48,460
edits
Difference between revisions of "Case 48"
Jump to navigation
Jump to search
→Differential diagnosis
| (3 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
===Provided clinical history=== | ===Provided clinical history=== | ||
46 year old male, | 46 year old male, pigmentation proximal colon | ||
===Site=== | ===Site=== | ||
| Line 16: | Line 16: | ||
===Differential diagnosis=== | ===Differential diagnosis=== | ||
{{hidden|Differential diagnosis|<center> | {{hidden|Differential diagnosis|<center>[[Hemochromatosis]], [[Melanosis coli]], [[Malignant melanoma]].</center>}} | ||
===Additional tests=== | ===Additional tests=== | ||
====More history==== | ====More history==== | ||
{{hidden|More history|<center>Patient | {{hidden|More history|<center>Colonscopy shows diffuse brown pigmentation in a moire pattern, predominantly in the left colon. Patient complains of constipation. The medications include Effexor, Senokot and Altace.</center>}} | ||
====Ask a colleague==== | ====Ask a colleague==== | ||
{{hidden|Ask a colleague|<center>The brown | {{hidden|Ask a colleague|<center>The brown pigmentation isn't melanin. This finding is worth reporting, especially in the context of IBD, as it can occasionally mimic a colitis.</center>}} | ||
====Stains==== | ====Stains==== | ||
| Line 34: | Line 34: | ||
| biel= | | biel= | ||
| bili= | | bili= | ||
| iron= | | iron= | ||
| congored= | | congored= | ||
| cresylv= | | cresylv= | ||
| Line 69: | Line 69: | ||
| zn= | | zn= | ||
}} | }} | ||
====IHC==== | ====IHC==== | ||
{{Case IHC | {{Case IHC | ||