hot & do take up iodine]
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Goljan Path
Acidophils |
Mummotrophs = Prolactin
Somatotrophs = GH |
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Goljan Path
Basophils |
Thyrotrophs = TSH
Gonadotrophs = LH Corticotrophs = ACTH & FSH |
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Goljan Path
Lacunar Strokes |
Small/focal aa occlusions. Purely motor or sensory.
Sensory: lesion of thalamus Motor: lesion of internal capsule |
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Goljan Path
CSF of Bacterial Meningitis |
Decreased Glucose
Increased Protein Increased Neutrophils Increased Pressure |
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Goljan Path
CSF of Viral Meningitis |
Normal Glucose;
+/- increased Protein Increased Lymphocytes |
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Goljan Path
Marble Bone Disease |
Osteoporosis
Albers-Schonberd Disease = inspite of increased bone density, many fractures = decreased osteoclasts |
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Goljan Path
C5a |
Involved in Chemotaxis (for Neutrophils)
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Goljan Path
C3b |
Involved in Opsonization (& IgG)
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Goljan Path
Anaphylotoxis |
C3a & C5a (mediate Histamine release from Basophils & Mast cells)
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Goljan Path
vasoactive Mediators |
Vasoconstriction: TxA,; LTC4; LTD4; LTE4; PAF
Vasodilation: PGI2; PGD2; PGE2; PGF2alpha; Bradykinin; PAF Increased Vascular Permeability: Hist.; 5HT; PGD2; PGE2; PGF2alpha; LTC4; LTD4; LTE4; Bradykinin; PAF |
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Goljan Path
Platelet Aggregation |
ADP;
Thrombin; TxA2; collagen; Epinephrine; PAF |
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Goljan Path
Platelet Antagonist |
Prostacyclin (PGI2)
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Goljan Path
Intrinsic Pathway |
F XII (Hagman): APTT
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Goljan Path
Extrinsic Pathway |
F VII: PT
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Goljan Path
Lines of Zahn |
Aterial thrombi = pale red colored (dark red is venous thrombi)
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Goljan Path
Currant Jelly appearance |
Post mortem clots
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Goljan Path
Emigration: Chemotaxis |
1. Margination
2. Pavementing 3. Adhesion 4. Chemotaxis 5. Phagocytosis 6. Intracellular microbial killing |
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Goljan Path
Transulate |
Specific gravity < 1.012 - low protein
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Goljan Path
Exudate |
Specific gravity > 1.020 - high protein
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Goljan Path
Hurler's |
Lysosomal storage disease alpha L Iduronidase - Heparan/Dermatan Sulfate accumulation
|
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Goljan Path
Galactosemia |
Deficiency of Galactose 1 Phosphate Uridyl Transferace.
Increase Galactose 1 Phosphate |
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Goljan Path
Phenylketonuria |
Deficiency: Phenylalanine Hydroxylase. Increase Phenyalanine & degradation products
Mousy body odor |
|
Goljan Path
Autosomal Dominant Diseases |
Adult Poly Cystic Kidney Disease
Familial Hypercholestrolemia Disease Hereditary Hemorrhagic Telengectasia (Osler-Weber-Rendu) Hereditary Spherocytosis Huntington's Disease (chromosome 4p) Marfam's Syndrome Neurofibromatosis (von Recklinghausen's) Tuberous Sclerosis Von Hippel Lindau Disease |
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Goljan Path
Autosomal Recessive Diseases |
Tay-Sachs
Gaucher's Niemann-Pick Hurler's Von Gierke's |
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Goljan Path
Autosomal Recessive Diseases |
Tay-Sachs
Gaucher's Niemann=Pick Hurler's Von Gierke's Pompe's Cori's McArdle's Galactosemia PKU Alcaptonuria |