Erstellt von Hayley Pfeffer
vor mehr als 9 Jahre
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Frage | Antworten |
Whci organs does the lymphohaemmopoeitic system invovle? | LNs spleen thymus MALT (GALT and bLAT) BM |
Function of LNs? | Filter lymph- remove foreign partcles, metastic tumor cells,recycle erythrocytes Immune responses- recognise antigen, recruite T lymphocytes, start cell proliferation + antibody synthesis |
what is lymph adenopathy? | enlarged LNs |
what are the two causes of lymphadenopathy? | 1. inflammation 2. Neoplasia |
Inflammation of the LNs may be due to? | reactive (hyperplastic) nodes lymphadenitis |
Reactive (hyperplastic) nodes = | enlarged due to being secondary to drainage from inflammation from another site. Node itself not infected |
Lymphadenitis | primary inflammation of the node itself often due to node itself becoming infected |
Supperative lymphadenitis; cause and shwat do you see? | bacteria, many neutrophils in node |
Eosinophilic lymphadenitis; what do you see and what is the cause? | many eosinophils in node Allergy or initial parasitic infection |
How do you decide what is causing lymphadenopathy? | cytology- FNA histology- biopsy |
Spleenic functions? | -defense against blood borne pathogens -removal of abnormal or aged RBCs -haemoatopoeisis ( major organ in fetus and neonates, can revert this function in adults if necessary) -storgae or erythrocytes and platelets |
Splenomegaly | enlarged spleen |
4 major gross presentations of splenomegaly? | 1. big bloody spleen 2. big meaty spleen 3. bloody splenic nodules 4. firmer splenic nodules |
Describe the big bloody spleen? | -diffuse uniform enlargement -dark red -oozes blood |
What causes a big bloody spleen? | congestion- less blood getting out |
what is a common cause of a big bloody spleen seen PM? | barbituate euthanasia |
Describe the big meaty spleen | Diffuse uniform enlargement often paler than normal minimal blood oozing dense |
Why is the big meaty spleen dense? | has more cells -neoplasia -chronic haemolytic anaemia |
3 diagnoses for big meaty spleen in cats? how do you differentiate? | lymphoma myeloproliferative dz MCT aspirate |
Describe bloody splenic nodules | non uniform enlargement nodules with bloody consistency |
What may cause bloody splenic nodules? | haemangiosarcoma haemangioma haematoma nodular hyperplasia |
Describe firm splenic nodules | non-uniform enlargement nodules with firm consistency- paler, minimal blood ooze |
What can cause firm splenic nodules? | neoplasia- lymphoma nodular hyperplasia |
What is the prognosis of haemangioma? | good benign tumor of vascular endothelium |
what is a haemangiosarcoma? prognosis? | poor malignant tumor of vascular endothelium |
prognosis of nodular hypoplasia? | good |
What is a haematoma and prognosis? | blood clot good |
What is the function of the thymus? | essential for T cell development |
What happens to the thymus with age? | gets smaller involutes after sexual maturity- replaced by fat and CT |
What are the causes of small thymus?... a rare condition | viral infections zinc deficiency severe protein deficiency congenital immunodeficiency |
Thymic haemorrhage | idiopathic thymic haemorrahge seen in dogs -consider rat bait as DDx |
The big thymus | neoplasia -lymphoma or thyoma |
lymphoma | malignant lympoid tumor |
Thyoma | Primary thymic neoplasm- malignant thymic epithelial cells |
Thyoma prognosis? | fair to poor |
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