CMV virus in lung -- both cytoplasm and nucleus enlarged
CMV -- gastric biopsy with huge cells in glands
Fungus -- branching hyphae with septa
Soap bubble lesion
Cryptococcus -- mucin stain in brain, thick capsule
Initially starts in lung and disseminates to brain -- Verchow-Robbin’s space
Broad based budding
Blastomycoses
Room temp Blastomycoses -- mold phase
Entamoeba histolyca -- trophozoites -- cytoplasm much larger than nucleus -- secretes perforin and creates flask shaped ulcers
Staph aureus sepsis in heart
Spinal Fluid -- neutrophils with gram (+) diplococci
Neuts in synovial fluid -- Neisseria gonorrhoeae in neuts -- gram (-) coccus - produces protease which inactiveate IgA
Gonorrheal urethral discharge
Endocarditis
Physical exam findings?
Heart murmur, splinter hemorrhages, Osler’s node
Coccidioides immitis -- huge spherules
Cause what disease?
Valley fever
Coccidiodomycosis -- spherule with endospores
Cryptococcus -- mucin stain
Histoplasmosis peripheral blood smear -- esp in immunocompromised pts
Histoplasmosis -- fibrosing mediastinum
Blastomycosis - verrucous lesions with central healing
Contact with what animal?
Beavers
Broad based budding
Blastomyces dermatididis
Neut response forming microabscesses
Giardia lamblia -- it looks back at you
Symptoms?
Cramping, bloating, smelly steatorrhea
Ascaris worm bolus creating intestinal obstruction
Toxoplamosis cyst in brain -- calcifications of CT, skin rash, poor nursing, blueberry muffin baby
Part of ToRCH
Syphilis with silver stain
CMV in salivary gland
Herpes - multinucleated cells with nuclear inclusions
Herpes inclusions
Herpes vesicles/blisters -- contagious
Herpes on the eye
Football shaped larvae in stools?
Pinworm
Measles -- Clinical Symptoms?
Koplike spots on oral mucosa, rash on trunk then extremities
Primary syphilitic chancre -- non-painful
Secondary syphilis -- also have gumma formation
Chlamydia -- usually silent infection -- less discharge-- mononuclear cells with vacuoles and inclusions
Lymphocytes with “downy” appearance, pt with elevated white count and hepatosplenomegaly
Mononucleosis
Chronic granulomatous disease -- deficient hydrogen peroxide production, so catalase (+) bacterial infections common (S. aureus, gram (-) enterics, Pseudomonas, most fungi) -- lymph node with epitheliod cells
Severe oral candiasis -- can tell by rim around lesion
Mucor -- immunocompromised patient
Cystic fibrosis -- lots of PMNs in lung
MAI -- mycobacterium avium intracellular complex -- no gramulomas formed b/c only in immunocompromised pts
Fungus ball
Aspergillus
Candida -- budding yeasts and pseudohyphae
Cryptosporidium -- covers surface
HIV -- lymphadenopathy -- follicles huge