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Section 1 Pathology: Prelims - Indd 15 31-08-2015 14:44:44

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Contents

Section 1  Pathology
1. Introduction 3
Etiology  3;  Pathogenesis 3;  Morphologic Changes 3
Functional Derangements and Clinical Manifestations  3;  Cellular and Tissue Changes  4
Cell Injury  5;  Inflammation and Repair  6;  Granulomatous Inflammation  9
Morphology  10;  Cutaneous Wound Healing  10;  Factors Influencing Wound Healing  12

2. Neoplasia 13
History of Malignant Tumors  14;  Differentiation and Anaplasia  14
Dysplasia  14;  Invasion 15;  Metastasis 15;  Pathways of Spread 16

3. Disturbances in the Fluid and Electrolyte Balance 17


Water Balance  18;  Sodium Balance 18;  Potassium Balance 18;  Hypovolemia 18
Hyponatremia  19;  Hypernatremia 19;  Hypokalemia 20;  Hyperkalemia 21

4. Respiratory System 22
Anatomy  22;  Histology 22;  Pulmonary Tuberculosis 22;  Pneumonia 25
Lung Abscess  27;  Bronchiectasis  27;  Chronic Obstructive Pulmonary Disease  28
Emphysema/Pink Puffers  28;  Chronic Bronchitis  28;  Bronchial Asthma  30
Tumors of Lung  30;  Pleura 31;  Empyema 32

5. Cardiovascular System 33
Anatomy  33;  Pericardial Disease  34;  Rheumatic Fever and Rheumatic Heart Disease   35
Chronic Rheumatic Heart Disease  36;  Infective Endocarditis 37;  Arteriosclerosis 38
Ischemic Heart Disease  40;  Aneurysms 43

6. Gastrointestinal Tract 46
Normal Anatomy  46;  Histology 46;  Pathology 46;  Etiology and Pathogenesis 47
Typhoid (Enteric Fever)  47;  Carcinoma Esophagus  48;  Squamous Cell Carcinoma  48
Adenocarcinoma  49;  Carcinoma Stomach  49;  Carcinoma Colon  51

7. Liver, Gallbladder and Pancreas 52


Liver  52;  Gallbladder 53;  Pancreas 53;  Viral Hepatitis 54
Cirrhosis of Liver  57;  Liver Abscess  58;  Gallbladder  59;  Tumors of Liver  59
Tumors of the Gallbladder  61;  Tumors of the Exocrine Pancreas  61

8. Kidney and Urinary Tract 62


Kidney  62;  Pathology  62;  Acute Proliferative Glomerulonephritis  62
Pyelonephritis  64;  Renal Calculi/Urolithiasis (Stones)  65
Renal Cell Carcinoma  66;  Cystitis 67

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Textbook of Pathology and Genetics for BSc Nursing Students

9. Male Genital System and Prostate 69


Testis: Normal Structure  69;  Prostate: Normal Structure  70
Penis: Normal Structure  70;  Cryptorchidism 70
Testicular Atrophy  71;  Testicular Tumors 71;  Prostate 72
Carcinoma Prostate  73;  Carcinoma Penis  74

10. Female Genital System and Breast 75


Anatomy  75;  Fibroid/Leiomyoma  75;  Carcinoma of the Endometrium  76
Carcinoma of the Cervix  77;  Ectopic Gestation  78
Hydatidiform Mole (Vesicular Mole)  79;  Choriocarcinoma 81;  Ovarian Tumors 81
Serous Tumors  82;  Mucinous Tumors  83;  Germ Cell Tumors  83
Teratoma  84;  Breast  84;  Carcinoma of Breast  85

11. Central Nervous System 88


Normal Structure  88;  Hydrocephalus 88;  Meningitis 89
Encephalitis  90;  Cerebrovascular Diseases  91;  Tumors of the CNS 93

12. Skeletal System 96


Normal Structure  96;  Normal Histology 96;  Osteomyelitis 97
Tuberculous Osteomyelitis  97;  Osteoporosis 98;  Fracture Healing 98
Bone Tumors  99;  Osteoid Osteoma and Osteoblastoma  100
Osteosarcoma  100;  Chondrosarcoma   101
Giant Cell Tumor (Osteoclastoma)  102;  Ewing’s Sarcoma 102;  Joints 103

13. Hematology 106


Collection of Blood  106;  Methods of Collection of Blood for Various Tests  106
Methods of Estimation of Hemoglobin  107
Sahli’s Method of Estimation of Hemoglobin  107;  Hemocytometer 108
The Red Blood Cell Count  109;  Total White Blood Cell Count  109
Differential White Blood Cell Count  110;  Blood Grouping and Typing  110
Cross Matching  111;  Tests for Hemostasis  112
Examination of Bone Marrow  113;  Blood Culture  116

14. Examination of Body Cavity Fluids, Transudates and Exudates 117


Cerebrospinal Fluid Analysis  117;  Cavity Fluid Examination  118
Sputum Examination  118;  Gastric Analysis  119;  Semen Analysis  120

15. Examination of Urine and Feces 122


Formation of Urine  122;  Collection of Urine  122;  Examination of Feces  127

Section 2  Genetics
16. Introduction 131
Genetics is the Study of Genes  131;  Impact of Genetic Condition on Families  131
Review of Cellular Division  131;  Characteristics and Structure of Genes  132
Chromosomal Aberration  132

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Contents

17. Maternal, Prenatal and Genetic Influences on Development


of Defects and Diseases 136
Conditions Affecting the Mother: Genetic and Infections  136
Connective Tissue Disorders (Marfan Syndrome and Ehlers-Danlos Syndrome)  136
Congenital Heart Disease  138;  Consanguinity 138;  Infertility 142

18. Genetic Testing in Neonates and Children 144


Screening for Congenital Abnormalities  144
Developmental Delay  144;  Dysmorphism 145

19. Genetic Conditions of Adolescents and Adults 147


Cancer Genetics: Familial Cancer  147;  Colorectal Cancer  148
Presymptomatic Genetic Testing in Familial Cancer  148
Genetic Inheritance Patterns  150;  Genetic Hematological Disorders  150
Hemophilia  152;  Genetic Hemochromatosis  153;  Mental Illness  155

20. Service Related to Genetics 156


Genetic Testing  156;  Human Genome Project  156;  Gene Therapy  157

Index 161

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