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APLA,Y

MEDICAL

USMLE™* Step 1

Pathology

Lecture Notes

BK4031 J

·usMLE™ is a joint program of the Federation of State Medical Boards of the United States and the National Board of Medical Examiners.

©2013 Kaplan, Inc.

All rights reserved. No part ofthis book may be reproduced in any form, by photostat, microfilm, xerography or any other means, or incorporated into any information retrieval system, electronic or mechanical, without the written permission of Kaplan, Inc.

Not for resale.

Authors

Henry Sanchez, M.D.

Professor of Clinical Pathology

University ofCalifornia, San Francisco

San Francisco, CA

John Barone, M.D.

Anatomic and Clinical Pathologist

BeverlyHills, CA

Contributors

Michael S. Manley, M.D.

Department ofNeurosciences

University of California, San Diego

Senior Director, Step 1 Curriculum

Kaplan Medical

Nancy Standler, M.D., Ph.D.

DepartmentofPathology

Valley View Medical Center

Intermountain Health Care

Contents

Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. vii

Chapter 1: Fundamentals of Pathology . . . . . . . . . . . . . . . . . .. .. . . . . . . . .

. 1

Chapter 2: Cellular Injury and Adaptation . . . . . . . . . . . . . . . . .. . . . . . . . .

. 5

Chapter 3: Inflammation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .

15

Chapter 4: Tissue Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25

Chapter 5: Circulatory Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29

Chapter 6: Genetic Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

43

Chapter 7: lmmunopathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

59

Chapter 8: Amyloidosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

69

Chapter 9: Principles of Neoplasia. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .

73

Chapter 10: Environmentand Lifestyle-Related Pathology. . . . . . . . . . . . .

83

Chapter 11: Skin Pathology. . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . .

89

Chapter 12: Red Blood Cell Pathology: Anemias . . .. . . . . . . . . . . . . . . . . .

97

Chapter 13: Vascular Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

109

Chapter 14: Cardiac Pathology. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . .

119

Chapter 15: Respiratory Pathology............................... .

131

Chapter 16: Renal Pathology ........... .........................

147

Chapter 17: Gastrointestinal Tract Pathology .......................

163

Chapter 18: Pancreatic Pathology . ...............................

177

Chapter 19: Gallbladder and Biliary Tract Pathology.................

183

M EDICAL V

Chapter 20: Liver Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

187

Chapter 21: Central Nervous System Pathology . . . . . . . . . . . . . . . . . . . . .

197

Chapter 22: Hematopoetic Pathology-White Blood Cell

 

Disorders & Lymphoid and Myeloid Neoplasms . . . . . . . . . .

219

Chapter 23: Female Genital Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . .

233

Chapter 24: Breast Pathology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

241

Chapter 25: Male Pathology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

247

Chapter 26: Endocrine Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

253

Chapter 27: Bone Pathology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

261

Chapter 28: Joint Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

271

Chapter 29: Skeletal Muscle and Peripheral Nerve Pathology . . . . . . . . .

277

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

283

Vi MEDICAL

Preface

These 7 volumes ofLecture Notes represent the most-likely-to-be-tested material on the current USMLE Step 1 exam. Please note that these are Lecture Notes, not re­ view books. The Notes were designed to be accompanied by facultylectures-live, on video, or on the web. Reading them without accessing the accompanying lectures is not an effective way to review for the USMLE.

To maximize the effectiveness of these Notes, annotate them as you listen to lectures. To facilitate this process, we've created wide, blank margins. While these margins are occasionally punctuated by faculty high-yield "margin notes;' they are, for the most part, left blank for your notations.

Many students find that previewing the Notes prior to the lecture is a very effective way to prepare for class. This allows you to anticipate the areas where you'll need to pay particular attention. It also affords you the opportunity to map out how the in­ formation is going to be presented and what sort of study aids (charts, diagrams, etc.) you might want to add. This strategy works regardless of whether you're attending a live lecture or watching one on video or the web.

Finally, we want to hear what you think. What do you like about the Notes? What could be improved? Please share your feedback by e-mailing usatmedfeedback@kaplan.com.

Thank you forjoining Kaplan Medical, and best of luck on your Step 1 exam!

Kaplan Medical

MEDICAL

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