indicatii metodice medgen
TRANSCRIPT
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I. CELLULAR PATHOLOGY.
IRREVERSIBLE CELL DISTURBANCES.
NECROSIS. APOPTOSIS.
Microspecimens
2. Acute tubular necrosis. (H-E)
153. Pancreonecrosis. (H-E) 81. Caseous necrosis of lymp no!e in tuberculosis. (H-E)
". #scemic infarction of te spleen. (H-E)
Macrospecimens
151. $o% (upper) e&tremities 'an'rene.
131. Pancreonecrosis.
3. Caseous pneumonia.
11. Coa'ulatie necrosis of te spleen.
13. *acrofocal postinfarction car!iosclerosis.
Eec!ronom"cro#rap$"
1.Cellular necrosis+ ,ariopy,nosis.
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II. CELLULAR PATHOLOGY.
ACCUMULATIONS% PATHOLOGIC CALCI&ICATION.
Microspecimens
18. enal emosy!erosis. ( H-E)135. /aun!ice of te lier. ( H-E)
10. metastatic calcinosis of te ,i!ney. ( H-E)
Macrospecimens
10. Heart lipomatosis.
5. *elanomas metastasis into te lier.
2. ro%n atropy of te eart. ". iliary calculi.
8. enal calculi.
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III. CELLULAR PATHOLOGY.
IRREVERSIBLE CELL DISTURBANCES.
NECROSIS. APOPTOSIS.
Microspecimens
10. enal amyloi!osis (4on'o-re!)
18. enal emosy!erosis. ( H-E)
135. /aun!ice of te lier. ( H-E)
10. metastatic calcinosis of te ,i!ney. ( H-E)
18. Central artery yalinosis of splenic folicules.
25. $iers fat !e'eneration.
Macrospecimens
82. enal amyloi!osis.
10. Heart lipomatosis.
5. *elanomas metastasis into te lier.
2. ro%n atropy of te eart.
". iliary calculi.
8. enal calculi.
Eec!ronom"cro#rap$"
. *yocar!ial amyloi!osis
3. $ier fatty can'e (epatocytes steatosis)
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General medicine
TOPIC' HEMODYNAMIC DISORDERS
Macrospecimens
0. *yocar!ial infarction.
13. *acrofocal postinfarction car!iosclerosis
38. Pulmonary emorra'ic infarction.
1. utme' lier (cronic epatic con'estion). 11. #scemic infarction of te spleen.
Microspecimens
Pulmonary emorra'ic infarction. ( H-E)
5. enal infarction. ( H-E)
0. Cronic pulmonary con'estion. ( H-E)
1. utme' lier (cronic epatic con'estion). ( H-E)
Eec!ronom"cro#rap$"
5. *yocar!ial infarction+ iscemic sta'e.
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General medicine
IV. HEMODYNAMIC DISORDERS II
Macrospecimen
3. Parietal trombus in te ab!ominal aorta
1. Cronic car!iac aneurysm%it trombosis.
3. 6romboembolism of pulmonary artery.
85. acterial embolism of te 'lomerular capilaries
2. Cancers metastasis in lun's.
121. Cerebral emorra'e.
Microspecimen . 6rombus in te ein. (H-E)
11. purulent embolic nepritis. (H-E)
1. $ympatic essels cancerous embolism. (H-E)
13. 7iape!esis emorra'e in te brain(H-E)
Eec!romicro#rap$"
". ta'es #+ ##+ ### of trombus formation
#. trombocyte a''lutination. 6e first fi'ure so%s te place of ascular
lesion. 6e mitocon!ria are tumefacte! an! omo'eni9e!+ te suben!otelial
layer is e!ematous te colla'en fibers are !issociate!: te unmo!ifie!
trombocytes approace te place of en!otelial lesion.
##. 6e transformation of fibrino'en into fibrin.
6e 9one of en!otelial lesion contains !e'ranulate! trombocytes an!
a''lomeration of fibrin filaments+ %ic a!ere to te %all.
###. Erytrocyte a''lutination. 6e lumen of te essel contains !e'ranulate!
trombocytes+ %ile bet%een tem tere are fibrin filaments an!
a''lutinate! erytrocytes.
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ACUTE AND CHRONIC IN&LAMMATION
Macrospecimen
((.;ibrinous pericar!itis.
().7ifuse car!iosclerosis.
)(.Ecinococus into eart
*).;ocal pneumonia %it abscess formation.
**.$obar pneumonia ('rey epatisation).
*+.;ibrinous pleuritis
(,).;ibrinous peritonitis.
Microspecimen
().#nterstitial myocar!itis.
-).;ibrinous pericar!itis.
).Pyo'enic leptomenin'itis.
*).asal polyp.
Eec!romicro#rap$" /.
Le01oc"!e2s perip$era posi!ion aon# !$e en3o!$eia s0r4ace.
6is process of leu,ocyte accumulation is calle! mar'ination.
ubse
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IMMUNOPATHOLOGIC PROCESSES
*icrospecimen
)55. Hyperplasia of te lienal follicles in anti'enic stimulation
(H.E.stain).
)5(. Hypoplasia of te lienal follicles in te mi&e! immuno!ificient
syn!rome (H.E.stain).
(/*. Acci!ental inolution of te tymus (H.E.stain).
(+. Autoimmune tyroi!itis (H.E.stain).
19. electronomycrography 6#omer0onep$ri!is in SLE7
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ADAPTIVE AND COMPENSATORY PROCESSES
Macrospecimen
+.$eft entricular ypertropy.
,.i't entricular ypertropy.85.@rinary bla!!er %all ypertropy in prostate a!enoma.
)5.ro%n atropy of te eart.
(58. Atropy of te oary.
.Hy!roneprosis.
()*.Hy!rocepaly.
Microspecimen.
*,.ranulation tissue.(H-E)
*-.*yocar!ial ypertropy. .(H-E)
*. lan!ular yperplasia of te en!ometrium. .(H-E)
(,5.*acrofocal postinfarction car!iosclerosis. .(H-E)
Eec!ronomicro#rap$"
(5.e'eneratie ypertropy of te myocar!ium.
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INTRODUCTION TO NEOPLASIA
EPITHELIAL TUMORS
*acrospecimens
1. Carcinoma of laryn&.
50. Carcinoma of esopa'us.
". Carcinoma of stomac.
30. Central cancer of lun's.
. Cancers metastasis into lier.
2. Cancers metastasis into lun's.
*icrospecimens
". Papilloma of s,in.
8. A!enocarcinoma.
12.
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INTRODUCTION TO NEOPLASIA
MESENCHYMAL TUMORS.
TUMORS O& MELANOPOETIC SYSTEM.
Macrospecimen
)*.*y&oma of eart.
/,.*etastasis of melanoma into lier.
(5+.;ibroleiomyoma of uterus.
()).rain tumor ('lioblastoma).
Microspecimen
+).Caernous eman'ioma into lier.(H-E)
+*.;ibrosarcoma.
+(.;ibroleiomyoma of uterus. (picrofucsin+ Ban ieson)
(-*.*etastasis of melanocarcinoma into ,i!ney.
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IN&ECTIOUS DISEASESViral and Bacterial Infections
Microspecimens
((/. @lceratie-necrotic traceitis in 'ripe (H.E.stain).
(5-. Hemorra'ic pneumonia in 'ripe (H.E.stain).
88. ;ibrinous traceitis (in !ipteria) (H.E.stain).
)-. $ympocytic menin'itis (H.E.stain).
Eec!ronomicro#rap$"
)8. teatosis of myocar!ium.
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9. BACTERIAL IN&ECTIONS
*acropreparates
12. Purulent leptomenin'itis
*icropreparates.
00. ;ibrinous traceitis (in !ipteria).
28.Purulent leptomenin'itis.
1. Purulent embolic myocar!itis
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TUBERCULOSIS% AIDS.
Macroprepara!es
++.;ibro-caitary tuberculosis.
+*.Caseous pneumonia.(++.Peribroncial lymp no!es tuberculosis.
(,*.6uberculous spon!ylitis (osteomyelitis).
Microprepara!es.
/8.*iliary lun's tuberculosis (H.E.stain).5.*iliary liers tuberculosis (H.E.stain).).*iliary ,i!neys tuberculosis (H.E.stain).
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9II. SEPSIS
*acropreparates
1. @lceratie - Polypous en!ocar!itis of aortic ale.
85. Purulent embolic nepritis.
*icropreparates.
11. Purulent embolic nepritis.
1. Embolic purulent myocar!itis.
13. Purulent pmbolic encepalitis.
11". Aortic ale in bacterial en!ocar!itis.
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ATHEROSCLEROSIS. HYPERTENSIVE VASCULAR DISEASE.
Macrospecimens
(.Aterosclerosis of te aorta (fibrous pla
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ISCHEMIC HEART DISEASE
Macrospecimens
8.*yocar!ial infarction.)+.Heart rupture in myocar!ial infarction.
(*.*acrofocal postinfarction car!iosclerosis.
(5.Cronic car!iac aneurysm %it mural trombi.
(.Car!iac trombosis.
((.;ibrinous pericar!itis.
Microspecimens
((.6rombosis of te coronary artery (H.E.stain).
-,.*yocar!ial infarction (H.E.stain).
-,a.*yocar!ial infarction ('ranulation tissue) (H.E.stain).
(,5.*acrofocal car!iosclerosis postinfarction (picrofucsin+ an ieson stain).
Eec!ronomicro#rap$"
(5.Ischemic stage of myocardial infarction.Electron microscopic appearanceD can'es in myocar!ial cells inclu!in'
s%ellin' of te mitocon!ria an! en!oplasmic reticulum+ nuclear py,nosis+ an!
early !e'eneration of te sarcolema can be seen %itin 1 our after te onset of
iscemia.
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Disor3ers o4 $ema!opoe!ic s"s!em. Anemia% neopasms.
MACROSPECIMENS
(+). 6e spleen in C*$
(+*.*esentetrial lymp no!e in C$$(+,.one marro% in leucosis.
+.4i!ney in leucosis.
(+-.$ympatic no!e in Ho!',ins !isease.
(+/.pleen in Ho!',ins !isease.
MICROSPECIMENS
,-.$ier in C*$.
,/.$ier in C$$(+,.Plasmocytoma.
,.$ympatic no!e in Ho!',ins !isease.
Eec!ronomicro#rap$"
(+. *yeloma cell.
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Systemic Connective Tissue Diseases (Rheumatic fever)
MACROSPECIMENS
-. eumatic mitral malformation. . $eft atrium roun! trombus.
((.;ibrinous pericar!itis.(). 7iffuse car!iosclerosis.
(-.onbacterial errucous en!ocar!itis
(. 6romboen!ocar!itis.
MICROSPECIMENS
,8. eumatic 'ranulomatous en!ocar!itis (H.E.stain).()/. 6romboen!ocar!itis (H.E.stain).(),. Periarteritis no!osa (H.E.stain). -5. eumatic en!ocar!itis (lue tolui!ine).
Eec!ronomicro#rap$"
(. ;ibrinoi! intumescence of te connectie tissue.
(8. lomerulonepritis in $E.
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Pathology of stomach and esophagus.
MACROSPECIMENS
,8. Esopa'eal carcinoma.
,(. astric polip
,).Cronic 'astric ulcer. ,*.Cronic 'astric ulcer %it perforation.
,+. Cronic !uo!enal ulcer.
-5. astric a!enocarcinoma.
MICROSPECIMENS
(/-. Acute 'astric ulcer. (H.E.stain).
/. Cronic 'astric ulcer in acutisation. (H.E.stain).
(8).on!iferentiate! 'astric carcinoma (tubular a!enocarcinoma).(H.E.stain).
(8)a. metastasis of 'astric carcinoma into lymp no!e. (H.E.stain).
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Intestinal disorders.
MACROSPECIMENS
,,. Acute fle'monous appen!icitis %it periappen!icitis.
-(. Cancer of si'moi! colon.
MICROSPECIMENS
. Acute fle'monous-ulceratie appen!icitis %it periappen!icitis.
(H.E.stain).
a. Cronic appen!icitis %it lumen narro%in'. (H.E.stain).
))). Appen!iceal mucocele. (H.E.stain).
+a. *ucinous a!enocarcinoma of te colon. (H.E.stain).
Intestinal infections.
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MACROSPECIMENS
,.Encepaloi! mo!ifications of Peyr patces in typoi! feer. ,/. ;ibrinous colitis in ci'ellosis (!ysentery).
MICROSPECIMENS
8*. ecrosis of Peyr patces in typoi! feer. (H.E.stain).
8+. *esenteric lymp no!es in typoi! feer. (H.E.stain).
8,. ;ibrinous colitis in ci'ellosis (!ysentery). (H.E.stain).
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DISEASES o4 IN&ANCY an3 CHILDHOOD
Prenatal pathology
/: Con'enital eart !efectsD ventricular septal defect.
(,/: Con'enital malformationD anencephaly.
(,: Con'enital malformationD encephalocele.
()*:Hydrocephalus.
-:Polycystic kidneys.
//:Polycystic liver.