Surgical notes
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Forwarded from Nossiba Ali
Diffuse alveolar damage
Features:
_Remnants of alveoli are present
_Epithelial cells death
_wall converted to hyaline membrane
_inflammation of the wall and haemorrhage
_destruction of the alveolar
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Emphysema

Features:
_ centriacinar ( dilated respiratory bronchioles)
_ panacinar (dilated alveolai)
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Emphysema
Features:
Dilated alveoli
And thin walls without fibrosis
Asthma

c.f:
_hyperplasia and hypertrophy of the SMs.
_features of inflammation (odema ,neutrophils infiltarate and eosinophilic infiltrate in case of atopic asthma)
_hyperplasia of mucus glands
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Bronchial asthma

Feature
Charcot laden crystals
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Crushmann spiral in asthma
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Chronic bronchitis

Features:
_features of inflammation ( edema in the submucosa , neutrophils infiltrate)
_ increased thickness of the wall
_ hyperplasia of the glands
_ normal smooth muscles
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Bronchiectasis

Feature
Cavities filled with pus
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Usual interstitial pneumonia ( UIP) or Non specific interstitial pneumonia (NIP)

Feature:
Features of inflammation ( no fibrosis : early in the inflammatory stage)
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Usual interstitial pneumonia( UIP)

Features:
Sites of inflammation and sites of active fibroastic fossae ( specific feature of this disease)
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Cryptogenic oranizing pneumonia ( COP)

Features:
Features of inflammation also fibrous tissue in the alveolar space ( fibroplastic plug) this is the characteristic feature
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Pneumoconiosis

Features
Undigestable material surrounded by fibrosis and granuloma
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Sarcoidosis

Features:
_Non casiating granuloma
_ asteroid bodies
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Multinucleated gaint cell contain asteroid bodies Feature of Sarcoidosis
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Hypersensitivity pneumonitis ( allergic alveolitis)

Features
Granuloma and inflammation of the alveolar wall
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TB

Features:
Caseating granuloma
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Diffuse pulmonary hemorrhage

Features:
The alveoli are filled with hemosidern laden macrophages ( called heart failure cells)
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Massive pulmonary embolism

Features
Large embolus inside the pulmonary artery
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Acute pneumonia

Feature
Red hepatization of the lung
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Acute pneumonia

Feature:
Inflammatory infiltrate with neutrophils in the alveolar wall and intralalveolar
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Chronic pneumonia

Feature:
Gray hepatization of the lung