Practical Pathology(FIXED)

8/2/2019 Practical Pathology(FIXED)

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Organ: Two hemisphere of the brain

Description:

The right hemisphere is distorted by massive area of hemorrhage which is:

- In the lateral ventricle- Dark brown in colour

Diagnosis: Intracerebral haemorrhage

Page: 125


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Organ: Heart

Description:

- The heart is within normal size- The pulmonary artery is opened to show a large impacted embolus

Dianosis: Pulmonary artery embolism

Page: 14


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Organ: Spleen

Description:

Cut surface of the spleen shows

- Well circumscribed wedge shaped pale areas with ; their base subcapsular and apex pointingtowards the hilum

- The overlying capsule shows patches of fibrosisDiagnosis: Healed splenic infarct

Page: 130


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Organ: Heart

Description:

The heart affection is in the form of pancarditis

- The pericardium is dull opaque lustreless being covered by fibrinous exudative material- The heart is enlarged and chambers are dilated due to myocardial affection- The mitral cusps are swollen and show vegetations which:

o Are located at the line of closureo Small and firmly adherent to underlying cusps

Diagnosis: Acute rheumatic carditis (mitral valve)

Page: 9


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Organ: Heart

Description:

- The mitral valve leaflets show large friable vegetations extending to the chorda tendineaDiagnosis: Infective endocarditis, mitral valve

Page: 12


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Organ: A slice of liver

Description:

The liver

- Firm in consistency having tense capsule- Borders are rounded- Cut surface: shows mottled appearance being formed of central dark red areas of congestion

and pale yellow zones of fatty acid. ( Nut-meg appearance)

Diagnosis: Chronic venous congestion

Page: 67


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Organ: Part of abdominal aorta

Description:

- The intima shows numerous varying sized and shaped grayish white and occasionallyyellowish interconnecting atheromatous plaques

- Some of the plaques are ulcerated with superadded thrombi-

In one area, a saccular aneurysm is seen, the cavity of which is filled with lamellatedthrombus

Diagnosis: saccular aneurysm

Page: 3


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Organ: slice of brain

Description:

The brain shows

- Cystic areas surrounded and tranversed by glial tissue that give it honey-comb appearanceDiagnosis: Healed brain infarct

Page: 123


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Organ: Heart

Description:

The heart is enlarged and shows

- The mitral valve leaflets are irregular, thickened, fibrotic and interadherent- The chorda tendinea are thickened and shortened- The mitral orifice is stenosed and button hole in appearance- The left atrial cavity is dilated and filled with a large rounded ball thrombus filling the atrial

cavity

Diagnosis: Left atrial ball thrombus

Page: 11


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Organ: Kidney

Description:

The kidney shows pale areas of infarction that are

- Sharply demarcated pale wedge shaped areas- The base is directed to the cortical surface and the apex points towards the hilum- The affected areas are depressed below the surface of the kidney

Diagnosis: Renal infarcts

Page: 83


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Organ: Lung

Description:

- Cut section of the lung shows: in one area a lesion which iso Wedge shaped (triangular). With the base subpleural in location and the apex

directing towards the hilum of the lung

oColour: dark red

- The lung parenchyma: reddish brown and indurated- The pleura overlying the lesion is dull opaque with patches of fibrinous exudate

Diagnosis: chronic venous congestion and hemorrhagic infarction of the lung

Page: 35


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Organ: Lung

Description:

- The lung is within normal size- large impacted embolus inside pulmonary artery in the lung

Diagnosis: Pulmonary artery embolism in the lung


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Practical Pathology(FIXED)