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63 Cards in this Set

  • Front
  • Back
Acute pulmonary edema
Macroscopic lung is ?
Lung is distenden and when compressed liquid is eliminated
Acute pulmonary edema
Microscopic lung alveolar septum?
dilated capillaries and serum extravasation = septal edema

intralveolar air+serum =alveolar edema
Chronic pulmonary congestion
Macroscopic
congested and fleshy lungs,brown color
Chronic pulmonary edema
Microscopic characteristics
brown hemosiderin Macrophages
Thickened alveolar septa

(pulmonary fibrosis)
Hepatic Congestion
acute and chronic Macro
Enlarged liver
yellow = hepatic parenchyma
red = dilated C.vein sinusoid capillaries
Another name for
Chronic Hepatic Congestion
Nutmeg Liver
Chronic Hepatic Congestion
Microscopically
Dilation of central veins and sinusoid capilaries and their fusion with neighbouring cells
Hepatic prolonged congestion Macroscopic
On palpation hardening (Induration)

Irregular grey areas of connective tissue, due to regeneration
Acute Hepatic Congestion
Microscopically
Dilation of central veins in hepatic lobules
Another name for
Prolonged Hepatic Congestion
Liver cirrhosis
Prolonged Hepatic Congestion
Microscop
areas of fibrosis
connective tissue and destroyed hepatocytes in those areas
Acute infarction of Kidney
Macroscop
Infarction area is pale, bulged
surrounded by a red hyperemic ring
white anemic infarction
Acute infarction of Kidney
Microscop
area of infarct is pale the narrow rim can be seen,
made by dilated capillaries and extravasated blood+ neutrophils
Acute infarction of Kidney
microscopic. what is missing in the affected area
Nuclei are missing
Acute infarction of the lung
Macroscopically
area of infarction is red, triangular
occluded vessel at apex
Acute infarction of the lung
Microscopically
area is red and nuclei are missing
Mixed Thrombus is formed in
Living body
Mixed Thrombus macro
adherent to the vessel wall
Mixed Thrombus Microscop
located into the lumen of vessels
Pink .. platelets
Red .. erythrocytes
Hyperkeratosis macroscop
Skin is hardened on palpitation
Hyperkeratosis microscop
thickening of stratum corneum
no nuclei in this layer
Layers of the skin
Corneal
Lucidum
Granulosum
Spinosum
Basal
Fatty liver (steatosis)
Macro
enlarged
yellow and soft
greasy friable
Fatty liver (steatosis)
Microscop
clear vacuoles (fat) within hepatocytes
Whole surface of lobe is affected
Renal amyloidosis
macro
kidney is enlarged
pale shiny glassy
Renal amyloidosis
microscop
amyloid acumulation in
glomerules extracellular space

amyloid in HE = pink
In congo dye = its red
Fibrinous pericarditis appearance
Bread and butter
Fibrinous pericarditis macro
Villous membrane on the epicardial surface
Fibrinous pericarditis microscop
pink fibrin deposits on epicardial surface
Hepatic abcess macro
localized cavity pus
necrosis within liver parenchyma
Hepatic abcess microscop
numerous neutrophils

around cavity necrosis can be seen
foreign body granuloma
macro
welldefined palpable nodule
within the breast
foreign body granuloma
microscop
chrystals of cholesterol
and giant multinucleated cell
(foreign body giant cells)
Tuberculous Lymphadenitis
lymphnode is increasing in size
(lympadenopathy)
yellow white cheese like necrosis
(caseous necrosis)
foreign body granuloma
macro
welldefined palpable nodule
within the breast
foreign body granuloma
microscop
chrystals of cholesterol
and giant multinucleated cell
(foreign body giant cells)
Tuberculous Lymphadenitis
Macro
lymphnode is increasing in size
(lympadenopathy)
yellow white cheese like necrosis
(caseous necrosis)
Tuberculous lymphadenitis
microscop
mixed tubercles within the lymphnode
multinucleated langhans cells
with horseshoe arrangement of peripheral nuclei
mucinous cystadenoma ovary
macro
ocular cystic spaces
gelatinous fluid rich in glycoprotein
encapsulated
benign , usually large
mucinous cystadenoma ovary
microscop
walls lined by tall columnar epith
no atypical cells observed
mucinous cystadenoma ovar
Immunohistochemistry
Tumour cells are marked by Cytokeratin
Fibroadenoma of the breast
Macro
well circumscribed mobile palpable
young women

grayish white nodule s
slit like spaces
Fibroadenoma of the breast
Microscop
pericanalicular fibroadenoma
(fibroblasts proliferation)
intracanalicular fibroadenoma
(prolif fibroblasts compress ducts into clefts)
Fibroadenoma of the breast
Immunohistochemistry
ductalcells are marked by Cytokeratin
fibroblasts by Vimentin
Leiomyoma of uterine corpus
Macro
well defined nodules, multiple
spherical and firm, no capsule
bulges above other myometrium
white and trabecular
Leiomyoma of uterine corpus
microscop
proliferation of smooth muscle cells
fusiform shape

no atypical mitoses present
Immunohistochemistry
Leiomyoma of uterine corpus
tumor cells are marked by Vimentin
and smooth muscle antigen

SMA
Cavernous hemangioma Liver
Macro
red - blue
soft spongy mass
on section contains venous blood
Cavernous hemangioma Liver
Microscop
proliferation of large vascular spaces
defined by surrounding hepatocytes

not encapsulated
Cavernous hemangioma Liver
Immunohistochemistry
tumor cells are marked by cd31 cd34

they are specifik antibodies
Invasive squamos cell carcinoma
macro
a nodular lesion ,
can be ulcerated
can present hyperkeratosi
usually face skin or lip
also on tongue
Invasive squamos cell carcinoma
microscop
in epidermis and dermis
proliferation of atypical cells
that resembles spinosum layer
tumor cells arranged in clusters
polygonal shape large, atypical nuclei
Immunohistochemistry
Invasive squamos cell carcinoma
tumor cells marked by Cytokeratin
Invasive basal cell carcinoma
macro
nodular lesion on skin of face
can be ulcerated or erythomatous plaq

does not occur on mucos surface
Invasive basal cell carcinoma
microscop
in epidermis and dermis the tumor cells are arranged in small islands

cells resemble those in basal layer
small round atypical
Immunohistochemistry
Invasive basal cell carcinoma
tumor cells are marked by Cytokeratin
where can palisading arrangement
be found
basal cell carcinoma at the periphery of the cells of the islands
well differentiated colorectal adenocarcinoma - macro
polypoid
vegetant
ulcerated
infiltrative
well differentiated colorectal adenocarcinoma - microscop
prliferation of atypical glands
that infiltrates mucosa, submucosa
and muscularis of colon wall
Immunohistochemistry

well differentiated colorectal adenocarcinoma
tumor cells marked by Cytokeratin
Hodgkins Lymphoma
Nodular Sclerosis - macro
enlarged lymphnodes
smooth surface
cervical and axillay lymph nodes first
Hodgkins Lymphoma
Nodular Sclerosis - microscop
cellular nodules replaces normal
separated by band of collagen.
Reed Sternberg cells
Hodgkins cells
Immunohistochemistry
Hodgkins Lymphoma
Nodular Sclerosis
Reed sternberg cells are marked by

CD15 and CD30