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Cardiovascular system
SYLLABUS: RBP(Robbins Basic Pathology) Chapters: The Blood Vessels The Heart ,
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Cardiovascular system
Postinflammatory valve scarring (rheumatic heart disease) Giant cell myocarditis Lymphocytic myocarditis 176a Cavernous hemangioma Atherosclerosis Arterio- and arteriolosclerosis (kidney)
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obliterated originally layered and avascular leaflet architecture
Postinflammatory valve scarring (rheumatic heart disease) diffuse fibrosis neovascularization obliterated originally layered and avascular leaflet architecture Aschoff bodies replaced by fibrous scar
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Postinflammatory valve scarring (rheumatic heart disease)
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Postinflammatory valve scarring (rheumatic heart disease)
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inflammatory cellular infiltrate containing:
Giant cell myocarditis inflammatory cellular infiltrate containing: - multinucleate giant cells (of either macrophage or myocyte origin) lymphocytes eosinophils plasma cells focal or frequently extensive necrosis
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Giant cell myocarditis
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Giant cell myocarditis
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lymphocytic interstitial inflammatory infiltrate
Lymphocytic myocarditis lymphocytic interstitial inflammatory infiltrate focal necrosis of myocytes adjacent to the inflammatory cells
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Lymphocytic myocarditis
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sharply defined, but not encapsulated tumor
Cavernous hemangioma sharply defined, but not encapsulated tumor cavernous vascular spaces, partly or completely filled with blood separated by a scant connective tissue stroma common intravascular thrombosis with associated dystrophic calcification
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Cavernous hemangioma
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Cavernous hemangioma
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Atherosclerosis the superficial fibrous cap composed of SMCs and relatively dense ECM - beneath and to the side of the cap (the "shoulder") a cellular area consisting of macrophages, SMCs, and T lymphocytes - necrotic core, containing a disorganized mass of lipid (primarily cholesterol and cholesterol esters), cholesterol clefts, debris from dead cells, foam cells (lipid-laden macrophages or SMCs), fibrin, variably organized thrombus, and other plasma proteins - around the periphery of the lesions, there is usually evidence of neovascularization (proliferating small blood vessels)
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Atherosclerosis
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Arterio- and arteriolosclerosis (kidney)
Hyaline Arteriolosclerosis - homogeneous, pink, hyaline thickening of the walls of arterioles with loss of underlying structural detail, and with narrowing of the lumen Hyperplastic arteriolosclerosis - onionskin, concentric, laminated thickening of the walls of arterioles with progressive narrowing of the lumina - in malignant hypertension hyperplastic changes are accompanied by deposits of fibrinoid and acute necrosis of the vessel walls
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Arterio- and arteriolosclerosis (kidney)
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Arterio- and arteriolosclerosis (kidney)
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