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40 Cards in this Set
- Front
- Back
5 Spectra of inflammatory responses to infection.
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1. Suppurative
2. Mononucleus/granulomatous 3. Cytopathic-proliferative 4. Necrotizing 5. Chronic to scarring |
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Characteristics of suppurative
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1. Vascular permeability
2. Neutrophils 3. GPC/GNR = PUS PUS PUS |
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Examples of suppurative
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1. Abscesses
2. Lobar pneumonia |
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Synonyms for suppurative
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acute, purulent, pyogenic, neutrophilic
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Definition of granuloma
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Collection of macrophages (other inflammatory cells not required)
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Typical granulomatous responses
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Fungi, intracellular bacteria/parasites, helminths, spirochetes, or random foreign material.
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Features of granulomas
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Caseating necrosis, lymphoid infiltrates, inclusions
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Histo evidence of a granulamatous infxn
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Langhans multinucleated cell
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Definition of a cytopathic-cytoproliferative inflammation
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Cell rxns to virus mediated damage to host cells (inflammatory response not required)
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Examples of a cytopathic-proliferative inflammation
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1. Cellular inclusions
2. Multinucleation 3. Cell necrosis 4. Dysplasia |
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HIsto Example of an intranuclear inclusion
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Ground glass inclusions in Herpes infections
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Histo example of multinucleation
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Esophageal herpes simplex infected squamous cell
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Histo example of cell necrosis
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Herpes liver infxn (cells appear black)
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Histo appearance of HPV infected squamous mucosa
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nuclear enlargement, koilocytic change. Nucleus appears in a weird bubble.
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Severe HPV infxns induce. . .
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squamous cell proliferation
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Characteristics of necrotizing inflammation
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Infectious agent produces toxins, the end result is severe damage and cell death.
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Two types of necrotic lesions
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1. Ischemic - blood loss
2. Liquefactive - cell is digested |
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Two examples of necrotizing inflammation
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Clos perf. gangrene, Group A strep fasciitis
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Characteristics of chronic inflammation
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No more neutrophils, but mononuclear, lymphocytes, fibroblast proliferation
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Culture of infectious agents
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Specific, but out of clinical or histological context
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Routine histopathology and 3 types.
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Direct contextual view, less specific. Histochemical stains, immunoperoxidase rxns, nucleic acid probes
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Staph aureus
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pyogenic skin infxns, lesions (boils, carbuncles, impetigo, scalded skin syndrome)
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Furuncle
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Abscesses which rupture the overlying skin
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Carbuncle
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Deeper abscesses, inflammation runs laterally beneath skin and fascia, multiple adjacent skin sinuses
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Paronychia
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Abscesses at nail bed
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Felon
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Abscesses at palmar fingertip
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Full list of staph aureus infections
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TSST, focal skin infxn, wound infxn, impetigo, endocarditis, pulmonary infections, food poisoning
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Streptococcus skin infections
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1. Localized acute (carbuncle)
2. Invasive (cellulitis) 3. TSST 4. ARF and glomerulonephritis |
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Impetigo
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Neutrophil inflammation of the epidermis
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Erysipelas
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inflammation of the dermis
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Cellulitis
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Acute inflammation of the soft tissue (adipose)
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Fasciitis
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Acute inflammation of deeper fascial plane
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Diseases of clostridium perfringens
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Anaerobic cellulitis, septicemia, myonecrosis
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Key toxin of clostridium perfringens
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Alpha toxin: degrades lecithinase destroying RBCs, platelets, skeletal muscle.
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Sulfur granule
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A clump of actinomyces organisms ringed by neutrophils
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Non-spore-forming anaerobic infxns
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Bacteroides, Prevotella, Fusobacterium, and Actinomyces
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Common causes of non-spore-forming anaerobic infections
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Intra-abdominal abscesses secondary to surgery, visceral perf, septic abortion, salpingitis
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Histo appearance of a neutrophilic abscess
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discoloration, foul odor, fibrous or fibrinous wall
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Who gets opportunistic infections
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1. HIV
2. Cancer 3. Transplant 4. SYSTEMIC STEROID TREATMENT |
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OI - CMV Histo
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"Owl's eye" cells, focal necrosis, chronic inflammation -- endo and epi
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