Charcot pentad

Charcot's Triad; Definition Etiology Anatomy Pathophysiology Pearls ... The additional presence of altered mental status and hypotension (known as Reynolds pentad) signifies acute suppurative cholangitis and is an endoscopic emergency;

Objective: To determine the prevalence of Charcot triad, Reynolds pentad, and Tokyo Guidelines criteria and clinical outcomes among patients with cholangitis across different age groups. Patients and Methods: We conducted a retrospective analysis of 257 consecutive hospitalized adult patients with acute cholangitis due to endoscopic …In case of cholangitis due to CBD obstruction intra-biliary pressure rises to 18 to 20 cm H2O from 7 to 14 cm H2O, which causes disruption of tight junction between hepatocytes & bile ducts, resulting in bile duct and canalicular permeability.About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright ...Jun 23, 2022 · Charcot triad is the finding of pyrexia, right upper quadrant pain and jaundice, and is a traditional clinical sign of acute cholangitis. A meta-analysis of 4288 patients in 16 studies found that the sensitivity of Charcot triad for acute cholangitis was poor (36.3%) with a much better specificity (93.2%). However the specificity had only been ... Cholelithiasis (most common) or biliary sludge → inflammation of gallbladder wall. Choledocholithiasis (most common) → obstruction and stasis within the biliary tract → subsequent bacterial infection. Clinical features. Usually asymptomatic. Symptomatic ( biliary colic ): RUQ pain < 6h. RUQ pain > 6 h.ditandai dengan pentad Reynold yaitu trias Charcot berupa ikterus, demam, dan nyeri pada kuadran kanan atas abdomen, disertai dengan syok sepsis dan gangguan status mental.5,6 Sepsis ditunjukkan dengan adanya leukositosis dan perburukan tanda-tanda vital yang ditandai dengan hipotensi dan takikardi yang semakin memburuk sehingga kemudian ...Reynold's pentad consists of charcot's triad, but adds hypotension and mental status changes. This addition refers to symptoms of sepsis from cholangitis (3). Although …

toms, representing the Charcot triad, were first described in 1877 [1]. The severity of cholangitis is due to infection dissemination with risk of septic shock and organ failure. “The Reynolds pentad,” described in 1958 as Charcot triad-shock-confusion, was associated with high mortality in the absenceofadequatetreatment[2 ...Charcot triad + hypotension and AMS = Reynolds pentad, acute obstruction; Rapid Review Keeping things simple. These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management. Cover the fundamentals in one list;PM Advances in intensive care, antibiotic treatment regimens, and biliary drainage techniques have dramatically improved the mortality rate from over 50% prior to the 1970s to less than 7% in the 1980s. However, the mortality rate due to cholangitis remains significant without appropriate management. Thus, early diagnosis of acute cholangitis ...“The Reynolds pentad,” described in 1958 as Charcot triad-shock-confusion, was associated with high mortality in the absence of adequate treatment . Early diagnosis and recognition of severe presentations are therefore a challenging task for every clinician in order to initiate an early and appropriate therapeutic management.¡Descarga gratis el PDF TRIADA DE CHARCOT & PENTADA DE REYNOLDS! Encuentra los mejores documentos de medicina humana en uDocz y ayuda a miles cómo tú. Ingresa Regístrate Contribuidor Categorías Hazte Premium Ingresa Regístrate Contribuidor. 6.66k Vistas 15. TRIADA DE CHARCOT & PENTADA DE REYNOLDSBeck's triad is a collection of three medical signs associated with acute cardiac tamponade, a medical emergency when excessive fluid accumulates in the pericardial sac around the heart and impairs its ability to pump blood.The signs are low arterial blood pressure, distended neck veins, and distant, muffled heart sounds.. Narrowed pulse pressure might …Charcot triad is the classic picture of acute cholangitis and comprises jaundice, abdominal pain, rigors, and pyrexia. Hypotension and confusion are often a feature of acute suppurative cholangitis in which the bile duct is filled with purulent bile under pressure (Reynold pentad).

May 15, 2014 · Ascending cholangitis is characterized by fever, jaundice, and abdominal pain (Charcot triad); the addition of altered mentation and hypotension is known as Reynolds pentad. Charcot neuro-osteoarthropathy (CNO) of the foot is a devastating neuropathic complication of diabetes. It is characterised by deformity of the foot architecture, which can be initiated by trauma to the neuropathic limb or occur spontaneously. The acute phase of the disease is often misdiagnosed and can rapidly lead to deformity and amputation.It is defined as a triad of fever, jaundice, and right upper quadrant pain, also known as Charcot’s Triad.1 Sequelae of acute cholangitis includes suppurative cholangitis, known …By Perrine Juillion / May 11, 2019. Reynolds pentad is a collection of signs and symptoms suggesting the diagnosis obstructive ascending cholangitis, a serious infection of the biliary system. It is a combination of Charcot’s triad (right upper quadrant pain, jaundice, and fever) with shock (low blood pressure, tachycardia) and an altered ...The specificity of Reynold's pentad was not studied. Conclusion: Charcot's triad has limited clinical utility as a diagnostic algorithm for AC. It is an effective rule-in test but a poor rule-out ...20 Sep 2021 ... Reynolds' pentad. collection of signs and symptoms suggesting the diagnosis ... pentad. 0 references. subclass of · Charcot's cholangitis triad. 0 ...

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Reynolds' pentad is a collection of signs and symptoms consistent with obstructive ascending cholangitis, a serious infection of the biliary tract. It is a combination of Charcot's triad with shock and an altered mental status. Sometimes the two additional signs are listed simply as low blood pressure and confusion.There are no evidence-based-criteria for the diagnosis, severity assessment, of treatment of acute cholecysitis or acute cholangitis. For example, the full complement of symptoms and signs described as Charcot’s triad and as Reynolds’ pentad are infrequent and as such do not really assist the clinician with planning management strategies. In …Charcot's triad (fever, jaundice, and upper abdominal pain) plus hypotension and altered mental status changes (CNS depression). Submitted By Rich Catharina.The most common causes are gallstones , ERCP (iatrogenic), and cholangiocarcinoma. Rarer causes include pancreatitis, primary sclerosing cholangitis, ischaemic cholangiopathy, and parasitic infections. The most common infective organisms implicated in cholangitis are Escherichia Coli (27%), Klebsiella species (16%), and Enterococcus (15%).Virchow's Triad. stasis, hypercoagubility, vessel injury (venous thrombosis) Whipple's Triad. hypoglycemia, hypergammaglobulinemia, lytic bone lesions (insulinoma) Charcot's Neuro Triad. nystagmus, intention tremor, scanning speech (MS) Cushing's Triad. bradycardia, HTN, irregular breathing (increased ICP) jaundice (Charcot’s triad). More severe cases may present with hypotension and altered mental status (Reynold’s pentad). However, because few cases present with all of these features, standardized INTRODUCTION A scending cholangitis (AC) is an infection of the biliary tract. The normal biliary tree is near-sterile secondary to constant ...

Charcot triad describes cholangitis as clinical findings of fever, right upper abdominal pain, and jaundice. The Reynolds pentad adds altered mental status and sepsis to the triad. Many patients with acute cholangitis do not present with classic symptoms and signs. Charcot triad has a high specificity (95.9%), while sensitivity is low (26.4%).Ascending cholangitis needs immediate IV abx. Don't delay treatment for a CT if the patient is septic. Boards present either the Charcot triad (fever, abdominal pain, jaundice) or Reynolds pentad (triad + hypotension, AMS). Stream ep 43! 09 Jan 2023 19:51:00Keywords: tuberculosis, tuberculosis aggravated cholangitis, cholelithiasis, trias charcot, pentad reynold Korespondensi: Suci Widya Primadhani, alamat Jln. Abdul Muis no 14B, Gedong Meneng, Bandar Lampung, HP. 081236110113, [email protected] Pendahuluan Tuberkulosis (TB) adalah salah satu penyakit paling mematikan di dunia. Sepertiga4 Okt 2017 ... Akut kolanjitte semptomların tanımında kullanılırlar. Charcot triadı: +ateş +sarılık +sağ üst kadran ağrısı. Reynold pentadı +ateş +sarılıkCharcot's triad is the manifestation of biliary obstruction with upper abdominal pain, fever and jaundice. The condition may progress rapidly to Reynold's pentad, which consists of Charcot's triad with confusion and hypotension. Acute cholangitis is a serious complication of biliary disease where the bile duct is obstructed by either ...There are no evidence-based-criteria for the diagnosis, severity assessment, of treatment of acute cholecysitis or acute cholangitis. For example, the full complement of symptoms and signs described as Charcot’s triad and as Reynolds’ pentad are infrequent and as such do not really assist the clinician with planning management strategies. In view of these factors, we launched a project to ...The overall sensitivity for Charcot's triad was calculated as 36.3%. The specificity was only analysed in three studies and had an overall value of 93.2%. Nine of the articles also investigated the sensitivity of Reynold's pentad which was consistently low with an overall value of 4.82%.Ascending cholangitis is characterized by fever, jaundice, and abdominal pain (Charcot triad); the addition of altered mentation and hypotension is known as Reynolds pentad.Aug 18, 2016 · Ascending cholangitis. Question 9 from the second paper of 2016, and the identical Question 21 from the second paper of 2018, presented the candidates with a scenario of an elderly woman with jaundice, confusion, hypotension, fever and abdominal pain. This describes Reynolds' Pentad, the constellation of clinical signs which is actually absent ... Europe PMC is an archive of life sciences journal literature.

Charcot neuro-osteoarthropathy (CNO) of the foot is a devastating neuropathic complication of diabetes. It is characterised by deformity of the foot architecture, which can be initiated by trauma to the neuropathic limb or occur spontaneously. The acute phase of the disease is often misdiagnosed and can rapidly lead to deformity and amputation.

Charcot's triad is the manifestation of biliary obstruction with upper abdominal pain, fever and jaundice. The condition may progress rapidly to Reynold's pentad, which consists of Charcot's triad with confusion and hypotension. Acute cholangitis is a serious complication of biliary disease where the bile duct is obstructed by either ...About 50%–70% of patients with acute cholangitis develop all three symptoms (level 2b-4).4–7 Reynolds’ pentad (Charcot’s triad plus shock and a decreased level of consciousness) was presented in 1959, when Reynolds and Dargan8 defined acute obstructive cholangitis.Acute cholangitis is a clinical syndrome characterized by fever, jaundice, and abdominal pain that develops as a result of stasis and infection in the biliary tract. It is also referred to as ascending cholangitis. Cholangitis was first described by Charcot as a serious and life-threatening illness; however, it is now recognized that the ...Most patients have fever, jaundice, and right upper quadrant pain (Charcot triad). Cholangitis can quickly become an acute, septic, life-threatening infection that requires rapid evaluation and treatment. The most common causes are choledocholithiasis and benign and malignant strictures. Antibiotics alone do not provide sufficient treatment …La tríada de Charcot consiste en fiebre, dolor RUQ e ictericia. Se informa en hasta 50-70% de los pacientes con colangitis. Sin embargo, estudios recientes creen que es más probable que esté presente en 15-20% de los pacientes. La fiebre está presente en aproximadamente el 90% de los casos. Se cree que el dolor abdominal y la ictericia ...Jan 28, 2021 · “The Reynolds pentad,” described in 1958 as Charcot triad-shock-confusion, was associated with high mortality in the absence of adequate treatment . Early diagnosis and recognition of severe presentations are therefore a challenging task for every clinician in order to initiate an early and appropriate therapeutic management. Results: Charcot triad decreased with older ages. In the group that was age 80 years or older, malaise was the most common symptom; 33.6% (37 of 110) presented with altered …Charcot’s triad. Reynold’s pentad. Look for evidence of systemic inflammation (fever, tachycardia, leukocytosis). Elderly patients may be hypothermic and have leukopenia (are relatively immunosuppressed). Etiology/Pathophysiology. Biliary obstruction with ascending bacterial infection.

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Patients with infected bile duct stones typically present with fever, abdominal pain and jaundice (Charcot's triad), and in severe cases may also have associated hypotension and mental confusion (Raynold's pentad), which predicts a poor clinical outcome [ 4 ]. Precipitating factors of symptomatic stones, such advanced age, comorbid …Charcot Triad and Reynold's Pentad * * * #Obstructive #ObstructiveCholangitis #ObstructiveAscendingCholangitis #CharcotTria #Triad #Fever #Abdominalpain #Jaundice # ...Comparte este documento. Reportar contenido. ¡Descarga gratis el PDF TRIADA DE CHARCOT & PENTADA DE REYNOLDS! Encuentra los mejores documentos de medicina humana en uDocz y ayuda a miles cómo tú.English translation, New York, 1878. Referring to Désiré-Magloire Bourneville (1840-1909) and Louis-Arthur Sevestre (1843-1907). B. M. Reynolds, E. L Dargan: Acute obstructive cholangitis: a distinct clinical syndrome. Annals of Surgery, Philadelphia, 1959, 150: 299-303.Background. Acute bacterial cholangitis for the most part owing to common bile duct stones is common in gastroenterology practice and represents a potentially life-threatening condition often characterized by fever, abdominal pain, and jaundice (Charcot's triad) as well as confusion and septic shock (Reynolds' pentad).Reynolds' pentad is a collection of signs and symptoms suggesting the diagnosis of septic (ascending) cholangitis, a serious infection of the biliary system. It is a combination of Charcot's triad (jaundice, fever, abdominal pain) with hypotension (low blood pressure) and an altered mental state. It was named after the surgeon, B.M. Reynolds ...The additional presence of altered mental status and hypotension (known as Reynolds pentad) signifies acute suppurative cholangitis and is an endoscopic emergency; Bile duct obstruction lasting > 30 days results in liver damage leading to cirrhosis About 50%–70% of patients with acute cholangitis develop all three symptoms (level 2b-4).4–7 Reynolds’ pentad (Charcot’s triad plus shock and a decreased level of consciousness) was presented in 1959, when Reynolds and Dargan8 defined acute obstructive cholangitis.May 10, 2021 · The triad had a poor sensitivity of only 36.3%, with a stronger specificity of 93.2% [8]. This leads to a positive likelihood ratio of 5.3, and a negative likelihood ratio of 0.68. Of note, there was great heterogeneity in the individually reported sensitivities, ranging from 7.7% in a cohort of patients with mild disease, to 72% in a sicker ... ….

Dec 11, 2022 · Upper abdominal pain, fever, and jaundice are the classic symptoms of Charcot’s triad, which is caused by biliary obstruction. Rapid progression to Reynold’s pentad, including Charcot’s triad plus confusion and hypotension, is possible. (Source) Sep 10, 2021 · we can learn about clinical presentation of CHARCOT'S TRIAD AND REYNOLDS PENTAD with pneumonics. and also about clinical cholangitis INTERNAL MEDICINE (Reynaud's Pentad/Ascending Cholangitis) MNEMONIC: Rey's uncle FPJ. Hi po, MiSter. - Reynaud's Pentad - FPJ (Charcot's triad plus) - Hypotension/shock - Mental Status changes #PLE2022. 30 Sep 2022 09:15:42Reynolds pentad is a collection of signs and symptoms suggesting the diagnosis obstructive ascending cholangitis, a serious infection of the biliary system. It is a combination of Charcot's triad (jaundice, fever, and right upper quadrant pain) with shock and an altered mental status.[1] Courvoisier's principle (known as Courvoisier's sign or Courvoisier–Terrier's sign, or Courvoisier syndrome) states that a painless palpably enlarged gallbladder accompanied with mild jaundice is unlikely to be caused by gallstones.Usually, the term is used to describe the physical examination finding of the right-upper quadrant of the …Charcot’s triad is the manifestation of biliary obstruction with upper abdominal pain, fever and jaundice. The condition may progress rapidly to Reynold’s pentad, which …additionally, Charcot's triad plus hypotension and a decreased level of consciousness (Reynolds' pentad) can be observed in a more severe form of acute ...List the signs that make up Reynold's pentad. Charcot's triad. Jaundice; Fever; RUQ pain – severe. PLUS. Septic shock; Confusion. Question 4. What are the ... Charcot pentad, Reynolds pentad is a combination of clinical signs found in acute cholangitis. It consists of Charcot triad 2-4: fever and/or chills; RUQ pain; jaundice; as well as: delirium or lethargy, and; shock; Usefulness. Sensitivity of Reynolds pentad from a large systematic review of nine studies was found to be 4.82%., jaundice (Charcot’s triad). More severe cases may present with hypotension and altered mental status (Reynold’s pentad). However, because few cases present with all of these features, standardized INTRODUCTION A scending cholangitis (AC) is an infection of the biliary tract. The normal biliary tree is near-sterile secondary to constant ..., It occurs as a result of ascending cholangitis (an infection of the bile duct in the liver). When the presentation also includes low blood pressure and mental status changes, it is known as Reynolds' pentad. [1] It is named for Jean-Martin Charcot., Feb 2, 2023 · Reynolds pentad; : Charcot cholangitis triad PLUS hypotension and mental status changes Features of sepsis , septic shock , and multiorgan dysfunction may be present, depending on the severity of disease at presentation. , Objective: To determine the prevalence of Charcot triad, Reynolds pentad, and Tokyo Guidelines criteria and clinical outcomes among patients with cholangitis across different age groups. Patients And Methods: We conducted a retrospective analysis of 257 consecutive hospitalized adult patients with acute cholangitis due to endoscopic …, gram iv, Ciprofloxacin 2x200 gram iv, ranitidin 2x1 gram iv, omeprazole 1x1 gram iv, proliver 3x1 peroral dan OAT stop. Terapi non farmakologis pemasangan NGT, O2 7-10 L/menit, rencana laparotomi., Europe PMC is an archive of life sciences journal literature., About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright ..., Ascending Cholangitis. A 56-year-old woman presents to the emergency room for skin discoloration, fevers, and abdominal pain. Her past medical history includes hyperlipidemia, obesity, diabetes, and gallstones. On physical exam, she is febrile, tachycardic, and jaundiced. She is tender to palpation in the right upper quadrant. , Jean M. Charcot recognized this illness in 1877 when he described a triad of fever, jaundice, and right upper quadrant pain. In 1959, Reynolds and Dargon described a more severe form of the illness that included the additional components of septic shock and mental confusion, which is referred to as the Reynolds pentad., IMPORTANT POINTS Triads, Tetrads, Pentads in Medicine :- REiter syndrome triad : Urethritis Conjuctivitis Arthritis Congenital Toxoplasmosis-- choroidoretinitis. cerebral calcification. convulsions Vogt's triad – glaucoma flecken, pigments on endothelium and iris atrophy Samters triad:: Aspirin intolerance Asthma Nasal polyp Carney triad::: a ..., Charcot triad is the classic picture of acute cholangitis and comprises jaundice, abdominal pain, rigors, and pyrexia. Hypotension and confusion are often a feature of acute suppurative cholangitis in which the bile duct is filled with purulent bile under pressure (Reynold pentad). , Nov 10, 2021 · Sementara pada sebagian kecil kasus akan mengalami gejala Reynold’s pentad, yaitu: gejala trias Charcot; hipotensi akibat syok sepsis; gangguan kesadaran; Pengobatan. Beberapa upaya pengobatan cholangitis yang bisa dilakukan, seperti: pemberian antibiotik IV; koreksi cairan dan ketidakseimbangan elektrolit; tindakan endoskopi untuk mengatasi ... , Ascending Cholangitis. A 56-year-old woman presents to the emergency room for skin discoloration, fevers, and abdominal pain. Her past medical history includes hyperlipidemia, obesity, diabetes, and gallstones. On physical exam, she is febrile, tachycardic, and jaundiced. She is tender to palpation in the right upper quadrant. , Clinical features include Charcot's triad, which is fever, jaundice, and abdominal pain. In severe cases, Reynold's pentad may be evident which involves., Charcot's cholangitis triad is the combination of jaundice; fever, usually with rigors; and right upper quadrant abdominal pain. It occurs as a result of ascending cholangitis . When the presentation also includes low blood pressure and mental status changes, it is known as Reynolds' pentad. It is named for Jean-Martin Charcot., Reynolds pentad is a collection of signs and symptoms suggesting the diagnosis obstructive ascending cholangitis, a serious infection of the biliary system. It is a combination of Charcot's triad (jaundice, fever, and right upper quadrant pain) with shock and an altered mental status.[1] , Reynolds pentads. Hello readers ! Today's blog is sweet and simple. Reynolds pentads are collection of signs and symptoms appearing when there is obstructive cholangitis -infection of bile duct usually caused by bacteria .Following are the diagnostic features of the reynolds pentads with simple mnemonic. RJ -FHC., Introduction: Charcot's triad, a classic presentation seen in 50% of patients with acute cholangitis, is characterized by fever, jaundice, and right upper quadrant pain. . Urgent biliary decompression is considered when patients with cholangitis do not improve with antibiot , Charcot triad + hypotension and AMS = Reynolds pentad, acute obstruction; Rapid Review Keeping things simple. These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management. Cover the fundamentals in one list;, Hi friends..this video is about remembering charcot triad and reynold pentad...charcot triad has-pain,jaundice,fever and reynold pentad has in addition-alter..., The most common causes are gallstones , ERCP (iatrogenic), and cholangiocarcinoma. Rarer causes include pancreatitis, primary sclerosing cholangitis, ischaemic cholangiopathy, and parasitic infections. The most common infective organisms implicated in cholangitis are Escherichia Coli (27%), Klebsiella species (16%), and Enterococcus (15%)., Apr 8, 2021 · Conclusion: Compared with patients in younger age groups, patients with cholangitis who are 80 years or older are less likely to have Charcot triad, are more likely to have features of Reynolds pentad, or present with unexplained malaise. Within the Tokyo Guidelines, cholestasis should replace inflammation as an essential diagnostic criterion. , Tambahan 2 gejala ini bersama dengan tiga gejala sebelumnya disebut dengan Pentad Reynold. Trias Charcot memiliki sensitivitas yang rendah (26,4%) dan spesifitas yang tinggi (95,9%). Meskipun adanya Trias Charcot mengarah ke kolangitis akut, namun belum bisa diambil sebagai tolok ukur diagnostik., Pêntade de Reynolds. A pêntade de Reynolds é uma coleção de sinais e sintomas que sugerem o diagnóstico de colangite ascendente obstrutiva, uma infecção grave do sistema biliar. É uma combinação da tríade de Charcot ( dor no quadrante superior direito, icterícia e febre) com choque ( pressão baixa, taquicardia) e estado mental ..., charcot’s triad -fever -abdominal pain -jaundice reynold’s pentad - charcot’s triad + hypotension + sensorium changes rigler’s triad -pneumobilia -ectopic calcified stone -sbo Classic triad in perforated peptic ulcer -sudden onset of abd pain -tachycardia …, 15 Mei 2022 ... INTRODUCTION. Acute cholangitis presents with fever, abdominal pain, and jaundice (Charcot's triad). Raynaud's pentad includes confusion and., Reynolds pentad; : Charcot cholangitis triad PLUS hypotension and mental status changes Features of sepsis , septic shock , and multiorgan dysfunction may be present, depending on the severity of disease at presentation., Objective To determine the prevalence of Charcot triad, Reynolds pentad, and Tokyo Guidelines criteria and clinical outcomes among patients with cholangitis across different age groups., Charcot triad and Reynolds pentad have high specificity but low sensitivity for diag-nosing cholangitis.5 The sensitivity of Charcot triad may be as low as 7%6 and that of Rey-nolds pentad less than 5%.7 The Tokyo Guidelines have not been validated in elderly patients or in a US population. We therefore sought to determine in a US cohort which of , 8 Mei 2018 ... When altered mental status and sepsis are added to the three above, we call it the Reynolds pentad. Frequent causes of cholangitis are ..., Ascending Cholangitis. A 56-year-old woman presents to the emergency room for skin discoloration, fevers, and abdominal pain. Her past medical history includes hyperlipidemia, obesity, diabetes, and gallstones. On physical exam, she is febrile, tachycardic, and jaundiced. She is tender to palpation in the right upper quadrant., Feb 7, 2023 · The classical presentation is the Charcot triad of fever, right upper quadrant abdominal pain, and jaundice, which is only seen in ~40% of patients. Patients can also present with Reynolds pentad, which is the Charcot triad (fever, pain and jaundice) plus shock and delirium (and/or lethargy) 1-3. Pathology