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Full details and terms of use are available upon registration, and access will be subject to your acceptance of these terms of use. For technical assistance: email [email protected] call 800-401-9962 (inside the US) / call +1-314-995-3200 (outside the US) PDF Compressor Pro PDF Compressor Pro PDF Compressor Pro Netter’s Illustrated Human Pathology SECOND EDITION L. Maximilian Buja, MD The University of Texas Health Science Center at Houston Gerhard R. F. Krueger, MD, PhD The University of Texas Health Science Center at Houston Illustrations by Frank H. Netter, MD PDF Compressor Pro Elsevier Inc. 1600 John F. Kennedy Boulevard Suite 1800 Philadelphia, PA 19103-2899 Netter’s Illustrated Human Pathology Second Edition ISBN: 978-0-323-22089-7 Copyright © 2014, 2005 by Saunders, an imprint of Elsevier Inc. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies, and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency can be found at our website: www.elsevier.com/permissions. This book and the individual permissions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Permission for Netter Art igures may be sought directly from Elsevier’s Health Science Licensing Department in Philadelphia, PA: phone 800-523-1649, ext. 3276, or 215-239-3276; or email [email protected]. Notice Knowledge and best practice in this ield are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identiied, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. ISBN: 978-0-323-22089-7 Content Strategist: Elyse O’Grady Content Development Manager: Marybeth Thiel Publishing Services Manager: Patricia Tannian Project Manager: Carrie Stetz Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 PDF Compressor Pro DEDICATION We dedicate this book to our families—especially our wives, Donna Buja and Barbara Krueger. Their encouragement and support have been inspirational and fundamental in our work and our lives. PDF Compressor Pro This page intentionally left blank PDF Compressor Pro PREFACE Netter’s Atlas of Human Pathology is intended to bus by providing a vivid visual framework and provide students with a clear, concise, and com- companion for the study of the causes, patho- pelling presentation of the pathologic basis of the physiology, and natural history of disease. The most common human diseases. Pathology is a Atlas also can be used as an adjunct when study- science and medical discipline that deals with the ing gross and microscopic pathology specimens causes (etiology), mechanisms (pathophysiology), in the laboratory. Additionally, the Atlas can and interrelated anatomical, functional, and serve as an introduction to new subject matter clinical manifestations of disease. Pathology is a and as a review after appropriate detail has been vast ield encompassing all of human disease and learned. Thus, the Atlas is meant to be a useful expanding geometrically to include information learning aid for students involved in their irst from rapidly evolving advances in the basic human pathology course and a review for stu- biomedical sciences, particularly the elucidation dents, medical residents, physicians, and other of the human genome. However, understanding health care professionals at subsequent stages of human disease will always require a clear under- their careers. standing of the ultimate expression of disease as The distinguishing element of this Atlas is the anatomical changes in tissues and organs (patho- brilliantly conceived and executed medical logic anatomy). Therefore, this Atlas provides illustrations of the famous physician-artist, Frank readily understandable representations of com- H. Netter, MD. As a result of a long and produc- mon human diseases, concentrating on patho- tive career, Dr. Netter has left a legacy of a vast logic anatomy and relating the anatomical collection of medical art familiar to physicians changes to the functional and clinical manifesta- and other health care professionals throughout tions of disease and their underlying causes and the world. Dr. Netter’s insight into and under- mechanisms. standing of structure-function relations has The initial chapter covers basic pathologic produced compelling and memorable depictions changes encountered in organs and tissues in of the fundamental features of disease processes. many disease processes, including degeneration The Netter illustrations are the core of the Atlas. and atrophy; apoptosis and necrosis; acute and However, in some cases, the Netter drawings chronic inlammation; immunologic reactions; have been supplemented with gross photographs regeneration, hypertrophy, and hyperplasia; and and photomicrographs to enhance and complete dysplasia and neoplasia. The following 12 chap- the picture. The chapters on general pathology, ters deal with diseases of speciic organ systems: skin, and hematologic disorders use gross and the cardiovascular system; respiratory system; microscopic photographs to illustrate these gastrointestinal system; liver, gallbladder, and pathologic processes. Through the combination pancreas; kidneys and urinary system; male and and integration of the Netter illustrations, gross female reproductive systems; integumentary (skin) and microscopic photographs, tables, and text, system; hematopoietic and lymphatic systems; our goal is to present students with an Atlas that bones, joints, and soft tissues; endocrine system; enhances their knowledge, understanding, and and nervous system. Each chapter begins with a appreciation of the pathologic basis of human concise summary of the various pathologic pro- disease. Pathology is the fundamental bridging cesses and diseases to be presented in the chap- discipline linking the basic biomedical sciences ter. The main body of each chapter consists of to clinical medicine. Therefore, our ultimate goal illustrations of pathologic processes and diseases is for our students to use their knowledge of accompanied by concise text aimed at clarifying pathology to become scientiically grounded, and expanding the information presented in the effective physicians and health care illustrations. Comparative data about similar professionals. disease processes are summarized in tables. The Atlas is designed to complement a compre- L. Maximilian Buja, MD hensive textbook of pathology or a course sylla- Gerhard R.F. Krueger, MD, PhD vii PDF Compressor Pro This page intentionally left blank