Cases

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Cases, also learning with simulated cases and interactive cases, is a part of Libre Pathology that is focused on individual specimens.

The cases presented usually do not exactly mirror the details behind the pictures. The reason they aren't exactly like real life is: real life often isn't a good test, e.g. if the requisition say Peutz-Jeghers syndrome and the specimen is polyps... it isn't hard to diagnose the Peutz-Jeghers polyps.

Objective

The objective here is to simulate the decision making in pathology practise.

There are opportunities to look for more history, order special stains, order immunostains, order molecular testing for translocations, and ask a colleague -- before clicking on diagnosis to see if one is correct.

Cases

Case # Tease Subspecialty Difficulty
Case 1 enlarged inguinal lymph node Lymph node pathology
 

Fellow and expert

Case 2 duodenal mass Gastrointestinal pathology
 

Senior

Case 3 renal mass Genitourinary pathology
 

Senior

Case 4 renal mass Genitourinary pathology
 

Senior

Case 5 cerebellar mass Neuropathology
 

Junior

Case 6 testicular mass Genitourinary pathology
 

Junior

Case 7 cervical lymphadenopathy Lymph node pathology
 

Senior

Case 8 cervical mass Gynecologic pathology
 

Senior

Case 9 brown esophageal ulcers Gastrointestinal pathology
 

Senior

Case 10 colon biopsy - diarrhea Gastrointestinal pathology
 

Junior

Case 11 pons - multi-organ dysfunction and stroke Neuropathology
 

Senior

Case 12 colon biopsy - diarrhea Gastrointestinal pathology
 

Junior

Case 13 renal mass Genitourinary pathology
 

Senior

Case 14 terminal ileum - hematochezia & diarrhea Gastrointestinal pathology
 

Senior

Case 15 duodenum - older man, weight loss Gastrointestinal pathology
 

Junior

Case 16 elbow lesion Dermatopathology
 

Junior

Case 17 colonic polyp Gastrointestinal pathology
 

Senior

Case 18 dome-shaped papules Dermatopathology
 

Junior

Case 19 vas deferens Genitourinary pathology
 

Senior

Case 20 failure to progress Placental pathology
 

Junior

Case 21 thyroid mass in young woman Endocrine pathology
 

Junior

Case 22 parotid mass Head and neck pathology
 

Senior

Case 23 6 month old with chronic diarrhea Pediatric pathology
 

Fellow and expert

Case 24 breast of a young man Breast pathology
 

Junior

Case 25 breast mass Breast pathology
 

Junior

Case 26 bladder mass Genitourinary pathology
 

Senior

Case 27 skin with brown patches Dermatopathology
 

Senior

Case 28 woman with dyspnea Pulmonary pathology
 

Senior

Case 29 atrial mass Cardiovascular pathology
 

Junior

Case 30 anasarca and renal failure Medical kidney pathology
 

Senior

Case 31 scalp lesion Dermatopathology
 

Senior

Case 32 sudden death Cardiovascular pathology
 

Senior

Case 33 aortic valve mass Cardiovascular pathology
 

Junior

Case 34 "appendicitis" Gastrointestinal pathology
 

Junior

Case 35 RLQ abdominal pain with nausea & vomiting Gastrointestinal pathology
 

Senior

Case 36 routine pap test Cytopathology
 

Junior

Case 37 left arm lesion Dermatopathology
 

Senior

Case 38 screening colon Gastrointestinal pathology
 

Junior

Case 39 colonic polyp Gastrointestinal pathology
 

Junior

Case 40 stomach with large polyp Gastrointestinal pathology
 

Senior

Case 41 parotid mass Head and neck pathology
 

Junior

Case 42 parotid mass Head and neck pathology
 

Junior

Case 43 parotid mass Head and neck pathology
 

Junior

Case 44 placental lesion - white Placental pathology
 

Junior

Case 45 large ovarian mass Gynecologic pathology
 

Senior

Case 46 painful lesion, buttock Soft tissue pathology
 

Senior

Case 47 face lesion Dermatopathology
 

Junior

Case 48 colon lesion Gastrointestinal pathology
 

Junior

Case 49 eroded GI lesion Gastrointestinal pathology
 

Junior

Case 50 acute appendicitis Gastrointestinal pathology
 

Junior

Case 51 thyroid mass Head and neck pathology
 

Senior

Case 52 left lung mass Pulmonary pathology
 

Junior

Case 53 right lung biopsy Pulmonary pathology
 

Junior

Case 54 airspace disease unresponsive to antimicrobials Pulmonary pathology
 

Senior

Case 55 skin lesion Dermatopathology
 

Junior

Case 56 swelling at the angle of the jaw Head and neck pathology
 

Junior

Case 57 cervical biopsy Gynecologic pathology
 

Junior

Case 58 testicular mass Genitourinary pathology
 

Junior

Case 59 lymph node from a sigmoidectomy Lymph node pathology
 

Junior

Case 60 sigmoid polyp Gastrointestinal pathology
 

Junior

Case 61 rectal polyp Gastrointestinal pathology
 

Junior

Case 62 rectal polyp Gastrointestinal pathology
 

Senior

Case 63 urinary bladder lesion Genitourinary pathology
 

Junior

Case 64 kidney mass Genitourinary pathology
 

Junior

Case 65 dyspepsia in a young man Gastrointestinal pathology
 

Junior

Case 66 Uterine mass Gynecologic pathology
 

Junior

Case 67 Lymph node/Colon Cancer Lymph node pathology
 

Junior

Case 68 Lung biopsy Pulmonary pathology
 

Junior

Case 69 Back lesion Dermatopathology
 

Junior

Case 70 Stomach biopsy Gastrointestinal pathology
 

Junior

Case 71 Lung biopsy Pulmonary pathology
 

Junior

Case 72 Ureteral mass Genitourinary pathology
 

Junior

Case 73 Ovarian mass Gynecologic pathology
 

Senior

Case 74 Ovarian mass Gynecologic pathology
 

Senior

Case 75 Arm lesion Dermatopathology
 

Junior

Case 76 irritable bladder Genitourinary pathology
 

Junior

Case 77 parotid mass Head and neck pathology
 

Junior

Case 78 bladder mass Genitourinary pathology
 

Senior

Case 79 bladder erythema Genitourinary pathology
 

Junior

Case 80 bladder tumour Genitourinary pathology
 

Junior

Case 81 bladder lesion Genitourinary pathology
 

Senior

Case 82 hearing loss Neuropathology
 

Junior

Case 83 left temporal lobe Neuropathology
 

Senior

Case 84 prostate gland Genitourinary pathology
 

Senior

Case 85 epididymal mass Genitourinary pathology
 

Fellow and expert

Case 86 kidney mass Genitourinary pathology
 

Junior

Case 87 undescended testis Genitourinary pathology
 

Senior

Case 88 cystic renal mass Genitourinary pathology
 

Senior

Case 89 failure to progress Placental pathology
 

Senior

Case 90 cervical biopsy Gynecologic pathology
 

Junior

Case 91 cervical biopsy Gynecologic pathology
 

Junior

Case 92 cervical biopsy Gynecologic pathology
 

Senior

Case 93 kidney failure Genitourinary pathology
 

Fellow and expert

Case 94 rectal erythema Gastrointestinal pathology
 

Senior

Case 95 prostate - r/o malignancy Genitourinary pathology
 

Junior

Case 96 rectal erythema Gastrointestinal pathology
 

Fellow and expert

Case 97 prostate chips Genitourinary pathology
 

Senior

Case 98 renal mass Genitourinary pathology
 

Senior

Case 99 enlarged tonsil Head and neck pathology
 

Senior

Case 100 renal mass Genitourinary pathology
 

Junior

Case 101 double vision Neuropathology
 

Junior

Case 102 cerebellar lesion in a child Neuropathology
 

Senior

Case 103 polypoid uterine mass Gynecologic pathology
 

Senior

Case 104 5 year old child with brain tumor Neuropathology
 

Fellow and expert

Case 105 uterine mass, postmenopausal Gynecologic pathology
 

Senior

Case 106 53 year old female with lumbar back pain Neuropathology
 

Senior

Case 107 ovarian cystadenoma? Gynecologic pathology
 

Senior

Case 108 polypoid vulvar lesions, pregnant Gynecologic pathology
 

Senior

Case 109 loss of vision Neuropathology
 

Senior

Case 110 panhypopituiarism Neuropathology
 

Junior

Case 111 cornual mass, pregnant Gynecologic pathology
 

Junior

Case 112 ovarian mass - 9 cm Gynecologic pathology
 

Junior

Case 113 hydrocephalus Neuropathology
 

Senior

Case 114 paresis of the arm Neuropathology
 

Junior

Case 115 incidental lesion - fallopian tube Gynecologic pathology
 

Senior

Case 116 intractable uterine bleeding Gynecologic pathology
 

Fellow and expert

Case 117 fibroid uterus Gynecologic pathology
 

Junior

Case 118 temporal lobe lesion Neuropathology
 

Junior

Case 119 muscle pain Neuropathology
 

Senior

Case 120 3 year old child with hydrocephalus Neuropathology
 

Fellow and expert

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See also