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Pathology 20th Notebook by Medliferesuscitation
Pathology 20th Notebook by Medliferesuscitation
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Markers
>
malignant melanoma HMB-U5, Melau A, S-100 also the in sustentacular cells
Reed Sternberg cells: Classical HL: (D15+, CD30+. PAX5 "more specific
CD -
41 + CD61+ -
AML MF
CL -
hyperplasia
(BCL:
* CD19 +, CD20 +, BCL6+ Surface 19
,
138 :
sarcoidosis .
C. Yto keratin ,
1363
,
1340 ( most sensitive a specific marker ] :
SQUAMOUS carcinoma of lung .
TTF -1 ,
NAPSIN A - :
Adenocarcinoma in lung .
Chromogranin
DOG -
I most specific 61ST
( D- 34
CEA 4 CA -
19 -9 Hereditary non -
polyposis colon cancer .
'
Glypican -3
(1) 31 ,
VEGF
,
Factor VIII ,
VWF :
Angiosarwma
CD 62 →
selecting
CD 29 →
131 Integrin ( VLA
-
4)
( D 18 →
132 Integrin
(D 106 →
YCAMI
(1) 54 → ICAM I
CD 102 →
ICAM II
→
CD 31 PECAN 1
>
CD 16 Receptor for tc fragment of 194 .
NK cells
↓
( D 56 →
NO role produces cytokines IFN Y -
(1) 94 & CD 96 -
inhibiting receptor cytokines required for NK cells proliferation →
11-2 ,
11-5
(D -
Hus .
( D- 41T (1) 61 t -
AML MF
Special looking cells
hand mirror cells
:
ALL
Centro blast
Oligoaendrogiioma .
↳ Hypersentivity Pneumonitis .
horse -
Shoe shaped nuclei : Anaplastic target cell lymphoma
Flame cell ,
Mott / Morula / Mulberry cells multiple myeloma
Russel body ,
Dutcher body
.me?:.::::::::1
""
pseudo -
Gaucher cells
Staghorn megakryocytes :
Essential thrombOCYTOS.is
A- scoff bodies :
Masson bodies :
cryptogenic organising pneumonia Boop
↑ cat ? levels
Asteroid bodies :
↑ level of angiotensin converting enemies
↑ (1) 4 ( D8 ratio
Schawman bodies :
sarcoidosis .
kveim 's test Positive
Electron microscopy :
long slender microvilli or tono filament :
malignant mesothelioma .
Shibata cells :
chronic hepatitis .
LEWY bodies -
Bunina bodies -
Amyotrophic Lateral sclerosis .
Michaelis -
Gutmann bodies :
Malak oplakia .
Floating septa
barrel shaped chest EPPHYSEMA
flatented diaphragm
submucosal glands
↑
Pink puffers
psammoa bodies.
Neuritic plaques
]
EBV affects B lymphocyte Fever Paul Bunnel
+"
Young adult via close contact sore throat mono spot test
splenomegaly
HPE : Downey cells Enlarged L N -
.
Hemophagoctic lymphohistiocytosis /
Anemia t Hepatosplenomegaly
Thrombocytopenia
Macrophages activation syndrome
Abnormal LFTS
↑ triglycerides
↑ ferreting
↑ soluble 11-2 receptor
> 20 -1 .
basophil ia
Persist ant thrombocytes is > 1000 / in chronic Phase : < 10% blast count
Nonresponsive to therapy
appearance
Endocarditis '
Erythema marginal um
-
Prolonged
Pancarditis PR interval
Infective endocarditis
Oral / dental Procedures ,
Surgery done ,
IV drug users 10C :
Blood Culture
Fever .
Chills
,
Splenomegaly .
large ,
irregular ,
friable .
AML -
M3 the sides of valve leaflets 4 elsewhere
non destructive ,
along
-
MUMPS infection
ballooning mutation
l
I o
so
I → S - ~
f- F-n o +
o A → M I
- s
V § s ¥ - →
$ - s o ≤ →
s ' I < % § t
A → _ • • ~ + e J
, . I.
0 ~ 1- S G T g
a + S S S S •
o s →
+ ?
° +
s 0
-1
§ 5 0 S
s S J
0 -
I e e o _ s n I
~ ↳ & -
3 5
W - - ↳ o →
S O ¥ s •
3 § - = 3 = S
a + + s -
w o s
n a ~ s s I
- o =
5 = °
S n
g- -
• F f
o n p I
CLL
u _ 3
-
e 0 -1 -
i 0 i
o ± .
¥ s
↳
o →
o § 1-
+
s
.
= i
.
~ •
°
.
I 3
¥ -5 8 n -
- o - o
- r
§ s
i e s s
1- a S
I b
S ↳
T 1- a
0 0
1- + - o
I s § o §
_
- O
•
- 5 1- ~
§
. .
M T -
→
e s s o s o
-
w s E - r I
- 1- §
s _
a
Follicular
+ - s ~
o u ng €
↳ → I
_.
• 1-
a .
1- _
I
lymphoma
0 1- O
n o
J
n
3 I
u I
o E
e 1- V '
E 3=8 ¥ -8 . +
V, →
•
§ S
S S S
'
o t S - + - -
+ °
- = § s a
e
s - =
= o
3 I -
e • -
s s
w € + -
-
f •
- - ÷
← I e € I
I ✓
w •
3 • a 3
+ - -
3 =_§ →
~ s →
s 5
→ - § To
•
lymphoma
- -
= . .
i -1 s
Mantle cell
a
s
É, % § i
' '
o g
8 s
- .
.
% 9
~
•
T
F s I + 3
E E s 5- , ¥
U ~
O U T -
§
- I -
- - -
a • § → ~
I s ± .
s
+
§ -
→ @ - §
o - 3 9- d-
g g e 0
≤
= I
s o e ¥
o t
s - -
•
0
To
{
a
§ - .
•
° + I § I
¥ I 0
.
= I -1 § 3 °
.
° in 5
< § 0 g
DLBC
- -
% o → S3 I
- € 3 ☐
-
5 s § .
a o →
o
≈ o n
- E n
E , S T
+
¥ 0 0
. .
d-
I £ § ←
- s
§ o -
-
I J
s g o
n - ± - = =
-
s
◦ _ .
+ '
' ' '
w § § 5 ~
I
S -
o - -
+ - g-
- _ .
°
' s I ☒ I
o § .
5 ± ±
€ ^
.
5 ~ s s
Maltoma
S I. M -
- ~ t
.
§
.
5
s I %
3 =
.
E e E 3 ¥ F
_ ± ≈ F - 5
u 2 ? ? s . ' ' ° •
3 ×
→ m . × -0 A
° s - = -
× s § - %
= s ~
I. -
_
g- . ° I ,
- ~ o
I .
I → +
→ s s <
- _ • s I = <
- s • o
s - § o 3 o
o
o
- → I
- - s o
-0 % s § →
3 +
W g o 0
§ S J o ~ •
-
- s → a _
§ ~ 3 ~
¥ § ↳
I .
& ~
0 I •
≤ .
s s ±
Leukemia
=
Hairy cell
I ,
E § §
- • s s
.
→ £ s o
→ .
G S
É
- . -
I S
~
-
→ s - ? u
-
- I
I → o
% I
g 3 →
f -
× °
§ I € 3 = ~
= '
↳ " s .
0
Is I o
a-
E -
g
+ Is 8
+ . .
- I .
s o §
-
e 5 ~ -
s o + a o
-
É →
- a ° n - •
→ . .
↳
% ¥9 • s e-
-
in
I § § § ~ € ¥ ET E ' '
.
5- -
É - n →
'
e 3 a - - s
- o e I
° ? o s ¥
- s = .
s -
+
E I I 9g = . ≈ gs
°
§ ¥ -1 ± . • 3s It s m
Burkett’s
→ s
r o + - '
- -
so -
s . ¥ I
S S S s £ . .
_ ~ S S
•
I
c- o 3 e
S 3
ɧ
Lymphoma
3 E -
o •
~ s
~ I
8 To
Nephritic syndrome
linked dominant
SYNDROME aka benign familial
recurrent hematuria a. g chain of collagen
↓ hematuria
Cola coloured Urine defect in a -3 Chain type IV
strep .
Strains ( 12,4 1) ,
Of type 4 collagen ✗ -4 Chain of collagen
ant . lentic onus
type N
glomeruli →
proliferation of leukocytes fibrin IGA deposition in MESANGIUM
, ,
hematuria sensorineural
Neutrophil it infiltrates parietal epithelial cells .
deafness
Endo 2 EXO -
Capillary
Proliferation
µ . ..
causing lumpy -
BUMPY Type -2 :
granular deposits or Proper din .
Nephrotic syndrome
f .am/a. . . ./ . . .
Minimal change Membranous Membranoproliferative
FSGS
Disease nephropathy glomerulonephritis
NPHS 2
"" "" " " " "" " "" " " "" "" " " " """ " " " " "" " " " " " " "" " " "" " " " "
sub -
endothelial deposits .
"" "" "" " "" """ "" " " " "" " "" "" " "" " " " " ""
Type T .
Granular deposits
* .. . . . ..*. . . ..
pattern .
Pneumoconiosis
Coal workers Silicosis Asbestosis
pneumoconioses
simple coal worker 's Coaiensce to form collage nous scar lung carcinoma
-
Caplan syndrome :
✗ ray :
E. 99 Shell calcification Ferruginous bodies
arthritis
wiscott Aldrich Syndrome
Eczema
atopic dermatitis
PLUMMER WILSON /
Peterson brown Kelly SYND .
Atrophic glossitis
middle
aged
women
EVANS SYNDROME
CLL t AIHA t thrombocytopenia .
HAND SCHULIAR CRISTIAN DISEASE
-
Diabetes insipidus
multifocal
LCH
KASABACH -
MERRIT SYNDROME
associated
with DIC
Thrombocytopenia MAHA
FELTY SYNDROME
splenomegaly
Neutropenia
anemia
splenomegaly Neutropenia
GIANT CELL ARTERITIS
Head pain
750 Yrs
closely
rheumatica
TAKAYASU ARTERITIS
Aortic arch syndrome Pulse less syndrome
1- asymmetry in B.P .
440 Yrs
HPE :
Fibrinoid necrosis Abdominal Pain most commonly associated with
hematuria Melena
KAWASAKI DISEASE
45 years mi in children
A, Fever t any 4 K loniuctiral redness K Coronary a- involved
R Rash W Vasculitis
Intermediate claudication
HEP :
HLA -1-19
may be seen
/ /
MICROSCOPIC CHRUG STRAUSS BECHET 'S
POLYANGHIS SYNDROME DISEASE
Vasculitis
µ.am , a.
a. www.a.a.i.mn, ,
www..am,. .. .
Fragmented neutrophils
segmental .
Fibrinoid necrosis .
Necrotizing granulomas Neutrophil ic vasculitis .
P ANCA tye
-
P ANCA
-
tile HLA -1351 .
sinusitis
HEMOCHROMATOSIS
Inflammation t eosinophils
Galectin 10 Protein
PILOCYTIC ASTROCYTOMA
Mk tumor in children
my site
:
cerebellum cystic mural nodule
Mlcroanglopathic hemolytic anemia .
Ptosis
spinal reflex
Enophthalmos Anhidrosis
Gene mutation
Adenosine deaminase gene ( ABA )
SCID
wound healing
PIGA gene :
PNH
NOTCH -
I -
CLL
MLL -
Follicular LYMPHOMA
ALK : Ch -
2P : ALCL
Lung adenocarcinoma
Calreticulin
KCNQI 9 KCNHZ :
loss of function mutation :
10h9 Q1 syndrome
P53 ,
Rb ,
CDkN2A ,
SCC Of lung
loss of Ch 3P -
,
9P ,
1713
EGFR ,
Alk ,
MET ,
RET ,
KRAS :
Adenocarcinoma of lung .
Migratory thrombophlebitis .
Produce Max .
P53 ,
Rb ,
L MYC
- : SCC Of lung .
Cushing syndrome ,
SIADH MIC Paraneoplastic syndrome
P53 .
SY -40 virus : malignant mesothelioma .
mutation in Will Pathway, APC, PS3: Intestinal Gastric adenocarcinoma
psI on ch-14
early onset
ps On Ch-1
(15 CD23
# + CLL
+ -
Marginal
-
lymphoma
-
zone
Syndecan 1+ (Yclin D, t
Stk 11 Pleutz Segner syndrome
cerebellar hemangioma .
adenomatous polyposis
Familial
colon cancer
42 Wilms tumor
Prostate
Neuro fibroma
optic ñ glioma
pheochromocytoma .
Schwan noma .
PTEN
-
10 -
Endometrial 2 Prostate ca .
CDHI -
HE cadherin
-
Ch -
19 -
DM I \.
Dystrophic myotonia
Ch Diaz
Is chromosome
-
3 me i ✗9
FGFR-3 Achondroplasia
MC ISO chromosome in cancer
Fibroblast growth factor receptor -3
I 179 .
Ch G - -
Fed rich 's ataxia
ABO blood grouping
MC isochromose in testicular
gene is present
FBN 1 gene Marfan syndrome
tumor : i 129 .
Ch -
22 -
Merlin Neurofibromatosis - 2
Ch -
17 -
heurotibromin -
Neurofibromatosis -1
Ch -
15 -
Ch -
2 -
ALK gene → ALCL anaplastic large cell lymphoma
Lung adenocarcinoma .
Ch -
lo →
RET →
gain of function :
medullary carcinoma of thyroid .
MEN 11 Syndrome
loss of function :
Hirschsprung disease .
Ch 13914
→
↑ risk Of retinoblastoma and osteosarcoma .
RB (ISG )
lfp
→
P53 Li Fraumeni
→
Ch syndrome -
Bone cancer Blood Ca .
Ch -
Il →
ATM gene Ataxia telangiectasia
Ch 11 - →
Hb 13 chain gene
th -
16 → Hb ✗ chain gene .
Ch -14 →
a -1 antitrypsin deficiency
del sp Cri -
du -
chat syndrome . Cat Cry syndrome
Chromosome 12 -
Noonan syndrome .
RAS MAPK Pathway
del 59 -
adult MDs
MONOSOMOY 7 children
-
MDs
t ( 8:14 ) >
Burkitt 's lymphoma
( 11:14 ) →
mantle cell lymphoma [ Overexpression Of Cyclin Dl ]
→
(yÉnD ,
IgG
44 :④ ↑
→
bet 2
t ( 8:21) : AML Ma
t ( 15:17 ) : AML m3
t ( 16:16 ) : AML M4
deletion
Trisomy
of
of
139 ,
129,
,
119 . .
HP
) CLL
t ( 11:14 ) :
mantle cell lymphoma _
Multiple myeloma M c
/
t ( 18:14 ) :
Burkitt 's LYMPHOMA
t ( 14:18 )
Dysregulation of Bu -6
del 139
translocation 149,
t ( 9:22 ) : CML
210 kDa
AR AD ✗R XD
-
LAD I 2 I •
Hyper IgE Syndrome .
Chronic granulomatous
•
Chediak Hegashi syndrome
.
Familial amyloid otic - -
Bruton agammaglobuiinemia
-
SCID Polyneuropathy '
SCID
-
-
Familial Mediterranean Hereditary spherocytosis
-
Hyper 19M syndrome
fever
•
Von Willebrand disease '
Wi Scott Aldrich syndrome
-
Sickle
•
cell anemia Haemophilia
Thalassemia
•
"
Hemochromatosis
•
Wilson disease
•
LYMPH Oerythroblastic Myelopthisic anemia
MYEIO fibrosis