Pathology Illustrated E-Book

Robin Reid, Fiona Roberts, Elaine Macduff

Description

Generations of medical and other health science students have been helped to pass their exams by the acclaimed "Illustrated" books. The clear, visual presentation of the subject matter, divided into one-page units, makes for easy learning and recall.

Pathology remains central to the study of medicine and forms the bridge between the basic sciences and clinical medicine. Now fully revised, Pathology Illustrated covers all the essential information in as clear and concise a way as possible, focusing on what is most clinically important.

• Covers both basic and systematic pathology
• Each topic clearly summarised in a single page
• Visual presentation for easy learning and re-call

• Fully updated throughout
• New line diagrams added to this edition to further improve understanding of key concepts

Informations

• Publié par: Churchill Livingstone
• Date de parution: 24 octobre 2011
• Nombre de lectures: 1
• EAN13: 9780702048296
• Langue: English
• Poids de l'ouvrage: 13 Mo

Extrait

Pathology Illustrated
Seventh Edition

BSc MB ChB FRCPath, Robin Reid, Consultant Pathologist
BSc MD MRCPath, Fiona Roberts, Consultant Pathologist
Western Infirmary, Glasgow; Senior Lecturer, Glasgow University, Glasgow, UK

BSc MB ChB, Elaine MacDuff
Department of Pathology, Western Infirmary, Glasgow, UK
Churchill Livingstone
Front matter
PATHOLOGY ILLUSTRATED
Commissioning Editor : Jeremy Bowes
Development Editor : Carole McMurray
Project Manager : Cheryl Brant
Cover Designer : Charles Gray
Illustration Buyer : Merlyn Harvey
Illustrator : Graeme Chambers

PATHOLOGY ILLUSTRATED
Edited by
Robin Reid BSc MB ChB FRCPath
Consultant Pathologist
Western Infirmary
Glasgow; Senior Lecturer
Glasgow University, Glasgow, UK
Fiona Roberts BSc MD MRCPath
Consultant Pathologist
Western Infirmary
Glasgow; Senior Lecturer
Glasgow University, Glasgow, UK
Elaine MacDuff BSc MB ChB
Department of Pathology
Western Infirmary
Glasgow, UK
Original illustrations by
Robin Callander FFPH FMAA AIMI
Formerly Director, Medical Illustrations Unit, Glasgow University, Glasgow, UK
Additional illustrations by
Ian Ramsden
Copyright
© 2011, Elsevier Ltd. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisherís permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
First edition 1981
Second edition 1986
Third edition 1991
Fourth edition 1995
Fifth edition 2000
Sixth edition 2005
Seventh edition 2011
ISBN 978 0 7020 3376 6
International ISBN – 978 0 7020 3375 9
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.


Printed in China
Preface

R. Reid, F. Roberts, E. MacDuff, Glasgow, December, 2010
‘We believe that communication by verbal and written methods is the fundamental basis for study and learning. Nevertheless, in the modern setting where knowledge is increasing so rapidly and in a subject where morphological changes are a major component, we consider that the visual image has an important facilitating role’.
Since these comments were written in the preface to the first edition of 1981, undergraduate medical education has evolved greatly, notably in the widespread adoption of topic- or problem-based curricula and the generally diminished allocation of time, at least in a formal sense, to pathology.
We do not believe, however, that there has been any reduction in the importance of pathology as one of the foundations of clinical medicine.
In this seventh edition, the general layout and style of the book and its division into general and systemic chapters have been retained. The volume aims to be simple yet comprehensive and provide relevant information that can be assimilated in a reasonable time scale. We have concentrated on ‘core’ topics and on what we regard as clinically important pathology, not solely in ‘Western’ countries. Whilst including significant developments in each area we have tried to avoid ‘information overload’ not least in the vast field of molecular and cell biology. We recognize that our attempts at simplification do not tell the whole story.
We are indebted to our predecessors, Alasdair Govan, Peter Macfarlane, Robin Callander and Ian Ramsden, whose vision inspired the original concept of Pathology Illustrated . Much of their work from earlier editions remains with, we hope, appropriate modification. The credit for the book remains due to them; the shortcomings of this revision are our responsibility.
The most recent illustrations are the work of Graeme Chambers, to whom we are grateful. Many thanks are also owed to Carole McMurray, Development Editor at Elsevier for her considerable efforts in bringing this project to completion.
Introduction
Pathology is the study of disease. It describes the effects, progress and consequences of the disease and attempts to determine the cause (aetiology) and underlying mechanisms (pathogenesis). It forms a bridge between basic science and clinical practice and has traditionally had the same role in linking pre-clinical and clinical study for medical students.
Disease occurs when there are variations of function or structure outside the normal range.

The manifestations of the disease are the sum of the damage done by the precipitating cause and the body’s response (which may be helpful or unhelpful or both). The variations in these components account for the great diversity of disease, which can then be classified into four main groups:

The relative importance of these groups varies with the age of the individual:

Different diseases affect different age groups. Developmental disorders and degenerative diseases affect the opposite extremes of life while tumours, in general, affect an ageing population.
Physiological ageing itself implies a gradual loss of cellular and body vitality usually associated with atrophy of tissues and organs. This process is aggravated and mimicked by the degenerative diseases of old age so that the physiological and pathological states tend to merge. Nonetheless, the student should attempt to identify the distinctions between ageing and disease. Additionally, in old age multiple diseases often coexist and interact with one another, and drug induced disorders are also common in this age group.

Causes of Disease
The various factors involved are considered in two broad groups: 1) Environmental and 2) Genetic.
1. ENVIRONMENTAL FACTORS are numerous and can be classified under the following general headings:
Physical agents . Among these are trauma, radiation, both ionising and non-ionising, extremes of temperature, electrical power, i.e. the application to the body of excess (or insufficiency) of physical energy in any form.
Chemical poisons . Historically, these increased in importance with advances in industrial processing, but their effects have diminished by legislation to provoke safe working environments. Some, for example cyanide, are toxic to all tissues, while others target certain organs – paraquat affects the lungs and organic solvents damage especially the kidneys and liver. Others, for example strong acids and alkalis, act locally.
Iatrogenic diseases are an increasingly important subgroup as powerful drugs often have undesirable side effects, either predictably in a dose-dependent fashion or in an unpredictable idiosyncratic manner.
Nutritional deficiencies and excesses . These may arise from an inadequate supply, due to interference with absorption, inefficient transport within the body or defective utilisation. The effects may be general in distribution as in starvation or in severe hypoxia or they may damage specific tissues, e.g. vitamin deficiencies. Dietary excess plays an increasingly important role in Western countries, the rapidly increasing prevalence of diabetes mellitus being noteworthy.
Infections and infestations . Viruses, bacteria, fungi, protozoa and metazoa all cause disease. They may do so by destroying cells directly, for example in malaria. Infection with HIV destroys T cells resulting in severe immunodeficiency which renders the individual susceptible to many other infections, often due to organisms of low virulenc