Myocardial infarction, pathological anatomy, complications, causes of death. The relationship of atherosclerosis and IDH презентация

Содержание

The purpose Secure the knowledge of the mechanism of formation of atherosclerotic plaque and arterial hypertensions

Слайд 1 Practical skills in pathological anatomy-2 MODULE: CARDIOVASCULAR SYSTEM Тopic №2. Myocardial infarction, pathological

anatomy, complications, causes of death. The relationship of atherosclerosis and IDH. Essential and symptomatic hypertension. Morphological characteristics, outcomes, causes of death.

Prepared by:
d.m.s. Shabdarbayeva D.M.


Слайд 2The purpose
Secure the knowledge of the mechanism of formation of

atherosclerotic plaque and arterial hypertensions

Слайд 3Learning objectives:
The student should know:
etiology, pathogenesis and pathological anatomy of IDH.

Periods and complications of IDH. Etiology, pathogenesis, morphology and morphogenesis of atherosclerosis, to differentiate clinical and morphological forms of atherosclerosis and complications. Determination of essential hypertension (EH). Be able to describe the stages of HD, the morphology of benign and malignant hypertension. To differentiate the various forms of HD based on clinical and morphological signs.
The student should be able to:
diagnosed by macro- and micropreparations clinical and morphological forms of IDH, to be able to allocate the main etiological factors and pathogenesis of IDH. Diagnosing of macro- and micropreparations stages of atherosclerosis and various forms of HD based on clinical and morphological signs. 


Слайд 4Arteriosclerosis with calcification of the iliac artery.
a - calcium salt (blue

colour)
б - proliferation of connective tissue

Слайд 5Arteriosclerosis with calcification of the iliac artery and thrombosis.
a - calcium

salt (blue colour)
б - thrombus

Слайд 7Ischemic infarction of kidney with area of demarcation inflammation
a - necrosis;

б - hemorrhage; в - accumulation of leucocytes

Слайд 11А. Area of ischemic infarction
Ischemic infarction
А


Слайд 12Cerebral infarction
А. BRIDGE
Б. AREA OF INFARCTION
В. THROMBOSIS OF BASILAR ARTERY Г. CEREBELLUM
Б

А

В
Г


Слайд 13Cerebral infarction in the middle cerebral artery
А. AREA of FRESH INFARCTION
А


Слайд 14Organization of the infarction
А. Area of organization of the infarction
А


Слайд 15Hemorrhagic cerebral infarction
А. Hemorragic infarction
Б. GIPPOKAMP
В. BLACK SUBSTANCE
Г. Tootsy






Г
Г
В
Б
Б
В
А


Слайд 16Fibrinoid necrosis during malignant hypertension
А. glomerular loops
Б. fibrinoid necrosis
Б
А


Слайд 17а
Atherosclerosis of the aorta: a - grease stains, strips


Слайд 18Atherosclerosis of the aorta: a - grease stains,
б - starting fibrous

plaques

а

б


Слайд 19Atherosclerosis of the aorta: a - fibrous plaques with ulceration
а


Слайд 20Myocardial infarction: a - necrotic zone б -

zone of cardiosclerosis

б

а


Слайд 21Primary-contracted kidney


Слайд 22Atherosclerosis of coronary artery
A. Lumen by obturated thrombus
Б. atherosclerotic plaque
B. AREA

of plaque rupture

А

Б


В


Слайд 23Acute myocardial infarction
A. The left ventricle
Б. interventricular septum
B. Right ventricle
Г. epicardial

adipose tissue
Д. infarct zone

А


Б

В


Г



Д


Слайд 24Acute myocardial infarction
А. neutrophil

А


Слайд 25A. Contractured fibers
Б. Neutrophils
Myocardial infarction

А

Б


Слайд 26Postinfarction rupture of the wall of left ventricular
А. Zone of infarction
Б.

Zone of rupture

А


Б


Слайд 27Myocardial rupture
A canal of rupture
Б. Zone of transmural myocardium
B. zone of

coagulation infarction
Г. Field of unchanged myocardium


А

Б

В

Г


Слайд 28Left ventricular aneurysm, thrombosis
A. aneurysm and thrombosis
Б. subendocardial scars
А

Б


Слайд 29Angiography of coronary artery
А. constriction of a coronary artery


Слайд 30Angiography of coronary artery
Constriction of lumen of the coronary artery



Слайд 31Atherosclerosis and thrombosis of coronary artery
А. The thrombus in the lumen

of the coronary artery

А


Слайд 32Thrombosis of coronary artery
A. Intima
Б. Thrombosis
B. Recanalization
Г. Middle membrane
Д. Аdventitia
А
Б
В

Г
Д


Слайд 33LOADED MACROPHAGES BY HEMOSIDERIN
A. Macrophages loaded by hemosiderin
Б. Hyperemic capillaries in

the alveolar wall


А


Б


Слайд 34Kidneys. Arterio- and atherosclerosis
А. CORTICAL SCARS


А
А


Слайд 35  The kidneys, atherosclerosis.
A. Hyalinized VESSELS
Б. FIBROSIS OF INTIMA
B. SCLEROSIS of glomeruli
Г.

Tubular atrophy


А


Б

В


Г


Слайд 36Concentric hypertrophy of the left ventricular
A. left ventricle
B. right ventricle
B. PARTITION
Г.

Decrease of cavity of left ventricular

А

Б

В

Г


Слайд 37Еxcision of aortic
A. adventitia
Б. aortic intima
B. hematoma dissecting tunica

А

Б
В


Слайд 38NECROSIS of tunica aorta
А. Zone of necrosis



А
А


Слайд 39Atherosclerotic aneurysm of the abdominal aorta
A. mushroom ANEURYSM
Б. iliac artery
В. Large

thrombus in the lumen


Б


А


В


Слайд 40Hyperplastic arteriosclerosis
A. constricted lumen
B. hyperplasia of smooth muscle cells


А
Б


Слайд 41  Myocardial hypertrophy
A. Unchanged heart
Б. Concentric hypertrophy
B. Dilation of the ventricles
В
А
Б


Слайд 42Сhanged vessels during congenital heart insufficiency
A. Stenotic foramen
B. Hypertrophy of smooth

muscle cells



А

Б


Слайд 43Thrombosis of coronary artery
А. tunica
Б. intima
В. lumen
В
Б
А


Слайд 44General chronic venous congestion


Слайд 45General chronic venous congestion
A. Triad
Б. Congestion
А
Б


Слайд 46Lung during chronic venous congestion


Слайд 47Edema of the lung
A. hyperemic intra alveolar septa
Б. intra alveolar transudate
А

Б


Слайд 48Chronic venous congestion
A. alveolar septa
Б. macrophages with hemosiderin


А
Б


Слайд 49Infarction of lung
А. Infarction
Б. Pleura

Б
А


Слайд 50Infarction of lung


Слайд 51Infarction of lung


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