Difference between revisions of "DZI20-202-Case-6"

Revision as of 17:21, January 18, 2021

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 |publish_timestamp=2021/01/29 14:00
 |clinical_hx=donor bx
-|case_diagnosis=KIDNEY, RIGHT (DONOR, PRE-TRANSPLANT), WEDGE BIOPSY:
+|case_diagnosis=DONOR KIDNEY BIOPSY (RIGHT): NO DIAGNOSTIC ABNORMALITY RECOGNIZED, SEE NOTE.
-NO DIAGNOSTIC ABNORMALITIES RECOGNIZED, SEE NOTE.
-Note:
+NOTE: The wedge biopsy contains about 100 glomeruli all of which are normal, as are the tubules, vessels and interstitium.  There is no evidence of acute or chronic injury.  A core biopsy with 10 glomeruli shows similar features (one glomerulus is globally sclerotic.
-One slide labeled UNOS ADEV297 RIGHT KIDNEY BIOPSY with tissue sections of a wedge of frozen cortical tissue shows about 81 glomeruli, of which none is globally sclerotic. Glomeruli appear generally unremarkable. Crescents, necrosis and intraluminal thrombi are not identified. There is no interstitial inflammation. There is no fibrosis or tubular atrophy. Some tubules are dilated and show focal loss of brush borders. Arteries and arterioles are unremarkable. Vasculitis and thrombi are not present.
-One slide from the New England Organ Bank labeled “S16-07420 Lowell General” show a wedge of cortical tissue with 79 glomeruli, of which 1 is globally sclerotic. Glomeruli appear generally unremarkable. Crescents, necrosis and intraluminal thrombi are not identified. There is no interstitial inflammation. There is no fibrosis or tubular atrophy. Tubules are back to back. Occasional protein casts, pigmented casts and calcifications are present in tubules focally. Arteries and arterioles are unremarkable. Vasculitis and thrombi are not present.
 }}
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 |order_date=January 18, 2021 10:09:01 PM
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