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196 Cards in this Set

  • Front
  • Back

Congenital pyloric stenosis (palpable olive shaped mass seen here)

Meckels diverticulum

Hirschsprung disease (rectal biopsy)

Achalasia (classic "Birds beak" on barium swallow)

GERD; picture 1 is esophageal mucosa lined by stratified sq with little eosinophils. Picture 2: basal cell hyperplasia w/ incr eosinophil count (sign of GERD)

Barretts esophagus (normal pale esophageal mucosa gets replaced with erythematous mucosa)

Barretts esophagus (goblet cell metaplasia; represents normal stratified squamous epithelium)

Viral esophagitis (multinucleate squamous cells containing herpes virus nuclear inclusions)

Viral esophagitis (CMV infected endothelial cells w/ nuclear and cytoplasmic inclusions)

Squamous cell carcinoma (moderatelyto well differentiated)

Squamous cell carcinoma (polypoid/flat/ excavated)

Adenocarcinoma (picture shows malignant glands)

Barretts esophagus (picture shows mucinproducing tumors- signet ring cells)

Acute gastritis (first arrow bleeding, perforation and obstruction, second arrow shows mucosal disruption, hemorrhage)

Chronic gastritis (picture shows chronic infl in lamina propria)

Chronic gastritis (picture shows lymphoid follicles)

Chronic gastritis (picture shows intestinal metaplasia)

Chronic atrophic gastritis (picture shows mucosal glandular atrophy)

Chronic atrophic gastritis (picture shows intestinal metaplasia)

Duodenal peptic ulcer (picture shows solitary ulcers, sharply demarcated round/oval, over hanging margins)

Ménétrier disease (arrow shows foveolar hyperplasia withelongatedand focally dilated glands)



Ménétrier disease (arrow shows irregular enlargement of the gastric rugae)

Gastric carcinoma (arrow shows heaped up margin,necrotic base)

Gastric carcinoma (picture Linitis plastica, a rigid thickened stomach wall)

Gastric carcinoma (arrow shows signet ring cells with mucin)

Viral esophagitis (picture shows herpetic ulcers)

Gastric lymphoma

Gastric lymphoma

Gastric lymphoma

Gastrointestinal stromal tumors

Gastrointestinal stromal tumors (picture shows spindle shaped cellsin the fassicles)

Carcinoid tumor

Carcinoid tumor

Carcinoid tumor

Carcinoid tumor

Brunners gland (in the duodenum)

Paneth cells

Volvulus

Intussusception

Incarceratedhernia

Incarceratedhernia

Intestinal adhesion (picture shows fibrous bridges b/w viscera)

Malabsorption syndrome; celiac sprue (loss of villi-villous atrophy, incr intra epithelial lymphocytes, crypthyperplasia)



Whipples disease (picture shows PAS+ organisms inside macros in lamina propria)

Pseudomembrane enterocolitis

Pseudomembrane enterocolitis (pictures shows superficial colonic necrosis; pseudomembrane w/ neutros, mucin, fibrin, necrotic debris)

Colonic diverticulosis

Crowns disease (picture shows focal apthous ulcers, linear fissures, cobble stone, thick bowel wall, creeping fat)

Crohns disease (picture shows small intestinal stricture)

Crohns disease (picture shows linear mucosal ulcers, imparting a cobblestone appearance and thickened wall)

Crohns disease (picture shows perforation and associated serositis)



Crohns disease (picture shows creeping fat)

Ulcerative colitis (picture shows pancolitis; red granular mucosa in the cecum/left and smooth atropic mucosa distally/right)

Ulcerative colitis (picture shows sharp demarcation b/w active ulcerative colitis on right and normal mucosa on left)

Ulcerative colitis (picture shows infl polyps)



Ulcerative colitis (picture shows mucosal bridges)

Crohns disease (picture shows crypt abscess- neutros in crypts)

Crohns disease (picture shows crypt abscess- neutros in crypts)

Ulcerative colitis (picture shows crypt abscess, limited to mucosa and submucosa, dysplasia)

Crohns disease (picture shows string sign, fistula)

Ulcerative colitis (picture shows lead pipe appearance)

Ulcerative colitis

Non neoplastic polyp; hyperplastic polyp (picture shows sawtooth appearance)

Juvenile (retention) polyp

Familialadenomatouspolyposis:

Colon cancer

Colon cancer (picture shows malignant gland formation with mucinassociation in mucosa and submucosa)

Colon cancer

Carcinoid tumor; neuroendocrine tumor (picture shows monotonous cells with delicateintervening stroma)



Acute appendicitis

Tubular adenoma

Tubular adenoma

Villous adenoma

Villous adenom

Vascular sinusoids

Steatosis

Chronic hepatitis (arrow shows apoptotic hepatocytes/acidophil bodies)

Liver failure (picture shows necrosis; bile stained soft and congested liver)

Liver cirrhosis

Alcoholic cirrhosis (arrows show thick bands of collagen separating rounded cirrhotic nodules)

Alcoholic cirrhosis (after one year of abstinence, most scars are gone)

Ascites

Portal HTN (arrow shows to caput medusa)



Portal HTN (arrow shows spire angiomas)

Autoimmune hepatitis (arrow shows predominance of plasma cells)

Alcoholic hepatitis (arrow shows cluster of infl cells around necrotic hepatocyte)

Alcoholic hepatitis (arrow shows eosinophilic Mallory Denk bodies)

Alcoholic cirrhosis (picture shows diffuse surface nodularity)

Alcoholic cirrhosis (arrows show nodules entrapped in blue-staining fibrous tissue)

Non-alcoholicsteatohepatitis (orange arrow shows perisinusoidal fibrosis, blue arrow shows perivenular fibrosis)

Hemochromatosis (arrows show hepatocellular iron deposition)

Wilsons disease; Kayser Fletcher rings (arrows show greento brown deposition of Cu in Descemet’s memb)

Alpha 1 anti trypsin deficiency (arrow shows cytoplasmicglobular inclusions inhepatocytes)

Cholestasis (arrow shows bile pigment in cytoplasm)

Cholestasis (arrow shows bile plug showing expansion ofbile canaliculus)

Primary biliary cirrhosis

Primary biliary cirrhosis (arrow shows florid duct lesion)

Primary sclerosing cholangitis (arrow shows concentric periductal fibrosis, an onion skin appearance surrounding a degenerating bile duct)

Primary sclerosing cholangitis (picture shows "beaded appearance" of bile ducts)

Von Meyenburg complexes (green arrow shows smallclusters of dilated irregularly shaped bile ducts /cysts, blue arrow shows it within a fibrous stroma)

Budd- Chiari syndrome (arrow shows thrombosisof hepatic veinscausing hemorrhagic liver necrosis)

Nodular hyperplasia (arrow shows a central gray-white, depressed stellatescar)

Nodularregenerative hyperplasia (arrow shows diffusenodulartransformation w/o fibrosis)

Liver hemangioma (arrow shows discrete red-blue soft, subcapsularnodules)

Hepatocellular adenoma (arrow shows the hepatic adenoma)

Hepatocellular adenoma (arrow shows the hepatic adenoma)

Hepatocellularcarcinoma (arrow shows unifocal, massive neoplasm in a non cirrhoticliver)

Fibrolamellar carcinoma

Cholangiocarcinoma (arrows show multifocal sites)

Metastatic tumors to liver (arrow shows multiple, nodular metastases)

Acute viral hepatitis (arrow shows ‘Councilman’/ acidophil bodies from cytolysis/apoptosis)

Viral hepatitis B (arrows show ground-glass hepatocytes)

Viral hepatitis C (arrow shows portaltract expansion by a lymphoid follicle)

Gallbladder (picture shows folded mucosal folds, simple columnar epithelium, and smooth muscle layer)

Folded fundus of gallbladder (arrow shows "phrygian cap")

Cholesterol stones (blue arrow shows stones, green arrow shows thickened and fibrotic wall of gallbladder)

Pigmented gallstones (arrow shows "black" stones)

Chronic cholecystitis (arrow shows stones present in the lumen)

Chronic cholecystitis (arrow shows infl cells)

Chronic cholecystitis (arrow shows Rokitansky-Aschoff sinus containing bile)

Chronic cholecystitis (arrow shows extensive dystrophic calcification, leading to porcelain gallbladder)

Carcinoma of the gallbladder (arrow shows large exophytic tumor filling the lumen)

Acute interstitial pancreatitis (black arrow shows parenchymal necrosis, orange arrow shows fat necrosis)

Acute necrotizing pancreatitis (blue arrow shows hemorrhagic area, red arrow shows yellowwhite chalky fat necrosis)

Autoimmune pancreatitis (arrow shows infiltrate,fibrosis w/ acinar loss)

Autoimmune pancreatitis (arrow shows dilatedducts with inspissatedeosinophilic ductal concretions in pt w/ alcoholic chronic pancreatitis)

Pseudocysts (arrow points to one on the pancreas)

Pseudocysts (arrow shows cyst wall made up of granulation tissue)

Serous cystadenoma

Serous cystadenoma

Mucinous cystadenoma

Mucinous cystadenoma (arrow shows ovary like dense stroma)

Intraductal papillary mucinousneoplasm

Intraductal papillary mucinousneoplasm

Malignant pancreatic cancer (arrow shows hard,stellate, graywhite, poorly defined masses)

Malignant pancreatic cancer (arrow shows desmoplastic rxn)

Alcoholic cirrhosis (represents chronic liver failure. Masson-Trichrome blue stain used for collagen; abundant fibrosis)

Ant pituitary

Pituitary adenoma (lactotroph)

Pituitary adenoma (lactotroph)

Craniopharyngioma

Craniopharyngioma

Craniopharyngioma (palisadingsquamous epithelium w/ lamellar keratin and dystrophic calcification)

Craniopharyngioma (palisadingsquamous epithelium with lamellar keratin and dystrophic calcification)

Thyroid gland

Thyroid gland

Graves disease (thyroid gland showing beefyred parenchyma)

Graves disease (thick arrows show diffusepapillary hyperplasia, thin arrow shows colloid/scalloped borders; pale, scanty)

Graves disease (top arrow shows tall columnar cells with papillary folds, bottom arrow shows colloid scalloped borders; pale, scanty)

Diffuse non toxic goiter

Multinodular goiter

Multinodular goiter (arrow shows enlarged thyroid follicles filled w/ colloid)

Hashimotos thyroiditis (tan yellow color w/ fibrosis)

Hashimotos thyroiditis (arrow shows lymphocytic infiltration w/ germinal centers)

Granulomatous thyroiditis (blue arrow shows giant cells, small arrow shows lymphocytes)

Follicular adenoma

Follicular adenoma

Follicular carcinoma

Follicular carcinoma (arrows show capsular invasion)

Follicular carcinoma (picture shows uniformcellsforming small follicles containing inspissatedcolloid)


Papillary carcinoma of thyroid (contains papillary excrescences)

Papillary carcinoma of thyroid (picture shows grossly visible papillary structures)

Papillary carcinoma of thyroid (picture shows papillary structure)

Papillary carcinoma of thyroid (picture shows clear 'orphan annie' eye nuclei)


Papillary carcinoma of thyroid (picture shows nuclear inclusions and nuclear grooves)

Papillary carcinoma of thyroid (picture shows nuclear inclusions)

Papillary carcinoma of thyroid (picture shows orphan annie nuclei)

Papillary carcinoma of thyroid (picture shows psammoma body)

Medullary carcinoma of thyroid

Medullary carcinoma of thyroid (picture shows spindle-shapedcellsor plasmacytoidcells innests, trabeculae with Acellular amyloid deposits)

Parathyroid gland (picture shows chief cells and oxyphill cells)

Parathyroid gland (picture shows oxyphill cells)

Primary hyperparathyroidism

Pancreas

Pancreas

Type I DM (picture shows leukocytic infiltrates)

Type II DM (picture shows amyloid deposition w/i islets)

DM

Insulinoma (picture shows giant islets and amyloid deposition)

Cushing syndrome (picture shows diffuse cortical hyperplasia of adrenals)

WATERHOUSE-FRIDERCHSEN SYNDROME (picture shows diffuse purpuric rash)

WATERHOUSE-FRIDERCHSEN SYNDROME

Adrenal adenoma

Adrenal adenoma

Adrenal carcinoma

Adrenal carcinoma

Pheochromocytoma

Pheochromocytoma (picture shows nestsof chromaffin cells "zellballen" w/ abundant cytoplasm)

Crohns disease (picture shows cobblestone appearance)

Crohns disease (picture shows non-caseating epithelioidgranuloma)

Crohns disease (picture shows cryptabscess)

Adenocarcinoma colon

Adenocarcinoma colon

Hepatic Steatosis /Fatty Liver.

Alcoholic hepatitis (arrow shows Mallorydenkbodies)



Acute cholecystitis