Introduction to pathology
DIAGNOSTIC RADIOGRAPHY · NTA LEVEL 4 · SEMESTER ONE Introduction to pathology CRT04101 · Anatomy, Physiology and Pathology START READING NOTES Study Introduction to pathology using the sections below. Use the topic navigation to continue through Anatomy, Physiology and Pathology. Contents of This Topic INTRODUCTION TO PATHOLOGY Pathological terminologies (100+ terms) Terms cont. EVOLUTION OF PATHOLOGY PATHOLOGY During this era Papanicolaou in 1930s developed the use of exfoliative cytology for early detection of cervical cancer. Infarction= cellular/tissue death as a result of ischemia/hypoxia Era of gross pathology (AD 1500 to 1800). SUBDIVISIONS OF PATHOLOGY ……. DISEASE DEVELOPMENT ENVIRONMENTAL FACTORS Dietary excess can the cause of many systemic diseases such as cardiac diseases. Hypersensitivity to various substances can lead to alarming shock-like conditions- anaphylaxis. The blood group Duffy negative confers resistance to infection by Plasmodium vivax. PATHOGENESIS Functional derangement and clinical importance CLASSIFICATIONS OF DISEASES Basing on body response disease can be classified into 4 categories namely :- 3) Degenerative = disease due to aging GENERAL PATHOLOGY INTRODUCTION TO PATHOLOGY By the end of this session, students are expected to be able to: Define pathology Understand evolution of pathology Identify subdivisions of pathology Explain disease development Classify categories of diseases Explain cell injury and cell death Pathological terminologies (100+ terms) Pathogenesis = course of disease = start–> end or terminal stage Necrosis = Irreversible abnormal cell death Apoptosis = programmed cell death Aetiology = cause of disease Ischemia= decreased blood flow to body tissue Hypoxia/hypoxemia= low oxygen content in blood Oxidative stress= imbalance between free radicals and antioxidants in the body Terms cont. Hypoxia= low oxygen supply in bodily tissue ROS= Reactive oxygen species are derivatives of oxygen that result from aerobic respiration eg peroxides, superoxide, hydroxyl radical OR Free radicals= oxygen containing molecules with uneven number of electrons (unstable) Antioxidant= any chemical substance that protects a cell from the damage caused by free radicals eg vitamins (A,C,E & K) , Uric acid, Glutathione, Enzymes ( Catalase) Lesion= an area of abnormal tissue FREE RADICALS V ANTIOXIDANTS EVOLUTION OF PATHOLOGY Evolution of Pathology began with the following concepts from different era : Religious and superstitious beliefs to rational approach (Antiquity to AD 1500). The earliest concepts of disease were the religious and superstitious beliefs that affliction or disease was the outcome of curse or evil eye of spirits. The real practice of medicine began in the 460 to 377 BC (Before Christ). Hippocrates introduced ethical concepts in the practice of medicine and admired/respected by the medical profession by taking Hippocratic oaths at the time of entry into practice of medicine. PATHOLOGY The word pathology is derived from Greek words Pathos=suffering and logos= the study Definitions: It is a branch of medicine which deals with the study of the nature (aetiology) and the course (mechanisms) of disease. It is a scientific study of structure and function of the body in disease. During this era Papanicolaou in 1930s developed the use of exfoliative cytology for early detection of cervical cancer. Era of modern pathology (1960s to dawn of 21st century) The major advances in molecular biology in the field of diagnosis and treatment of genetic disorders, immunology and in cancer. These includes:- The description of the structure of DNA Identification of chromosomes and their numbers Recombinant DNA technique Mammalian cloning Infarction= cellular/tissue death as a result of ischemia/hypoxia Inflammation= local response of vascularized tissue to noxious stimuli that causes cellular injury Inflammatory mediators= chemical substances released by cells in response to stimuli causing inflammation [proteins , peptides, glycoprotein ,cytokines ,prostaglandins(Histamine, ] Era of gross pathology (AD 1500 to 1800). In this era the discovery of science in diagnosis involved studies by dissection of human body, autopsy, and the use of microscope in examining the diseased tissues. Era of technology development and cellular pathology (AD 1800 to 1950s). This era the technology of microscopy was advanced to involve, different staining methods or techniques, the use of electron microscope to examine and view ultra structure of the cell and its organelles SUBDIVISIONS OF PATHOLOGY (1)Human pathology is the largest branch of pathology It is conventionally divided into (a)General pathology Which deals with general principles of disease i.e. is concerned with the basic reaction of cells and tissue to abnormal stimuli that underlies all diseases (b)Systemic pathology Includes study of diseases pertaining to the specific organs and body systems. This examine the specific responses of specialized organs and tissue to more or less well defined stimuli (2) Histopathology used synonymously with anatomic pathology (pathologic) anatomy, or morbid anatomy, is the classic method of study and still the most useful one which has stood the test of time. ……. Histopathology is divided into:- (a) Surgical pathology which deals with study of tissues removed from the living body. (b) Forensic pathology and autopsy work includes the study of organs and tissues removed at post-mortem. (3) Cytopathology includes study of cells shade off from lesions (exfoliative cytology and fine needle aspiration cytology of superficial and deep seated lesions for diagnosis). DISEASE DEVELOPMENT This is loss of ease of body Any harmful deviation from the normal structural or functional state of an organism. It is the opposite of health, what is not healthy is diseased The four aspects of a disease process that form the core of pathology are Its cause or aetiology The mechanisms of its development, pathogenesis The structural alterations induced in the cells and organs of the body, morphologic changes The functional consequences of the morphologic changes, clinical significance Introduction to pathology Knowledge or discovery of the primary cause remains the backbone on which a diagnosis can be made, a disease understood or a treatment developed There are two major classes of aetiologic factors o Intrinsic or genetic o Acquired/Environmental factor Genetic factors are clearly involved in some of the common environmentally induced maladies, such as cancers and atherosclerosis The environment may also have profound influences on certain genetic diseases ENVIRONMENTAL FACTORS Are many and are classified as follows : Physical agents, among these are trauma,