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Causes
Mechanism
disturbance of water metabolism disturbed fat metabolism Reversible change " degeneration" fatty changes (steatosis) obesity
Cell Injury
hyaline change
intracellular extracellular
Cellular Response
coagulative liquefactive caseous fat fibrinoid dry moist necrosis Irreversible change "necrosis" infective gas lung gangrene cancrum oris phagedena Fournier's intestinal moist gangrene of limbs bed sores types physiological pathological
apoptosis
Cell Injury.mmap - 22/6/2011 - Mindjet
melanin endogenous pigment lipofuscin hemosiderin primary hemochromatosis secondary iron overload anthracosis silicosis
Intracellular accumulation
Gout
Extracellular deposits
Amyloidosis morphology
primary secondary
endocrine glands
II) Tissue deposits.mmap - 22/6/2011 - Mindjet
vascular change
change in caliber slowing of blood stream formation of fluid exudate margination rolling adhesion Leukocytes recruitment and activation transmigration inflammatory fluid exudate chemotaxis recognition and attachment phagocytosis engulfment killing and degradation local reaction of macrophages leukocytes induced tissue damage
Acute
general
Inflammation
catarrhal fibrinous serous non-suppurative serofibrinous membranous allergic types hemorrhagic necrotizing localized suppurative diffuse fate abscess carbuncle
causes
chronic
reactive phase reparative phase remodelling phase CNS peripheral bone fracture
nervous tissue
Repair
Primary union (healing by first intention) Secondary union (healing by secondary union) Complications
I) repair by regeneration
factors affecting
growth factor structurally and functionally intact residual tissue surface epi.
examples
parenchymatous organ
conditions
Healing of wound
damage to vascular endothelium change in blood stream change in blood constituents mechanism
shock
Thrombosis
causes types mechanism effect compensatory mech. colour : red or pale bacterial : septic or aseptic blood vessel : arterial or venous small/large, single/multiple, recent/healed heart brain intestinal pulmonary liver kidney spleen examples types
hemorrhage
Circulatory Disturbance
Embolism
infarction
tumor emboli
factor
ischemia
types effect
Immunity
natural (non-specific) active type acquired (specific) passive passive-active
Immune response
lymphocytes macrophages cellular basis dendritic cells of lymphoid tissue Langerhans cells of skin definition anaphylactic pathogenesis clinical disorder systemic local
complement mediated reaction cytotoxic types antibody-dependent cell-mediated cytotoxicity (ADCC) antibody-mediated cell dysfunction pathogenesis type III clinical eg. systemic immune complex localized immune complex delayed T-cell mediated toxicity
Immunopathology
types hypersensitivity
Immune-mediated disorder
def. autoimmune disease tolerance
type IV (cell-mediated)
types
immunodeficiency syndrome
A) Transplant rejection
acute chronic
def, mode
causative organism predisposing factor routes of infection proliferative (tubercle) exudative tissue reaction spread primary TB secondary TB miliary TB Triad healing spread encapsulation and reactivation healed apical (fibrotic TB) apical lesion acinar lesion lymph node acute pulmonary TB acute miliary TB complications primary secondary primary secondary ascitic or wet type dry or adhesive type caseous type encapsulated type kidney urinary bladder male female long bone short bone flat bone deformity cold abscess paraplegia joints TB of nervous system primary secondary tuberculous pericarditis tuberculos myocarditis tuberculous endocarditis TB of lymph node TB of heart TB of skin vertebrae (Pott disease) TB of bones and joints cervico-facial actinomycosis congenital TB of urinary tract TB of peritoneum testis site larynx bone meningio-vascular neurosyphlis CNS parenchymatous syphilis Tabes Dorsalis general paralysis of insane TB of tonsils secondary chronic fibrocaseous TB types of lesion pulmonary TB secondary stage skin rashes condyloma latum mucous patches generalized lymphadenopathy general gumma diffuse syphlitic inflammation heart CVS syphilitis aortitis syphilitis arteritis lips GIT tertiary stage tongue liver fate primary (primary complex) method infection presentation pyaemia toxemia bacteraemia
effects
septicemia sapraemia systemic portal Tuberculoid Leprosy Lepromatous Leprosy sexual blood primary stage chancre
Bacterial Infection
tuberculosis
TB of intestine
syphilis
classification
acquired
TB of genital organ
actinomycosis
Mycotic disease
Viral infection
congestion sandy patches Intestinal ulcers polyps fibrosis fine or diffuse periportal fibrosis
urinary bladder
Hydatid disease
cutaneous leishmaniasis (oriental sore) visceral leishmaniasis mucocutaneous leishmaniasis
ureter
Parasitic disease
Leishmaniasis
Ankylostomiasis Malaria
bening malignant
dysplasia
congenital anomalies
ectopia-heterotopia mech.
ageing
Disturbance of growth
choristoma
within solid tissues growth Capillary Cavernous simple cavernous Lymphangiomas Hemangiomas from surface tumor encapsulation
gross picture
characters
mic. pic. behavior
Benign tumor
Fibroma Lipoma Chondroma Osteoid osteoma compact osteoma Osteoma myxoma leiomyoma rhabdomyoma
Papilloma
growth
size shape cut section cell morphology mic. pic. stroma differentiation
grading of tumor
detachment of tumor cell from each other attachment to matrix components degradation of ECM migration of tumor cell vascular dissemination and homing of tumor cell invasion ECM
Malignant Tumor
general features
local lymphatic embolism lymphatic permeation mech course of tumor emboli organ metastasis site trans-coelomic implantation blood distant lymphatic def general features
malignant spread
liposarcoma
nevocellular navi congenital nevi multistep theory theory of genetic mutation failure of immune surveillance viral oncogenesis teratoma pigmented tumor malignant melanoma lateral growth phase vertical growth phase
tumor genesis
miscellaneous tumor
Other tumor
aetiology of cancer embryonic tumor
local effect
precancerous lesion
eyes skin vit A def. trachea and bronchi renal pelvis rickets vit D def. vit E def. vit K def. osteomalacia
Vitamin deficiency
vit. B complex
riboflavin (vit B2) niacin folic acid cobalamin (vit B12) scurvy pellagra
Air pollution
outdoors
particulate matter persistent free radicals toxic metals CFC ammonia radioactive pollutans pneumoconiosis
effects
Environmental disease
Radiation
types
ionizing
direct effect indirect effect skin GIT testis and oary lungs blood and lymph bone other organ long term effect
radiation-induced neoplasm radiosensitivity of tumor atherosclerosis CVS myocardial infarction chronic bronchitis
Tobacco smoking
lung GIT
pregnancy
Environmental disease.mmap - 24/6/2011 - Mindjet
dec. coronary blood flow dec. O2 transport inc. myocardial demend stable unstable variant angina risk factor causes sites acute coronary occlusion pathogenesis pathology complications systemic hypertension acute chronic pulmonary hypertension (cor pulmonale) myocardial infarction manifestation angina pectoris pathologic process causes predisposing factor etiology and pathogenesis exudative proliferative healing
myocarditis
rheumatic fever
organ
endocarditis pericarditis
Heart (I)
hypertensive heart disease
mitral stenosis mitral incompetence mitral valve prolapse aortic incompetence aortic stenosis pulmonary stenosis acute bacterial endocarditis subacute bacterial endocarditis differences between rheumatic, acute and subacute endocaridits
valvular disease
endocarditis
cardiac tumor
myocarditis
myocardial disease
acute left side HF right side HF chronic (congestive) acute adhesive constrictive serous chylous hemopericardium pericardial effusion chronic pericarditis
heart failure
cardiomyopathy (CMP)
Heart (II)
ventricular septal defect (VSD) arterial septal defect (ASD) acyanotic group ostium primum defect ostium secundum defect
patent ductus arteriosus (PDA) coarctation of aorta transposition of great vessels preductal coarctation post-ductal coarctation common form corrected transposition Subtopic
cyanotic group
Fallot tetralogy
arteriosclerosis
lymphangitis lymphedema
medial calcification (Monkeberg's medial sclerosis) arteriolosclerosis (diffuse hyperplastic sclerosis) bening malignant
disease of lymphatics
capillary hemangioma cavernous hemangioma glomus tumor angiosarcoma classic/European African transplant associated AIDS associated Kaposi's sarcoma benign
hypertension tumors
Blood vessel
according to nature
according to shape
vasculitis aneurysm
syphilitic true dissecting mycotic according to cause congenital false complications simple cirsoid
varicose veins
allergic viral infections bacterial fungal acute non-allergic acute suppurative otitis media chronic suppurative otitis media inflammation non-infections allergic vasomotor occupational hormonal rhinosinusitis acute chronic laryngitis inflammation benign tumor malignant chronic specific chronic chronic non-specific drug-induced cellular phase
ear
larynx
Rhinoscleroma
chronic atropic
chronic hypertrophic causes of hoarseness of voice acute catarrhal tonsilits acute follicular tonsilitis membranous tonsilitis chronic non-specific chronic specific chronic acute tonsilitis inflammation malignant tumors
nasal polyp epithelial : papilloma, mixed salivary glands tumor benign mesenchymal : osteoma, chondroma, fibroma, hemangioma epi : trans. & SCC, malignant mixed salivary gland tumor mesenchymal : sarcoma, malignant lymphoma
pharynx
epistaxis epithelial : squamous cell papilloma,carcinoma mesenchymal : lymphoma tumor inflammation
ulcer of tonsil
nasopharynx
tumors
benign
malignant
hemoptysis
epi : SCP, cystadenoma, benign clear cell mesodermal : angioma, chondroma, neurofibroma, lipoma, fibroma, leiomyoma benign
congenital anomalies
acute trachebronchitis
locally malignant : bronchial adenoma (bronchial carcinoid) location : central, peripheral, diffuse SCC adenocarcinoma small cell carcinoma large cell carcinoma secondary tumor like lesion : teratoma, hamartoma predominant histologic pattern primary malignant
pleura disease
empyema
lung abscess
lobar pneumonia bronchopneumonia primary atypical pneumonia lipoid pneumonia centriacinar panacinar paraeptal irregular chronic bronchitis intrinsic extrinsic drug-induced occupational aspergillosis bronchiectasis bronchial asthma emphysema
pulmonary hypertension
congenital pyloric stenosis heterotopia (ectopic rests) diaphragmatic hernia acute gastritis H.pylori bacilli autoimmune gastritis chronic superficial gastritis chronic atropic gastritis pathogenesis diff. between chronic gastritis inflammation (gastritis) congenital anomalies
stomach
Leukoplakia inflammation squamous cell carcinoma tumors
peptic ulcer hyperplastic polyp adenomatous polyps gastric polyps benign tumor cancer stomach malignant
Mouth
ulcer of tongue
atresia and tracheo-esophageal fistula congenital shortness heterotopic gastric mucosa rings and webs Pulsion (Zenker's) diverticulum Traction diverticulum Barrets esophagus reflux infectious iatrogenic corrosive achalasia varices Mallory Weiss syndrome lacerations ulcers dysphagia polyp benign carcinoma
GIT (I).mmap - 26/6/2011 - Mindjet
congenital anomalies
GIT (I)
sialoadenitis sialothiasis
esophageal diverticula
pleomorphic adenoma
esophagitis inflammation
salivary glands
tumor
benign
oesophagus
malignant
tumor malginant
megacolon congenital anomalies bacillary dysentery inflammation amebic dysentery differences. hematemesis melena bleeding per rectum diverticula septic peritonitis ascitis benign, malignant appendicitis acute chronic
congenital acquired
GIT bleeding
appendix
mucocele tumors
simple
peritonium
primary tumor intestinal obstruction acute
mechanical obs.
secondary (metastasis) atresia stenosis diverticula heterotopic pancreatic tissue transmural infarction mucosal and mural infarction non-infectious infectious Ulcerative colitis Crohn's disease comparison Typhoid fever Celiac disease Tropical sprue adenoma leiomyoma, lymphoma, lipoma carcinoid tumor idiopathic
functional (nervous) obs. vascular obs. chronic hyperplastic non-neoplastic polyps hamartomatous lymphoid polyps inflammatory and bilharzial polyp tubular adenoma villous adenoma juvenile polyps Peutz-Jeghers polyp
large intestine
congenital anomalies
GIT (II)
ishemic bowel disease
small intestine
Familial Polyposis Coli (FPC); Adenomatous Polyposis Coli (APC) Gardner's syndrome Turcot's syndrome
locally malignant
hepatic failure
inflammation degenerative vascular disorder metabolic disorder blood disease malignant disease benign hepatocellular carcinoma hepatoblastoma primary
hepatitis virus
malignant
Liver
fulminant hepatitis
chronic hepatitis
hepatic cyst
solitary multiple
etiological
secondary cirrhosis
portal hypertension
types
Biliary cirrhosis
primary secondary
Gall bladder
metabolic (pure) cholelithiasis (gall stones) benign tumors malignant carcinoma of gall bladder mixed cimbined calcium carbonate
exocrine pancreas
benign, malignant renal pelvis benign, malignant clear cell, non papillary papillary chromophobe nephroblastoma (Wilm's tumor) pathogenesis primary stones secondary (infected) stones renal cell carcinoma (hypernephroma) In situ immune complex deposition anti-glomerular basement membrane (BM) nephritis Heymann nephritis (membranous glomerulonephritis) antibodies against planted, non-glomerular, antigen circulating immune complex epithelial cell injury Subtopic antibody deposition T-cell immune reaction hypercellularity
tumors
kidney
renal stones
other
Kidney
urinary tract obs. glomerular disease
mediators
pyelonephritis
basement membrane thickening hyalinization and sclerosis additional alterations nephritic syndrome
clinical presentation
nephrotic syndrome Subtopic acute proliferative GN rapidly progressive (cresenteric) GN minimal change disease (Lipoid nephrosis)
clinicopathological class.
benign malignant
cryptorchidism
seminoma
prostate
gestational trophoblastic disease complete mole partial hydatiform mole hydatiform mole (vesicular mole) invasive mole placental site throphoblastic tumor ectopic pregnancy
gonorrhea
inflammation
cervix
tumors
benign malignant
follicular cyst theca lutein cyst polycystic ovarian disease corpus luteum disease
menorrhagia abnormal uterine bleeding inclusion cyst non-neoplastic cyst dysfunctional uterine bleeding uterine bleeding due to organic disease neoplastic endometrial hyperplasia simple complex complex with atypia endometriosis endometriosis interna endometriosis externa endometrial polyp endometrium benign stromal nodule other tumor type carcinoma tumor sex cord stromal origin tumor malignant non-estrogen related type estrogen related type metrorrhagia polymenorrhea
endometriosis cyst inflammatory cyst Subtopic benign borderline malignant benign atypically proliferating malignant endometrioid transitional cell tumor granulosa cell tumor theca cell tumor fibroma sertoli-stromal cell tumor gynadroblastoma dysgerminoma teratoma endodermal sinus tumor ovarian choriocarcinoma mixed germ cell tumor Krukenberg tumor metastatic germ cell origin serous derived from surface epithelium mucinous
ovaries
body of uterus
endometriod adenocarcinoma endometriod carcinoma contain squamous epithelium low grade stromal sarcoma high grade stromal sarcoma
sarcoma
adeno-fibroma carcino-sarcoma
leiomyoma leiomyosarcoma
acute mastitis
inflammation
benign
proliferative breast disease without atypia proliferative breast lesion with atypia
epithelial tumor
Female breast
benign
fibroadenoma Phylloides tumor non-invasive carcinoma (CIS) ductal CIS lobular CIS
tumor
breast carcinoma
invasive breast carcinoma colloid (mucinous) carcinoma medullary carcinoma tubular carcinoma
male breast
Female breast.mmap - 27/6/2011 - Mindjet
gynecomastia carcinoma
Diabetes Mellitus
Cushing's syndrome Conn's syndrome adrenogenital syndrome adenoma of adrenal cortex carcinoma of adrenal cortex acute adrenal insufficiency Addison disease neuroblastoma ganglioneuroma pheochromocytoma tumor of adrenal medulla hypofunction tumor of adrenal cortex hyperfunction
prolactinomas growth hormone producing adenomas corticotroph cell adenomas thyrotroph null cell adenomas metastatic tumor
adrenal gland
Graves disease
Endocrine
parathyroid
Hashimoto's thyroiditis Giant cell thyroiditis (De Quervain's thyroiditis) thyoriditis subacute lymphocytic thyroiditis Riedel's thyroiditis benign follicular adenoma papillary adenocarcinoma tumor malignant follicular adenocarcinoma anaplastic adenocarcinoma medullary carcinoma
traumatic rheumatic suppurative gonorrheal dysostoses inflammatory metabolic neuropathic Rheumatoid arthritis osteoarthritis chronic autoimmune degenarative arthritis osteogenesis imperfecta (brittle bone disease) acute
joints
bone dysplasia
pigmented villonodular synovitis and giant cell tumor of tendon sheath malignant synovioma tumor
Bone
acquired
osteoporosis rickets and osteomalacia osteitis fibrosa cystica Paget disease (osteitis deformans) fibrous dysplasia
osteoblastic (bone forming) tumor osteoid osteoma and osteoblastoma osteosarcoma osteochondroma (exostosis) chondroma (enchondroma) chondrosarcoma chondromatous tumor
tumors
infections (osteomyelitis)
acute post hemorrhagic anemia hereditary abnormality in red cells hereditary spherocytosis hereditary hemoglobinopathies G6PD deficiency erythroblastosis fetalis
anemia
hemolytic anemia presence of red cell antibodies
acquired hemolytic anemia anemia due to impairment red cell production due to bone marrow hypofunction aplastic anemia myelophthisic anemia
primary
polycythemia
secondary
neutrophilic eosinophilia
leucocytosis
lymphocytosis monocytosis
leucopenia
agranulocytosis
acute chronic myeloid leukemia chronic chronic lymphatic leukemia primary
leukemia
secondary
Reactive lymphadenitis
chronic specific lymphadenitis infectious mononucleosis Hodgkin's lymphoma follicular (nodular) lymphomas
lymphomas
tumor
primary
Non-hodgkin's lymphomas
small lymphocytic lymphoma diffuse large B-cell lymphoma lymphoblastic lymphoma Burkitt's lymphoma
leukemias secondary
lymphadenopathy
spelonmegaly
congenital disorder
glioblastoma multiforme oligondendroglioma ependymomas ganglioglioma gangliocytoma neurocytoma medulloblastoma peripheral neuronal tumor
increase ICP
gliomas obstructive communicating
hydrocephalus tumors
intracerebral hemorrhage embryonal tumor meningiomas meningeal spinal cord congenital berry mycotic atherosclerotic arterio-venous cerebral infarction
Nervous system
cerebroavascular disease
cerebral aneurysms
neurofibroma schwannoma
skull fracture concussion parenchymal injuries contusion and lacerations epidural hematoma subdural hemorrhage traumatic vascular disease subarachnoid hemorrhage intracerebral hemorrhage petechial hemorrhage
acute pyogenic (bacterial) acute lymphatic granulomatous cerebritis cerebral abscess CNS parenchymal infections meningitis