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Difference between revisions of "Ditzels"
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[[Image:Tonsillectomy tonsils.JPEG|thumb|right|220px|Tonsils (at [[cut-up]]) are a common ditzel. ([[WC]])]] | [[Image:Tonsillectomy tonsils.JPEG|thumb|right|220px|Tonsils (at [[cut-up]]) are a common ditzel. ([[WC]]/Katotomichelakis ''et al.'')]] | ||
This article collects '''ditzels''', which are, in the context of [[pathology]], little specimens that are typically one or two slides and usually of little interest.<ref>{{Ref TPoSP|37}}</ref> | This article collects '''ditzels''', which are, in the context of [[pathology]], little specimens that are typically one or two slides and usually of little interest.<ref>{{Ref TPoSP|37}}</ref> | ||
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| [[bursitis]] | | [[bursitis]] | ||
| Orthopaedic | | Orthopaedic | ||
|- | |||
| [[Gastric band]] | |||
| [[obesity]] | |||
| [[Gastrointestinal pathology]] | |||
|- | |||
| Small bowel excised during [[Roux-en-Y gastric bypass]] | |||
| [[obesity]] | |||
| [[Gastrointestinal pathology]] | |||
|- | |||
| [[Uterine isthmocele]]/cesarean scar defect | |||
| post-cesarean section | |||
| [[Gynecologic pathology]] | |||
|- | |||
| [[Distal interosseous nerve]] (''[[posterior interosseous nerve]] of wrist'' and ''[[anterior interosseous nerve]] of wrist'') | |||
| chronic hand pain, as may be seen in [[rheumatoid arthritis]] | |||
| [[Neuropathology]] | |||
|- | |||
| [[Palmar fascia]] | |||
| [[palmar fibromatosis]] (Dupuytren's contracture) | |||
| Plastic surgery | |||
|- | |||
| Soft tissue of hand or wrist | |||
| [[Ganglion cyst]] | |||
| Plastic surgery | |||
|- <!-- | |- <!-- | ||
| Specimen | | Specimen | ||
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- Skin without significant pathology. | - Skin without significant pathology. | ||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | - NEGATIVE for dysplasia and NEGATIVE for malignancy. | ||
</pre> | |||
=====Alternate===== | |||
<pre> | |||
Submitted As "Ileostomy", Excision: | |||
- Consistent with ileostomy (small bowel, skin) without significant pathology. | |||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
</pre> | </pre> | ||
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==Cholesteatoma== | ==Cholesteatoma== | ||
{{Main|Cholesteatoma}} | |||
=Genitourinary pathology= | =Genitourinary pathology= | ||
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</pre> | </pre> | ||
<pre> | |||
Foreskin, Circumcision: | |||
- Benign squamous mucosa with mild patchy chronic inflammation at the epidermal-dermal interface. | |||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
</pre> | |||
<pre> | |||
Foreskin, Circumcision: | |||
- Squamous mucosa with mild-to-moderate acute and chronic | |||
(lymphocytic) lichenoid inflammation. | |||
- NEGATIVE for evidence of lichen sclerosus. | |||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
Comment: | |||
A PASD stain is NEGATIVE for micro-organisms. | |||
</pre> | |||
==Paraurethral cyst== | |||
{{Main|Paraurethral cyst}} | |||
==Labia== | ==Labia== | ||
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=Head and neck pathology= | =Head and neck pathology= | ||
==Tonsillitis== | ==Tonsillitis== | ||
{{Main|Tonsillitis}} | |||
{{Main|Tonsil}} | |||
==Obstructive sleep apnea== | ==Obstructive sleep apnea== | ||
| Line 461: | Line 403: | ||
{{Main|Cardiovascular pathology}} | {{Main|Cardiovascular pathology}} | ||
==Vascular thrombus== | ==Vascular thrombus== | ||
{{Main|Vascular thrombus}} | |||
==Leg amputation== | ==Leg amputation== | ||
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==Heterotopic ossification== | ==Heterotopic ossification== | ||
*Abbreviated ''HO''. | *Abbreviated ''HO''. | ||
{{Main|Heterotopic ossification}} | |||
==Lumbar bone== | ==Lumbar bone== | ||
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==De Quervain syndrome== | ==De Quervain syndrome== | ||
:Should ''not'' be confused with ''[[De Quervain's thyroiditis]]'' (subacute granulomatous thryoiditis). | :Should ''not'' be confused with ''[[De Quervain's thyroiditis]]'' (subacute granulomatous thryoiditis). | ||
*[[AKA]] ''de Quervain disease''. | *[[AKA]] ''de Quervain tenosynovitis'',<ref name=pmid23405595>{{Cite journal | last1 = Gigante | first1 = MR. | last2 = Martinotti | first2 = I. | last3 = Cirla | first3 = PE. | title = [Computer work and De Quervain's tenosynovitis: an evidence based approach]. | journal = G Ital Med Lav Ergon | volume = 34 | issue = 3 Suppl | pages = 116-8 | month = | year = | doi = | PMID = 23405595 }}</ref> and ''de Quervain disease''. | ||
===General=== | ===General=== | ||
*Benign. | *Benign. | ||
*[[Tenosynovitis]] of the thumb. | |||
*Clinical diagnosis.<ref name=pmid18063716>{{Cite journal | last1 = Ilyas | first1 = AM. | last2 = Ilyas | first2 = A. | last3 = Ast | first3 = M. | last4 = Schaffer | first4 = AA. | last5 = Thoder | first5 = J. | title = De quervain tenosynovitis of the wrist. | journal = J Am Acad Orthop Surg | volume = 15 | issue = 12 | pages = 757-64 | month = Dec | year = 2007 | doi = | PMID = 18063716 }}</ref> | *Clinical diagnosis.<ref name=pmid18063716>{{Cite journal | last1 = Ilyas | first1 = AM. | last2 = Ilyas | first2 = A. | last3 = Ast | first3 = M. | last4 = Schaffer | first4 = AA. | last5 = Thoder | first5 = J. | title = De quervain tenosynovitis of the wrist. | journal = J Am Acad Orthop Surg | volume = 15 | issue = 12 | pages = 757-64 | month = Dec | year = 2007 | doi = | PMID = 18063716 }}</ref> | ||
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===Sign out=== | ===Sign out=== | ||
====Not apparent==== | |||
<pre> | <pre> | ||
FIRST EXTENSOR COMPARTMENT, RIGHT HAND, BIOPSY: | FIRST EXTENSOR COMPARTMENT, RIGHT HAND, BIOPSY: | ||
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==Abdominal pannus== | ==Abdominal pannus== | ||
*[[AKA]] ''pannus'', ''panniculus'' and ''pannona''. | |||
{{Main|Abdominal pannus}} | |||
* | |||
==Empyema== | ==Empyema== | ||
:''Empyema peel'' | :''Empyema peel'' and ''pleural peel'' redirect here. | ||
===General=== | ===General=== | ||
*Empyemas are often managed surgically.<ref name=pmid10197399>{{Cite journal | last1 = Ferguson | first1 = MK. | title = Surgical management of intrapleural infections. | journal = Semin Respir Infect | volume = 14 | issue = 1 | pages = 73-81 | month = Mar | year = 1999 | doi = | PMID = 10197399 }}</ref> | *Empyemas are often managed surgically.<ref name=pmid10197399>{{Cite journal | last1 = Ferguson | first1 = MK. | title = Surgical management of intrapleural infections. | journal = Semin Respir Infect | volume = 14 | issue = 1 | pages = 73-81 | month = Mar | year = 1999 | doi = | PMID = 10197399 }}</ref> | ||
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DDx: | DDx: | ||
*[[Malignant mesothelioma]]. | *[[Malignant mesothelioma]] - should have infiltrative growth. | ||
*[[Fibrosing pleuritis]]. | *[[Fibrosing pleuritis]]. | ||
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- NO EVIDENCE OF MALIGNANCY. | - NO EVIDENCE OF MALIGNANCY. | ||
</pre> | </pre> | ||
==Canal of Nuck cyst== | |||
===General=== | |||
*Canal of Nuck is the female equivalent of the male ''processus vaginalis''.<ref name=pmid36295514/> | |||
*Women/girls only pathology - can be thought of as inguinal hernia in women. | |||
*Very rare pathology.<ref name=pmid36295514>{{cite journal |authors=Kohlhauser M, Pirsch JV, Maier T, Viertler C, Fegerl R |title=The Cyst of the Canal of Nuck: Anatomy, Diagnostic and Treatment of a Very Rare Diagnosis-A Case Report of an Adult Woman and Narrative Review of the Literature |journal=Medicina (Kaunas) |volume=58 |issue=10 |pages= |date=September 2022 |pmid=36295514 |pmc=9609622 |doi=10.3390/medicina58101353 |url=}}</ref> | |||
===Sign out=== | |||
<pre> | |||
A. Submitted as "Canal of Nuck Cyst", Excision:: | |||
- Benign fibroadipose tissue partially covered by mesothelium with inflammation, | |||
compatible with clinical impression of canal of Nuck cyst. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
==Palmar fascia== | |||
{{Main|Palmar fascia}} | |||
=See also= | =See also= | ||