Pathology Series 2.0

Clinical History A 61-year old male with prostate cancer attends pre-assessment clinic prior to a prostatectomy. Overall, he feels well with no major complaints. On review of symptoms, it is noted he has chronic pain in his right knee, which his GP...

Clinical History A 65-year old male with presents with pain in his left groin. He has a history of skin melanoma on his left foot treated with surgical resection and radiotherapy. On examination, he is cachexic with a hard, enlarged liver and has a...

Clinical History A 66-year old male presents with postprandial epigastric pain. Of note, he is deaf and non-verbal. On examination, he has a tender epigastrium and several nodular tender lesions over his forehead and scalp. Blood tests show a low...

Clinical History A teenage boy presents with groin pain after horse-riding. Examination revealed a large, deep lump. Following biopsy and imaging, the diagnosis of chondrosarcoma was made and a radical surgical resection of his right leg was performed...

Clinical History A 57-year old male attends complaining of recurrent pain in his right thigh. On examination there is no palpable abnormality in the thigh. An x-ray of the limb showed bony absorption associated with expansion and periosteal reaction at...

Clinical History A man aged 82 years had a history of tuberculosis of the left knee in childhood. He developed a painful swollen knee 10 days prior to admission to hospital. Examination revealed an inflamed knee, painful to move, which improved slightly...

Clinical History A 60-year old female presented with a 12-month history of recurrent pain and increasing swelling in her right shoulder. On examination, there was a palpable mass over the superior aspect of her right scapula. There was limitation of...

Clinical History A 37-year old female presents with increasing thoracic back pain. She has a history of untreated human immunodeficiency virus (HIV) infection and pulmonary tuberculosis. History revealed ongoing low-grade fevers, chills and weight loss...

Clinical History A 63-year old male presented to the emergency departed with acute abdominal pain. He has been unable to pass urine for 5 days. Further questioning revealed a 2-year history of urinary frequency, double void, urinary hesitancy, nocturia...

Clinical History A 40-year old male presents with shortness of breath and swelling of his lower limbs. He is a smoker with a history of diabetes and previous myocardial infarctions. On examination bilateral pleural effusion, peripheral pitting oedema and...

Clinical History An 80-year old male presented with haematemesis. He has a known history of alcoholic liver cirrhosis with oesophageal varices. On examination, he is noted to have multiple spider naevi, large volume abdominal ascites and a scrotal...

Clinical History A 36-year old female has a large postpartum hemorrhage after the birth of her 4th child by breech delivery. Her previous 3 children have all been breech deliveries, and no miscarriages. She has a history of intermittent mild abdominal...