Fourth Practical Pathology. Circulatory disturbances

Fourth Practical Pathology Circulatory disturbances 12.12.2018 1

Organ: Lung (40X, low power) 1) The blood capillaries within the alveolar septa are engorged with blood 2) Pinkish proteinaceous fluid, RBCs and some neutrophils are seen in the alveolar lumina. Diagnosis: Active Hyperemia and edema 2

Organ: Lung (100X, medium power) 1) The blood capillaries within the alveolar septa are engorged with blood 2) Pinkish proteinaceous fluid, RBCs and some neutrophils are seen in the alveolar lumina. Diagnosis: Active Hyperemia and edema 3

Organ: Lung (400X, high power) 1) The blood capillaries within the alveolar septa are engorged with blood 2) Pinkish proteinaceous fluid, RBCs and some neutrophils are seen in the alveolar lumina. Diagnosis: Pulmonary Hyperemia and edema 4

Organ: Lung (40X, low power) 1) Coagulated blood masses consisting of RBCs, WBCs, platelets and fibrin is seen occluding the pulmonary artery branches. 2) The masses are adhered to the blood vessel walls. Diagnosis: thrombosis Pulmonary 5

Organ: Lung (100X, medium power) 1) Coagulated blood masses consisting of RBCs, WBCs, platelets and fibrin is seen occluding the pulmonary artery branches. 2) The masses are adhered to the blood vessel walls. Diagnosis: thrombosis Pulmonary 6

Organ: Lung (400X, high power) 1) Coagulated blood masses consisting of RBCs, WBCs, platelets and fibrin is seen occluding the pulmonary artery branches. 2) The masses are adhered to the blood vessel walls. Diagnosis: thrombosis Pulmonary 7

Organ: Lung (40X, low power) 1) The alveolar blood capillaries are engorged with blood. 2) Free RBCs and hemosiderin laden macrophage {heart failure cells} are also seen in some alveolar lumina. Lesion diagnosis: Chronic venous congestion [CVC] Disease diagnosis: left-sided 8 heart failure.

Organ: Lung (100X, medium power) 1) The alveolar blood capillaries are engorged with blood. 2) Free RBCs and hemosiderin laden macrophage {heart failure cells} are also seen in some alveolar lumina. Lesion diagnosis: Chronic venous congestion [CVC] 9 Disease diagnosis: left-sided heart failure.

Organ: Lung (400X, High power) 1. The alveolar blood capillaries are engorged with blood. 2. Free RBCs and hemosiderin laden macrophage {heart failure cells} are also seen in some alveolar lumina. Lesion diagnosis: Chronic venous congestion [CVC] Disease diagnosis: left-sided heart failure. 10

Organ: Liver (40X, Low power) Engorgement of central veins and sinusoidal capillaries with blood. Diagnosis: congestion Liver 11

Organ: Liver (100X, Medium power) Engorgement of central veins and sinusoidal capillaries with blood. Diagnosis: congestion Liver 12

Organ: Liver (400X, high power) Engorgement of central veins and sinusoidal capillaries with blood. Diagnosis: congestion Liver 13

Organ: Liver (40X, Low power) 1. Presence of congestion in the central vein & sinusoidal capillary. 2. The cells of surrounded central vein showed necrosis &degenerations. 3. Presence of inflammatory cells & fibrosis in the centrilobular & portal area. 4. The cells in the peripheral regions are remain normal. Lesion diagnosis: Chronic venous congestion [CVC] Disease diagnosis: Right-sided heart 14 failure.

Organ: Liver (100X, Medium power) 1. Presence of congestion in the central vein & sinusoidal capillary. 2. The cells of surrounded central vein showed necrosis &degenerations. 3. Presence of inflammatory cells & fibrosis in the centrilobular & portal area. 4. The cells in the peripheral regions are remain normal. Lesion diagnosis: Chronic venous congestion [CVC] Disease diagnosis: Right-sided heart 15 failure.

Organ: Liver (400X, high power) 1. Presence of congestion in the central vein & sinusoidal capillary. 2. The cells of surrounded central vein showed necrosis &degenerations. 3. Presence of inflammatory cells & fibrosis in the centrilobular & portal area. 4. The cells in the peripheral regions are remain normal. Lesion diagnosis: Chronic venous congestion [CVC] Disease diagnosis: Right-sided heart 16 failure.

Organ: Aorta (40X, low power) 1) Atheromatous plaque is seen protruding into the blood vessel lumen. 2) Cholesterol clefts and foam macrophages (lipid laden macrophage) are seen within the atheroma. Diagnosis: Atherosclerosis 17

Organ: Aorta (100X, medium power) 1) Atheromatous plaque is seen protruding into the blood vessel lumen. 2) Cholesterol clefts and foam macrophages (lipid laden macrophage) are seen within the atheroma. Diagnosis: Atherosclerosis 18

Organ: Aorta (400X, high power) 1) Atheromatous plaque is seen protruding into the blood vessel lumen. 2) Cholesterol clefts and foam macrophages (lipid laden macrophage) are seen within the atheroma. Diagnosis: Atherosclerosis 19