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Pathology for medical students (view source)
Revision as of 20:10, 21 February 2014
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This article is an introduction to '''pathology for | This article is an introduction to '''pathology for medical students'''. | ||
==Compentencies== | ==Compentencies== | ||
===Describing injuries=== | ===Describing injuries=== | ||
*[[Gross pathologic classification of | *[[Gross pathologic classification of injuries]]. | ||
===Pre-autopsy=== | ===Pre-autopsy=== | ||
*Filling in a death certificate. | *Filling in a death certificate. | ||
**Difference between ''[[manner of death]]'' | **Difference between ''[[manner of death]]'', ''[[cause of death]]'' and ''[[mechanism of death]]''. | ||
**World Health Organization standard for death certificates. | **World Health Organization standard for death certificates. | ||
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*Identifying medical examiner cases/coroner's cases. | *Identifying medical examiner cases/coroner's cases. | ||
*Getting an [[autopsy consent]]. | *Getting an [[autopsy consent]]. | ||
**Understanding the hierarchy. | **Understanding the hierarchy and knowing it must be followed strictly. | ||
**Knowing the difference between ''executer of the estate'' and ''power of attorney for health care decisions''. | **Knowing the difference between ''executer of the estate'' and ''power of attorney for health care decisions'' (not valid after death). | ||
*Providing important clinical information. | *Providing important clinical information. | ||
**Clinical history - past medical history. | **Clinical history - past medical history. | ||
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**Infectious cases - role of culture. | **Infectious cases - role of culture. | ||
*Interpreting [[pathology reports]]. | *Interpreting [[pathology reports]]. | ||
*Importance of providing clinical information. | |||
**Consultant for a specialist should have a ''reason for referral'' - pathology is not different. | |||
===Cancer diagnoses=== | ===Cancer diagnoses=== | ||
Definitions: | Definitions: | ||
*[[Definition of cancer|Cancer]]. | *[[Definition of cancer|Cancer]]. | ||
*[[Tumour]]. | **Pathologic definitions of cancer. | ||
**Locally aggressive, e.g. [[desmoid tumour]]. | *''[[Tumour]]''. | ||
**Not necessarily cancer. | |||
**Locally aggressive tumours, e.g. [[desmoid tumour]]. | |||
**Benign tumours. | |||
Pitfalls: | Pitfalls: | ||
*''[[Melanoma]]''. | *The ''-oma'' endings -- some are malignant: | ||
*''[[Mesothelioma]]''. | **''[[Melanoma]]''. | ||
**''[[Mesothelioma]]''. | |||
**''[[Sarcoma]]''. | |||
Implication of ''not otherwise specified'': | Implication of ''not otherwise specified'': | ||
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*[[Perineural invasion]]. | *[[Perineural invasion]]. | ||
*[[Margin status]]. | *[[Margin status]]. | ||
*Tumour size. | *Tumour size - understanding the rationale for [[diagnostic size cutoffs]]. | ||
===Techniques=== | ===Techniques=== | ||