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119 Cards in this Set

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Acute Bronchopneumonia - The alveoli are filled with PMNs, fibrin and necrotic debris. The alveolar walls have begun to fragment producing the abscess cavity
Acute Epiglottitis
Acute Gastritis - Neutrophils in Glands
Acute Lobar Pneumonia - Pneumonia – neutrophil and macrophage exudate (grossly “grey hepatisation”)
Acute Supurative Pylonephritis
Acute Supurative Pylonephritis
Amoebic infasion of colonic crypt
Ascaris
ASCARIS LUMBRICOIDES
Aspergillus fumigatus
Aspergillus fumigatus
Bronchiectasis
Bronchopneumonia
Bronchopneumonia
Cerebral Toxoplasmosis
Bronchopneumonia
Cestode - Taenia Solium
Chronic Hepatitis B
CMS in Gastric Mucosa - Halo with Eosinophilic Inclusions
Coccidioides and Blastomyces
Coccidioides and Blastomyces - Budding
CMS in Gastric Mucosa - Halo with Eosinophilic Inclusions
CMV Inclusions - HALO
Cyst - Egg - Stained with PAS
Cocciodiodes Immitis - Spherule with Spores
Cocciodiodes Immitis - Spherule with Spores
Cyst - Eggs in Cyst
Diphtheria - Pseudomembranous Inflammation
Dyssentary - Crypt with inflammation inside
Dyssentery - Neutrophils in colonic crypt - cryptitis - acute colitis
Fungi
Gastritis
Gastritis - Neutrophils inside Foveoli
Gastrointestinal Fungal Infections
Giant Cell
Giardia
Granuloma - Not necrotizing because no necrosis in middle
Granuloma with Neutrophils - Bartonella Henselae
Herpes Encephalitis
Herpes Esophagitis
Herpes Virus - Multiple epithelial cells aggregated
Host Fibrosis trying to corner worm cyst
Host membrane against Cyst - middle is fibrosis with blood vessels - far right is Eosiniphils - left is Dense Fibrosis
HPC Invasive SCC 2
HPV Carcinoma In Situ
HPV Condyloma
HPV Invasic SCC
HPV Koilocytosis - Koilocytes are cells with halo around dark nucleus
HSV
Interstitial inflammation of lung
Interstitial Viral Pneumonitis
Interstitial Viral Pneumonitis
Kidney - Left Mononuclear interstitial inflammation - Right is normal
Leishmania in Spleen
Leishmania inside cell
Lobular Pneumonia
Lobular Pneumonia
Lobular Pneumonia - Bacterial - Intralobular Septae with Neutrophils
Lung Aspergillosis
Lung Abscess
Lung Aspergillosis with Giant Cell Macrophage - HE
Lung Granuloma
Molluscum bodies inside epidermis
Molluscum bodies inside epidermis
Necrotizing Inflammation
Necrotizing Inflammation of Blood Vessel
Lung Necrotizing Granuloma
Neuron with Vacuolization - CJD
Neuron with Vacuolization - CJD
Pneumonia – fibrinopurulent exudate in alveoli (grossly “red hepatisation”)
Pseudomembranous colitis
Pseudomembranous colitis
Scarring of Lung - Pneumonia Complication
Scolex
Pulmonary Gangrene
Scolex Parasite - Hooks visible
Shigella Dyssentery - Surface epithelium gone - neutrophils = acute inflammation
Toxoplasma Pseudocyst
Trematodes - Schistosoma
Trophozoite invasion of colonic crypt - narrow entry way and widens base above muscularis to form flask shape - Erosion at top
Tuberculosis
Trichinella spiralis - Trichinosis - Parasite between muscle fibers and fibrous tissue
Typhoid Fever with Perforation of the Ileum
Typhoid Liver Nodules
Verruca Vulgaris
Viral Esophagitis
Verruca Vulgaris
West Nile Virus
Viral Pneumonia with Diffuse Fibrous Organization
Viral Pneumonia with Linear Fibrin Membrane Deposits - 3 conditions can produce this - Viral Infection, ARDS, DAD (diffuse alveolar damage)
Cytomegalic inclusion disease (KIDNEY) X4

Interstitial mononuclear infiltration and tubular widening

In the majority of the proximal convoluted tubules we see enlargement of the epithelial cells

The nuclei of these cells are also enlarged and contain a huge inclusion body surrounded by a clear halo
Cytomegalic inclusion disease (KIDNEY) X40

Interstitial mononuclear infiltration and tubular widening

In the majority of the proximal convoluted tubules we see enlargement of the epithelial cells

The nuclei of these cells are also enlarged and contain a huge inclusion body surrounded by a clear halo
Candida in stomach. X2

This is a PAS stained slide of an ulceration of the stomach in a 60 year-old female.

The mucosa and submucosa layers show neutrophil infiltration and fibrin. Also seen are macrophages, lymphocytes and necrotic epithelial cells. The main finding is that of large quantities of Candida Albicans, which shows two main forms: 1) Elongated nonbranching (pseudohyphae)
2) Round bodies (blastospores)
This type of infection is seen mainly in Immunocompromised hosts
Candida in stomach. X2

This is a PAS stained slide of an ulceration of the stomach in a 60 year-old female.

The mucosa and submucosa layers show neutrophil infiltration and fibrin. Also seen are macrophages, lymphocytes and necrotic epithelial cells. The main finding is that of large quantities of Candida Albicans, which shows two main forms: 1) Elongated nonbranching (pseudohyphae)
2) Round bodies (blastospores)
This type of infection is seen mainly in Immunocompromised hosts
Candida in stomach. X20

This is a PAS stained slide of an ulceration of the stomach in a 60 year-old female.

The mucosa and submucosa layers show neutrophil infiltration and fibrin. Also seen are macrophages, lymphocytes and necrotic epithelial cells. The main finding is that of large quantities of Candida Albicans, which shows two main forms: 1) Elongated nonbranching (pseudohyphae)
2) Round bodies (blastospores)
This type of infection is seen mainly in Immunocompromised hosts
Candida in stomach. X10

This is a PAS stained slide of an ulceration of the stomach in a 60 year-old female.

The mucosa and submucosa layers show neutrophil infiltration and fibrin. Also seen are macrophages, lymphocytes and necrotic epithelial cells. The main finding is that of large quantities of Candida Albicans, which shows two main forms: 1) Elongated nonbranching (pseudohyphae)
2) Round bodies (blastospores)
This type of infection is seen mainly in Immunocompromised hosts
Candida in stomach. X40

This is a PAS stained slide of an ulceration of the stomach in a 60 year-old female.

The mucosa and submucosa layers show neutrophil infiltration and fibrin. Also seen are macrophages, lymphocytes and necrotic epithelial cells. The main finding is that of large quantities of Candida Albicans, which shows two main forms: 1) Elongated nonbranching (pseudohyphae)
2) Round bodies (blastospores)
This type of infection is seen mainly in Immunocompromised hosts
Kala Azar (Leishmaniasis) of spleen X4

On macroscopic examination extensive areas of infarction were found.
On histology the normal architecture of the organ was not preserved. The white pulp was atrophic and the sinusoidal pattern of the red pulp was effected. Here and there blood vessels with hyalinization as well as areas of congestion and hemosiderin deposits were found.
On high power exam many macrophages with several leishmania bodies were found.
Those cells can be recognized due to the small eccentric nuclei and large cytoplasm.
Kala Azar (Leishmaniasis) of spleen X60

On macroscopic examination extensive areas of infarction were found.
On histology the normal architecture of the organ was not preserved. The white pulp was atrophic and the sinusoidal pattern of the red pulp was effected. Here and there blood vessels with hyalinization as well as areas of congestion and hemosiderin deposits were found.
On high power exam many macrophages with several leishmania bodies were found.
Those cells can be recognized due to the small eccentric nuclei and large cytoplasm.
Kala Azar (Leishmaniasis) of spleen X40

On macroscopic examination extensive areas of infarction were found.
On histology the normal architecture of the organ was not preserved. The white pulp was atrophic and the sinusoidal pattern of the red pulp was effected. Here and there blood vessels with hyalinization as well as areas of congestion and hemosiderin deposits were found.
On high power exam many macrophages with several leishmania bodies were found.
Those cells can be recognized due to the small eccentric nuclei and large cytoplasm.
Hydatid cyst of liver x2

See cystic structre. Inside lumen see structure and another types of membrane. Have thick membrane on surface and content of cyst also has a membrane and round shape structures (scolices). Large laminated acellular thick membrane (all glycoproteins) and then a broken germinative layer and then scolices. Outside should see host layer with inflammation and inflammatory cells and fibrosis.
Hydatid cyst of liver

4x: see laminated thick but no cells inside.
Hydatid cyst of liver

20x: See scolices – see hooks: like teeth. See membrane: germinative membrane – is epithelium.
Hydatid cyst of liver

20x: See scolices – see hooks: like teeth. See membrane: germinative membrane – is epithelium.
Hydatid cyst of liver

60x: See hooks that help attach.
60xb,c,d: see other cell @ diff angle– see hooks with lumen
Hydatid cyst of liver

60x: See hooks that help attach.
60xb,c,d: see other cell @ diff angle– see hooks with lumen
Hydatid cyst of liver

60x: See hooks that help attach.
60xb,c,d: see other cell @ diff angle– see hooks with lumen
Hydatid cyst of liver

60x: See hooks that help attach.
60xb,c,d: see other cell @ diff angle– see hooks with lumen
Hydatid cyst of liver

60x: See hooks that help attach.
60xb,c,d: see other cell @ diff angle– see hooks with lumen
Acute suppurative appendicitis in amebiasis X2

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Acute suppurative appendicitis in amebiasis X2

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Acute suppurative appendicitis in amebiasis X10

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Acute suppurative appendicitis in amebiasis X10

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Acute suppurative appendicitis in amebiasis X40

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Acute suppurative appendicitis in amebiasis X60

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Acute suppurative appendicitis in amebiasis X40

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Acute suppurative appendicitis in amebiasis X60

These PAS-stained cross-sections of the appendix demonstrate innumerable vegetative parasites within vascular channels. The organism, entamoeba histolytica (15-40 microns in diameter), is ingested through contaminated water and food or direct fecal-oral contact.
The parasites ability to encyts enables it to survive in most environments for weeks to months. Once excysted, the ameba invade the mucosa producing classic flask-shaped ulcers characteristically seen in the cecum and ascending colon, followed in order by the sigmoid, rectum and appendix. Penetration of the bowel wall may produce peritonitis, or pericolic amebomas; more frequently the parasites drain into the portal venous system producing hepatic abscesses, and potentially there after lung and brain abscesses.
In this instance the suppurative inflammation has produced extensive ulceration and necrosis of the mucosa with a heavy polymorphonuclear leukocytic infiltration. The inflammatory process involves the entire thickness of the wall -there is also a fibrinosuppurative exudate over-lying the serosa.
Parasitic myostitis (Trichinosis) X4

4x: See skeletal muscle fibres: long fibres and nuclei at periphery of fibres. See occasionally too many cells between muscle fibres. See in middle a localized inflammatory fossa – a granuloma with epithelioid cells and giant cells.

Trichinosis is caused by ingestion of inadequately cooked meat containing viable cysts of trichinella spiralis. The larvae, released in the intestine, penetrate the lacteals and eventually are drained into the blood. Dissemination and widespread cell damage may produce an interstitial myocarditis, an interstitial eosinophilic pneumonitis or meningitis and gliosis.
However, the most important localization is within skeletal muscles, where the larvae penetrate a muscle cell, become encysted, and in this manner may survive in a dormant state for years, protected in the “Nurse cell” from both immune an phagocytic destruction. Death of the larva and its “Nurse cell” evokes and inflammatory reaction, followed in time by calcification of the larva, thus permitting retrospective diagnosis.
Parasitic myostitis (Trichinosis)