Pathophysiology?

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MedStudentWanna

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My school has what I'm told is an amazing path department and an amazing phys department, but we don't actually have a class in pathophys. How does pathophys differ from just path, where we incorporate some physiology anyway?
 
Pathology TECHNICALLY is just histology of bad stuff.

What most Pathology courses are in most medical school, especially if you have the 1st year - 2nd year model (opposed to the one-organ-system-at-a-time for two year model), is a Mechanism of Disease course.

Mechanisms of Disease implies etiologies, epidemiology, pictures of pathology, and how it affects the patients. This is pathophys. Most schools never actually blend physiology with pathophys, except to say that the principles you learned in physiology may come up in path.

For example, in path, you arent going to say things like in heart failure, you are at point B on the Frank Starling curve, and therefore cardiac output is low. What you might say is that the dilation of the cardiac muscles leads to a weak and floppy heart, impairing cardiac function. They both say the same thing.

I wouldnt worry too much about it. Unless you are a concrete memorizer and can only remember facts in a book without any synthesis, while learning "Path" you will actually be learning "Pathophys" and even a little bit of "how to do medicine."

FYI: The field of pathology is NOT mechanism of disease. It is staining slides and looking at them. It is histology of bad stuff. Thats it. Dark rooms and microscope slides, stains, and hopefully pandora/slacker radio.
 
Thanks for the reply!

My school is systems based and we have path throughout years one and two. But yeah, it's definitely a lot more than just slides. We're tested on the actual mechanism of the pathology so I just wanted to make sure it was the same as pathophys.
 
I think if you look at the UWorld questions for pathophysiology it makes more sense. Pathology as OveractiveBrain said is essentially just the histology/gross picture of what organs look like when they go bad and the clinical presentation.

Pathophysiology has more to do with WHY they went bad. So for example, if you have proteinuria, why would that cause edema? Because you have decreased oncotic pressure in your vasculature --> fluid flows into the non-vascular ECF compartment, the interstitial fluid --> causes edema. Pathology would be more the different histological presentations of nephrotic syndrome causing proteinuria (membranous glomerulonephropathy, etc).
 
I think if you look at the UWorld questions for pathophysiology it makes more sense. Pathology as OveractiveBrain said is essentially just the histology/gross picture of what organs look like when they go bad and the clinical presentation.

Pathophysiology has more to do with WHY they went bad. So for example, if you have proteinuria, why would that cause edema? Because you have decreased oncotic pressure in your vasculature --> fluid flows into the non-vascular ECF compartment, the interstitial fluid --> causes edema. Pathology would be more the different histological presentations of nephrotic syndrome causing proteinuria (membranous glomerulonephropathy, etc).

I completely agree. Pathology is simply 'what am I seeing' while pathophys is 'why did it happen'
 
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