Clinical Diagnosis Clinical diagnosis : Infectious Colitis and Ileitis suspect. Macroscopic :Received in formalin two specimens each labeled with the patient’s name and hospital number. I. Colon:

Sri Lestari

Clinical Diagnosis Clinical diagnosis : Infectious Colitis and Ileitis suspect. Macroscopic :Received in formalin two specimens each labeled with the patient’s name and hospital number. I. Colon: 4 pieces of biopsy tissue samples, white in colour, 0.3-0.5 cm in diameter. 1 file stained and mounted. II. Ileum: 2 pieces of biopsy tissue samples, white in colour, measuring 0.3 cm in diameter. 1 file stained and mounted. Microscopic :Colonic specimens consist of four oedematous colonic mucosa tissues with mild to dense infiltration of inflammatory mononuclear cells and polymorphonuclear cells (PMNs). Basal plasmacytosis and crypt distortion were present. Acid-fast bacilli (AFB) smear positive. The specimens consist of two illeal mucosa tissues with dense infiltration of inflammatory mononuclear cells, slight infiltration of eosinophils and neutrophils. Partial villous atrophy. Few glands showed mild dysplasia. A lymphoid follicle with caseous necrosis surrounded by epithelioid cells was also found. Acid-fast bacilli (AFB) smear positive. Conclusion : Colon • Chronic crypt destructive colitis/Ulcerative coilitis. • AFB smear positive • No malignancy was detected Ileum • Chronic ileocaecal tuberculosis with mild dysplasia • AFB smear positive • No malignancy was detected

May 25, 2015 5:54 AM

Corrections · 6

Clinical Diagnosis

Clinical diagnosis : Infectious Colitis and suspected Ileitis suspect.

Macroscopic: Received two specimens in formalin each labeled with the patient’s name and hospital number.
I. Colon: 4 pieces samples of biopsy tissue samples, white in colour, 0.3-0.5 cm in diameter. 1 file stained and mounted.
II. Ileum: 2 pieces samples of biopsy tissue samples, white in colour, measuring 0.3 cm in diameter. 1 file stained and mounted.

Microscopic :Colonic specimens consist of four oedematous colonic mucosa tissues with mild to dense infiltration of inflammatory mononuclear cells and polymorphonuclear cells (PMNs). Basal plasmacytosis and crypt distortion were present. Acid-fast bacilli (AFB) smear positive.

The specimens consist of two illeal mucosa tissues with dense infiltration of inflammatory mononuclear cells, slight infiltration of eosinophils and neutrophils. Partial villous atrophy. Few glands showed mild dysplasia. A lymphoid follicle with caseous necrosis surrounded by epithelioid cells was also present found. Acid-fast bacilli (AFB) smear positive.

Conclusion : Colon
• Chronic crypt destructive colitis/Ulcerative coilitis.
• AFB smear positive
• No malignancy was detected
Ileum
• Chronic ileocaecal tuberculosis with mild dysplasia
• AFB smear positive
• No malignancy was detected

Well done.

May 25, 2015

Sir you are right! slide is the right term wkwwkwkwk

June 9, 2015

Notice the problem of using a sans-serif font, with capital 'i' seeming to be identical with small-L as in ileum = Ileum

June 9, 2015

I think 'slide' is more likely the term than 'file'. Instead of 'consist of' you could use 'comprise' (transitive verb!): 'the specimens comprise two illeal...' When you say 'Few glands show ...' did you mean 'A few glands show...'?

June 9, 2015

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