introduction to pathology - … class2014-20… · introduction to pathology z learning resources:...
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INTRODUCTION TO
PATHOLOGY
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Objectives
Introduction to pathology
Define the terms: pathology
Autopsy
Biopsy
Disease
Describe Autopsy and its advantages
List the fields of pathology
Describe the techniques of pathology.
State the methods of learning pathology.
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Introduction to Pathology
Learning Resources:
a) Textbooks:
Robbins. Basic Pathology.
(Required Text Book)
Robbins. Pathologic basis of disease.
(Reference)
b) laboratory
Glass slides
Museum for gross examination of organs
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Objectives
Define the terms:
pathology
sign
symptom
lesion
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PATHOLOGY
Definition: study of disease
Provide an understanding of disease processes
encountered, their incidence, causes (aetiology),
pathogenesis, clinical effects (sign and symptom),
prognosis and their morphological appearance.
Pathology constitutes a logical and scientific basis of
medicine.
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Incidence: is a measure of the risk of developing some new
condition within a specified period of time.
Etiology: (alternatively aetiology) is the study of causation.
The word "aetiology" is mainly used in medicine, where it is the science that deals with the causes or origin of disease, the factors which produce or predispose toward a certain disease or disorder.
Pathogenesis: The development of a disease. The origin of a
disease and the chain of events leading to that disease.
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A sign is an indication of some fact or quality; and a medical
sign is an objective indication of some medical fact or quality
that is detected by a physician during a physical examination of a patient
A symptom is a departure from normal function or feeling
which is noticed by a patient, indicating the presence of
disease or abnormality. A symptom is subjective, observed by
the patient, and not measured
A lesion is any abnormal tissue found on or in an organism,
usually damaged by disease or trauma. Lesion is derived from
the Latin word laesio which means injury.
Prognosis is a medical term denoting the doctor's prediction of how a patient's disease will progress, and whether there is a
chance of recovery. This word is often used in medical reports
dictating a doctor's view on a case.
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Biopsy
1- Excisional biopsy
2- Incisional biopsy
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Fields of pathology
1- Experimental pathology
2- Clinical pathology
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Subdivision of clinical pathology
Histopathology; concerned with the investigation and diagnosis of
disease from examination of tissues
Cytopathology; concerned with the investigation and diagnosis of disease from the examination of isolated cells
Hematopathology; concerned with the study of disorders affecting the cells and the coagulation system of blood
Microbiology; concerned with the study of infectious diseases and the organisms responsible for them
Immunopathology; concerned with the study of disturbances
affecting the defense mechanisms of the body, and their contribution to the disease processes.
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Chemical pathology; concerned with the study and
diagnosis of disease from the chemical changes that
occur in tissues and fluids.
Medical genetics; concerned with the study of abnormal
chromosomes and genes and their relevance to disease
processes
Toxicology; concerned with the study of the effects of
known or suspected poisons on the body.
Forensic pathology; concerned with the application of
pathology to legal purposes (e.g. investigations of death
in suspicious circumstances). Because of the continuous
and rapid advances in the above subjects, it is
impossible for one pathologist to cover all these
branches.
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Anatomic pathology
General Pathology
Systemic Pathology
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General Pathology It explores and explains the development
of basic pathologic mechanisms: Introduction to pathology
Inflammation, repair and regeneration,
Cell injury, degenerations and infiltrations
Haemodynamic (circulatory) disorders.
Granulomatous inflammations.
Growth disorders and neoplasis.
Environmental and Nutritional pathology
Pediatric Pathology
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Systemic Pathology
The pathologic mechanisms discussed in the General
Pathology are related to various organ systems: Cardiovascular System
Respiratory System
Alimentary System
Hepatobiliary System and Pancreas
Urinary System
Genital System
Lymph nodes and lymphoid tissue
Central nervous system
Orthopaedic system
Dermatopathology
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Characteristics of Disease
Definition
Epidemiology
Clinical features
Etiology
Pathogenesis
Differential diagnosis
Treatment and management
Prognosis
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Objectives Introduction to pathology
Define the terms:
pathology
sign
symptom
lesion
Describe characteristics of disease
Classification of diseases Diagnostic pathology
Autopsy
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Classification of Diseases
Congenital
Acquired - inflammatory
- vascular
- growth disorder
- metabolic
- degenerative
- drug induced
- infective
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PATHOLOGY
Subdivisions of pathology:
Clinical Pathology: include
Hematology, microbiology, immunology, toxicology, chemical pathology and genetics
Anatomic pathology
histopathology and cytopathology
Forensic pathology and autopsy
Experimental pathology
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Techniques in Pathology
Anatomic Pathology Gross pathology
Light Microscopy
Immunohistochemistry & immunofluorescence
Electron microscopy
Molecular pathology
Biochemical techniques
Hematological techniques
Medical microbiology
Serology
Flowcytometry
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Diagnostic Pathology
Biopsies - needle biopsy
- endoscopic biopsy
- incisional biopsy
Organ resection Cytology - exfoliate cytology
- fluid cytology
- washing cell
- fine needle aspiration cytology
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Diagnostic Pathology
Blood
- blood cells
- plasma
- serum
Excretion and secretions
- urine and faeces
- sputum
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Electron microscopy
Electron Microscopes (EM) are scientific instruments that use a beam of highly energetic electrons to examine objects on a very fine scale
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Length • - meter(m), millimeter(mm) =10-3m, micrometer(µm) =10-6 m • - nanometer(nm) = 10-9 m, picometer(pm) = 10-12 m . • - Angstrom = 10-10 m
Sizes of living cells • - atom - 0.1 nm • - molecules - 0.5-10 nm • - viruses - 30-80 nm • - bacteria - 2 µm • - animal and plant cells- 10-30 µm
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Application of EM to diagnostic Pathology
1. Tumor pathology (histogenesis) 2. Renal pathology (deposits and
classification)
3. Skin vesicular disorder
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Molecular pathology
Molecular pathology is an emerging discipline within pathology
which is focused in the study and diagnosis of disease through the
examination of molecules within organs, tissues or bodily fluids
(focuses mainly on the sub-microscopic aspects of disease).
Molecular pathology shares some aspects of practice with both
anatomic pathology and clinical pathology, molecular biology,
biochemistry, proteomics and genetics, and is sometimes
considered a "crossover" discipline.
It is a scientific discipline that encompasses the development of
molecular and genetic approaches to the diagnosis and classification of human tumours, the susceptibility of individuals of
different genetic constitution to develop cancer and the
environmental and lifestyle factors implicated in carcinogenesis
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MORBID ANATOMY (AUTOPSY)
An autopsy,
also known as a post-mortem examination or necropsy
is a procedure that consists of a thorough examination of a dead body to determine the cause and manner of
death and to evaluate any disease or injury that may be present. It is usually performed by a specialized medical doctor called a pathologist.
Autopsies are either performed for legal or medical
purposes.
A forensic autopsy is carried out when the cause of death may
be a criminal matter
Clinical or academic autopsy is performed to find the medical
cause of death and is used in cases of unknown or uncertain
death, or for research purposes.
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MORBID ANATOMY (AUTOPSY)
Autopsies are useful
For the determination of the cause of death
The evaluation of the accuracy of clinical diagnosis (and
hence management) before death; thus, postmortems
act as a quality control for the medical practice.
Education tool for medical students (both
undergraduates and postgraduates) to learn pathology. It
is an opportunity to correlate clinical signs with their
underlying pathological changes.
As a source of research into the causes and
mechanisms of different diseases
For accurate statistics about disease incidence.
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Summary
Introduction to pathology
Define pathology
Describe characteristics of disease
Classification of diseases
Diagnostic pathology
Autopsy