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All lab-medicine Cases

Axillary abscess

50yof seen in the morning by a GP for second episode of axillary abscess.. prescribed oral antibiotics.. but the cause ...


Meningitis Cerebrospinal fluid

This is cloudy #csf in an elderly lady who came in with #sepsis and multilobar #pneumonia. She was growing #strep ...


Bacterial testing

A local doctor in Helmand, Afghanistan assists the @DrWithoutBorders team in carrying out isolation, identification and sensitivity testing of 3,000 ...


Bladder stones

Bladder stones post transurethral cystolitholapaxy. These were removed from a 78 year old male patient. #lablife


BCG for intravesical treatment of bladder cancer

This is BCG for intravesical treatment of bladder cancer. In the past we've used a closed system made by Merck ...


Leukocyte on cell smear

Note this leucocyte. It would be a segmented neutrophil or a rod neutrophil?


Ascites fluid from paracentesis

compare these 2 totally different ascites fluid obtained from a paracentesis. The one of the first patient, had a 29K ...


Pyuria and urinary retention

79yo male presented to ED with confusion and abdo pain. When asked what yr we are in, he said 1945.. ...


Beta-HCG with high dose hook

BHCG with high dose hook. Sample received from OnG from 18 yr old with no history initial result was 576. ...


Diabetic ketoacidosis lab values

Female in her 40s w/ poorly controlled diabetes mellitus. Non compliant. Weakness x 1 week w/ nausea and vomiting. Serum ...


Insect bites

59 yo M pt, had started with 2-3 pruritic vesicles on right medial foot 1mo ago. Resolved, then had single ...


Serous fluid drawn during venipuncture

serous fluid drawn in attempt on phlebotomy of 61yo f pt with severe #Edema


Bilateral spermatocele

bilateral #Spermatocele in a 55 year old. Biggest I've seen personally!


Suppository residue in urine

Recently, this patients urine caught my attention. At first I saw 'fat eyelets' floating on the urine just like a ...


Histology of acute myeloid leukemia

58 yo female. Came in through the ED. No previous history. Main complaint of chest pain radiating to her LLQ. ...


Left shin abscess

left shin abscess. 51yo lady with a painless swelling for the past five months. No history of fever or trauma. ...



Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...


pruritic pre-tibial lesions and pitting edema on upper limb

pt presented with intensely pruritic pre-tibial lesions and pitting edema. Spread over three days to lesions noted on arms and ...


Globet cells histology

first pictures is #smallintestine, you can notice #globetcells stained with #PAS. Second picture is #largeintestine, globet cells are white as ...


Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...


Macrophage consuming red blood cells

This toddler presented with familial #Hemophagocytic-lymphohistiocytosis and underwent a matched allogeneic #Bone-marrow-transplant from her father. Image 1 shows a macrophage ...


Elevated creatine kinase on blood work

45 year old male with a CK of 48,960. Pt was trying to Cross US-Mexico border. Was out in the ...


Adenocarcinoma in pleural fluid on histology

this is cell block of pleural fluid from a 48-year-old woman presenting with a 2-month cough and progressive dyspnea. seen ...


Kocuria rosea on sheep blood agar

found this curious contaminant hanging out on a brand new, unused TSA w/ sheep blood agar, now obsessed with trying ...


Elevated B-type natriuretic peptide in Congestive Heart Failure

holy BNP! ESRD + CHF in a non dialysis patient. Educational moment- what is BNP? Why is it secreted? What ...


Acute T-cell leukemia with lymphadenopathy and hepatosplenomegaly

6 year old male with a generalized lymphadenopathy for 6 months. Initially treated with steroids in Mexico. Biopsy of cervical ...


Inferior ST elevated myocardial infarction on ECG

case follow up; initial ER-MD signed off EKG as normal; trop was sent and was noted to be high; cath ...


Dialysis and renal damage

case continued (2); IV therapy continues to be unresponsive; GFR 32->21 in 6hrs and continues to fall. Over the evening ...


Tuberculosis with acute myelopathy and brain lesions on CT head

59 year old male, presenting with 4 days of bilateral paraplegia with parestesia, hyporreflexia, and hypostesia (D6 dermatome, pain and ...


Clotted blood prior to centrifuging

long time fan, first time post! student nurse who has been working in pathology for two years, never seen anything ...

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