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A 10-year-old boy presented with chronic respiratory problems and ear infections. Examination found swollen nasal mucosa, impaired smell, and abnormal lung sounds. A nasal biopsy was obtained. The document discusses the classification of epithelia based on cell layers, shape, and membrane specializations. It describes the locations and functions of simple squamous, cuboidal, columnar, stratified squamous, transitional, and respiratory epithelia. Specializations like cilia, flagella, microvilli, and stereocilia are also explained.
A 10-year-old boy presented with chronic respiratory problems and ear infections. Examination found swollen nasal mucosa, impaired smell, and abnormal lung sounds. A nasal biopsy was obtained. The document discusses the classification of epithelia based on cell layers, shape, and membrane specializations. It describes the locations and functions of simple squamous, cuboidal, columnar, stratified squamous, transitional, and respiratory epithelia. Specializations like cilia, flagella, microvilli, and stereocilia are also explained.
A 10-year-old boy presented with chronic respiratory problems and ear infections. Examination found swollen nasal mucosa, impaired smell, and abnormal lung sounds. A nasal biopsy was obtained. The document discusses the classification of epithelia based on cell layers, shape, and membrane specializations. It describes the locations and functions of simple squamous, cuboidal, columnar, stratified squamous, transitional, and respiratory epithelia. Specializations like cilia, flagella, microvilli, and stereocilia are also explained.
Clinical teaser Classification of epithelia Specializations of the plasmalemma Clinical teaser 2 3 A mother brings her 10-year-old son to the pediatrician at a major University teaching medical center. She is concerned about his chronic respiratory problems and recurring episodes of ear infections. The physical examination reveals swollen nasal mucosa, impaired sense of smell, and abnormal lung sounds. A nasal biopsy was obtained and sent to pathology and imaging studies were ordered. Clinical teaser 4 Epithelium its everywhere Fig. 5.1 Ross Histology Cell domains, basal lamina, and avascular 5 The stria vascularis is a special type of epithelium that is vascular.
Located in the cochlear duct and produces endolymph. Erythrocyte in capillary Fig 25.16 Wheaters Functional Histology, 5 th ed 6 Characterstics used to classify epithelia Number of cell layers Cell shape in superficial layer Presence of specializations of the plasma membrane 7 8 Types of epithelia Wheaters Functional Histology, 5 th edition Simple squamous Fig. 5.1 9 Alveolus Blood vessel Mesothelium Functions Blood-brain barrier Filtration Exchange Simple cuboidal 10 Locations Thyroid follicles Renal tubules Ducts of glands Functions Absorption Secretion Barrier Conduit Simple columnar 11 Locations Stomach Intestines Nonciliated Ciliated Location Uterine tubes Functions Absorption Secretion Barrier Pseudostratified columnar, ciliated 12 Trachea Bronchi Ducts of male reproductive system (stereocilia are present) Functions Secretion Absorption Barrier Transport Stratified squamous 13 Keratinized (K) Nonkeratinzied Nonkeratinized Esophagus Distal anal canal Vagina
Keratinized Epidermis Functions Barrier Protection Fig 5.7 Wheaters Atlas, 5 th ed Squamous cell carcinoma 14 Fig 5.8 Stratified cuboidal not common 15 Transitional (urothelium) 16 Locations Ureters Urinary bladder Urethra Functions Barrier Protection Distension 17 http://upload.wikimedia.org/wikipedia/commons/2/2c/Blad der_urothelial_carcinoma_%281%29_pT1.JPG http://www.urologycenter.com/i/01_Bladder_Cancer.jpg Transitional cell carcinoma Fig. 5-31. Color Textbook of Histology, 2 nd ed Plate 2, Ross Histology, 6 th ed Plate 60, Ross Histology, 6 th ed Metaplasia 18 Specializations of the plasmalemma Cilia: motile primary aka monocilium (nonmotile) nodal (motile) Flagella Microvilli Stereocilia (stereovilli) 19 20 Motile cilium Fig 5-7. Ross Histology 9 + 2 array of MTs
Above array forms from basal body (9 x 3)
Dynein ATPase 21 Ciliated respiratory epithelium Fig 5.8. Histology A Text and Atlas, 6 th ed 22 Primary aka monocilium (nonmotile) cilium Fibroblast Epithelial cells of collecting tubule Serve as chemosensors, osmoreceptors, and mechanoreceptors Mediate light, taste, and sound perception Pivotal role in normal tissue morphogenesis 23 Primary cilium and polycystic kidney disease Note change of spindle orientation N Engl J Med 2011;364:1533-43 Nodal cilia are located in the primitive node NVP 25 Fig. 5.3. Histology A Text and Atlas, 6 th ed Microvilli Fig. 3-17. Human Histology, 3 rd ed Cilium and microvilli 26 Cross-sectional profiles of microvilli and cilium Fig. 3-15. Wheaters Functional Histology, 4 th ed Brush (striated) border and glycocalyx: PAS+ 27 Fig 5.4 Histology A Text and Atlas, 6 th ed Stereocilia (stereovilli) male reproductive ducts 28 Fig 5.5 Histology A Text and Atlas, 6 th ed 29 Stereocilia sensory epithelium of inner ear 30 A mother brings her 10-year-old son to the pediatrician at a major University teaching medical center. She is concerned about his chronic respiratory problems and recurring episodes of ear infections. The physical examination reveals swollen nasal mucosa, impaired sense of smell, and abnormal lung sounds. A nasal biopsy was obtained and sent to pathology and imaging studies were ordered. Clinical teaser 31 Pathologic finding at the EM level Reference normal From patient Figures 5.7 and F5.2.1 Imaging studies Fig 59-17 Sabiston Textbook of Surgery, 18 th ed
Source of CT images unknown. 32 Findings Chronic sinusitis Bronchiectasis Situs inversus
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