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Pathology for the Health Professions - E-Book

Pathology for the Health Professions - E-Book

Ivan Damjanov

(2016)

Additional Information

Book Details

Abstract

Damjanov’s Pathology for the Health Professions, 5th Edition is the best resource for clear, concise, and clinically relevant information on general pathology. Praised for its stunning collection of pathology images, this engaging, easy-to-understand text covers the most frequently encountered diseases that today’s healthcare students need to know. This new edition discusses the latest in cerebral palsy, coronary artery bypass, Type 1 and Type 2 diabetes, hypertension, Alzheimer’s, and drug therapy for HIV. A unique DEPPiCT approach presents major diseases in a consistent format for Disease, Etiology, Pathogenesis, Pathology, Clinical features, and Therapy or prognosis.

  • UNIQUE! DEPPiCT approach helps you study more efficiently by presenting each major disease in format that includes a Disease description, Etiology, Pathogenesis, Pathology, Clinical features, and a short discussion on Therapy or prognosis.
  •  More than 500 high-quality, full-color images reinforce your understanding of disease conditions and general pathology principles.
  •  A clear, non-technical writing style makes complex concepts more engaging and easier to understand.
  •  Evolve Resources for Students include PowerPoint student lecture notes, Body Spectrum online coloring book, and 30 animations. 
  •  Learning objectives and review questions help you identify the most important concepts and assess your understanding of essential principles.
  •  Key terms are listed at the beginning of each chapter and in a comprehensive glossary to help you easily access definitions of terms.
  •  Did You Know boxes showcase interesting clinical tidbits and addressing the most relevant health issues of today. 
  • Evolve Resources for Instructors include an Instructor’s Manual, test bank, PowerPoint slides, ARQ’s for iClicker, image collection, answer key for end-of-chapter review questions, 30 animations, and web links.
  •  UPDATED! All chapters revised to include new data on major diseases and to reflect other changes in guidelines and literature.
  •  NEW and UPDATED! Expanded discussion of important tumors, such as: gastrointestinal stromal tumors, testicular tumors, prostatic adenocarcinoma, and lung cancer.
  • UPDATED! Expanded coverage of important disorders, such as: non-alcoholic steatohepatitis, diabetes mellitus, and cardiomyopathies.
  •  EXPANDED! Added molecular biology data on important malignant tumors.
  •  UPDATED! New terminology for many diseases conforms to clinical usage of these terms (for example, fetal alcohol spectrum disorder, sexually transmitted infections, etc.).
  •  Did You Know boxes reflect current health care concerns and help you apply content in the book to everyday practice.
  •  NEW! Addresses infectious diseases that are important in clinics.
  •  EXPANDED! New illustrations help enhance learning.
  •  UPDATED! Revised review questions focus on critical issues.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Half title page i
Evolve page ii
Pathology for the Health Professions iii
Copyright Page iv
Dedication v
Acknowledgments vi
Reviewers and Ancillary Writers vii
Preface ix
Table Of Contents xi
Introduction xii
Welcome to the Wonderful World of Pathology! xii
Chapter1 Cell Pathology 1
Chapter Outline 2
Learning Objectives 1
Key Terms and Concepts 2
Structure and Function of Normal Cells 3
Nucleus 3
Cytoplasm 3
Mitochondria 3
Ribosomes 4
Endoplasmic Reticulum 4
Golgi Apparatus 5
Lysosomes 5
Hyaloplasm and Cytoskeleton 6
Plasma Membrane 6
Integration and Coordination of Cell Functions and Response to Injury 6
Integration of Function of Normal Cells 6
Reversible Cell Injury 8
Irreversible Cell Injury 10
Causes of Cell Injury 10
Hypoxia and Anoxia 10
Toxic Injury 11
Microbial Pathogens 12
Mediators of Inflammatory and Immune Reactions 12
Genetic and Metabolic Disturbances 12
Cell Adaptations 12
Atrophy 13
Hypertrophy and Hyperplasia 13
Metaplasia 14
Intracellular Accumulations 15
Anthracosis 15
Hemosiderosis 15
Lipid Accumulation 15
Aging 16
Death 16
Cell Death 17
Necrosis 17
Coagulative Necrosis 17
Liquefactive Necrosis 17
Caseous Necrosis 17
Enzymatic Fat Necrosis 18
Apoptosis 18
Review Questions 20
Chapter2 Inflammation 21
Chapter Outline 22
Learning Objectives 21
Key Terms and Concepts 22
Signs of Inflammation 23
Pathogenesis of Inflammation 24
Circulatory Changes 24
Vascular Changes 25
Mediators of Inflammation 25
Histamine 26
Bradykinin 26
Complement system 26
Arachidonic acid derivatives 27
Cellular Events in Inflammation 27
Emigration of Leukocytes 27
Phagocytosis 28
Cells of Inflammation 30
Polymorphonuclear Neutrophils 30
Eosinophils 30
Basophils 31
Macrophages 31
Platelets 31
Other Cells 31
Classification of Inflammation 31
Duration 31
Etiology 31
Location 32
Pathology of Inflammation 32
Serous Inflammation 32
Fibrinous Inflammation 33
Purulent Inflammation 33
Ulcerative Inflammation 34
Pseudomembranous Inflammation 34
Chronic Inflammation 34
Granulomatous Inflammation 35
Clinicopathologic Correlations 35
Healing and Repair 36
Wound Healing 37
Cells Participating in Healing 37
Myofibroblasts 37
Angioblasts 37
Fibroblasts 37
Clinical Wound Healing 38
Delayed Wound Healing 39
Complications of Wound Healing 40
Review Questions 40
Chapter3 Immunopathology 42
Chapter Outline 43
Learning Objectives 42
Key Terms and Concepts 43
Immune Response 44
Innate Immunity 44
Acquired Immunity 44
Cells of the Immune System 45
Lymphocytes 45
T-Lymphocytes 47
B-Lymphocytes 47
Plasma Cells 47
Antibodies 47
Antibody Production 49
Major Histocompatibility Complex 49
Antigen-Antibody Reaction 49
Hypersensitivity Reactions 50
Type I Hypersensitivity 50
Hay Fever 50
Atopic Dermatitis 51
Asthma 52
Anaphylactic Shock 52
Type II Hypersensitivity 52
Hemolytic Anemia 53
Goodpasture’s Syndrome 53
Graves’ Disease 53
Myasthenia Gravis 53
Type III Hypersensitivity 53
Systemic Lupus Erythematosus 54
Poststreptococcal Glomerulonephritis 55
Polyarteritis Nodosa 55
Type IV Hypersensitivity 55
Transplantation 56
Transplant Rejection 57
Hyperacute Rejection 57
Acute Rejection 57
Chronic Rejection 57
Clinical Use of Transplantation 58
Graft-Versus-Host Reaction 58
Blood Transfusion 58
Rh Factor Incompatibility 59
Autoimmune Diseases 61
Systemic Lupus Erythematosus 61
Pathogenesis 61
Pathology 62
Clinical Features 62
Immunodeficiency Diseases 62
Primary Immunodeficiency Diseases 63
Acquired Immunodeficiency Syndrome 64
Etiology and Epidemiology 64
Pathogenesis 64
Clinical Features 65
Pathology 65
Treatment 67
Amyloidosis 68
Pathogenesis 68
Pathology 68
Clinical Features 69
Review Questions 69
Chapter4 Neoplasia 70
Chapter Outline 71
Learning Objectives 70
Key Terms and Concepts 71
Terminology 72
Classification of Tumors 72
Benign and Malignant Tumors 73
Macroscopic Features 73
Microscopic Features 73
Cellular Features 73
Chromosomal Studies 74
Biologic Features 74
Metastasis 75
Histologic Classification of Tumors 76
Tumor Staging and Grading 78
Biology of Tumor Cells 79
Biochemistry of Cancer Cells 79
Growth Properties in Cell Culture 79
Causes of Cancer 80
Identification of Human Carcinogens 81
Industrial Carcinogens 82
Drugs as Carcinogens 82
Chemical Carcinogens 83
Action of Chemical Carcinogens 83
Physical Carcinogens 84
Natural Biologic Carcinogens 85
Viral Carcinogens 85
Human DNA Viruses 86
Human papillomaviruses 86
Epstein-Barr virus 86
Hepatitis B virus 86
Human T-cell lymphoma/leukemia virus 1 86
Human Oncogenes 86
Point Mutation 87
Gene Amplification 87
Chromosomal Rearrangements 87
Insertion of Viral Genome 87
Tumor Suppressor Genes 87
Hereditary Cancer 88
Immune Response to Tumors 89
Clinical Manifestations of Neoplasia 90
Local Symptoms 90
Systemic Symptoms 90
Cancer Epidemiology 91
Incidence 91
Prevalence 92
Mortality 92
Review Questions 92
Chapter5 Genetic and Developmental Diseases 94
Chapter Outline 95
Learning Objectives 94
Key Terms and Concepts 95
Normal Embryonic Development 95
Developmental Malformations 97
Genetic Factors 98
Exogenous Teratogens 98
Physical Teratogens 98
Chemical Teratogens 98
Microbial Teratogens 99
Chromosomal Abnormalities 99
Structural Chromosomal Abnormalities 99
Numerical Chromosomal Abnormalities 100
Trisomy 21 (Down’s Syndrome) 100
Abnormalities of Sex Chromosomes 101
Turner’s Syndrome 102
Klinefelter’s Syndrome 102
Single-Gene Disorders 102
Autosomal Dominant Disorders 103
Marfan’s Syndrome 104
Familial Hypercholesterolemia 104
Autosomal Recessive Disorders 105
Cystic Fibrosis 105
Lysosomal Storage Diseases 106
Phenylketonuria 107
X-Linked Recessive Disorders 108
Hemophilia 109
Muscular Dystrophy 110
Fragile X Syndrome 110
Multifactorial Inheritance 110
Anencephaly 111
Diabetes Mellitus 112
Prenatal Diagnosis 112
Prematurity 113
Neonatal Respiratory Distress Syndrome 114
Birth Injury 115
Sudden Infant Death Syndrome 115
Review Questions 115
Chapter6 Fluid and Hemodynamic Disorders 117
Chapter Outline 117
Learning Objectives 117
Key Terms and Concepts 118
Edema 119
Forms of Edema 119
Inflammatory Edema 119
Hydrostatic Edema 119
Oncotic Edema 119
Lymphedema 120
Hypervolemic Edema 120
Complex Forms of Edema 120
Clinicopathologic Correlations 120
Hyperemia 121
Active Hyperemia 121
Passive Hyperemia 121
Hemorrhage 121
Cardiac Hemorrhage 122
Aortic Hemorrhage 122
Arterial Hemorrhage 122
Capillary Hemorrhage 122
Venous Hemorrhage 122
Clinicopathologic Correlations 123
Thrombosis 123
Pathogenesis 123
Coagulation proteins, 123
Endothelial cells 123
Platelets 124
Endothelial Cell Injury 124
Hemodynamic Changes 124
Hypercoagulability of Blood 124
Pathology 124
Outcome 126
Clinicopathologic Correlations 126
Embolism 127
Clinicopathologic Correlations 127
Venous emboli 127
Arterial emboli 127
Infarction 128
White or Pale Infarcts 128
Red Infarcts 129
Outcome 129
Shock 129
Cardiogenic Shock 130
Hypovolemic Shock 130
Hypotonic Shock 130
Pathogenesis 130
Pathology 131
Clinicopathologic Correlations 131
Compensated shock 131
Decompensated shock 131
Irreversible shock 132
Review Questions 132
Chapter7 The Cardiovascular System 133
Chapter Outline 134
Learning Objectives 133
Key Terms and Concepts 134
Normal Anatomy and Physiology 135
Heart 135
Blood Vessels 135
Lymphatics 137
Overview of Major Diseases 138
Special Pathology 139
Congenital Heart Disease 139
Etiology and Pathogenesis 139
Pathology 140
Septal Defects 140
Atrial Septal Defect 140
Ventricular Septal Defect 140
Tetralogy of Fallot 141
Atherosclerosis 141
Etiology and Pathogenesis 141
Risk Factors 143
Atherosclerosis of the Aorta 145
Peripheral Vascular Disease 145
Coronary Heart Disease 146
Pathology 146
Complications 148
Clinical Features 148
Congestive heart failure 148
Angina pectoris 149
Myocardial infarct 150
Diagnosis 150
Treatment 151
Hypertension and Hypertensive Heart Disease 152
Etiology and Pathogenesis 152
Blood volume 153
Cardiac output 154
Peripheral resistance 154
Pathology 154
Cardiomegaly 154
Vascular pathology 155
Hypertensive encephalopathy 155
Hypertensive retinopathy 155
Rheumatic Heart Disease 155
Etiology and Pathogenesis 155
Pathology 156
Clinical Features 157
Infectious Diseases of the Heart 157
Endocarditis 157
Chapter8 The Respiratory System 165
Chapter Outline 166
Learning Objectives 165
Key Terms and Concepts 166
Normal Anatomy and Physiology 167
Overview of Major Diseases 169
Special Pathology 170
Infectious Diseases 170
Upper Respiratory Infections 170
Etiology and Pathogenesis 170
Pathology 171
Clinical Features 171
Middle Respiratory Syndromes 171
Croup 171
Epiglottitis 172
Bronchiolitis 172
Pneumonia 172
Etiology 173
Upper respiratory flora 173
Enteric saprophytes 173
Extraneous pathogens 173
Pathogenesis 174
Pathology 174
Complications 175
Clinical Features 175
Special Forms of Pneumonia 176
Atypical Pneumonia 176
Pulmonary Tuberculosis 176
Etiology and Pathogenesis 176
Clinical Features 178
Fungal Diseases 178
Lung Abscess 178
Chronic Obstructive Pulmonary Disease 178
Chronic Bronchitis 179
Bronchiectasis 179
Emphysema 179
Pathogenesis 179
Pathology 180
Clinical Features 180
Immune Diseases 180
Asthma 181
Etiology and Pathogenesis 182
Pathology 182
Chapter9 The Hematopoietic and Lymphoid Systems 200
Chapter Outline 200
Learning Objectives 200
Key Terms and Concepts 201
Normal Anatomy and Physiology 201
Peripheral Blood 202
Overview of Major Diseases 205
Special Pathology 207
Anemia 207
Classification 207
Etiology and Pathogenesis 207
Decreased hematopoiesis 207
Abnormal hematopoiesis 208
Increased loss and destruction of red blood cells 208
Morphology of Anemia 208
Aplastic Anemia 209
Etiology and Pathogenesis 209
Pathology 209
Clinical Features 209
Iron Deficiency Anemia 210
Etiology 210
Pathogenesis 210
Pathology 211
Clinical Features 211
Megaloblastic Anemia 211
Etiology and Pathogenesis 211
Pathology 212
Clinical Features 212
Hemolytic Anemias 212
Sickle Cell Anemia 213
Pathogenesis 213
Pathology 213
Clinical Features 213
Thalassemia 214
Clinical Features 215
Hereditary Spherocytosis 216
Immune Hemolytic Anemia 216
Polycythemia 217
Clinical Features 218
Leukocytic Disorders 218
Leukopenia 218
Leukocytosis 218
Malignant Diseases of White Blood Cells 219
Classification 219
Etiology and Pathogenesis 219
Leukemias 220
Clinical Features 220
Specific Forms of Leukemia 220
Acute lymphoblastic leukemia 220
Acute myelogenous leukemia 221
Chronic myelogenous leukemia 221
Chronic lymphocytic leukemia 221
Lymphoma 222
Non-Hodgkin’s Lymphomas 223
Light Microscopy 223
Ancillary Techniques 223
Immunohistochemistry 223
Flow cytometry 224
Cytogenetic and genetic analysis 224
Clinical Features 224
Follicular lymphoma 224
Diffuse large b-cell lymphoma 224
Burkitt’s lymphoma 224
Hodgkin’s Lymphoma 225
Clinical Features 225
Multiple Myeloma 225
Bleeding Disorders 227
Normal Hemostasis 227
Major Bleeding Disorders 228
Vascular Disorders 229
Mechanical trauma 229
Vessel wall weakness 229
Immune mechanisms 229
Platelet Disorders 229
Clotting Factor Deficiencies 230
Review Questions 231
Chapter10 The Gastrointestinal System 233
Chapter Outline 233
Learning Objectives 233
Key Terms and Concepts 234
Normal Anatomy and Physiology 235
Overview of Major Diseases 236
Special Pathology 238
Diseases of the Oral Cavity 238
Developmental Abnormalities 238
Inflammation 238
Dental Caries 238
Periodontal Disease 238
Stomatitis 240
Oral Cancer 240
Salivary Gland Diseases 240
Sialadenitis 240
Neoplasms 241
Diseases of the Esophagus 241
Developmental Abnormalities 241
Hiatal Hernia 241
Motility Disorders of the Esophagus 241
Esophagitis 242
Circulatory Disturbances 243
Carcinoma of the Esophagus 243
Pathology 243
Clinical Features 243
Diseases of the Stomach and Duodenum 243
Developmental Abnormalities 244
Gastritis 244
Peptic Ulcer 245
Etiology and Pathogenesis 245
Pathology 245
Clinical Features 246
Gastric Neoplasms 246
Carcinoma of the Stomach 246
Etiology and Pathogenesis 246
Pathology 247
Clinical Features 248
Gastrointestinal Lymphoma 248
Diseases of the Small and Large Intestine 248
Developmental Abnormalities 248
Diverticulosis 249
Intestinal Vascular Diseases 249
Hemorrhoids 249
Angiodysplasia of the Intestines 249
Ischemic Bowel Disease 250
Inflammatory Bowel Disease 250
Etiology and Pathogenesis 250
Crohn’s Disease 251
Pathology 251
Clinical Features 251
Ulcerative Colitis 252
Pathology 252
Clinical Features 252
Gastrointestinal Infections 253
Bacterial Diarrhea 253
Pseudomembranous Colitis 254
Clinical Features 254
Viral Gastroenteritis 254
Protozoal Enteritis 254
Acute Appendicitis 255
Clinical Features 255
Peritonitis 256
Etiology and Pathogenesis 256
Pathology 256
Clinical Features 256
Intestinal Obstruction 256
Hernia 256
Intussusception 257
Volvulus 257
Malabsorption Syndromes 257
Pathology 259
Celiac Sprue 259
Tropical Sprue 259
Whipple’s Disease 259
Clinical Features of Malabsorption Syndromes 259
Intestinal Neoplasms 260
Etiology and Pathogenesis 260
Genetic factors 260
Dietary factors 261
Nonneoplastic Polyps 261
Hyperplastic Polyps 261
Hamartomas 261
Inflammatory Polyps 261
Neoplastic Polyps 261
Adenocarcinoma 262
Pathology 262
Clinical Features 264
Gastrointestinal Carcinoids 264
Pathology 264
Clinical Features 265
Gastrointestinal Stromal Tumors 265
Review Questions 265
Chapter11 The Liver and Biliary System 267
Chapter Outline 268
Learning Objectives 267
Key Terms and Concepts 268
Normal Anatomy and Physiology 268
Overview of Major Diseases 269
Special Pathology 272
Jaundice 272
Pathogenesis 272
Clinical Features 274
Viral Hepatitis 274
Etiology and Pathogenesis 274
Forms of Hepatitis 274
Hepatitis A 274
Hepatitis B 275
Clinical Features 276
Hepatitis C 276
Hepatitis D 277
Hepatitis E 277
Pathology 277
Cirrhosis 278
Etiology 278
Pathogenesis 278
Pathology 280
Clinical Features 280
Drug- and Toxin-Induced Liver Diseases 283
Alcoholic Liver Disease and Steatohepatitis 283
Hereditary Diseases of the Liver 284
Gilbert’s Disease 284
Hemochromatosis 284
Wilson’s Disease 284
Alpha1-Antitrypsin Deficiency 285
Immune Disorders 285
Autoimmune Hepatitis 285
Primary Biliary Cirrhosis 286
Primary Sclerosing Cholangitis 287
Bacterial, Protozoal, and Parasitic Infections 287
Gallstones 287
Pathogenesis 287
Pathology 288
Clinical Features 288
Hepatobiliary Neoplasms 289
Hepatocellular Carcinoma 289
Chapter12 The Pancreas 294
Chapter Outline 294
Learning Objectives 294
Key Terms and Concepts 295
Normal Anatomy and Physiology 295
Overview of Major Diseases 296
Special Pathology 297
Pancreatitis 297
Acute Pancreatitis 297
Etiology and Pathogenesis 297
Pathology 298
Complications 299
Clinical Features 300
Chronic Pancreatitis 301
Pathology 301
Clinical Features 302
Pancreatic Neoplasms 302
Adenocarcinoma of the Pancreas 302
Pathology 303
Clinical Features 303
Tumors of the Endocrine Pancreas 304
Diabetes Mellitus 305
Definition and Classification 305
Pathogenesis 306
Pathology 307
Complications 307
Clinical Features 308
Review Questions 309
Chapter13 The Urinary Tract 310
Chapter Outline 310
Learning Objectives 310
Key Terms and Concepts 311
Normal Anatomy and Physiology 311
Overview of Major Diseases 312
Urinary Signs and Symptoms 313
Systemic Signs and Symptoms 314
Special Pathology 314
Developmental Disorders 314
Polycystic Kidney Disease 314
Glomerular Diseases 315
Classification 315
Immunologic Diseases 315
Metabolic Disorders 315
Circulatory Disturbances 316
Multiple Mechanisms 316
Chapter14 The Male Reproductive System 330
Chapter Outline 330
Learning Objectives 330
Key Terms and Concepts 330
Normal Anatomy and Physiology 331
Overview of Major Diseases 333
Special Pathology 333
Infertility 333
Congenital Abnormalities 334
Cryptorchidism 334
Pathogenesis 334
Pathology 334
Chapter15 The Female Reproductive System 347
Chapter Outline 347
Learning Objectives 347
Key Terms and Concepts 348
Normal Anatomy and Physiology 349
Overview of Major Diseases 352
Special Pathology 353
Developmental Abnormalities 353
Inflammatory Diseases 353
Bacterial Infections 354
Chlamydial Infections 354
Viral Infections 354
Fungal Infections 355
Protozoal Infections 355
Clinically Important Infections 355
Genital Viral Infections 355
Infectious Vaginitis 356
Chlamydial Infections 356
Gonorrhea 356
Syphilis 356
Pelvic Inflammatory Disease 356
Hormonally Induced Lesions 356
Endometrial Hyperplasia 356
Neoplasia and Related Disorders 357
Carcinoma of the Vulva 357
Carcinoma of the Vagina 358
Carcinoma of the Cervix 358
Etiology 358
Pathogenesis 359
Pathology 360
Clinical Features 360
Tumors of the Uterus 361
Endometrial Carcinoma 361
Etiology and Pathogenesis 361
Pathology 362
Clinical Features 363
Leiomyoma 363
Endometriosis 364
Tumors and Tumor-Like Conditions of the Ovary 365
Ovarian Cysts 365
Ovarian Neoplasms 365
Etiology and Pathogenesis 365
Ovarian Surface Epithelial Tumors 367
Germ Cell Tumors 367
Sex Cord Stromal Tumors 368
Metastases 369
Pathology of Pregnancy 369
Pathology of Fertilization 369
Ovum-Related Factors 370
Sperm-Related Factors 370
Genital Organ Factors 370
Systemic Factors 370
Pathology of Implantation 370
Ectopic Pregnancy 370
Pathology of Placentation 371
Placental Anomalies 371
Placenta Accreta 371
Placenta Previa 371
Abortion 371
Gestational Trophoblastic Disease 372
Hydatidiform Mole 372
Clinical Features 372
Pathology 372
Choriocarcinoma 372
Toxemia of Pregnancy 373
Review Questions 373
Chapter16 The Breast 375
Chapter Outline 375
Learning Objectives 375
Key Terms and Concepts 375
Normal Anatomy and Physiology 376
Overview of Major Diseases 377
Special Pathology 378
Developmental Anomalies 378
Inflammation of the Breast 378
Hormonally Induced Changes 379
Pubertal Changes 379
Gynecomastia 379
Fibrocystic Change 379
Pathogenesis 379
Pathology 380
Clinical Features 380
Proliferative Breast Disease with Atypia 381
Pathology 381
Benign Tumors 381
Malignant Tumors 381
Etiology and Pathogenesis 381
Risk Factors 382
Pathology 383
Clinical Features 383
Tumors of the Male Breast 387
Review Questions 388
Chapter17 The Endocrine System 389
Chapter Outline 389
Learning Objectives 389
Key Terms and Concepts 390
Normal Anatomy and Physiology 391
Overview of Major Diseases 392
Special Pathology 393
Pituitary Diseases 393
Syndromes of Pituitary Hyperfunction 394
Pituitary Hypofunction 395
Nonfunctioning Pituitary Tumors 395
Thyroid Diseases 395
Hyperthyroidism 395
Clinical Features 396
Hypothyroidism 396
Chapter18 The Skin 407
Chapter Outline 407
Learning Objectives 407
Key Terms and Concepts 407
Normal Anatomy and Physiology 408
Overview of Major Diseases 409
Special Pathology 410
Pathology of Basic Skin Lesions 410
Congenital Disorders 411
External Injury 411
Mechanical Trauma 411
Pressure Ulcers 411
Thermal Injury 412
Burns 412
Cold Injuries 413
Electrical Injury 413
Radiation Injury 413
Sunlight Injury 413
Ionizing Radiation 414
Infectious Diseases 414
Bacterial Infections 414
Fungal Infections 415
Viral Diseases 416
Insect Infestations and Bites 416
Acne 416
Idiopathic and Immune Disorders 416
Eczema 416
Exogenous Eczema 417
Endogenous Eczema 417
Seborrheic Dermatitis 417
Psoriasis 418
Neoplasms 418
Epithelial Tumors 418
Seborrheic Keratosis 418
Basal Cell Carcinoma 418
Squamous Cell Carcinoma 419
Pigmented Lesions 420
Malignant Melanoma 420
Clinical Features 421
Dermal Connective Tissue Tumors 422
Kaposi’s Sarcoma 422
Dermal Tumors Derived From Bloodborne Cells 422
Diseases of the Nails 422
Hair Diseases 423
Review Questions 424
Chapter19 Bones and Joints 425
Chapter Outline 425
Learning Objectives 425
Key Terms and Concepts 426
Normal Anatomy and Physiology 426
Overview of Major Diseases 428
Special Pathology 429
Developmental and Genetic Disorders 429
Achondroplasia 429
Osteogenesis Imperfecta 429
Infectious Diseases 430
Osteomyelitis 430
Etiology 430
Pathogenesis and Pathology 430
Circulatory Disturbances 430
Etiology and Pathogenesis 431
Clinical Features 431
Metabolic Disorders 431
Osteoporosis 431
Etiology 431
Pathogenesis 432
Pathology 432
Clinical Features 433
Osteomalacia 433
Etiology 433
Chapter20 Muscles and Peripheral Nerves 448
Chapter Outline 448
Learning Objectives 448
Key Terms and Concepts 449
Normal Anatomy and Physiology 449
Overview of Major Diseases 450
Special Pathology 452
Neurogenic Atrophy 452
Myasthenia Gravis 455
Etiology and Pathogenesis 455
Pathology 455
Clinical Symptoms 455
Muscular Dystrophies 456
Duchenne’s Muscular Dystrophy 457
Pathology 457
Clinical Features 458
Other Dystrophies 458
Congenital Myopathies 459
Acquired Myopathies 460
Diabetic Myopathy 460
Cancer Myopathy 460
Mechanical Injury of Muscles 460
Myositis 461
Infectious Myositis 461
Immune Myositis 461
Pathology 462
Clinical Features 462
Soft Tissue Tumors 462
Pathology and Clinics 463
Review Questions 464
Chapter21 The Nervous System 466
Chapter Outline 466
Learning Objectives 466
Key Terms and Concepts 467
Normal Anatomy and Physiology 468
Histology of the Brain 469
Overview of Major Diseases 469
Special Pathology 472
Developmental Disorders 472
Anencephaly and Dysraphic Disorders 472
Intracranial Hemorrhages 472
Epidural Hematomas 473
Subdural Hematomas 474
Subarachnoid Hemorrhages 474
Intracerebral Hemorrhage 475
Cerebrovascular Diseases 475
Global Ischemia 475
Cerebral Infarct 475
Intracerebral Hemorrhage 477
Trauma 477
Brain Injury 477
Neck and Spinal Cord Injuries 478
Infections 478
Etiology and Pathogenesis 478
Pathology 479
AIDS-related infections 480
Autoimmune Diseases 480
Multiple Sclerosis 480
Etiology and Pathogenesis 481
Pathology 481
Clinical Features 481
Metabolic and Nutritional Diseases 482
Inborn Errors of Metabolism 482
Nutritional Diseases 482
Alcoholism 482
Neurodegenerative Diseases 483
Alzheimer’s Disease 483
Chapter22 The Eye 492
Chapter Outline 492
Learning Objectives 492
Key Terms and Concepts 492
Normal Anatomy and Physiology 493
Overview of Major Diseases 494
Special Pathology 495
Developmental Disorders 495
Trauma 496
Infections 496
Immunologic Disease 497
Circulatory Disorders 498
Hypertensive Retinopathy 498
Diabetic Retinopathy 498
Pathology 498
Glaucoma 499
Pathophysiology 499
Pathology 499
Cataract 500
Neoplasms 500
Retinoblastoma 500
Malignant Melanoma 501
Review Questions 501
Chapter23 The Ear 502
Chapter Outline 502
Learning Objectives 502
Key Terms and Concepts 502
Normal Anatomy and Physiology 502
Overview of Major Diseases 503
Special Pathology 504
Diseases of the External Ear 504
Diseases of the Middle Ear 504
Otitis Media 504
Otosclerosis 506
Diseases of the Inner Ear 506
Ménière’s Disease 506
Deafness 506
Classification 506
Conductive Hearing Loss 506
Sensory Hearing Loss 507
Neural Hearing Loss 507
Review Questions 507
Glossary 508
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D 511
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Index 522
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Inside Back Cover ibc1