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Test 2 Review
Review pt. 1
34
Pathology
Professional
11/03/2011

Additional Pathology Flashcards

 


 

Cards

Term
Non-communicating hydrocephalus
Definition
associated with obstruction within the ventricular system,
e.g. Atresia of foramina Luschka and Magendie
Term
Communicating hydrocephalus
Definition
obstruction is outside the ventricular system,
e.g. meningitis, arachnoid villi
Term
Hydrocephalus (general, in children)
Definition
Accumulation of CSF

In Child: sutures may enlarge from expanded cephalus
Ventrical is dilated
Term
Anencephaly
Definition
absence of a large part of the brain and the skull
Term
Meningocele
Definition
hernial protrusion of the meninges through a defect in the vertebral column (Spinabifida)
Term
Myelomeningocele
Definition
refers to a hernial sac that of the meninges and the spinal cord
Term
Cushing Reflex
Definition
Physiologic response to cerebral hypoxia, aimed to increase blood flow to the brain
•Heart rate slows, to increase ventricular filling
•Systolic pressure (cardiac output) goes up
Term
Epidural hematoma
Definition
duraBlow to the side of the head->rupture of middle meningeal arterywithin the dural skull table ->epidural hematoma
Term
Uncal (Transtentorial) Herniation
Definition
As a hematoma grows, the brain will shift to make room for the blood volume.

Epidural hematomas are not usually preceded by concussion
Term
Cerebral Hypoxia
Definition
Hematoma gets larger -> compression of the venous sinuses in brain -> vascular stagnation and hypoxia
Term
Subarachnoid Hemorrhage
Definition
Rupture of arterial aneurysms is responsible for two thirds of cases


Ascending dissecting aneurysms in Marfan's Syndrome

May occur with cerebral contusion or laceration, but other hemorrhages are usually also found
Term
Coup
Definition
Injury of the part of the head that was struck (usually frontal area) as when a moving object impacts a stationary head
Term
Contrecoup
Definition
Injury of the opposite part of the head (usually occipital), that can be bruised as a result of the jiggling of the brain in response to injury when moving head strikes a stationary head
•Contusions are permanent
•A glial scar is formed and the tissue is lost forever
Term
Arteriovenous Malformation
Definition
•Common congenital malformation
•absences of capillary beds
•Veins contain oxygenated blood, and cerebral tissue will be hypoxic
•High pressure veins can rupture, leading to cerebral hemorrhage
•High output cardiac failure, due to increased CO to compensate for the hypoxia
Term
Arnold-Chiari Malformation
Definition
as the brain grows (during spina bifida), it pushes down the spinal cord causing the cord to bulge out (menigiomylocelle.)
Chiara refers to the part of the brain stem that is forced into the spinal cord.
Term
Toxoplasma Gondii
Definition
most common opportunistic infections in patients with AIDS
•Ring-enhanced lesion is frequently seen on CT with AIDS patients
•Center of lesion is often necrotic and devoid of the parasite
•Parasites are around the perimeter of the lesion, which is where biopsy should be obtained
Term
Bradyzoites
Definition
reproducingversions of toxoplasma parasites , which remain inside cysts
Term
Tachyzoites
Definition
are rapidly proliferating versions of the parasites that rupture from the cyst if not checked by immunity
Term
Rabies Virus
Definition
•Replicates in striated muscle at site of bite and then travels up nerve endings to spinal cord and brain
•Binds to acetylcholine receptors at neuromuscular junction
•Localizes to the hypothalamus and CN nuclei of brain stem (particularly CN IX and X)
Term
Negri bodies
Definition
characteristic cytoplasmic inclusions (rabies)
Term
Cytomegalovirus
Definition
•Causes encephalitis (brain inflamation)in immunocompromised hosts
Term
CMV inclusions
Definition
characteristic gigantic inclusions, which are both cytoplasmic and nuclear (Cytomegalovirus)
Term
[image]
Definition

Coronal section of brain - Part of temporal lobe

Middle cerebral artery

Lenticulostriate artery

Term
Cytomegalovirus
Definition
•Causes encephalitis (brain inflamation)in immunocompromised hosts
Term
CMV inclusions
Definition
characteristic gigantic inclusions, which are both cytoplasmic and nuclear (Cytomegalovirus)
Term
Multiple Sclerosis (MS)
Definition
•Visible grossly in the white matter of the cortex
•Plaque Locations: It is often found along the optic nerve and chiasm
Term
[image]
Definition

Parkinson disease

 

(A) The normal substantia nigra of the midbrain (left) is heavily pigmented, whereas the same region from a patient with long standing parkinsonism (right) has lost the pigment. (B) A microscopic section of the substantia nigra from a patient with parkinsonism shows a spherical eosinophilic inclusion within the cytoplasm of a pigmented dopaminergic neuron, termed a Lewy body.

Term
Lewy body
Definition
spherical eosinophilic inclusion within the cytoplasm of a pigmented dopaminergic neuron (Parkinson disease)
Term
Amyotrophic Lateral Sclerosis
Definition
•Loss of motor neurons accompanied by gliosis
No sensitivity deficit
Die from respiratory collapse
Term
[image]
Definition

(A) The cytoplasm of a neuron is distended by neurofibrillary tangles. (B) A silver stain of panel A demonstrates the fibrillary character of the cytoplasmic inclusions

(Alzheimer Disease)

Term
[image]
Definition
Alzheimer disease. A section of the hippocampus shows granulovacuolar degeneration of a pyramidal neuron as evidenced by clear cytoplasmic vacuoles containing granules
Term
[image]
Definition

(A) A section of the cerebral cortex impregnated with silver reveals neuritic plaques. (B) A higher-power view of panel A shows the uniform size and spherical shape of the neuritic plaque, which contains a dense core of amyloid.

(Alzheimer Disease)

Term
Hirano Bodies
Definition
Eosinophilic rods found within the neurons of the hippocampus (Alzheimer Disease)
Term
Neuroblastoma
Definition
tumor that effects nerve tissue
younger -> better prognosis
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