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Fundamental Concept of
Disease
General Pathology – 1
1
Course objective:
 By the end of this subject, students should be able to:
 1. Understand basic concepts of pathology and their mechanisms
 2. Understand cell injury and adaptation, inflammation, repair, healing, and
regeneration.
 3. Understand hemodynamic disorders and their mechanisms
 4. Understand shock and compensatory mechanism of shock
 5. Understand oncology, tumor development, types and mechanisms
 6. Demonstrate basics concepts of pathology on charts and models
 7. Demonstrates cell injury, cellular adaptation, inflammation repair, healing
and regeneration, hemodynamic disorders, shock, oncology on video
demonstrations.
 8. Acquire skills in estimating clotting time, bleeding time,
 9. Identify different slides related to pathology on microscop
2
Recommended books:
1. Robbins Basic Pathology by Kumar, Abbas and Aster
2. Short Text Book of Pathology by Dr. M. Inam Danish
1/9/2019
israrswat96@gmail.com
3
Pathology
• Patho = suffering, logos = study
• The scientific study of disease
• Study of alterations, occur when an abnormal
influences effect our cell, tissue or body system
• Organisms
• Toxins
• Trauma etc.
4
Disease
• The condition in which an individual exhibit
anatomical, physiological or biochemical deviation
from norms
• Any disturbance in the body or its part, structure or
function.
• Every disease is associated with dysfunction at the
level of the organ, cell, or organelle
5
Terminologies
Etiology: Study of cause of a disease
Predisposing factors: Factors which make an individual more
susceptible to a disease
Onset: start of a disease, sudden (acute) or progressive (chronic)
Complication: new disease arise during or after the course of a disease
6
Terminologies
Diagnosis: Determination of a disease nature on a proper
manner
Prognosis: Estimation of disease severity and result
Pathogenesis: Sequence of events takes place during
course of a disease
7
Terminologies
Morphology: the structural features of the disease
Methods of studying structural changes:
Biopsy: Removal of living tissue for examination
Autopsy: Examination of dead tissue (postmortem)
Cytology: study of individual cell in detail (microscopic)
8
9
Nature of Diseases
Inflammatory diseases
• The diseases in which immune system attacks the body's own
tissues, resulting in the formation of thick fluid, pus
• Pus is a mixture of dead WBCs and other fluids
• E.g. appendicitis, otitis, arthritis etc.
Traumatic diseases
• The diseases in which wound are form due to physical agent
• E.g. Bone fracture, head injury etc.
10
Nature of Diseases
Neoplastic diseases
• The diseases in which abnormal cells are formed
inside tissue or organ resulting in extra mass
• E.g. cancer
Degenerative diseases
• The diseases in which continuous tissue degeneration
occur
• E.g. osteoarthritis etc.
11
Nomenclature of Diseases
Primary/Idiopathic diseases: The disease without marked cause. e.g.
Primary HTN
Secondary diseases: The disease due to complication of some
underlying lesion. e.g. HTN secondary to hyperlipidemia
Acute: Disease with sudden onset that lasts in short time.
e.g. appendicitis,
Chronic: Disease with slow and gradual onset that are long lasting
(often > 3 months) e.g. Cancer, COPD,.
12
Nomenclature of Diseases
Benign: remain localized to the tissue of origin and are
less lethal. E.g. benign prostate hyperplasia
Malignant: invade and spread from their origin and are
fatal. E.g. malignant tumors
Syndromes: aggregate of signs and
symptoms/combination of lesions. E.g. ARDS
Contagious: Disease that occur due to skin-skin contact
or by airborne route e.g. nosocomial diseases like MRSA
13
Nomenclature of Diseases
Communicable: Disease that transfer through vector e.g.
malaria
Infectious: Disease caused due to external organism
(pathogen). e.g. tuberculosis, Hepatitis etc.
Teratogenic: Diseases of fetus e.g VSD.
Venereal: Diseases caused due to sexual contact e.g. HIV,
HCV
14
Branches of Pathology
General Pathology
 Deals with diseases relates to every part of body and
focuses on the fundamental cellular and tissue responses
to pathologic stimuli e.g. Study of inflammatory diseases
Systemic Pathology
 Deals with diseases related to a specific system e.g. study
of respiratory diseases
Gross Pathology
 Deals with diseases in which tissues can be examine with
naked eye e.g. study of traumatic diseases
15
Branches of Pathology
Cellular Pathology: Study of disease with help of microscope
Surgical Pathology: Study of frozen section at the time of surgery
Chemical Pathology: Study of abnormalities related with biochemical
changes in body e.g. electrolytes imbalances
Immune Pathology: deals with diseases related to immune system e.g.
study of rheumatic diseases
16
Branches of Pathology
Pathophysiology: Study of disordered function of tissue
or organ which it have in a disease
Clinical pathology: study of disease by examining blood,
urine, feces, skin, scrapings, etc.
Geographical pathology: study of disease processes in
population groups
17
Epidemiological Indices
Prevalence: quantifies how many people
have a disease (Old + new)
Incidence: quantifies the development of
new cases of a disease or risk
Ratio: a comparison between two objects or
amounts
Mortality: Death ratio in community
Morbidity: Disease ratio in community
18
Epidemiological Indices
Endemic: a disease present consistently in specific region
Outbreak: The occurrence of more cases of a disease
than expected for a particular place (limited)
Epidemic: unexpected increase in the number of disease
in a specific area
Pandemic: when a disease grow exponentially and
occupy large area
19
20

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1.INTRO TO PATHOLOGY۔SLIDESHA.RE۔PPTX۔۔۔

  • 2. Course objective:  By the end of this subject, students should be able to:  1. Understand basic concepts of pathology and their mechanisms  2. Understand cell injury and adaptation, inflammation, repair, healing, and regeneration.  3. Understand hemodynamic disorders and their mechanisms  4. Understand shock and compensatory mechanism of shock  5. Understand oncology, tumor development, types and mechanisms  6. Demonstrate basics concepts of pathology on charts and models  7. Demonstrates cell injury, cellular adaptation, inflammation repair, healing and regeneration, hemodynamic disorders, shock, oncology on video demonstrations.  8. Acquire skills in estimating clotting time, bleeding time,  9. Identify different slides related to pathology on microscop 2
  • 3. Recommended books: 1. Robbins Basic Pathology by Kumar, Abbas and Aster 2. Short Text Book of Pathology by Dr. M. Inam Danish 1/9/2019 israrswat96@gmail.com 3
  • 4. Pathology • Patho = suffering, logos = study • The scientific study of disease • Study of alterations, occur when an abnormal influences effect our cell, tissue or body system • Organisms • Toxins • Trauma etc. 4
  • 5. Disease • The condition in which an individual exhibit anatomical, physiological or biochemical deviation from norms • Any disturbance in the body or its part, structure or function. • Every disease is associated with dysfunction at the level of the organ, cell, or organelle 5
  • 6. Terminologies Etiology: Study of cause of a disease Predisposing factors: Factors which make an individual more susceptible to a disease Onset: start of a disease, sudden (acute) or progressive (chronic) Complication: new disease arise during or after the course of a disease 6
  • 7. Terminologies Diagnosis: Determination of a disease nature on a proper manner Prognosis: Estimation of disease severity and result Pathogenesis: Sequence of events takes place during course of a disease 7
  • 8. Terminologies Morphology: the structural features of the disease Methods of studying structural changes: Biopsy: Removal of living tissue for examination Autopsy: Examination of dead tissue (postmortem) Cytology: study of individual cell in detail (microscopic) 8
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  • 10. Nature of Diseases Inflammatory diseases • The diseases in which immune system attacks the body's own tissues, resulting in the formation of thick fluid, pus • Pus is a mixture of dead WBCs and other fluids • E.g. appendicitis, otitis, arthritis etc. Traumatic diseases • The diseases in which wound are form due to physical agent • E.g. Bone fracture, head injury etc. 10
  • 11. Nature of Diseases Neoplastic diseases • The diseases in which abnormal cells are formed inside tissue or organ resulting in extra mass • E.g. cancer Degenerative diseases • The diseases in which continuous tissue degeneration occur • E.g. osteoarthritis etc. 11
  • 12. Nomenclature of Diseases Primary/Idiopathic diseases: The disease without marked cause. e.g. Primary HTN Secondary diseases: The disease due to complication of some underlying lesion. e.g. HTN secondary to hyperlipidemia Acute: Disease with sudden onset that lasts in short time. e.g. appendicitis, Chronic: Disease with slow and gradual onset that are long lasting (often > 3 months) e.g. Cancer, COPD,. 12
  • 13. Nomenclature of Diseases Benign: remain localized to the tissue of origin and are less lethal. E.g. benign prostate hyperplasia Malignant: invade and spread from their origin and are fatal. E.g. malignant tumors Syndromes: aggregate of signs and symptoms/combination of lesions. E.g. ARDS Contagious: Disease that occur due to skin-skin contact or by airborne route e.g. nosocomial diseases like MRSA 13
  • 14. Nomenclature of Diseases Communicable: Disease that transfer through vector e.g. malaria Infectious: Disease caused due to external organism (pathogen). e.g. tuberculosis, Hepatitis etc. Teratogenic: Diseases of fetus e.g VSD. Venereal: Diseases caused due to sexual contact e.g. HIV, HCV 14
  • 15. Branches of Pathology General Pathology  Deals with diseases relates to every part of body and focuses on the fundamental cellular and tissue responses to pathologic stimuli e.g. Study of inflammatory diseases Systemic Pathology  Deals with diseases related to a specific system e.g. study of respiratory diseases Gross Pathology  Deals with diseases in which tissues can be examine with naked eye e.g. study of traumatic diseases 15
  • 16. Branches of Pathology Cellular Pathology: Study of disease with help of microscope Surgical Pathology: Study of frozen section at the time of surgery Chemical Pathology: Study of abnormalities related with biochemical changes in body e.g. electrolytes imbalances Immune Pathology: deals with diseases related to immune system e.g. study of rheumatic diseases 16
  • 17. Branches of Pathology Pathophysiology: Study of disordered function of tissue or organ which it have in a disease Clinical pathology: study of disease by examining blood, urine, feces, skin, scrapings, etc. Geographical pathology: study of disease processes in population groups 17
  • 18. Epidemiological Indices Prevalence: quantifies how many people have a disease (Old + new) Incidence: quantifies the development of new cases of a disease or risk Ratio: a comparison between two objects or amounts Mortality: Death ratio in community Morbidity: Disease ratio in community 18
  • 19. Epidemiological Indices Endemic: a disease present consistently in specific region Outbreak: The occurrence of more cases of a disease than expected for a particular place (limited) Epidemic: unexpected increase in the number of disease in a specific area Pandemic: when a disease grow exponentially and occupy large area 19
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