Case 30 - Revision history

Michael: /* Other cases */

2014-03-14T22:42:43Z

Other cases

← Older revision		Revision as of 22:42, 14 March 2014
Line 222:		Line 222:
	[[Category:Cases in medical kidney pathology]]		[[Category:Cases in medical kidney pathology]]
	[[Category:Cases difficulty 5]]		[[Category:Cases difficulty 5]]
			[[Category:Cases in medical kidney pathology - senior]]

Michael: /* Ask a colleague */

2014-02-02T23:41:21Z

Ask a colleague

← Older revision		Revision as of 23:41, 2 February 2014
Line 207:		Line 207:

	====Ask a colleague====		====Ask a colleague====
	{{hidden\|Ask a colleague\|<center>It doesn't look like [[FSGS]] or [[minimal change disease]]... so it's what is left.</center>}}		{{hidden\|Ask a colleague\|<center>It is a [[nephrotic syndrome]]. It doesn't look like [[FSGS]] or [[minimal change disease]]... so, it's what is left.</center>}}

	===Diagnosis===		===Diagnosis===

Michael: /* More history */

2014-02-02T17:59:56Z

More history

← Older revision		Revision as of 17:59, 2 February 2014
Line 17:		Line 17:
	===Additional tests===		===Additional tests===
	====More history====		====More history====
	{{hidden\|More history\|<center>ANA -ve, Anti-Sm -ve, Anti-dsDNA -ve, HBV core -ve, HBV surf +ve, HCV -ve, No history of cancer.</center>}}		{{hidden\|More history\|<center>Proteinuria (4 g/24h), hypercholesterolemia, hypoalbuminemia, ANA -ve, Anti-Sm -ve, Anti-dsDNA -ve, HBV core -ve, HBV surf +ve, HCV -ve, no history of cancer.</center>}}

	====Immunofluorescence====		====Immunofluorescence====

Michael: /* Provided clinical history */

2014-02-02T17:58:40Z

Provided clinical history

← Older revision		Revision as of 17:58, 2 February 2014
Line 1:		Line 1:
	===Provided clinical history===		===Provided clinical history===
	30 year old woman, ~~nephrotic syndrome~~		30 year old woman, anasarca and renal failure

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

Michael: /* More history */

2014-02-02T17:58:22Z

More history

← Older revision		Revision as of 17:58, 2 February 2014
Line 17:		Line 17:
	===Additional tests===		===Additional tests===
	====More history====		====More history====
	{{hidden\|More history\|<center>ANA ~~normal~~, Anti-Sm ~~normal~~, Anti-dsDNA ~~normal~~, HBV core -ve, HBV surf +ve, HCV -ve, No history of cancer.</center>}}		{{hidden\|More history\|<center>ANA -ve, Anti-Sm -ve, Anti-dsDNA -ve, HBV core -ve, HBV surf +ve, HCV -ve, No history of cancer.</center>}}

	====Immunofluorescence====		====Immunofluorescence====

Michael at 17:34, 2 February 2014

2014-02-02T17:34:07Z

← Older revision		Revision as of 17:34, 2 February 2014
Line 10:		Line 10:

	[[Image: Membranous_nephropathy_-_mpas_-_high_mag.jpg \|500px\|link=\|center\|]]		[[Image: Membranous_nephropathy_-_mpas_-_high_mag.jpg \|500px\|link=\|center\|]]
	<center>High magnification. [[~~H&E~~ stain]].</center>		<center>High magnification. [[Jones stain]].</center>

	{{hidden\|Very high magnification\|[[Image: Membranous nephropathy - cropped - mpas - very high mag.jpg \|500px\|link=\|center\|]]		{{hidden\|Very high magnification\|[[Image: Membranous nephropathy - cropped - mpas - very high mag.jpg \|500px\|link=\|center\|]]
	<center>Very high magnification. [[~~H&E~~ stain]].</center>}}		<center>Very high magnification. [[Jones stain]].</center>}}

	===Additional tests===		===Additional tests===

Michael at 17:33, 2 February 2014

2014-02-02T17:33:37Z

← Older revision		Revision as of 17:33, 2 February 2014
Line 24:		Line 24:
	====Electron microscopy====		====Electron microscopy====
	{{hidden\|EM\|<center>Diffuse subepithelial deposits - spike forming.</center>}}		{{hidden\|EM\|<center>Diffuse subepithelial deposits - spike forming.</center>}}

	~~====Ask a colleague====~~
	~~{{hidden\|Ask a colleague\|<center>It doesn't look like [[FSGS]] or [[minimal change disease]]... so it's what is left.</center>}}~~

	====Stains====		====Stains====
Line 208:		Line 205:
	\| wt1=		\| wt1=
	}}		}}

			====Ask a colleague====
			{{hidden\|Ask a colleague\|<center>It doesn't look like [[FSGS]] or [[minimal change disease]]... so it's what is left.</center>}}

	===Diagnosis===		===Diagnosis===

Michael: /* Differential diagnosis */

2014-02-02T17:32:45Z

Differential diagnosis

← Older revision		Revision as of 17:32, 2 February 2014
Line 208:		Line 208:
	\| wt1=		\| wt1=
	}}		}}

	~~===Differential diagnosis===~~
	~~{{hidden\|Differential diagnosis\|<center>THE DDx GOES HERE</center>}}~~

	===Diagnosis===		===Diagnosis===

Michael at 17:32, 2 February 2014

2014-02-02T17:32:02Z

← Older revision		Revision as of 17:32, 2 February 2014
Line 20:		Line 20:

	====Immunofluorescence====		====Immunofluorescence====
	{{hidden\|~~More history~~\|<center>Diffuse granular capillary loop - IgG, C3, kappa, lambda.</center>}}		{{hidden\|IF\|<center>Diffuse granular capillary loop - IgG, C3, kappa, lambda.</center>}}

	====Electron microscopy====		====Electron microscopy====
	{{hidden\|~~More history~~\|<center>Diffuse subepithelial deposits - spike forming.</center>}}		{{hidden\|EM\|<center>Diffuse subepithelial deposits - spike forming.</center>}}

	====Ask a colleague====		====Ask a colleague====

Michael at 17:31, 2 February 2014

2014-02-02T17:31:37Z

← Older revision		Revision as of 17:31, 2 February 2014
Line 14:		Line 14:
	{{hidden\|Very high magnification\|[[Image: Membranous nephropathy - cropped - mpas - very high mag.jpg \|500px\|link=\|center\|]]		{{hidden\|Very high magnification\|[[Image: Membranous nephropathy - cropped - mpas - very high mag.jpg \|500px\|link=\|center\|]]
	<center>Very high magnification. [[H&E stain]].</center>}}		<center>Very high magnification. [[H&E stain]].</center>}}

	~~===Differential diagnosis===~~
	~~{{hidden\|Differential diagnosis\|<center>THE DDx GOES HERE</center>}}~~

	===Additional tests===		===Additional tests===
	====More history====		====More history====
	{{hidden\|More history\|<center>ANA normal, Anti-Sm normal, Anti-dsDNA normal, HBV core -ve, HBV surf +ve, HCV -ve, No history of cancer.</center>}}		{{hidden\|More history\|<center>ANA normal, Anti-Sm normal, Anti-dsDNA normal, HBV core -ve, HBV surf +ve, HCV -ve, No history of cancer.</center>}}

			====Immunofluorescence====
			{{hidden\|More history\|<center>Diffuse granular capillary loop - IgG, C3, kappa, lambda.</center>}}

			====Electron microscopy====
			{{hidden\|More history\|<center>Diffuse subepithelial deposits - spike forming.</center>}}

	====Ask a colleague====		====Ask a colleague====
	{{hidden\|Ask a colleague\|<center>~~COLLEAGUE~~'~~S ADVICE HERE~~</center>}}		{{hidden\|Ask a colleague\|<center>It doesn't look like [[FSGS]] or [[minimal change disease]]... so it's what is left.</center>}}

	====Stains====		====Stains====
Line 66:		Line 69:
	\| warthinstarry=		\| warthinstarry=
	}}		}}

	====IHC====		====IHC====
	{{Case IHC		{{Case IHC
Line 205:		Line 209:
	}}		}}

	===~~=Chromosomal translocations=~~===		===Differential diagnosis===
	{{~~Case Translocations~~		{{hidden\|Differential diagnosis\|<center>THE DDx GOES HERE</center>}}
	~~\| blank=Dr Torres would ask why!~~
	~~\| t1_13=~~
	~~\| t11_14=~~
	~~\| t11_22dsrct=~~
	~~\| t11_22ews=~~
	~~\| t12_15=~~
	~~\| t12_16afh=~~
	~~\| t12_16liposar=~~
	~~\| t12_22=~~
	~~\| t14_18=~~
	~~\| t15_17=~~
	~~\| t16_21=~~
	~~\| t17_22=~~
	~~\| t2_13=~~
	\| ~~t21_22=~~
	\| ~~t8_14=~~
	~~\| t9_22=~~
	~~\| t9_22=~~
	~~\| tx_17=~~
	~~\| tx_18=~~
	}}
	===Diagnosis===		===Diagnosis===
	{{hidden\|Diagnosis\|<center>[[Membranous nephropathy]]</center>}}		{{hidden\|Diagnosis\|<center>[[Membranous nephropathy]] - probably idiopathic</center>}}
	<br>		<br>
	===Other cases===		===Other cases===