Case 54 - Revision history

Michael at 07:21, 1 September 2014

2014-09-01T07:21:42Z

← Older revision		Revision as of 07:21, 1 September 2014
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	====Ask a colleague====		====Ask a colleague====
	{{hidden\|Ask a colleague\|<center>Looks like an infection. Did you do a GMS? Looks like there are large spherules (60-80 μm in size) with (1-5 um) endospores.</center>}}		{{hidden\|Ask a colleague\|<center>Looks like an infection. Did you do a GMS? Looks like there are large spherules (60-80 micrometres in size) with (1-5 micrometres) endospores.</center>}}

	====Stains====		====Stains====

Michael at 02:02, 6 June 2014

2014-06-06T02:02:38Z

← Older revision		Revision as of 02:02, 6 June 2014
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	===Provided clinical history===		===Provided clinical history===
	46 year old man, fever, cough, ~~headaches, rash, myalgia, and arthralgia~~		46 year old man, fever, cough,

	===Site===		===Site===
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	{{hidden\|High magnification\|[[Image: Coccidioidomycosis - very high mag.jpg \|500px\|link=\|center\|]]		{{hidden\|High magnification\|[[Image: Coccidioidomycosis - very high mag.jpg \|500px\|link=\|center\|]]
	<center>High magnification. [[H&E stain]].</center>}}		<center>High magnification. [[H&E stain]].</center>}}

	~~{{hidden\|High magnification with GMS\|[[Image: Coccidioidomycosis - 2 - gms - very high mag.jpg \|500px\|link=\|center\|]]~~
	~~<center>High magnification with GMS. [[H&E stain]].</center>}}~~

	===Differential diagnosis===		===Differential diagnosis===
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	===Additional tests===		===Additional tests===
	====More history====		====More history====
	{{hidden\|More history\|<center>HIV ~~patient~~.</center>}}		{{hidden\|More history\|<center>Patient also has a headache, rash, myalgias, and arthralgias. HIV positive. Lives in San Francisco part of the year.</center>}}

	====Ask a colleague====		====Ask a colleague====
	{{hidden\|Ask a colleague\|<center>~~You see these~~ spherules 60-80 μm in size with 1-5 um endospores ~~are classic finding for this microorganism!~~</center>}}		{{hidden\|Ask a colleague\|<center>Looks like an infection. Did you do a GMS? Looks like there are large spherules (60-80 μm in size) with (1-5 um) endospores.</center>}}

	====Stains====		====Stains====
Line 44:		Line 41:
	\| gallyas=		\| gallyas=
	\| giemsa=		\| giemsa=
	\| gms=		\| gms= [[Image: Coccidioidomycosis - 2 - gms - very high mag.jpg \|500px\|link=\|center\|]]
	\| gomori=		\| gomori=
	\| gram=		\| gram=
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	[[Category:Cases in pulmonary pathology]]		[[Category:Cases in pulmonary pathology]]
	[[Category:Cases difficulty 1]]		[[Category:Cases difficulty 4]]
	[[Category:Cases in pulmonary pathology - ~~junior~~]]		[[Category:Cases in pulmonary pathology - senior]]

Yuanny: /* Site */

2014-02-19T15:38:58Z

Site

← Older revision		Revision as of 15:38, 19 February 2014
Line 3:		Line 3:

	===Site===		===Site===
	~~Right~~ [[lung]]		Left [[lung]]

	===Primary image===		===Primary image===

Yuanny at 15:37, 19 February 2014

2014-02-19T15:37:33Z

← Older revision		Revision as of 15:37, 19 February 2014
Line 23:		Line 23:
	===Additional tests===		===Additional tests===
	====More history====		====More history====
	{{hidden\|More history\|<center>~~12 year hx of working with fiberglass~~.</center>}}		{{hidden\|More history\|<center>HIV patient.</center>}}

	====Ask a colleague====		====Ask a colleague====
	{{hidden\|Ask a colleague\|<center>~~This is a response to alveolar injury, not a specific entity.~~ </center>}}		{{hidden\|Ask a colleague\|<center>You see these spherules 60-80 μm in size with 1-5 um endospores are classic finding for this microorganism!</center>}}

	====Stains====		====Stains====
Line 57:		Line 57:
	\| oilredo=		\| oilredo=
	\| orecein=		\| orecein=
	\| pas= ~~+ve in the air spaces filled with a granular, eosinophilic material~~		\| pas=
	\| pasd= ~~+ve in the air spaces filled with a granular, eosinophilic material~~		\| pasd=
	\| pasf=		\| pasf=
	\| ptah=		\| ptah=
Line 233:		Line 233:
	}}		}}
	===Diagnosis===		===Diagnosis===
	{{hidden\|Diagnosis\|<center>[[~~Pulmonary alveolar proteinosis~~]]</center>}}		{{hidden\|Diagnosis\|<center>[[Coccidioidomycosis]]</center>}}
	<br>		<br>
	===Other cases===		===Other cases===
Line 244:		Line 244:

	[[Category:Cases in pulmonary pathology]]		[[Category:Cases in pulmonary pathology]]
	[[Category:Cases difficulty 3]]		[[Category:Cases difficulty 1]]
	[[Category:Cases in pulmonary pathology - junior]]		[[Category:Cases in pulmonary pathology - junior]]

Yuanny: Created page with "===Provided clinical history=== 46 year old man, fever, cough, headaches, rash, myalgia, and arthralgia ===Site=== Right lung ===Primary image=== Image: Coccidioidom..."

2014-02-19T15:33:05Z

Created page with "===Provided clinical history=== 46 year old man, fever, cough, headaches, rash, myalgia, and arthralgia ===Site=== Right lung ===Primary image=== Image: Coccidioidom..."

New page

===Provided clinical history===
46 year old man, fever, cough, headaches, rash, myalgia, and arthralgia

===Site===
Right [[lung]]

===Primary image===
[[Image: Coccidioidomycosis - intermed mag.jpg|500px|link=|center|]]
<center>Low magnification. [[H&E stain]].</center>

{{hidden|Intermediate magnification|[[Image: Coccidioidomycosis - high mag.jpg|500px|link=|center|]]
<center>Intermediate magnification. [[H&E stain]].</center>}}

{{hidden|High magnification|[[Image: Coccidioidomycosis - very high mag.jpg |500px|link=|center|]]
<center>High magnification. [[H&E stain]].</center>}}

{{hidden|High magnification with GMS|[[Image: Coccidioidomycosis - 2 - gms - very high mag.jpg |500px|link=|center|]]
<center>High magnification with GMS. [[H&E stain]].</center>}}

===Differential diagnosis===
{{hidden|Differential diagnosis|<center>[[Histoplasmosis]], [[Coccidioidomycosis]], [[Pneumocystis pneumonia]], [[Cryptococcosis]], [[Cryptosporidiosis]], [[Candidiasis]], [[Blastomycosis]], [[Mucormycosis]], [[Aspergillosis]], [[Microsporidiosis]] </center>}}

===Additional tests===
====More history====
{{hidden|More history|<center>12 year hx of working with fiberglass.</center>}}

====Ask a colleague====
{{hidden|Ask a colleague|<center>This is a response to alveolar injury, not a specific entity. </center>}}

====Stains====
{{Case Stains
| blank=Dr Torres would ask why!
| alcpas=
| alc1=
| alc25=
| aur=
| biel=
| bili=
| iron=
| congored=
| cresylv=
| diffquik=
| fontana=
| gallyas=
| giemsa=
| gms=
| gomori=
| gram=
| gremelius=
| jms=
| jones=
| kinyoun=
| luxol=
| masson=
| mmas=
| mucicar=
| oilredo=
| orecein=
| pas= +ve in the air spaces filled with a granular, eosinophilic material
| pasd= +ve in the air spaces filled with a granular, eosinophilic material
| pasf=
| ptah=
| prussian=
| reticulin=
| sudanblackb=
| toluidine=
| verhoeff=
| vonkossa=
| warthinstarry=
}}
====IHC====
{{Case IHC
| blank=Dr Torres would ask why!
| ae1ae3=
| a1at=
| acth=
| afp=
| alk1=
| amacr=
| ar=
| b2microglobulin=
| b72_3=
| bcatenin=
| bcl2=
| bcl6=
| bclxl=
| c3=
| calcitonin=
| calponin=
| calretinin=
| cam5p2=
| cd10=
| cd117=
| cd138=
| cd15=
| cd1a=
| cd20=
| cd21=
| cd23=
| cd3=
| cd30=
| cd31=
| cd34=
| cd35=
| cd4=
| cd43=
| cd45=
| cd5=
| cd56=
| cd68=
| cd7=
| cd79a=
| cd8=
| cd99=
| cdx2=
| cd57/Leu7=
| cea=
| chromo=
| ck17=
| ck19=
| ck20=
| ck34be12=
| ck5_6=
| ck7=
| cmv=
| cmyc=
| cyclin_d1=
| desmin=
| dog1=
| ebv=
| ema=
| erpr=
| f_viii=
| f_xiiia=
| fascin=
| fsh=
| gastrin=
| gcdfp=
| gfap=
| gh=
| glucagon=
| hbme1=
| hbv_core=
| hbv_surf=
| hcaldesmon=
| hcg=
| helicobacter=
| hepatocyte=
| her2=
| hhv8=
| hmb45=
| hnf1beta=
| hpv=
| hsv1=
| hsv2=
| Idh-1=
| inhibin=
| insulin=
| kappa=
| ki67=
| lambda=
| leu7=
| lga=
| lgg=
| lgm=
| lh=
| lysozyme=
| mammogl=
| melanin_a=
| mitf=
| myleoperox=
| myo_d1=
| myog=
| myog=
| nf=
| nse=
| oct3_4=
| p16=
| p53=
| p63=
| panker=
| pax2=
| pax5=
| pax8=
| pcna=
| pdgfr=
| plap=
| pnl-2c=
| prolactin=
| psa=
| psap=
| s100=
| sma=
| somatsatin=
| synapto=
| tdt=
| tfe3=
| thyrogl=
| toxopl=
| tsh=
| ttf1=
| ubiquitin=
| uchl1=
| ulex_europe=
| vim=
| vip=
| vzv=
| wt1=
}}

====Chromosomal translocations====
{{Case Translocations
| 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===
{{hidden|Diagnosis|<center>[[Pulmonary alveolar proteinosis]]</center>}}
<br>
===Other cases===
{{Cases navigation}}

__NOTOC__

[[Category:Cases]]

[[Category:Cases in pulmonary pathology]]
[[Category:Cases difficulty 3]]
[[Category:Cases in pulmonary pathology - junior]]