Difference between revisions of "Case 49"

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254 bytes added ,  03:43, 20 February 2014
tweak history - make more classic
(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...")
 
(tweak history - make more classic)
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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]]
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