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Case2
Buzzwords
25
Pathology
Professional
04/21/2011

Additional Pathology Flashcards

 


 

Cards

Term

Assoc w/

NSAID use, uremia, Decr mucin prod (esp elderly), reduced oxygen perfusion (altitude)

 

 

Definition
Acute gastritis
Term

active inflammation: neutrophils w/in epithelium above BM

 

This can be seen in:

Definition
acute and chronic gastritis
Term
H pylori
Definition

Chronic gastritis,  Peptic ulcer Dz, gastric lymphoma (MALToma)

 

anything having chornic gastritis BG:

-hyperplastic gastric polyp, adenomatous gastric polyp,

Term
Virulence factors of H pylori (4 of them)
Definition

1. Urease- generates ammonia and incr local pH

2. Adhesins- allow bug to adhere to epithelial cells

3. flagella- allow ubg to be motile in mucus

4. Toxin- CagA- asso w/ ulcer formation & CA

Term
parietal and IF autoabs
Definition
Chronic gastritis autoimmune type
Term

characterized by plasma cells

Warthin Starry silver stain

Tropic for gastric mucosa

Pit abscess

Definition
 H. pylori
Term

assoc w/: tobacco, chornic renal failure, NSAID use, H  pylori

 

-burning aching pain

 

-___: usu 1/3 hrs after meal, relieved by food

-__- pain on eating, relieved a few hr later

Definition

Peptic ulcer dz

 

Duodenal ulcer: usu 1/3 hrs after meal, relieved by food

Gastric ulcer- pain on eating, relieved a few hr later

Term
shock, sepsis, severe trauma, NSAID use
Definition
acute gastric ulceration
Term
pediatric pt after resp infxn
Definition
Menetier dz
Term

Corkscrew shaped

 

Incr risk of gastric CA

Definition
Menetrier dz
Term
Mulitple recurrent peptic ulcers
Definition
Zollinger- Ellison s/o
Term
assoc w/ familial adenomatous polyposis
Definition

-Fundic gland polyp

 -adenomatous gastric polyps

Term
20X incr risk in Japan, chile, costa rica, E. europ
Definition
intestinal type gastric carcinoma
Term
E cadherin
Definition
Signet ring adenocarcinoma
Term
Linnitis plastica, Virchow's node, sister mary joseph nodule, signet ring
Definition
signet ring adenocarcinoma
Term
CD19, CD20, t (11;18), NFkB
Definition
Gastric lymphoma
Term
cKIT
Definition
GIST
Term
located in Antrum
Definition

-H.pylori- chronic gastritis

-PUD

-Gastric hyperplastic/inflamm polyp

-Adenomatous gastric polyp

-Gastric CA

-Gastric lymphoma

Term
located in body/fundus
Definition

-Autoimmune chronic gastritis

-Hypertrophic gastropathy (Menetrier dz, Zollinger Ellison)

-Fundic gland polyp

Term
PUD: active ulcer has these layers
Definition

1. thin layer of fibrinoid debris

2. PMN infiltrate (variable)

3. active granulation tissue

4. fibrous scar (usu w/ thickened/thrombosed BVs near the base)

*There is no dysplasia of adjacent mucosa

Term

caused by gastrin-secretin tumors, MC in small intestine and pancrease

 

Endo: thickening/prominnace of gastric mucosal folds

 

Histo: Oxyntic mucosa in body/fundus double in thickness, w/ 5fold incr in # of parietal cells

Definition
Zollinger Ellison s/o
Term

Histo: ovoid in shape w/ smooth surface

-may show superficial erosion/ulceraion; cystic dilation

 

-Irregular elongated foveoalr glands

-Lamina propia may be edematous w/ variable amount of inflammation

Definition
Gastric hyperplastic/inflamm polyp
Term

-Usu solitary, MC in antrum

-intestinal type epi w/ dysplasia

-Low grade: enlargment, elongation, hyperchromasia of nuclei, epitheial crowding, & pseudostratification

 

-Higher grade: gland w/in gland formation, cribriform structures

Definition
Adenomatous gastric polyp
Term
lymphoepithelial lesions- lymphs invading glands above BM
Definition
gastric lymphoma
Term

MC mesenchymal abd tumor

-Interstial cells of Cajal

-solitary, well circumscribed fleshy mass up to 30 cm

 

-Spindle cell type composed of thin elongated cells

-epithelioid type composed of epitheial appearing cells

Definition
GIST
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