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71 Cards in this Set

  • Front
  • Back

abrasion

injury resulting in the scraping away of a portion of the skin or mucous membrane

amorphous

without definite structure

anatomic pathology

study the effect of disease on the body structure as applied in both applied in both surgical pathology and autopsies




-etiology, action, changes brought about, destructive forces, healing

atelectatic

pertaining to incomplete expansion or collapse of the lung

atheroma

fatty degeneration or thickening of the walls of the larger arteries

autolysis

self-digestion in tissues by enzymes from the cells, such as occurs after death

autopsy

tests performed on the body after death




chemical, bacteriologic, analytic, tissue samples




aka postmortem examination




goal: exact cause of death




requires permission from the next of kin

calcification

process in which organic tissue becomes harder by the deposit of lime salts in the tissue

calvarium

domelike superior portion of the cranium composed of the top portion of the frontal, parietal, and occipital bones; also called the skull cap

canaliculi

small channels or canals

chordae tendineae

small tendinous cords that connect the free edges of the atrioventricular valves to the papillary muscles

clinical pathology

study of blood and body fluids and fragments using laboratory methods




-blood, urine, feces, sputum

corpora amylacea

small masses of degenerate cells found in the prostate

corticomedullary junction

junction of the cortex and medulla of the kidneys

costal

pertaining to a rib

crepitant

crackling

decompensation

failure of the heart to maintain adequate circulation

Discussion

last part of the Autopsy Report where causes of death are summarized




1. underlying cause (initiated events)


2. intermediate cause (important diseases, complications, conditions that occur in between


3. immediate cause (final disease leading to death)

disease

condition marked by the occurrence of abnormal symptoms and the presence of a pathological state

disorder

function that is abnormal

ecchymoses

bruises; large purplish patches

emphysematous

affected with chronic pulmonary disease, characterized by larger than normal air sacs in the lungs

etiology

science dealing with the causes of disease

exude

to pass off slowly through the tissues

Final Diagnoses

part of the Autopsy Report that lists the findings of the microscopic examination

foramen ovale

opening between the two atria of the heart in the fetus

forensic medicine

branch of medicine dealing with criminal situations

Gross Description

part of the Surgical Pathology Report that provides a physical description of the specimen as determined by the naked eye




-size, color, location, any other description

Gross Diagnoses

part of the Autopsy Report that lists the findings of the macroscopic examination by the naked eye




made on basis of changes visible to eye

gyri (gyrus)

convolutions of the cerebral hemispheres of the brain

History Summary

first part of an Autopsy Report briefly describing the patient's hospital stay or circumstances of death; also called Clinical History

homeostasis

body's normal state

hylalinization

conversion of tissue into a glasslike substance

idiopathic

describes a situation where the cause or etiology of a disease is unknown

lividity

skin discoloration, as from a bruise

lumen

space within an artery, vein, intestine, or tube

Macroscopic or Gross Examination

part of an autopsy reporting the results of the examination of the internal and external parts of the body by the naked eye

malpighian corpuscles

renal corpuscles that consist of a glomerulus and Bowman's capsule

metamorphosis

change in form or structure

Microscopic Description

part of a surgical Pathology Report that reports results of microscopic examination of specimens from representative sections of the body




aka: Micro or Histology




-each stain and results, antibodies tested, tumors

Microscopic Examination

part of an Autopsy Report that indicates the result of microscope examination of representative sections of the body




-specimens from sections of body are closely examined with microscope

musculature

arrangement of the muscles in a body part

parenchyma

essential part of an organ concerned with its function rather than its framework

pathogenesis

description of how a disease progresses

pathogens

agents that cause disease




-bacteria, viruses, fungi, protozoans, helminth

Pathologic Diagnoses

part of a Surgical Pathology Report listing the various diagnoses or conclusions from the examination procedures

pathologist

physician who studies disease




may be certified in in clinical and/or anatomic pathology

pathology

specialized branch of medicine dealing with diseases causing deviations from normal anatomy or physiology

retrocecal

pertaining to the area in back of the cecum

scaphoid

boat-shaped

striations

series of streaks

sulci

depressions or grooves that separate convolutions of the brain

surgical pathology

study of the body tissues removed by surgical means




seeks to identify and confirm the patient's disease or problem before, during, or after surgery

syndrome

group of symptoms caused by a specific disease or several interrelated problems

trabeculae carneae

thick, muscular tissue bands attached to the inner walls of the ventricles of the heart

xiphoid process

lowest portion of the sternum

acute disease

short term




includes problems such as pneumonia or a fracture

chronic condition

lasts for an extended period of time




hypertension, asthma

hereditary (congenital) diseases

cause by genetic error, may or may not be present at birth




problems during pregnancy or delivery




-cystic fibrosis, congenital heart anomalies, down syndrome

traumatic diseases

cause by physical injury from an external source




accidents, falls, drowning, burns, injesting/inhaling, poisoning, penetrating, abuse

inflammation/infection

the result of a protective immune response

hyperplasias/ neoplasms

overgrowths of cells leading to an increase in tissue size




h-overgrowth in response to a stimulus




n-new growths, benign and malignant

nutritional imbalance

cause problems with physical growth, mental and intellectual retardation, even death




malnutrition, obesity, excessive or deficient vitamins or minerals

impaired immunity

when part of the immune system breaks down




allergy, autoimmunity, immunodeficiency

factors that predispose individuals to be more susceptable

age




sex




environment




lifestyle




heredity

quick frozen tissue section

during surgery, a small piece of tissue is is frozen, thin sliced in thin sections for microscopic analysis

Surgical Pathology Report: format standards

1. use diagnostic headings


2. maintain layout continuity from report-to-report, between departments and institutions


3. prepare the report text so the info density is appropriate for the reader


4. eliminate clutter that distracts and confuses






-all demographic info, requesting and attending physicians, medical record or unit number, lab address at top


-summary of clinical history

Surgical Pathology Report

1. gross description


2. microscopic description


3. pathologic diagnosis




examined by any number of physicians




guide follow up care




determines requirements for surgery, hospitalization, chemo, treatment

autopsy report

1. History Summary (clinical history)


2. Gross Examination and Diagnosis (macroscopic)


3. Microscopic Examination


4. Final Diagnosis


5. Discussion or Summary Statement






-autopsy face sheet


-clinical summary


-objective description of gross autopsy observation


-slide and block catalog


-reports of Ancillary Studies


-clinicopathologic interpretive summary

autopsy face sheet

2 subsections:




public information




private information





11 autopsy face sheet

1. name, address of institution


2. patient name, hospital number, ssn


3. DOB, date, DOD


4. gender, race


5. final hospital admission date


6. place of death


7. date and time of autopsy


8. forensic? perm, rest, resp


9. prosecutors name


10. patients address, job, ancillary, physicians


11. cause of death statement