Difference between revisions of "WSI23-111-Case-11"

From MGH Learn Pathology
(Created page with "{{ServiceRequestCase |requisition=null |subject=MGH |intent=order |basedOn=WSI23-111 |priority=routine |code=faculty |orderDetail=case |authoredOn=August 03, 2023 11:08:54 AM...")
 
(Added status template)
 
(2 intermediate revisions by 2 users not shown)
Line 12: Line 12:
 
|sequence=11
 
|sequence=11
 
|performer=RMN6
 
|performer=RMN6
|reasonCode=Case #11 - The patient is a 50-year-old female with past medical history significant for Evan's syndrome with subsequent autoimmune anemia and immune thrombocytopenia. She has had longstanding lymphedema as well as deep venous thromboses for which she is on coumadin. She has no history of renal disease. Relevant laboratory results: Creatinine 0.52 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 8.3 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 3.0 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 47 pg/mL (reference interval 10-60 pg/mL). The lesions initially presented as firm, red indurated lesions which were painful and have progressed to ulcers. She has had prior debridement of the lesions at an outside hospital. Dermatology was consulted to evaluate the lesions (see clinical photograph #11 below). A punch biopsy is performed.
+
|reasonCode=Case #11 - The patient is a 50-year-old female with past medical history significant for Evan's syndrome with subsequent autoimmune anemia and immune thrombocytopenia. She has had longstanding lymphedema as well as deep venous thromboses for which she is on coumadin. She has no history of renal disease. Relevant laboratory results: Creatinine 0.52 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 8.3 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 3.0 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 47 pg/mL (reference interval 10-60 pg/mL). The lesions initially presented as firm, red indurated lesions which were painful and have progressed to ulcers. She has had prior debridement of the lesions at an outside hospital. Dermatology was consulted to evaluate the lesions (see clinical photograph #11). A punch biopsy is performed.
 
|supportingInfo=11
 
|supportingInfo=11
 
}}
 
}}
Line 21: Line 21:
 
|type=image
 
|type=image
 
|subject=Z0FBQUFBQmt5NHJKOXBNVmVnM3VyR2NCWVlSSFlUZG5QbUx4NFZROThjSUZ2eF84djE4SHd5Q2pMXzY1MUdWSFFYVV91bFVzUzdXX0FZUHFPYlJ1bTA1ZnNXWXY0YVMzMXc9PQ
 
|subject=Z0FBQUFBQmt5NHJKOXBNVmVnM3VyR2NCWVlSSFlUZG5QbUx4NFZROThjSUZ2eF84djE4SHd5Q2pMXzY1MUdWSFFYVV91bFVzUzdXX0FZUHFPYlJ1bTA1ZnNXWXY0YVMzMXc9PQ
 +
|reasonCode=H&E
 
|view=show
 
|view=show
 
|modality=mrxs
 
|modality=mrxs
 +
|identifier=d7eda176-0752-40e4-aaf8-58253624b48b
 +
}}
 +
{{Media
 +
|createdDateTime=August 03, 2023 12:06:17 PM
 +
|operator=Em99
 +
|status=completed
 +
|type=image
 +
|subject=Z0FBQUFBQmt5NS1NMEJUNjVreFh6c1FTcU5LME1ia1RXSW1uOG9LYlduOTYySXRzU29zbWtZemROdk9TbTdzNnhTY1FDVW5oMEREMlNHbllfR01tZUo5Vjc3dWVWS3FzUFE9PQ
 +
|reasonCode=Von Kossa
 +
|view=show
 +
|modality=mrxs
 +
|identifier=441c00c6-ee7b-4c7c-a627-d3a80843c782
 +
}}
 +
{{status
 +
|status=active
 +
|requester=Em99
 +
|authoredOn=August 03, 2023 11:08:54 AM
 
}}
 
}}

Latest revision as of 15:43, December 9, 2024

WSI23-111-Case-11
Case #11 - The patient is a 50-year-old female with past medical history significant for Evan's syndrome with subsequent autoimmune anemia and immune thrombocytopenia. She has had longstanding lymphedema as well as deep venous thromboses for which she is on coumadin. She has no history of renal disease. Relevant laboratory results: Creatinine 0.52 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 8.3 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 3.0 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 47 pg/mL (reference interval 10-60 pg/mL). The lesions initially presented as firm, red indurated lesions which were painful and have progressed to ulcers. She has had prior debridement of the lesions at an outside hospital. Dermatology was consulted to evaluate the lesions (see clinical photograph #11). A punch biopsy is performed.
11
December 31, 1969 7:00:00 PM