Skip to main content

Introduction to the PATHOLOGY

 

Pathology

 

Introduction to the PATHOLOGY

ü  Pathology: Are the structural and functional changes in cell, tissue and organ that underlie a disease.

ü  General pathology: is concerned with the basic reaction of the cell and tissue to abnormal stimuli that underlie all diseases.

 

The 4 aspects of a disease process that forms the core of pathology are:

Ø  Etiology:  cause of the disease

Ø  Pathogenesis: mechanism of the development of the disease

Ø  Morphologic changes: structural alteration induced on the cell, tissue and organs

Ø  Clinical significance: functional consequence of the morphologic changes.

Etiology

Ø  There are 2 classes of etiologic factors, intrinsic or genetic and acquired (infectious, nutritional, chemical, physical, immunological etc,)

Ø  The discovery of the primary cause remains the backbone on which diagnosis can be made, disease understood and treatment developed.

Ø  Anyhow, the etiology one disease one agent is no longer sufficient.

Pathogenesis

Ø  Refers the sequence of events in the response of the cell and tissue to the etiologic agent from the initial stimuli to the ultimate expression of the disease.

Morphologic changes

Ø  Refers to the structural changes in cell and tissue that are either characteristic of the disease or diagnostic of the etiologic process.

Functional derangement and clinical significance

Ø  The nature of morphologic changes and their distribution in different organs influence normal function and determine the clinical features (signs and symptoms) course and prognosis of the disease.

  

Comments

Post a Comment

Popular posts from this blog

Pathophysiology of heart failure

Pathophysiology of heart failure In heart failure, the heart may not provide tissues with adequate blood for metabolic needs, and cardiac-related elevation of pulmonary or systemic venous pressures may result in organ congestion. This condition can result from abnormalities of systolic or diastolic function or, commonly, both. Although a primary abnormality can be a change in cardiomyocyte function, there are also changes in collagen turnover of the extracellular matrix. Cardiac structural defects (eg, congenital defects, valvular disorders), rhythm abnormalities (including persistently high heart rate), and high metabolic demands (eg, due to thyrotoxicosis) also can cause HF.

Boyle’s Law

Boyle’s Law Changes in intrapulmonary pressure occur as a result of changes in lung volume. This follows from Boyle’s law, which states that the pressure of a given quantity of gas is inversely proportional to its volume. An increase in lung volume during inspiration decreases intrapulmonary pressure to subatmospheric levels; air therefore goes in. A decrease in lung volume, conversely, raises the intrapul- monary pressure above that of the atmosphere, expelling air from the lungs. These changes in lung volume occur as a consequence of changes in thoracic volume,

Frank-Starling Law of the Heart

Frank-Starling Law of the Heart Two physiologists, Otto Frank and Ernest Starling, demonstrated that the strength of ventricular contraction varies directly with the end-diastolic volume (fig. 14.2). Even in experiments where the heart is removed from the body (and is thus not subject to neural or hormonal regulation) and where the still-beating heart is filled with blood flowing from a reservoir, an increase in EDV within the physiological range results in increased contraction strength and, therefore, in increased stroke volume. This rela- tionship between EDV, contraction strength, and stroke volume is thus a built-in, or intrinsic, property of heart muscle, and is known as the Frank-Starling law of the heart.