Difference between revisions of "WSI23-111-Case-16"
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 11:10:18 AM...") |
(Added status template) |
||
| (2 intermediate revisions by 2 users not shown) | |||
| Line 12: | Line 12: | ||
|sequence=16 | |sequence=16 | ||
|performer=RMN6 | |performer=RMN6 | ||
| − | |reasonCode=Case #16 - The patient is a 55-year-old male with past medical history significant for antiphospholipid antibody syndrome (APLS) with multiple pulmonary emboli and deep vein thromboses now on coumadin, type I diabetes mellitus complicated by end-stage renal disease requiring Monday-Wednesday-Friday hemodialysis. He has had a chronic lower extremity ulcer for the past 4 years in the setting of pressure related trauma secondary to wheelchair dependence. Relevant laboratory results: Creatinine 6.72 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.3 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 2.9 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 81 pg/mL (reference interval 10-60 pg/mL). On exam, he has a chronic non-healing lesion with no evidence of retiform purpura, no induration and without exquisite tenderness (see clinical photograph #16 | + | |reasonCode=Case #16 - The patient is a 55-year-old male with past medical history significant for antiphospholipid antibody syndrome (APLS) with multiple pulmonary emboli and deep vein thromboses now on coumadin, type I diabetes mellitus complicated by end-stage renal disease requiring Monday-Wednesday-Friday hemodialysis. He has had a chronic lower extremity ulcer for the past 4 years in the setting of pressure related trauma secondary to wheelchair dependence. Relevant laboratory results: Creatinine 6.72 mg/dL (reference interval 0.6-1.50 mg/dL), calcium 9.3 mg/dL (reference interval 8.5-10.5 mg/dL), phosphate 2.9 mg/dL (reference interval 2.6-4.5 mg/dL), PTH 81 pg/mL (reference interval 10-60 pg/mL). On exam, he has a chronic non-healing lesion with no evidence of retiform purpura, no induration and without exquisite tenderness (see clinical photograph #16). A punch biopsy is obtained from the edge of the lesion. |
|supportingInfo=16 | |supportingInfo=16 | ||
}} | }} | ||
| Line 21: | Line 21: | ||
|type=image | |type=image | ||
|subject=Z0FBQUFBQmt5NHNlUjRQMDAzclk2OF9UeFNjbjVYMDVTSnFkSXpUS2NpanVJaFc3b0NkbGdVbGlkc3kxVGItVFhCMzlaNFlIZkNORWRrWGU2U2FPMWNuVUx1Tnc0Vmh4VXc9PQ | |subject=Z0FBQUFBQmt5NHNlUjRQMDAzclk2OF9UeFNjbjVYMDVTSnFkSXpUS2NpanVJaFc3b0NkbGdVbGlkc3kxVGItVFhCMzlaNFlIZkNORWRrWGU2U2FPMWNuVUx1Tnc0Vmh4VXc9PQ | ||
| + | |reasonCode=H&E | ||
|view=show | |view=show | ||
|modality=mrxs | |modality=mrxs | ||
| + | |identifier=e9a5e29f-cf90-43e5-af76-71907b373ec6 | ||
| + | }} | ||
| + | {{Media | ||
| + | |createdDateTime=August 03, 2023 12:52:37 PM | ||
| + | |operator=Em99 | ||
| + | |status=completed | ||
| + | |type=image | ||
| + | |subject=Z0FBQUFBQmt5Nk44XzVscjd4Q0xCTDRmQ0pnZnVVZnZTLUFlaVJNdU10RWJBSnpfdURSaFlhYmx6VGJpVl90NEpzN1lOUU1qSk1EbkJ5NmFyTElXVjE0MkNCNUx0TW1kZ2c9PQ | ||
| + | |reasonCode=Von Kossa | ||
| + | |view=show | ||
| + | |modality=mrxs | ||
| + | |identifier=deee4931-6af7-43e3-b54d-71cb2a9e0d8d | ||
| + | }} | ||
| + | {{status | ||
| + | |status=active | ||
| + | |requester=Em99 | ||
| + | |authoredOn=August 03, 2023 11:10:18 AM | ||
}} | }} | ||
Latest revision as of 15:43, December 9, 2024
