Actual images Flashcards by Anna Cushing

Q

What does this picture of esophagus show?

A

kissing ulcers = sign that pill caused esophagitis

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Q

What is this finding on endoscopy?

A

candida esophagitis

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Q

What bug is causing this finding in the esophagus?

A

CMV esophagitis

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Q

What bug is causing this finding in the esophagus?

A

THis is herpest esophagitis

Cell-cell detachment
Multinucleation
“Ground glass” nuclei

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Q

What do these findings on endoscopy suggest?

A

shows transverse rings = trachealization

possible sign of eosinophilic esophagitis

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Q

What is this lesion finding in the esophagus?

A

barrett’s esophagus = have intestinal like columnar epithelium with goblet cells

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Q

What normal part of the body is this?

A

this is stomach = shows gastric fundic glands

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Q

What gastric cell type is this?

A

parietal cells

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Q

What disease of the stomach is this?

A

acute erosive gastritis

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Q

What is this finding in the stomach?

A

chemical gastropathy

see corkscrew gastric pits, dilated capillaries, loss of epithelial mucin

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Q

What kind of chronic gastritis is this?

A

This is autoimmune gastritis

have intestinal and antral metaplasia
chronic inflammation
reduced glands
loss of parietal cells

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Q

What type of malignancy is characterized by these cells?

A

these are signet ring cells

suggest diffuse adenocarcinoma

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Q

What type of gastric malignancy is this?

A

intestinal type gastric carcinoma

have gland formation

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Q

What disease of malabsorption is this?

A

abetalipoproteinemia = b/c theres fat filling the cells

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Q

What is this image show in the liver

A

this is alpha 1 antitrypsin deficiency

tiny pink dots are a1a that is abnormally folded and retained in the hepatocyte

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Q

What is this finding in the liver?

A

hepatocellular carcinoma

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Q

What is this finding in the liver?

A

hepatocellular carcinoma producing bile

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Q

What is this finding in the liver?

A

angiosarcoma = you can see the RBCs

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Q

What does this picture of the small intestine show?

A

cobblestoning of the intestinal wall = sign of Crohns

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Q

What does this finding in the intestine suggest?

A

Noncaseating granuloma –> suggests crohns

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Q

What is this disease?

A

ulcerative colitis = can easily see the line where it starts/stops

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Q

What type of IBD could this be?

A

ulcerative colitis = don’t see intramural inflammation like you would in crohns

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Q

What type of intestinal disease is this?

A

This is IBD = see crypt atrophy

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Q

What is this finding in the intestine?

A

This is cryptitis = see inflammation of the crypts with neutrophils; suggests IBD

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What is this finding? Disease?

This is creeping fat; seen in crohns

What is this complication? What disease?

This is toxic megacolon complication of UC

What is this finding in the colon?

This is dysplasia

What causes this finding?

This is C Diff colitis

What is this finding?

This is pseudomembranous colitis

What is this finding?

colonic ischmia = you can tell by the dusky red color

What is this finding in the colon?

colonic ischemia

What is this finding in the colon?

diverticula

What type of colitis is this?

collagenous colitis

What type of colitis is this?

lymphocytic colitis = see the lymphocytes in the epithelium

What does this show in the colon?

lots of polyps = FAP

What type of adenoma?

tubular

What type of adenoma?

villous

What type of adenoma?

villous sessile adenoma

What type of polyp?

What type of polyp?

hyperplastic

What type of polyp?

sessile serrated polyp

What type of polyp on left vs right?

What does this image show?

see adenomatous tissue on left with cancer on the right

What is happening to these colon glands?

desmoplasia with dysplastic cancerous glands

What is differnet between these two cancers?

right = poorly differentiated left = moderately differentiated

What type of colonic neoplasm is this?

What type of colorectal cancer is this?

microsatellite unstable stained for CD3 lymphocytes that are classic for MSI carcinoma

What is this finding in the appendix?

What is this finding in the appendix?

mucinous cystadenoma

What is this bug?

giardia

What is this bug?

entamoeba histolytica

What is this finding in an infant?

meconium ileus

What is this finding in the esophagus?

squamous cell carcinoma = found in upper 2/3 of esophagus

What is this finding in the esophagus?

squamous cell carcinoma

What is this finding in the esophagus?

squamous cell dysplasia = precursor to carcinoma

What is this finding in the esophagus?

Candida esophagitis

What is this finding in the esophagus?

herpes esophagitis = most common cause of esophagitis in immune competent

What is this finding in the esophagus?

What is this finding in the stomach?

ECL cell hyperplasia; possible carcinoid tumor stained by chromogranin

What is this finding in the smalll intestine?

celiac disease = villous atrophy

What is this disease of the colon that presents with normal endoscopy?

What is this disease of the colon that presents with normal endoscopy?

lymphocytic esophagitis

What is on the left and right in these images of liver?

left = normal; right = hepatocellular carcinoma