Appendicitis: Difference between revisions
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{{Top | <noinclude>{{Top | ||
|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
|author2= | |author2= | ||
}} | }}<noinclude/> | ||
Appendicitis may histopathologically be defined as neutrophilic infiltrates of the wall of the appendix in the correct clinical context. | Appendicitis may histopathologically be defined as neutrophilic infiltrates of the wall of the appendix in the correct clinical context. | ||
{{Fixation - general notes}} | {{Fixation - general notes}} | ||
{{Comprehensiveness}} | <noinclude>{{Comprehensiveness}}</noinclude> | ||
==Gross processing== | ==Gross processing== | ||
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*Purple, green or black color | *Purple, green or black color | ||
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*'''Transmural''' inflammation | *'''Transmural''' inflammation, obliterating normal histological structures | ||
*'''Necrotic''' areas | *'''Necrotic''' areas | ||
*Extensive mucosal '''ulceration''' | *Extensive mucosal '''ulceration''' | ||
| | | [[File:Histopathology of necrotizing appendicitis, high magnification.jpg|190px]] | ||
| Will '''perforate''' if untreated | | Will '''perforate''' if untreated | ||
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===Further workup=== | |||
In acute suppurative appendicitis, still look for any periappendicitis. | {{Moderate-begin}}In acute suppurative appendicitis, still look for any periappendicitis. Also look by the lumen for parasites.{{Moderate-end}} | ||
===Microscopy report=== | ===Microscopy report=== | ||
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;Example: | ;Example: | ||
{|class=wikitable | {|class=wikitable | ||
| Acute appendicitis and periappendicitis with transmural necrosis | | {{Moderate-begin}}Appendix, resection (or appendectomy):{{Moderate-end}}<br>Acute {{Moderate-begin}}suppurative{{Moderate-end}} appendicitis {{Moderate-begin}}and periappendicitis{{Moderate-end}} with transmural necrosis and perforation. | ||
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| Example AI prompt:<br>neuts across wall to meso and serosa, no perf. make report (copy-paste gross description) | |||
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{{Bottom}} | <noinclude>{{Bottom}}</noinclude> | ||