Week 3 Pathology and Microbiology Cases

1. Week 3Pathology and Microbiology Cases

2. Case No. 35 • Clinical History: This was a 26 year old female with congenital heart disease. She presented to the emergency room complaining of chest and flank pain. She developed ventricular tachycardia soon after admission and expired. [Case 35 ImageScope][Case 35 WebScope]

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8. Case No. 371 • Clinical History: The patient was a 67 year old white female who became disoriented and confused ten days prior to death and developed paresis on the left side of the body. [Case 371 ImageScope][Case 371 WebScope]

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13. Case No. 158 • Clinical History: A 63 year old African American male had a five year history of progressive weakness and congestive heart failure. He complained of severe chest pain and dyspnea and died suddenly. [Case 158 ImageScope][Case 158 WebScope]

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20. Case No. 95 • Clinical History: A 60 year old white male had a resection of the right side of colon for adenocarcinoma. Seven days after the operation he had continuous abdominal discomfort and went into shock. A laparotomy revealed that the entire small bowel was gangrenous. [Case 95 ImageScope][Case 95 WebScope]

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25. Case No. 54 • Clinical History: An 18 year old female had nausea, vomiting, periumbilical and lower abdominal pain, shaking chills and fever beginning two days prior to admission. The WBC count was 21,900. Physical examination revealed local tenderness and rigidity with rebound pain in the lower abdomen. A surgical procedure was performed. [Case 54 ImageScope][Case 54 WebScope]

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32. Case No. 240 • Clinical History: This patient was a 54 year old male who had a long history of peptic ulcer disease. A portion of the stomach was removed. Medical management is more common today. [Case 240 ImageScope][Case 240 WebScope]

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39. Micro Case 5 • A 33 year old female dairy farmer develops a severe headache and neck stiffness. On physical examination, her temperature is 38.20 C. She has no papilledema. A lumbar puncture is performed, and a Gram stain of the CSF obtained shows many short, gram-positive rods.

43. Case No. 39 (Micro Case 8) • Clinical History: A 58 year old African American female had been hemiplegic on the right side for 3 months prior to death. She developed malaise, fever and chills after visiting with her grandchildren. Her infection progressed. She developed dyspnea and expired. [Case 39 ImageScope][Case 39 WebScope]

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