Pathology - Lab Values & Cases


Case 1

A 47-year-old man experienced acute onset of intense chest pain radiating from midsternum into his left arm and left jaw. The pain began about 30 minutes earlier. He had had many episodes of epigastric pain over the last few years that responded to antacids; however, this pain was much more severe and crushing. He was 30 pounds overweight and smoked two packs of cigarettes per day. Earlier in the day he had worked strenuously digging in his garden. His mother was alive and well, as were three siblings. His father had died suddenly on a business trip at 49 years of age.

Differential Diagnosis

Acute Myocardial Infarction (AMI)
Pulmonary Embolus (PE)
Intercostal muscle spasm
Vascular accident (e.g., aneurysm)
Broken rib
Pulmonary abnormality

Tests to be performed in the ER

Cardiac Troponin I (or T)
Treatment for AMI

Fibrinolysis (TPA)

Tests to be performed to monitor acute therapy

Basic Metabolic Panel

Tests to be performed to assess cardiac risk

Total cholesterol
HDL cholesterol
LDL cholesterol
Maybe homocysteine in the future

And ------ Digital Legends for Labs

Lab 1 (1) Fatty change (liver): Grossly, the liver is swollen, heavier than normal, yellowish and greasy.

Lab 2 (4) Acute peritonitis: The loops of bowel are plastered together with yellowish fibrinous exudate containing a large number of neutrophils. When this process heals, what complications may develop?

like this total 19 Labs.

Have a look and Enjoy it.