Practical Pathology Harsh Mohan
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1Practical PATHOLOGY
2 The photographs on the cover of the book depict images of the following diseases:
3Practical PATHOLOGY
Fourth Edition
Harsh Mohan MD, FAMS, FICPath, FUICC Former Professor and Head Department of Pathology Government Medical College and Hospital Chandigarh-160 031 INDIA E-mail: drharshmohan@gmail.com
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© 2017, Jaypee Brothers Medical Publishers
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.
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Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
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Assistant Editors: Praveen Mohan, Sugandha Mohan
Practical Pathology
First Edition : 2000
Second Edition : 2007
Third Edition : 2013
Fourth Edition : 2017
9789386107978
Printed at
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Dedicated to My family for their profound love and devotion; and all the students for their overwhelming support and encouragement that has always been my plank of strength for doing more and better6
7Preface to the Fourth Edition
Knowledge in medical science and technology has been exponentially increasing, and the students of laboratory science have to keep pace with these advancements in both scientific content as well as the newer methods of learning. The fourth revised edition of Practical Pathology (earlier called Pathology Practical Book) incorporates these newer aspects of knowledge and methods of learning practical pathology. However, while revising the book, well-accepted basic style of the book as exercise-based learning similar to teaching and learning in a practical class of pathology has been retained. The emphasis throughout the revised edition has been on effortless and focused learning by the students on practical points in various sections of pathology, and simultaneously preparing them for viva voce in diagnostic pathology such as on slides, specimens, instruments, normal values, similes, etc. Thus, the revised edition in a small package encompasses abundant practical knowledge of immense value, and also includes useful information for self-assessment.
Highlights of the revised edition are as under:
Updated contents The revised edition having 61 exercises is divided into 8 sections, patterned on the format of practical class of students. These are: Techniques in Pathology (Exercise 1–5), General Pathology (Exercise 6–20), Systemic Pathology (Exercise 21–38), Cytopathology (Exercise 39–41), Haematology and Lymphoid Tissues (Exercise 42–55), Clinical Pathology (Exercise 56–59), Autopsy Pathology (Exercise 60–61) and Appendices (I–III: Common Instruments in Pathology, Common Similes in Pathology, and Normal Values). All these exercises have been updated in their textual contents by adding newer images at several places while redundant information and older images have been deleted.
Key questions for viva voce Besides content of practical knowledge in exercises, the revised edition has a strong newer component of learning by self-assessment. At the end of each exercise, a few key questions based on that exercise have been added along with brief answers to prepare the student for facing viva voce confidently. In my experience, these are the questions which the students are often asked in their examination, in ward rounds or in clinics. Thus, the present edition of Practical Pathology constitutes a single integrated resource of learning, training and self-test.
Although the revised edition of the book is primarily prepared for undergraduate students of pathology, it is also expected to be useful for practicing clinicians and other students of medicine such as those pursuing course in dentistry, physiotherapy, pharmacy, nursing, laboratory technology and alternate systems of medicine.
ACKNOWLEDGEMENTS
In preparing the revised edition, I have been helped and supported by students, friends and colleagues, which is gratefully acknowledged. I owe a word of special appreciation to Ms Agam Verma, MSc (MLT), Senior Laboratory Technician, for liberal and skilful technical assistance and her valuable suggestions in chapters on laboratory technology.
I thank profusely the entire staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, in general for their constant support and cooperation, and Mrs Y Kapoor (Senior Desktop Operator) and Mr Manoj Pahuja (Senior Graphic Designer) in particular, in layout of the text and organising the large numbers of figures as per my requirements, ungrudgingly and smilingly. My special thanks are due to Shri Jitendar P Vij (Group Chairman) and Mr Ankit Vij (Group President) of the M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their constant co-operation and for being ever supportive for getting the best final product for the users.
Finally, although sincere effort has been made to be as accurate as possible, an element of human error is still likely. I shall humbly request users to continue giving their valuable suggestions and feedback as they have been doing before for my all books; this helps me greatly to learn from the experience of users, improve further and carry out corrections, wherever required, at the earliest possible opportunity.
Harsh Mohan, MD, FAMS, FICPath, FUICC