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Chronic LVF - impairment of the exit of the blood from the lungs
Increased pressure in the alveolar capillaries
Microhemorrhages into the alveoli, red blood cells are phagocytosed by
macrophages (heart failure cells) (macrophages laden with
hemosiderin)
Fibrosis of the interstitial spaces of the lung
Lung is brown and firm brown induration
Consequences of higher pressure in capillaries is pulmonary
hypertension, which may lead to right heart failure.
Bronchus?
Pores of Kohn
Centriacinar (Centrilobular)
Panacinar (Panlobular)
Paraseptal
Irregular
Bronchopneumonia (303)
Bronchioles
filled with pus
Congestion
Red hepatization
Gray hepatization
Resolution
macro: multifocal changes. Inflammations are yellow.
Usually complication of bronchitis.
Slide:
Artery?
No infiltration in bronchus
Enlarged capillary
in septa filled with
blood cells
Empty alveolar spaces
epithelioid cells
Langhans giant cell
Inflammatory infiltrates
Tuberculoma (319)
Necrosis (old granuloma)
fibrosis
In tumor with central necrosis, need to check border to determine cell type to
differentiate form neoplasm.
Slide: part of slide pink, other area darker. Large, light pink area = necrosis. Many
new, small granuloma around large area of necrosis. Epithelioid cells (elongated
nucleus). Can be layers of necrosis mixed with layers of fibrosis
No caseous necrosis
multiple, sarcoid granulomas are scattered in the interstitium of the lung
granuloma lymphocytes, giant cells, epithelioid cells (macrophages)
Asteroid bodies (star shaped crystals) may be seen
Schaumann bodies (small calcifications with a laminar structure) may be present
inside Langhans cells.
slide: lymphocytes on the edges, central part with epithelioid cells (not just on the
edge like regular granuloma). Giant cells. Many granulomas.
Whorl of collagen