Difference between revisions of "Case 49"

Jump to navigation Jump to search
415 bytes added ,  03:54, 20 February 2014
(Created page with "===Provided clinical history=== 41 year old male, sudden onset of abdominal pain and bleeding, eroded lesion biopsied on colonoscopy. ===Site=== Rectal Sigmoid ===Primary im...")
 
 
(2 intermediate revisions by the same user not shown)
Line 1: Line 1:
===Provided clinical history===
===Provided clinical history===
41 year old male, sudden onset of abdominal pain and bleeding, eroded lesion biopsied on colonoscopy.
67 year old male, abdo pain + [[BRBPR]]


===Site===
===Site===
Rectal Sigmoid
Colon, splenic flexure


===Primary image===
===Primary image===
Line 20: Line 20:
===Additional tests===
===Additional tests===
====More history====
====More history====
{{hidden|More history|<center>Colonoscopy showed markedly edematous mucosa with tortuous dilatation of the veins and a deep ulceration at the rectosigmoid junction.</center>}}
{{hidden|More history|<center>The patient presented to the ER with bright red blood per rectum and abdominal pain. He said he has had this before -- it got better on its own after a while. A colonoscopy shows some blood. No hemorrhoids present. The rectosigmoid is normal. The splenic flexure appears inflamed. Left colon and TI normal. Previously had several low risk polyps on screening colonscopy. Smoker - 40 pack years. Medications: metformin, HCTZ, Altace, ASA, Liptor, allopurinol.</center>}}


====Ask a colleague====
====Ask a colleague====
{{hidden|Ask a colleague|<center>This patient needs rapid surgical intervention!!</center>}}
{{hidden|Ask a colleague|<center>The withering crypts are pretty classic. The debris up top is something that one could see in an infection -- but I suspect the guy is a vasculopath... and its only a focal lesion on endoscopy.</center>}}


====Stains====
====Stains====
Line 253: Line 253:


[[Category:Cases in gastrointestinal pathology]]
[[Category:Cases in gastrointestinal pathology]]
[[Category:Cases difficulty 2]] <!-- difficulty 1-7 -- should roughly correspond to the PGY level -->
[[Category:Cases difficulty 3]] <!-- difficulty 1-7 -- should roughly correspond to the PGY level -->
[[Category:Cases in gastrointestinal pathology - junior]]
[[Category:Cases in gastrointestinal pathology - junior]]
48,470

edits

Navigation menu