أرشيفات التصنيف: Student_Pathology

Color atlas of pathology

Color atlas of pathology

pathology

part 1

http://www.4shared.com/file/55593731/5d2f8a4a/ATLAS__Color_atlas_of_pathology-part_1_of_3.html

part 2

http://www.4shared.com/file/55742445/1aa16412/ATLAS__Color_atlas_of_pathology-part_2_of_3.html

part 3

http://www.4shared.com/file/55745345/82394a2e/ATLAS__Color_atlas_of_pathology-part_3_of_3.html

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The Blood & Lymphoid System – Lecture Notes

The Blood & Lymphoid System – Lecture Notes


Contents:

1. Blood: I. Structure & Function; Anemias Due to Decreased Erythropoiesis

2. Blood: II. Hemolytic Anemias; Polycythemia

3. Blood: III. the White Blood Cells

4. Blood: IV. Bleeding Disorders

5. The Lymphoid System: I. Structure & Function; Infections & Reactive Proliferations

6. The Lymphoid System: II. Malignant Lymphomas

7. The Lymphoid System: III. Plasma Cell Neoplasms; Spleen & Thymus

Related Keyword terms:

,blood lecture notes,best medical lecture note on blood,blood lecturer notes,lecture note on blood,lecture notes on blood,Lymphoid System

اسئلة مهمة لامتحان الباثولوجى الفرقة الثالثة – المنصورة


الورقه الاولي

*** inflammation
الاهم
1-campaire between acute and chronic inflammation
2-abscess
3-granuloma
4-chemotaxis and phagocytosis
ــــــــــــــــــــــــــــ
الاقل اهميه
5-inflamatory fluid exudates
6-vasculer changes in acute inflammation
7-catarrhal and pseudo membranous inflammation
__________________________________________________
*** repair
الاهم
1-complication of repair
2-repair of bone fracture
3-repair of nervous system
___________
الاقل اهميه
4-granulation tissue
5-compair between primary and secondary fracture of bone
__________________________________________________
*** cell injury

1-compare between two types of pathological calcification
2-amylodosis ( N.E — M.E — stained of myloid material — compare between primary and secondary )
3-compair between necrosis and apoptosis
4-pigmentation ( bronzed diabetes — brown atrophy of the heart )
5-cloudy swelling ( N.E — M.E )
__________________________________________________
*** syphilis

1- compare between chancre and gamma
2-syphilitic aortitis
3- secondary stage of syphilis
__________________________________________________
*** neoplasia

1-compare between carcinoma and sarcoma
2-locally malignant tumor and discuss one
3-compare between squamous cell carcinoma ( S.C.C) and basal cell carcinoma ( B.C.C)
4-methods of spread of malignant tumor and discuss one
5-hematoma
6-teratoma
7-precancerous lesion
8-para neoplastic syndrome
9-tumor markers
10- enumerate different types of genes in cancer
__________________________________________________
*** cardio vascular
الاهم
1-rheumatic fever— ( aschof nodules )
2-mycardial infarction
3-pericarditis
4-aneurism
5-hypertension
6-atherosclerosis ( N.E — M.E — complication)
__________
الاقل اهميه
7- varicose vein
8-cardiac vegitation ( thrombi)
_________________________________________________
*** respiratory
الاهم
1- pneumonia ( المقارنه فقط )
2- emphysema ( N.E — M.E — complication — pathogenesis ( اسماء فقط) )
3- tumors of lung —– carcinoma بس
4-lung abscess
5-bronchectasis
6-tumor of larynx
_________
الاقل اهميه
7- heamoptysis
8- nasal polyp
9- rhinoscleroma


الورقة الثانية

G.I.T
الاهم
1-peptic ulcer
2-polyps of GIT ( rectal polyps — duodenal polyps بس )
3-tumors of ( stomach — colon)
4-compair between ( chron’s disease and ulcerative colitis)
5- dysentery ( def — compare between amoebic and bacillary dysentery)
__________
الاقل اهميه
6-ulcers of ( tongue — intestine ( small and large) )
7-benign tumors of salivary gland
8- esophageal diverticula
__________________________________________________ _
*** renal
الاهم
1-campaire between hypernephroma and wilm’s tumor
2-compaire between bilharizial and non bilharizial of urinary bladder
3-renal stone ( types — complication )
4-obstruction of urinary tract ( causes — effects )
5-acute post streptococcal glomerulo-nephritis ( pathogenesis — N.E — M.E )
________
الاقل اهميه
6-heamaturia
7- enumerate causes of ( enlarged kidney — atrophied kidney )
8- pyelonephritis
__________________________________________________
*** bone and joint
الاهم
1-tumors of bone( osteosarcoma — Ewing sarcoma — giant cell tumor)
2-bone metastasis ( secondaries)
3-osteomylitis
4-paget disease of bone( تجميعه صغيره كده)
5-rickets ( برده تجميعه صغيره)
6-osteomylacia ( تجميعه صغيره)
7-osteoprosis ( تجميعه صغيره)
_________
الاقل اهميه
8-compair between rheumatoid arthritis and osteo arthritis
__________________________________________________
***lymph
1- Hodgkin lymphoma
2- causes of lymph adenopathy
__________________________________________________
***blood (leukemia)
1- compare between chronic mylocytic and lymphocytic
__________________________________________________
***endocrine
1- diabetes mellitus
2-compair between primary and secondary toxic goiter
__________________________________________________
***C.N.S
الاهم
1- cerebral aneurysm
2- cerebral infarction
3- cerebral hemorrhage
4- brain abscess
5- C.S.F changes in meningitis
6- hydrocephalus
__________
الاقل اهميه
7-enumerate tumors of brain and discuss one
__________________________________________________
*** male genital
1-compaire between seminoma and teratoma
2-compaire between prostatic hyperplasia and cancer prostate
3-cryptorchidism
__________________________________________________


*** breast
الاهم
1-N.E of commonest benign breast lesion ( fibrocystic disease of the breast او cystic mammary hyperplasia ) lesion خلي بالك من كلمه
2-commenst benign breast tumor ( fibro adenoma) benign خلي بالك من كلمه
3-cancer breast
4-causes of retracted nipple ( تجميعه)
5-causes of bleeding per nibble ( تجميعه)
6-classify tumor of the breast and compare between two of them
_________
الاقل اهميه
8- staging and skin manifestation of cancer breast
__________________________________________________ _
***female
الاهم
1-ovarian cyst
2-compaire between cancer body and cancer cervix
3-enumerate ovarian tumors and compare between two of them ( serious and mucinous adenoma)
4- compare between partial mole and complete mole
__________
الاقل اهميه
5-endometriosis
6-uterine bleeding
7-endometrial hyperplasia

__________________________________________________ _
*** liver
الاهم
1- liver cirrhosis ( de —causes( types)—N.E—M.E—complication عنواين )
2- tumors of liver ( hepatoma — cholangio carcinoma)
3- liver abscess
__________
الاقل اهميه
4- gall stones ( types ( اسماء فقط) — complication )
5- hepatitis ( N.E — M.E )

بالتوفيق لكل الطلبة ان شاء الله


Related Keyword terms:

,bleeding per nible,pseudomembranous inflammation,البورد العربى للباثولوجى,الدفع لامتحان بورد العرب في النسا والتوليد,بورد oncology

pathology cases for mansoura exams 2009

بسم الله الرحمن الرحيم

هذه بعض الحالات المهمة لطلبة طب المنصورة

للتدريب على النظام الجديد لامتحان الباثولوجى 2009

بالتوفيق لكل الطلبة


Urinary cases

Case 1

**A 10 years old female patient had hematuria, proteinuria, oliguria, mild edema, and hypertension. She had sore throat one week ago.

a- What is the  diagnosis
b- Describe pathogenesis
c- Discuss fate and complications

Case 2

**If this girl in the last case develops renal failure within one week of the last symptoms.

a- What is the  possible mechanism
b- Describe microscopic, and EM changes
c- What is the most common cause of nephritic syndrome  and what is the most common cause of nephrotic syndrome in children?

Case 3

A case of 27 years old male. He came with hematuria, proteinuria, hypertension, oliguria, and sudden oncet of hemoptysis. He was healthy and had no similar attacks before.
a- What is the  diagnosis
b- Describe microscopic, electromicroscopic, and IF picture

Case 4

*** A 45 years old patient is suffering from progressive generalized edema. Urine analysis revealed proteinuria 4.5 gm/day. Serum total proteins were significantly lower than normal, cholesterol level was elevated. He is diabetic and had a history of HCV infection.

a- What is the  most possible diagnosis
b- Describe possible microscopic, EM, and IF  findings of the kidney

Case 5

* A 37 years old male is known to have AIDS. He is complaining of generalized edema. Urine analysis showed microscopic hematuria, and significant proteinuria.
a- What is the  most possible diagnosis
b- Describe microscopic, electromicroscopic, and IF picture

Case 6

*** A 5 years old boy is suffering from hematuria, weight loss, fatigue, and abdominal enlargement. There is a papable mass on the left kidney. Biopsy of this mass revealed  small blue cells.
a- What is the  diagnosis
b- Describe microscopic picture, and complications

Case 7

A 30 years old female came shocked due to internal hemorrhage after an accident. Urinary catheter fails to collect urine during the 3 hours after recovery of shock. Then, the general condition of the patient is detriorating and she dies.
a- Describe pathological changes of the kidney

Case 8

* A 40 years old female is complaining of  fever, loin pain, and dysuria. Urine analysis revealed pus cells. Right kidney is enlarged. She is diabetic, and was catheterized two weeks ago during labor.
a- What is the  diagnosis
b- Describe microscopic picture, and complications

Case 9

* A 45 years old male is complaining of  severe colic in the left side, and hematurea. X-ray with dye showed left ureteric obstruction. Urine analysis revealed oxalate crystals.
a- What is the  diagnosis
b- Enumerate complications

Case 10

** A case of 40 years old male is complaining of  hematuria. Cystoscope revealed ulcerated fungating mass in urinary bladder.
a- What is the  diagnosis
b- Discuss different microscopic patterns
c- Discuss possible etiologies

Case 11

A case of 35 years old male is complaining of  minimal progressive hematuria. A previous ultrasound picture on abdomen revealed liver cysts. He had a family history of a renal disease.

a- What is the  diagnosis
b- Compare between both types of this disease

Female & male genital cases

Case 1

**A case of 42 years old female is complaining of  spotty bleeding and back pain. Examination of the cervix revealed irregular fungating mass.

a- What is the  diagnosis
b- Describe risk factors
c- Discuss microscopic picture and complications

Case 2

*A case of 30 years old female is complaining of white vaginal discharge with odor, pain after coitus, and spotty vaginal bleeding. Examination of the cervix showed ulcerations, and multiple small follicles. Biopsy of follicles revealed no malignant cells.

a- What is the  diagnosis
b- Discuss etiology
c- Enumerate other pathological findings of this case

Case 3

**A case of 60 years old nulliparous female had a history of vaginal bleeding since 5 years. In that time, She did endometrial biopsy, which found proliferated endometrial glands with atypical lining epithelium, with no malignancy. Now, she comes with increased bleeding, chest pain and dyspnea. X-ray film on the chest showed multiple rounded lung masses. Ultrasound picture on the pelvis revealed thickened uterine wall.

a- What is the  diagnosis
b- Describe microscopic picture and complications
c- Enumerate other causes of abnormal vaginal bleeding

Case 4

**A case of 40 years old female is complaining of Ascitis. Ultrasound picture revealed cystic mass on top of the left ovary measuring about 30 cm in diameter. Ascitic fluid sample was hemorrhagic.

a- What is the  differential diagnosis
b- Enumerate causes of ovarian cysts
c- Enumerate possible complications of this case

Case 5

A case of 45 years old female is complaining of persistent profuse vaginal bleeding for more than 6 years. Blood estrogen level is found to be high. Finally, she did total hysterectomy. Gross examination showed  fungating  mass invading uterine muscle, and a benign left ovarian mass.

a- What is the  most possible diagnosis of uterine mass and ovarian mass?
b- Describe microscopic picture of the found ovarian mass.

Case 6

A case of 55 years old nulliparous female is complaining of irregular firm breast lump since 3 years, which is increasing in size. Examination revealed retracted nipple, and enlarged axillary lymph node.

a- What is the   diagnosis, and risk factors?
b- Describe different microscopic types
c- Explain retraction of nipple and enlargement of lymph node
d- Enumerate other causes of breast lump

Case 7

**A 34 years old male is complaining of firm right testicular swelling since 2 years which is increasing in size. After surgical removal, cut section showed well circumscribed mass, yellowish in color.

a- What is the  diagnosis
b- Describe microscopic picture
c- Enumerate testicular tumors

Case 8

A 4 years old child is complaining of firm testicular mass. Microscopic examination revealed malignant cells forming follicular structures.  Alpha feto protein (AFP) is highly expressed by tumor cells.

a- What is the  diagnosis
b- Mention origin of this tumor

Bone cases

Case 1

** A  55 years old female came with back pain. X-ray film showed multiple osteolytic punched out lesions on lumbar vertebrae. Blood test revealed hypercalcemia, normocytic anemia, and hyper globulinemia. Urine analysis revealed abnormal protein.

a- What is the  diagnosis
b- Explain hypercalcemia, anemia, and proteinurea in this case
c- Describe pathology and complications

Case 2

* A  20 years old male came with hot painful swelling in the femur. X-ray picture showed onion skin appearance of the shaft. Microscopic examination of resected mass revealed small basophilic cells containing PAS positive glycogen granules.

a- What is the  diagnosis
b- Enumerate other small blue cell tumors of the bone

Case 3
** A  15 years old boy came with high fever, and painful red swelling of the forearm. X-ray showed periosteal elevation in metaphysis with multiple periosteal sinuses. His forearm was broken 3 weeks ago.

a- What is the  diagnosis
b- Describe pathological changes in this lesion
c- Enumerate complications
d- If this patient is not treated and develops nephrotic syndrome 3 months later, what is your explanation?

Case 4
* A  35 years old male came with painfull swelling at the lower end of the femur. The swelling is palpable and gives shell-crackling sensation.  X-ray film showed  osteolytic mass in epiphysis , with multiple cystic changes and thin cortex.

a- What is the  most possible diagnosis
b- Describe microscopic picture
c- Describe prognosis and complication of this lesion
d- Enumerate bone tumors according to origin

Case 5

* A  45 years old female came with firm mass over the 5th rib. X-ray picture showed mottled densities . Microscopic examination revealed malignant cells, hyaline matrix, and calcifications.

a- What is the  most possible diagnosis
b- Describe gross and microscopic picture
c- Describe prognosis and complication of this lesion

Endocrine cases

Case 1

* A  37 years old female came with right sided neck swelling. Thyroid  scan revealed cold nodule at the right side. Thyroid function was normal. Microscopic examination showed thyroid follicles invading the capsule.

a- What is the  most possible diagnosis
b- Compare different types of this lesion

Case 2

** A  19 years old female is suffering from tachycardia, hyperthermia, and exophthalmoses. There is a diffuse symmetrical neck swelling. TSH level was lower than normal.

a- What is the  most possible diagnosis
b- Describe pathogenesis and pathology of this case

Case 3

** A  40 years old female came with costipation, general weakness, and cold-intolerance. Thyroid gland was symmetrically enlarged. Thyroid function showed elevated TSH, and lowered T3, T4. Microscopic examination of resected thyroid showed lymphoid follicles.

a- What is the  most possible diagnosis
b- Describe pathology and  long term complication

Case 4

** A  47 years old obese male is suffering from progressive confusion, and polyuria since 10 years. His fasting  blood glucose level is highly elevated.

a- What is the  diagnosis
b- Enumerate complications  and describe renal pathology of this case

Lymphoma cases

Case 1

* A  45 years old  male was suffering from generalized lymphadenopathy. Lymph node biopsy revealed follicles of malignant lymphocytes which were positive to pan B-cell markers (CD19, CD20). The patient then was receiving chemotherapy for 6 months, but there is no improvement.

a- What is the  diagnosis
b- Explain resistance to chemotherapy and describe prognosis of this case
c- Compare between this disease and reactive follicular hyperplasia

Case 2

A  case of 60 years old female having generalized lymphadenopathy, and splenomegaly. Biopsy revealed large lymphocytes with abundant cytoplasm. Cells were positive to CD19, and CD 20. There is absence of lymphoid follicles.

a- What is the  most possible diagnosis
b- Describe grade and prognosis of this disease

Case 3

* A  case of 25 years old  female. 6 months ago, She had enlarged non-tender right cervical lymph node . Now there is bilateral cervical lymphadenopathy. Biopsy revealed characteristic large acidophilic cells having two kidney-shaped nuclei with prominent pink nucleoli. These cells are positive to CD15, CD30 markers.

a- What is the  diagnosis
b- Describe the stage of this case
c- Describe different microscopic types and (draw) different characteristic cells of this disease

CNS cases
Case 1

* A  case of 10 years old  child having worsened headache over the last two months. CT scan revealed cystic cerebellar mass which is removed surgically. Microscopic examination revealed bipolar glial cells with fibrillar processes.

a- What is  the  diagnosis
b- Describe grade and behavior of this tumor.
c- Compare between different grades of this tumor.

Case 2

A  case of  2 years old  child having irritability, decreased activity , and loss of weight. On examination, he had increased head circumference. CT scan showed large irregular middle line cerebellar mass.

a- What is  the most possible diagnosis
b- Describe microscopic picture, grade and behavior of this tumor.

Case 3

* A  case of 30 years old  female having persistent headache for the last 3 months. Now, she feels heaviness of the upper limb and impaired movement. CT scan showed intracranial rounded mass compressing the motor cortex. It is removed by surgery. Microscopic examination shows psammoma bodies and benign cells arranged in whorls.

a- What is  the  diagnosis
b- Describe complications and behavior of this tumor.

Case 4

A  case of 12 years old  child suffering from high fever, headache, and neck rigidity. CSF examination revealed neutrophils, high pressure, high protein, and low sugar.

a- What is  the most possible diagnosis
b- Describe etiology and complications.

Respiratory cases
Case 1

A patient with history of chronic sinusitis came with nasal obstruction. Multiple small soft red masses were found inside the nose.
a- What is the most possible diagnosis
b- Describe pathology and complications

Case 2

A child came with chronic bilateral nasal obstruction. He was breathing from his mouth and he had a characteristic voice tone. Examination showed bilateral red swellings in the nasopharynx.
a- What is the most possible diagnosis
b- Describe pathology and complications

Case 3

A patient came with nasal obstruction. He had obvious nasal deformity and firm large mass obstructing the nose. Biopsy of this mass showed granulomatous inflammation with characteristic large pale cells.
a- What is the most possible diagnosis
b- Describe pathology and complications

Case 4

** A 45 years old male, smoker, is suffering from progressive hoarseness of voice. Examination revealed ulcerated fungating mass on top of the epiglottis.
a- What is the most possible diagnosis
b- Compare different pathological types of this lesion.

Case 5

A patient came with nasal obstruction. He had obvious nasal deformity and firm large mass obstructing the nose. Biopsy of this mass showed granulomatous inflammation with characteristic large pale cells.
a- What is the most possible diagnosis
b- Describe pathology and complications

Case 6

An infant is irritable, frequently crying, and refusing food. There is fever, and red bulging of his right tympanic membrane.
a- What is the most possible diagnosis
b- Describe pathology and complications

Case 7

**A patient came with chronic cough and profuse bloody offensive sputum. He had mild fever. X-ray showed dilated bronchi near the pleura. Sputum examination revealed pyogenic bacteria.
a- What is the most possible diagnosis
b- Describe Aetiology,pathology and complications

Case 8

A 5 years old child is suffering from high fever, and productive cough. X-ray showed bilateral basal lung consolidations. Sputum examination revealed pyogenic cocci.
a- What is the most posible diagnosis
b- Enumerate complications

Case 9

**Immediately after abdominal surgery, the 60 years old female had vomited profusely. Later, she came with productive cough, dyspnea, and fever. Sputum examination showed pyogenic bacteria. Her X-ray film revealed single irregular cavity in the right lung.
a- What is the most posible diagnosis
b- Describe pathogenesis of this lesion
c- Enumerate complications

Case 10

**A 50 years old male having chronic productive cough, and progressive dyspnea. He is known to be a heavy smoker. On examination, he had enlarged chest diameter, and cyanosis. X-ray showed hyperinflated lungs with dilated pulmonary vessels and cardiomegally.
a- Mention the most possible diagnosis and complications of this disease
b- Enumerate other effects of smoking on respiratory system

Case 11

A 6 years old child is having an attack of cough, dyspnea and chest wheeze. He is known to have similar attacks following exposure to home dust.
a- Mention the most possible diagnosis
b- Discuss microscopic picture
c- Discuss pathogenesis

Case 12

**A 50 years old male came with progressive dyspnea, cough, weight loss and hemoptysis. He is smoker for more than 30 years. X-ray film showed irregular lung mass near the hilum with enlarged hilar lymph node.
a- Mention the most possible diagnosis
b- Compare different histological patterns of this disease
c- Enumerate complications
d- Enumerate other causes of hemoptysis

Case 13

Following a car accident, A 25 years old male came with severe dyspnea and chest pain. X-ray film on the chest revealed fractured ribs, lung collapse, and pleural effusion.
a- Mention the diagnosis, and explain lung collapse
b- Enumerate other causes of pleural effusion

Case 14

A 50 years old male with long history of cigarette smoking, came with hypertension and fullness in the back of the neck. Serum cortisol level was high. CT scan showed right lung mass arising near the hilum.
a- Mention the diagnosis, and explain high cortisol level
b- Describe microscopic picture of lung lesion
c- Describe prognosis of this lung lesion


GIT

A case of 34 years old male came with acute central abdominal pain. Later, the pain became localized to the lower right area with rebound sign. Fever and Leukocytosis were also found.

a- What is the most possible diagnosis
b-Describe microscopic types
c- Enumerate complications

Case 1

**A case of 52 years old male came with jaundice, ascitis, and shrunken nodular liver. 15 years ago, he had history of blood transfusion followed by HCV infection.

a- What is the recent diagnosis
b-Enumerate other pathological findings in this case

Case 2

A case of 60 years old male came with jaundice, ascitis, and disturbed liver function. The liver was nodular and Ultrasound showed single irregular mass in the right lobe of the liver. He had past history of HCV infection. Microscopic examination of this mass revealed atypical acini secreting bile.

a- What is the most possible diagnosis
b-Describe different microscopic types
c-Enumerate complications

Case 3

A case of 30 years old pregnant female. She came with sudden and rapidly progressive jaundice, and large tender liver. Serum anti-viral Immunoglobulin were high. Liver function is rapidly deteriorating, and the patient died. Postmortem examination revealed extensive necrosis of the liver.

a- What is the most possible diagnosis
b-Describe microscopic picture

Case4

A case of 18 years old male. He is developing progressive abdominal pain, diarrhea, fever, and headache . Examination revealed splenomegally. WBCs count is lowered than normal.

a- What is the most possible diagnosis
b-Enumerate complications

Case 5

A patient came with severe burns. While being in the hospital, he developed acute abdominal pain and hematemesis. Endoscopy revealed multiple ulcerations in the stomach.
a- What is the most possible diagnosis

Case 6

A 55 years old female patient came with masive weight loss, vague abdominal pain and hematemesis. Endoscopy revealed Ulcerated mass in the greater curvature.

a- What is the most possible diagnosis
b- Enumerate complications

Case 7

**A 50 years old female patient came with ascitis, and vague abdominal pain. Endoscopy revealed absent gastric raugae. No masses or ulcerations of the stomach were found. CT showed bilateral ovarian mass.

a- What is the most possible diagnosis
b- Describe the most possible microscopic picture of ovarian masses.
c- Explain ascitis and ovarian masses in this case

Case 8

**A 30 years old male patient came with heart burn. Gastric endoscopy showed red inflamed mucosa. Biopsy revealed rod-shaped gram negative bacteria in gastric pits.

a- What is the most possible diagnosis
b- Describe microscopic picture
c- Enumerate complications
e- Enumerate other diseases related to this organism

Case 9

**A 26 years old female patient had performed colonoscopy which found hundreds of polyps. 5 years later, she came with progressive constipation and bloody spots. Examination revealed ulcerated fungating mass in the left colon.

a- What is the  diagnosis
b- Describe microscopic picture of different lesions in this colon
c- Enumerate different types of colonic polyps

واى استفسار احنا موجودين ان شاء الله

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فيديوهات General Pathology

فيديوهات

General Pathology


Acute Inflamation

Cell Injury

Thrombosis, Embolism, and Infarction

Cellular Accumulations

Neoplasia I Nomenclature and Benign vs.

Malignant States

Necrosis

Neoplasia II Metastasis and

Differentiation

Hemodynamics and Fluid Disturbances

Edema, Congestion, and Shock

Cellular Alterations and Adaptations

Acute Inflammation II Chemical

Mediators

and Types of Exudates