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TASKS FOR SELF-CONTROLTask ¹ 1. Patient with ischemic heart disease, 60 years, died due to the phenomena of acute cardiac insufficiency. On the section - the heart is enlarged, in the region of the front wall of the left ventricle there is area 2,0õ3,0 sm. in size, rugged contour form, yellow-grey color, with hemorrhages on periphery. There is obstructive thrombus of red color in lumen of the left coronal artery. a) Define the character of pathological process. b) Define the consequences of the given process, c) Describe the character of changes in cardiac cells. Task ¹ 2. A woman had atonic bleeding with the abrupt decrease of arterial pressure. Application of pressure was not effective. Death came with oligoanuria on the background. a) Describe the character of changes in the kidneys. b) Describe possible mechanism of their changes development. c) Describe the basic stages of pathological process. Task ¹ 3. In a patient with fracture of the neck of the femur, who long time was found in a bed in the forced state (posture on the back) the areas of the skin of umber color appeared along the spine, soft tissues with the signs of edema, in places of maceration liquid with an unpleasant smell was found. a) Define the clinico-morphologic form of necrosis in a patient. b) Give classification of necrosis after original appearance. c) Give classification of general death. Task ¹ 4. A patient, 73 years, was admitted to the neurological department concerning hypertensive crisis (AT = 210/110 mm.-hg.) In 3 day he lost consciousness suddenly and death came. On the section - atherosclerosis of the aorta, coronary vessels of the heart, kidneys and brain was found. In the left hemisphere of the cerebrum in the pool of blood supply a.meningea media brain matter is semi-liquid, mixed with blood, in the lumen of the lateral ventricles there were blood clots. a) Define the clinico-morphologic form of necrosis in a patient. b) Name the other clinico-morphologic forms of necrosis. c) Name signs of general death. Task ¹ 5. In a patient as a result of cold injury the right foot was enlarged, an edematous skin got a black color, became clearly marked off from surrounding tissues. a) Define the clinico-morphologic form of necrosis in a patient. b) Give the classification of the given process. c) Explain possible mechanism of its development. Keys: Task ¹ 1. a) Acute myocardial infarction. b) Organization, formation of the scar. c) Karyorrhexis, karyopyknosis,karyolysis, necrolysis. Task ¹ 2. a) Necrosis and necrobiosis of tubules epithelium. b) Ischemia of cortex layer of the kidneys. c) Karyopyknosis - karyorrhexis -karyolysis. Task ¹ 3. a) Bedsore. b) Dry, humid, gangrene, bedsore, sequestrum. c) Natural (physiological), premature (pathological): violent death, death from the diseases. Apparent and biological death. Task ¹ 4. a) Mixed infarction of the cerebrum. b) Coagulation necrosis, colliquative necrosis, gangrene, sequestrum. c) Cooling of body, postmortem lividity, postmortem rigidity, disintegration of tissues. Task ¹ 5. a) Gangrene. b) Dry and humid gangrene. c) Angioneurotic. Lesson ¹ 6 Methodical instructions for students Date: 2016-03-03; view: 802
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