Term
65 y.o SOB goes away, several months later SOB, localized chest pain on right side.
pleural friction rub + thrombosis on right posterior tibial vein |
|
Definition
Infarct
periphery
subpleural
wedge-shaped
well-demarcated.
fibrinous pleuritis: friction rub
embolism support.
|
|
|
Term
| 5 risk factors for thrombosis and PE |
|
Definition
chronic immobilization
injury
previous episode
malignancy
Factor 5, protein C/S defect. |
|
|
Term
9 mo difficulty breathing, fever
patchy bilateral infiltrate
Diffuse alveolar damage
bronchitis/bronchiolitis
multinucleated giant cell with intracytoplasmic inclusion |
|
Definition
| RSV until proven otherwise |
|
|
Term
DDx:
multinucleated giant cell with nuclear inclusions
vs.
intracytoplasmic inclusions |
|
Definition
nuclear:
HSV
VZ
intracytoplasmic:
RSV
parainfluenza
measles |
|
|
Term
interstitial dz
adenocarcinoma
mesothelioma
hypoxemia inducecd pulm. HTN induced RHF
see asbestos body on surface Fe and protein |
|
Definition
|
|
Term
bird, progresive SOB disappear only when bird removed
granulomas.
vs.
6 y.o. wheezes when see a cat
eosinophil infiltration |
|
Definition
hypersensitivity pneumonia
vs. asthma |
|
|
Term
33y.o. binge drinker, 3cm cavity mass with foul-smelling sputum
colony of actinomyces
dx:
from what |
|
Definition
lung abscess
aspiration b/c actinomyces are common mouth organism |
|
|
Term
|
Definition
TB
histo, other fungal
wegener's
abscess
SCC |
|
|
Term
43 y.o. HIV apical infiltrate in both lung, pleural effusion
PPD negative.
necrotizing granuloma
vs.
midzone of lung |
|
Definition
2ndary TB
PPD false negative in HIV
vs.
1ary TB |
|
|
Term
ddx for necrotizing granuloma
vs.
non-necrotizing granuloma |
|
Definition
histo
TB
crypto
vs.
sarcoidosis |
|
|
Term
52 y.o. lung transplant, fever, patchy bilateral lung infiltrate
intranuclear + intracytoplasmic inclusion |
|
Definition
|
|
Term
80 y.o. CHF with basilar and pleural effusion.
pleural fluid protein 2.0 g/dL
LD is 100IU |
|
Definition
pulmonary edema
transudate |
|
|
Term
|
Definition
|
|
Term
34 y.o. asymptomatic , enlarged mediastinal and hilar LN
giant cell w/o necrotizing centers |
|
Definition
|
|
Term
several pneumonia over last 2 y.o.
well circumscribed 2 cm nodule in RUL at endobronchial nodule
diarrhea and flushing over last several month
uniform cell with islands of neurosecretory granuules
dx:
what stain would u order
why diarrhea and flushing |
|
Definition
carcinoid:
chromogranin A & synaptophysin
carcinoid syndrome: neuroendocrine cell |
|
|
Term
carcinoid
carcinoma?
benign?
prognosis?
what runs a more aggresive course |
|
Definition
not bronchogenic carcinoma
malignant
good prog
atypical carcinoid |
|
|
Term
| cough, fever, LLL infiltrate of PMN |
|
Definition
|
|
Term
50 y.o. chest discomfort, peripheral infiltrate.
see proliferation in cytoplasm of macrophage |
|
Definition
|
|
Term
| where does lymphatics course thru |
|
Definition
|
|
Term
| hemosiderin-layden macrophage and edema fluid occupying alveoli |
|
Definition
| chronic passive congestion |
|
|
Term
| wedge shaped redness at subpleural |
|
Definition
|
|
Term
| IV drug abuser with polarizable substance present adjacent to blood vessel from |
|
Definition
|
|
Term
| small artery dem. medial hypertrophy and aggregate of small capillary. |
|
Definition
| pulmonary HTN and plexiform lesion |
|
|
Term
| DAD and yaline membrane line alveolar septa |
|
Definition
|
|
Term
| tan yellow spots center around airway and neutrophils fill bronchiole adn adjacent alveoli. |
|
Definition
| acute bronchcopneumonia from exudate |
|
|
Term
| suppurative exudate cover pleural surface form pleural rind and pleural adhesion imparing lung expansion |
|
Definition
|
|
Term
| aspirated oily substance phagocytied by mac on foamy appearance. fat trigger fibrosis. |
|
Definition
| exogenous lipoid pneumonia |
|
|
Term
| bronchial obstuction by tumor, aspirated oily substance phagocytized by macrophage appear foamy appearance, but no large fat collection |
|
Definition
| endogenous lipoid pneumonia |
|
|
Term
| suppurative necrosis of lung by bacterial infection appear consolidated at RLL. |
|
Definition
| aspiration caused abscess |
|
|
Term
| DAD, septa widened, prominent fibroblast proliferation, multinucleated giant cell with intracytoplasmic inclusion |
|
Definition
|
|
Term
| lungs red and firm, necrosis of bronchial epi, DAD |
|
Definition
|
|
Term
| ronchiole and alveoli filled with acute inflammatory exudate, alveolar septa cannot be identified around bronchiole, basophilic intranuclear inclusion obscuring nuclear envelope |
|
Definition
| adenovirus induced necrotizing pneumonia. smudge cell |
|
|
Term
| multinucleated giant cell has intranuclear inclusion and ground glass nuclei. bronchial epi is ulcerated. |
|
Definition
| HSV-induced ulcerative tracheobronchitis. |
|
|
Term
| pulmonary mac has intranuclear inclusion and intracytoplasmic inclusion |
|
Definition
|
|
Term
| alveoli has eosinophilic exudate with honeycomb appearance open spacec occupied by round cysts with central dot. with silver methenamine stain. |
|
Definition
|
|
Term
| apex of lung with pleural plaque with zone of consolidation |
|
Definition
|
|
Term
| the infected pleural space marked by expanded and filled with white material representing caseating granuloma. |
|
Definition
|
|
Term
| multiple necrotizing granuloma with small yeaste under silver methenamine and narrow single budding. see clusters inside dead macrophage |
|
Definition
|
|
Term
| mucoid capsule under mucicarmine stain, see halo |
|
Definition
|
|
Term
| entire left lung is infarcted due to thrombosis, see vascular invasion of numerous interwinded fungal hyphae admixed with red cell, broad, irregularly branching, and nonseptate. |
|
Definition
| angioinvasive mucomycosis. from zygomycetes: mucor, rhizopus, absidia. |
|
|
Term
| under silver methenamine stain, see septate hyphae with 45 degree branching |
|
Definition
|
|
Term
| large aggregate of hyphae fill pre-existing cavity in lung apex see numerous round colony of fungus |
|
Definition
|
|
Term
| diffuse pulmonary hemorrhage with red cecll in alveoli, see linear staining along BM in IF. |
|
Definition
|
|
Term
| fibroblast focus , subpleural interstitial fibrosis ith honeycombing and lymphocyte |
|
Definition
| idiopathic pulmonary fibrosis |
|
|
Term
| alveoli filled with young CT |
|
Definition
|
|
Term
| interstitial fibrosis and asbestos body |
|
Definition
| asbestosis. body is fibers coated with hemosiderin-containing proteinaceous material |
|
|
Term
| young cellular nodule along side older fibrotic nodule. |
|
Definition
|
|
Term
| carbon deposition with scarring |
|
Definition
| coal workers pmeumoconiosis |
|
|
Term
| enlarged air space in center of upper lobe from tobacco at respiratory bronchioles. |
|
Definition
|
|
Term
| enlarged airspace from respiratory bronchiole distally to involve the entire acinus, alveolar septa fragmented and reduced in number |
|
Definition
|
|
Term
| bullae airfilled greater than 1cm. |
|
Definition
|
|
Term
| inccreased thickness of bronchial submucosa, increase mucus or mucopurulent secretion increased goblet cell thickened BM, metaplasia and dysplasia |
|
Definition
|
|
Term
| eosinophil between squamous metaplasia of respiratory mucosa and mucus glands |
|
Definition
|
|
Term
| eosinophilia in peripheral blood, migratory pulmonary infiltrate, sinusitis, in asthmatic patient |
|
Definition
|
|
Term
| bronchi marketed dilated distally |
|
Definition
|
|
Term
| warty exophytic tumor originated in proximal bronchus with keratin pearls |
|
Definition
|
|
Term
| nuclear pleomorphism and hyperchromasia thru full thickness of epi but remain superficial to BM |
|
Definition
|
|
Term
| neoplasm in periphery of lung, form glands back to back and show intracellular mucin in mucicarmine stain |
|
Definition
|
|
Term
| silver methenamine stain: round nonseptating vs. 45 angle branching vs. intertwined fungal hyphae |
|
Definition
| histo vs. aspergillus vs. mucor |
|
|
Term
| resembling pneumonia or single or multiple discrete nodules, spreads along alveolar septa without disrupting as stroma, well differentiated columnar or cuboidal epi with mucin |
|
Definition
| bronchoalveolar carcinoma |
|
|
Term
| salt and pepper appearance cell with high nuclear:cytoplasmic ratio and small nuclei with no nucleoli |
|
Definition
|
|
Term
| poly poid intraluminal mass with smooth surface, form nests have uniform nuclei with little pleomorphism, few mitosis, fibrovascular stroma, chromogranin stain is brown indicate neuroendocrine cecll |
|
Definition
|
|
Term
| well ccircumscribed tan-white nodule has lobulated appearance, benign hyaline cartilage, adipose tissue and fibrous tissue with clefted infoldings lined by respiratory epi |
|
Definition
|
|
Term
| cannonball next to lymphangitic spread |
|
Definition
|
|
Term
| fibrin deposit on pleural surface with rheumatoid arthritis |
|
Definition
|
|
Term
| aggressive neoplasm fill the pleuralspace and compress the lung |
|
Definition
|
|
