Case 49 - Revision history

Michael: /* Provided clinical history */

2014-02-20T03:54:41Z

Provided clinical history

← Older revision		Revision as of 03:54, 20 February 2014
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	===Provided clinical history===		===Provided clinical history===
	67 year old male, abdo pain + BRBPR		67 year old male, abdo pain + [[BRBPR]]

	===Site===		===Site===

Michael: /* More history */

2014-02-20T03:46:33Z

More history

← Older revision		Revision as of 03:46, 20 February 2014
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	===Additional tests===		===Additional tests===
	====More history====		====More history====
	{{hidden\|More history\|<center>The 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>}}		{{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====

Michael: tweak history - make more classic

2014-02-20T03:43:41Z

tweak history - make more classic

← Older revision		Revision as of 03:43, 20 February 2014
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	===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===
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	===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 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====
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	[[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]]

Yuanny: 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..."

2014-02-17T07:09:22Z

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..."

New page

===Provided clinical history===
41 year old male, sudden onset of abdominal pain and bleeding, eroded lesion biopsied on colonoscopy.

===Site===
Rectal Sigmoid

===Primary image===
[[Image: Ischemic colitis - low mag.jpg|500px|link=|center|]]
<center>Low magnification. [[H&E stain]].</center>

{{hidden|High magnification|[[Image: Ischemic colitis - high mag.jpg |500px|link=|center|]]
<center>High magnification. [[H&E stain]].</center>}}

{{hidden|Very high magnification|[[Image: Ischemic colitis - very high mag.jpg |500px|link=|center|]]
<center>Very High magnification. [[H&E stain]].</center>}}

===Differential diagnosis===
{{hidden|Differential diagnosis|<center>[[Crohn's disease]], [[Ischemic colitis]], [[Ulcerative colitis]], [[Radiation colitis]], [[Infectious colitis]].</center>}}

===Additional tests===
====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>}}

====Ask a colleague====
{{hidden|Ask a colleague|<center>This patient needs rapid surgical intervention!!</center>}}

====Stains====
{{Case Stains
| blank=Dr Torres would ask why!
| alcpas=
| alc1=
| alc25=
| aur=
| biel=
| bili=
| iron=
| congored=
| cresylv=
| dieterle=
| diffquik=
| fontana=
| gallyas=
| giemsa=
| gms=
| gomori=
| gram=
| gremelius=
| jms=
| jones=
| kinyoun=
| luxol=
| masson=
| mmas=
| movat=
| mucicar=
| oilredo=
| orecein=
| pas=
| pasd=
| pasf=
| ptah=
| prussian=
| reticulin=
| sudanblackb=
| toluidine=
| verhoeff=
| vonkossa=
| warthinstarry=
| zn=
}}
====IHC====
{{Case IHC
| blank=Dr Torres would ask why!
| a1at=
| acth=
| ae1ae3=
| afp=
| alk1=
| amacr=
| ar=
| b2microglobulin=
| b72_3=
| bcatenin=
| bcl2=
| bcl6=
| bclxl=
| c3=
| calcitonin=
| calponin=
| calretinin=
| cam5p2=
| cd10=
| cd117=
| cd138=
| cd15=
| cd1a=
| cd20=
| cd21=
| cd23=
| cd3=
| cd30=
| cd31=
| cd34=
| cd35=
| cd4=
| cd43=
| cd45=
| cd45=
| cd5=
| cd56=
| cd57=
| cd68=
| cd7=
| cd79a=
| cd8=
| cd99=
| cdx2=
| cea=
| chromo=
| chromo=
| ck17=
| ck19=
| ck20=
| ck34be12=
| ck5_6=
| ck7=
| cmv=
| cmyc=
| cyclin_d1=
| d2_40=
| desmin=
| dog1=
| ebv=
| ema=
| erpr=
| f_viii=
| f_xiiia=
| fascin=
| fsh=
| gastrin=
| gcdfp=
| gfap=
| gh=
| glucagon=
| glypican3=
| hbme1=
| hbv_core=
| hbv_surf=
| hcaldesmon=
| hcg=
| helicobacter=
| hepatocyte=
| her2=
| hhv8=
| hmb45=
| hnf1beta=
| hpv=
| hsv1=
| hsv2=
| Idh-1=
| inhibin=
| insulin=
| kappa=
| ki67=
| lambda=
| leu7=
| lga=
| lgg=
| lgm=
| lh=
| lysozyme=
| mammogl=
| mcv=
| melanin_a=
| mitf=
| mum1=
| myleoperox=
| myo_d1=
| myog=
| myog=
| nf=
| nse=
| oct3_4=
| p16=
| p53=
| p57=
| p63=
| panker=
| pax2=
| pax5=
| pax8=
| pcna=
| pdgfr=
| plap=
| pnl-2c=
| prolactin=
| psa=
| psap=
| rcc=
| s100=
| sma=
| somatsatin=
| synapto=
| tdt=
| tfe3=
| thyrogl=
| toxopl=
| tsh=
| ttf1=
| ubiquitin=
| uchl1=
| ulex_europe=
| vim=
| vip=
| vzv=
| wt1=
}}
====Chromosomal translocations====
{{Case Translocations
| blank=Dr Torres would ask why!
| t1_13=
| t2_13=
| t8_14=
| t9_22bcr_abl=
| t9_22chn_ews=
| t11_14=
| t11_22dsrct=
| t11_22ews=
| t12_15=
| t12_16afh=
| t12_16liposar=
| t12_22=
| t14_18=
| t15_17=
| t16_21=
| t17_22=
| t21_22=
| tx_1=
| tx_17=
| tx_18=
}}

===Diagnosis===
{{hidden|Diagnosis|<center>[[Ischemic colitis]]</center>}}
<br>

===Other cases===
{{Cases navigation}}

__NOTOC__

[[Category:Cases]]

[[Category:Cases in gastrointestinal pathology]]
[[Category:Cases difficulty 2]] 
[[Category:Cases in gastrointestinal pathology - junior]]