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Hemodynamic Disorders


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Dana Castillo


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[Front]


•engorged alveolar capillaries •alveolar septal edema • focal intra-alveolar hemorrhage
[Back]


Acute pulmonary congestion

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Hemodynamic Disorders - Marcador

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Hemodynamic Disorders - Detalles

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Preguntas:

44 preguntas
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What condition? black arrow?
Acute Pulmonary Congestion: Engorged alveolar capillaries, accumulation of RBCs due to stasis
What condition? blue arrow?
Acute Pulmonary Congestion: Alveolar septal edema: usually “empty” air spaces are filled with a pale pink, homogenous to slightly granular material which is edema fluid
What condition? red arrow?
Acute Pulmonary Congestion: Focal intra-alveolar hemorrhage: capillary may rupture → fluid and RBCs may leak into the alveolar space
What condition? black arrow?
Chronic Pulmonary Congestion: Hemosiderin-laden macrophages aka heart failure cells
What condition? Red arrow?
Chronic Pulmonary Congestion: Thickened septa: hypoxia due to stasis of blood flow → cell injury → scarring and fibrosis
What is the hallmark of the following condition?
Hemosiderin-laden macrophages contain in cytoplasm hemosiderin pigment (brown, granular), resulted from destruction of red blood cells in alveolar lumen.
Lining of TRACHEOBRONCHIAL TREE
Tall ciliated columnar
What condition?
Pulmonary edema with a few extravasated RBCs
What condition?
Heart failure cells (Blue arrows)
Which condition?
CVC - Lung (Perl’s stain): anthracotic (carbon) pigment: perivascular.
Green-blue
Trivalent iron from hemosiderin
What condition? BLUE ARROW?
Pulmonary hemorrhage Veins are filled with RBCs
What condition? GREEN ARROW
Pulmonary hemorrhage: dark/black stained figures- Anthracosis (the accumulation of carbon in the lungs)
What condition? BLUE ARROW?
Represents Intra alveolar hemorrhage. Hyaline Arteriolosclerosis (a sign of pulmonary hypertension) → Note the onion skin appearance
What condition? GREEN ARROW?
→ terminal respiratory bronchiole* → not a blood vessel kasi di naman squamous ang lining → the lining epithelium of this structure is tall columnar
What condition? YELLOW ARROW?
Fluid-filled alveoli. Macrophages pointed at by the yellow arrows.
Microscopic Hallmark of Pulmonary Edema:
Pinkish homogenous finely granular material inside alveoli
What condition? YELLOW ARROW?
Fluid-filled alveoli. Erythrophagocytic cells or siderophages (yellow arrows) and
What condition? BLACK ARROW?
Fluid-filled alveoli. RBCs (black arrows) in the alveoli.
What condition?
Accumulation of hemosiderin inside the alveolar macrophages inside the lung of the patient with congestive heart failure (hence heart failure cells), resulting from release of iron from breakdown of hemoglobin of dead RBCs
Black arrows?
Macrophage contains RBCs.
Yellow arrows?
Hemosiderin inside RBC
GREEN ARROWS?
Type 1 Pneumocyte
RED ARROWS?
Type 2 Pneumocyte
What condition? Black arrow?
ARDS in the early proliferative stage: Type 2 pneumocyte proliferation
What condition? red arrow?
ARDS in the early proliferative stage. Interstitial fibroblast proliferation
What condition? Black arrow?
ARDS in the late proliferative stage. Extensive fibroblast proliferation, with incorporation of the hyaline membranes.
What condition?
ACUTE RESPIRATORY DISTRESS SYNDROME
What condition?
Acute Respiratory Distress Syndrome
What condition? Black arrow
Hyaline membrane proliferation
What condition? Black arrow
ARDS; Hyaline membrane proliferation in dilated alveoli, magnified
Type of Hemorrhoid?
INTERNAL HEMORRHOIDS
What condition? Notable characteristics?
EXTERNAL HEMORRHOIDS: thrombosed vein • Enlarged or dilated • Vein is filled with RBCs → RBCs are organized → RBCs are attached on the inner lining of the endothelium
What condition? Black arrow?
EXTERNAL HEMORRHOIDS: thrombosed vein; squamous lining
The primary abnormalities that lead to thrombosis:
1. Endothelial injury 2. Stasis or turbulent blood flow 3. Stasis or turbulent blood flow