100 Cases in Clinical Pathology and Laboratory Medicine

Eamon Shamil MBBS, MRes, DOHNS, FRCS (ORL-HNS) Post-CCT Fellow in Rhinology, Anterior Skull Base, and Facial Plastic Surgery, The Royal National ENT Hospital, University College London Hospitals NHS Foundation Trust, London, UKPraful Ravi MA MB BChir MRCP Attending Physician in Genitourinary Oncology, Dana-Farber Cancer Institute; Instructor of Medicine, Harvard Medical School, Boston, USAAshish Chandra FRCPath DipRCPath (Cytol) Lead Consultant for Cytopathology & Urological Histopathology, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; Chair, British Association of Urological Pathologists (BAUP); Vice President, International Academy of Cytology (IAC); Deputy Editor, Cytopathology

• Section 1- LABORATORY MEDICINECase 1 POLYURIA AND POLYDIPSIACase 2 TRACES OF BLOOD FOUND ON URINE DIPSTICKCase 3 CONFUSION, LETHARGY AND SHORTNESS OF BREATHCase 4 A CHILD WITH FACIAL SWELLINGCase 5 JOINT PAINS AND FATIGUECase 6 ANXIETY, IRRITABILITY AND REDUCED MENSTRUAL FREQUENCYCase 7 SCREENING FOR PROSTATE CANCER?Case 8 A YOUNG WOMAN FOUND UNCONSCIOUS IN BEDCase 9 A MIDDLE-AGED WOMAN WITH JAUNDICECase 10 DRUG OVERDOSECase 11 FATIGUE, WEAKNESS AND CONSTIPATIONCase 12 EXCESSIVE HAIR GROWTH AND INFERTILITYCase 13 FATIGUE AND IRREGULAR PERIODSCase 14 STIFF AND PAINFUL HANDSCase 15 ABDOMINAL PAIN, NAUSEA AND VOMITINGCase 16 FREQUENT THROAT AND CHEST INFECTIONSCase 17 A ROUTINE ‘HEALTH CHECK’ FOR A 55-YEAR-OLD MANCase 18 COLLAPSE IN A PATIENT UNDERGOING CHEMOTHERAPYCase 19 A 10-DAY-OLD BABY WITH AMBIGUOUS GENITALIACase 20 FATIGUE, WEAKNESS AND WEIGHT GAINCase 21 HYPERTENSION IN A YOUNG WOMANCase 22 NAUSEA, VOMITING, WEAKNESS AND PARAETHESIACase 23 ERECTILE DYSFUNCTION IN A YOUNG MANCase 24 A YOUNG MAN WITH ‘HIGH CHOLESTEROL’Case 25 RASH AFTER A BONE MARROW TRANSPLANTCase 26 A FALL ON AN OUTSTRETCHED HANDCase 27 A PATIENT IN FOLLOW-UP AFTER A LIVER TRANSPLANTCase 28 A MAN WITH POORLY CONTROLLED BLOOD PRESSURECase 39 DIZZINESS ON STANDING UPRIGHTCase 30 SUDDEN-ONSET CHEST PAIN IN A TALL WOMANCase 31 CONCERNS ABOUT THE RISK OF BREAST CANCERCase 32 SEIZURE IN A NEONATECase 33 FLU -LIKE ILLNESS AFTER FOREIGN TRAVELSection 2- HISTOPATHOLOGY Case 34 A YOUNG WOMAN WITH ANKLE SWELLING AND SHORTNESS OF BREATHCase 35 CHEST PAIN AND SUDDEN DEATHCase 36 AN ELDERLY MAN WITH SEVERE BACK PAINCase 37 INCREASED BREATHLESSNESS AND SUDDEN DEATHCase 38 A WORSENING COUGH AND HAEMOPTYSISCase 39 A YOUNG MAN WITH SHORTNESS OF BREATH AND HAEMOPTYSISCase 40 SUDDEN ONSET WEAKNESS AND DYSPHASIACase 41 NUMBNESS, WEAKNESS AND CLUMSINESSCase 42 FORGETFULNESS AND DISORIENTATIONCase 43 COFFEE-GROUND VOMITINGCase 44 EPISODIC RIGHT UPPER QUADRANT ABDOMINAL PAINCase 45 CHRONIC DIARRHOEA AND FLATULENCECase 46 A YOUNG MAN WITH BLOODY DIARRHOEA Case 47 ABDOMINAL DISCOMFORT AND GENERALISED WEAKNESSCase 48 ABDOMINAL PAIN IN A PUBLICANCase 49 ABDOMINAL DISTENSION, LOSS OF APPETITE AND MALAISECase 50 BACK PAIN AND FEVER IN A DIABETICCase 51 URINARY PROBLEMS IN AN ELDERLY MANCase 52 A YOUNG MAN WITH A TESTICULAR LUMPCase 53 HEAVY AND PAINFUL MENSTRUAL BLEEDINGCase 54 ABNORXMAL VAGINAL BLEEDINGCase 55 A LUMP IN THE BREASTCase 56 LYMPH NODE ENLARGEMENT IN A YOUNG MANCase 57 AN ITCHY, BLEEDING MOLE ON THE BACKCase 58 BLOOD IN THE URINE IN AN ELDERLY MANCase 59 THYROID DISEASE IN A YOUNG WOMANSection 3 – HAEMATOLOGYCase 60 SHORTNESS OF BREATH AND HEARTBURNCase 61 RAISED WHITE CELL COUNT IN AN ASYMPTOMATIC INDIVIDUALCase 62 WORSENING FATIGUE AND BLEEDING GUMSCase 63 BURNING URINE AND AN ABNORMAL CLOTTING SCREENCase 64 HEADACHES, BLURRED VISION AND ITCHINGCase 65 A PAINFUL ARM AND A LARGE SPLEENCase 66 A RASH ON THE THIGHSCase 67 FATIGUE AND WEIGHT LOSSCase 68 PNEUMONIA WITH ABNORMAL LIVER FUNCTIONCase 69 RECURRENT EPISTAXISCase 70 BRUISING AFTER A PNEUMONIACase 71 HEADACHE AND A RASHCase 72 SHORTNESS OF BREATH AND WEIGHT LOSSCase 73 ANAEMIA RESISTANT TO A BLOOD TRANSFUSIONCase 74 ASYMPTOMATIC ANAEMIA IN THE ELDERLYCase 75 BACK PAIN AND FATIGUECase 76 SHORT OF BREATH AND UNDERWEIGHTCase 77 DETERIORATION AFTER A BLOOD TRANSFUSIONCase 78 HEADACHE AND BLURRED VISIONCase 79 LOWER BACK PAINSection 4 – MICROBIOLOGYCase 80 LEG PAIN AND FEVERSCase 81 FEVER AND COLLAPSECase 82 BURNING SENSATION WHEN PASSING URINECase 83 A BIT SHORT OF BREATHCase 84 UNHAPPY CAMPERCase 85 DIARRHOEA IN AN ELDERLY MANCase 86 A PAINFUL KNEECase 87 A PAIN IN THE EARCase 88 A RED EYECase 89 CHILD WITH A RASHCase 90 PELVIC PAINCase 91 A PAINFUL SWOLLEN JAWCase 92 TRAVELLER’S DIARRHOEACase 93 FEVER IN A RETURNING TRAVELLERCase 94 A SPOT OF CONFUSIONCase 95 CONGENITAL INFECTIONCase 96 A CHRONIC COUGHCase 97 A JAUNDICED VIEWCase 98 GRAM NEGATIVE BACTERAEMIACase 99 A GROIN SWELLINGCase 100 URETHRAL DISCHARGE