Medico Guides 8th Block (Module No 18) Special Pathology Guidelines

Prepared by:

                           Christopher Stephen (G12)

Compiled by:

                     Hafiz Muhammad Umair Noor (G12)

Reference Books:

  • Pathoma Fundamentals of Pathology
  • Medium Robbins Latest Edition
  • Essentials of Special Pathology by MBBS Cafeteria

Rheumatoid Arthritis:

  • Mechanism(HLA association)
  • Clinical features especially morning stiffness that improves with activity(often scenario is presented this way) and age (60+)
  • Morphology from cafeteria book, in purple box
  • Lab findings like antibodies and markers etc
  • Treatment

Osteoarthritis:

  • Mechanism (wear and tear)
  • Presentation: age, stiffness that worsens during the day
  • Morphology from cafeteria book
  • Clinical features like osteophytes and nodes
  • Treatment

Gout:

  • Mechanism overproduction/underexcretion
  • Types 1⁰ or 2⁰
  • Clinical presentation
  • Causes
  • Lab findings (negative birefringence vvvvimp)
  • Differentiate it from pseudogout (crystal shape and +ve birefringence)

Tumors:

  • Scenario is asked, giant cell tumor and ewing sarcoma, osteosarcoma are more imp
  • Focus on location, age bracket, any special finding(like soap bubble in giant cell), associations
  • Tumor morphology from cafeteria book (super high yield)
  • Soft tumors like lipoma etc

Note: You can use Robbins for morphologies if cafeteria  is not suitable.

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