4th Yr: Special Pathology

Okay so in 4th year u can forget all the babysitting u have been so used in 3rd year... no longer will u be plagued by the tests every other 2 weeks...... the patho department just takes 4 tests the entire year ..and each test is huge enough to make you want to rip your hair out .... ..atleast 3 units are included in one test ...and no these are not the 40 paged ones u were used to in 3rd year.... i always ended up not being able to even go through the entire test syllabus... u might want to have a head start in studying patho before each test ... because this is the only time u ll get to study pathology in detail... i made medium robbins my basic text book because frankly big robbins gave me creeps every time i opened it up.... but there are those nerdier of us who made big robbins their basic text book .... it depends on u really... whichever u manage to retain is suitable for u.... most of the mcqs though ccome from big robbins... u might wanna consult JAYPEE for histological diagrams... learn the diagrams along as u go through morphologies of different structures.... for all those people who wana do steps goljan is a good book to go through at the end of ur basic book read... it has everything in it in a concise and orderly manner.... for the practical copies... i made mine at the very end of year ... its really ur choice whether u want to get it done with the weekly practicals which somehow i never managed to get done .......



Important Topics Patho
(Updated January 2012)

 GIT:

Barrete esophagus,
Esophagus ca,
Peptic ulcer*,
Gastric carcinoma*,
Gastritis,
Cause of intestinal obstruction(tb,typhoid,amebaisis),
Crohn,disease vs ulcerative collitis*,
List non neoplastic polyps of intestine,
Colorectal carcinoma*-aster colar classification,
Carcinoid syndrome,
Appendicitis.
One reading of following topics
Hirshburg disese,
ischemic bowl dis,
clasify adenoma on morph basis,
celiac nd topical sprue

Blood vessels:
ATH*,
Anaerysm-atherosclerotic*,
syphlitic,dissecting hematoma,
Vasculitis-general mechanism,classification,Polyartritis nodosa,Takayasu nd giant arthritis,Kaposi sarcoma,
Enlist tumor of blood vessels
Atherosclerosis*,Difre types of arterio sclerosis,

Heart:
Ischemic heart disease-factors morphology complication,
Myocardial infrauction-enzymatic changes*,
Causes of htn,
Pericarditis*,
Infective endocarditis*,
Rhematic heart disease*,
Types of heart failure(cardiomyopathy),
Congenital anomolies(coarctation of aorta)
Blood RBC :  

Clasi of anemia,
lab diag of megalo blastic,microcytic,aplastic anemia,erythroblastosis,thalasemia,

( Must do Ma'am Samina's Notes On Blood)

WBC:
Clasify lymphoma,
hodgkins lymphoma-staging, 

Classification of NHL ( Follicular,Burkitt’s and SLL)

Leukemias(all,cml,aml,cll)-with prosnostic factors ,
Hazards of blood transfusion,
Multiple myeloma,
causes of thrombocytopenia.
DIC.

Lungs:
Morphological types of emphysema,
Bronciectesis-complication,
Clasi of pneumonia-
morphology of lobar pneumonia,
Clasi lung tumour Bronchogenic carcinoma.
Clasify atelctesis,
Dif bw Restrictive and obstructive lung disease.
Asthma complete,
Pneumoconiosis.
ARDS,
DIIOPATHIC PULMONARY FIBROSIS,
Tb granuloma-pri nd secondry gohn complex,5 imp sites for tb. Pancosst tumour
Paraneoplastic syndrom in lung ca.
Causes of pleural effusion.

Liver:
Gallstones,
Causes of liver abscess
Alcoholic liver disease.
Pathopyhsiology of hbv,
Lab diag of viaral hepatitis,Serology of hepB, lab diag of hepC,
Hepatocellular carcinoma,
Liver cirrhosis-causes,

Pancreas:
Chronic pancreatitis
 Acute hemorrhagic pancreatitis(pathogenesis)
Carcinoma of pancreas

Musculo Skeletal System :

Osteomylitis
Paget bone

Tumors classification + main types  (osteosarcoma, chondrosarcoma, giant cell
tumor, ewings tumor)
Rheumatoid (pathogenesis)
Gout (pathogenesis, role of HGPRT)

Soft tissue tumors (lipoma,leiommyoma.
liposarcoma,
fibrosarcoma, rhabdosarcoma, synovial sarcoma)

Muscle dystrophy

Skin:
premalignent lesions..scc,bcc,malignant melanoma.

Male Reproductive sys:
Testicullar tumour classif (seminoma,teratoma more imp)
Benign Prostatic Hyperplasia
,Prostate carcinoma (with gleaseon grading system) and psa.
Causes of testicular swelling.

Female Reproductive sys:
CIN..stging nd grading,
DUB,
Endometroisis,
endometrial carcinoma,
leiomyoma,
Ovarion tumour classi (cystic neoplasm,teratoma are more imp),
Hyditiform mole,
chorio carcinoma,
Ectopic pregnancy nd toxemia...just reading
Breast:

CA breast classification + main to be done  (ductal, lobular, medullary) + bloom grading

Prognostic factors (major and minor)
DCIS
List of premalignant lesions of breast
ER – PR / HER/2neu

Endocrinology:Pituitary adenoma(prolectinoma),baqi ke names,
Thyroid:Prim nd secondry hyperthyroidism causes,Graves disese,hashimoto thyroiditis,Follicular nd papillary neoplasm histologic features)
Addison dis,Cushing syndrom..causes,Waterhouse fredrick syndrome,Congenital adrenal hyperplasia,MEN syndrom ,adrenogenital syndrom,causes of adrenal insufficiency,pheochromocytoma ,
sheehan syndrom

CNS:
meningitis
encephalitis,
hydrocephalus,
heamoehages-subarachnoid
tumours:astrocytoma..epidural nd subdural hematoma
hydrocephalus
KIDNEY 

Renal cell carcinoma 

Diabetic kidney

SLE

Glomerulonephritis (types, details of acute
post streptococcal, membranous,membranoproliferative and rapidly progressive)

Chronic pyelonephritis/causes of
hydronephrosis/kidney stones

BLADDER

transitional cell carcinoma
malakoplakia – what is it?