What does this picture of esophagus show?
kissing ulcers = sign that pill caused esophagitis
What is this finding on endoscopy?
candida esophagitis
What bug is causing this finding in the esophagus?
CMV esophagitis
What bug is causing this finding in the esophagus?
THis is herpest esophagitis
- Cell-cell detachment
- Multinucleation
- “Ground glass” nuclei
What do these findings on endoscopy suggest?
shows transverse rings = trachealization
possible sign of eosinophilic esophagitis
What is this lesion finding in the esophagus?
barrett’s esophagus = have intestinal like columnar epithelium with goblet cells
What normal part of the body is this?
this is stomach = shows gastric fundic glands
What gastric cell type is this?
parietal cells
What disease of the stomach is this?
acute erosive gastritis
What is this finding in the stomach?
chemical gastropathy
see corkscrew gastric pits, dilated capillaries, loss of epithelial mucin
What kind of chronic gastritis is this?
This is autoimmune gastritis
- have intestinal and antral metaplasia
- chronic inflammation
- reduced glands
- loss of parietal cells
What type of malignancy is characterized by these cells?
these are signet ring cells
suggest diffuse adenocarcinoma
What type of gastric malignancy is this?
intestinal type gastric carcinoma
have gland formation
What disease of malabsorption is this?
abetalipoproteinemia = b/c theres fat filling the cells
What is this image show in the liver
this is alpha 1 antitrypsin deficiency
tiny pink dots are a1a that is abnormally folded and retained in the hepatocyte
What is this finding in the liver?
hepatocellular carcinoma
What is this finding in the liver?
hepatocellular carcinoma producing bile
What is this finding in the liver?
angiosarcoma = you can see the RBCs
What does this picture of the small intestine show?
cobblestoning of the intestinal wall = sign of Crohns
What does this finding in the intestine suggest?
Noncaseating granuloma –> suggests crohns
What is this disease?
ulcerative colitis = can easily see the line where it starts/stops
What type of IBD could this be?
ulcerative colitis = don’t see intramural inflammation like you would in crohns
What type of intestinal disease is this?
This is IBD = see crypt atrophy
What is this finding in the intestine?
This is cryptitis = see inflammation of the crypts with neutrophils; suggests IBD
What is this finding? Disease?
This is creeping fat; seen in crohns
What is this complication? What disease?
This is toxic megacolon
complication of UC
What is this finding in the colon?
This is dysplasia
What causes this finding?
This is C Diff colitis
What is this finding?
This is pseudomembranous colitis
What is this finding?
colonic ischmia = you can tell by the dusky red color
What is this finding in the colon?
colonic ischemia
What is this finding in the colon?
diverticula
What type of colitis is this?
collagenous colitis
What type of colitis is this?
lymphocytic colitis = see the lymphocytes in the epithelium
What does this show in the colon?
lots of polyps = FAP
What type of adenoma?
tubular
What type of adenoma?
villous
What type of adenoma?
villous sessile adenoma
What type of polyp?
What type of polyp?
hyperplastic
What type of polyp?
sessile serrated polyp
What type of polyp on left vs right?
What does this image show?
see adenomatous tissue on left with cancer on the right
What is happening to these colon glands?
desmoplasia with dysplastic cancerous glands
What is differnet between these two cancers?
right = poorly differentiated
left = moderately differentiated
What type of colonic neoplasm is this?
What type of colorectal cancer is this?
microsatellite unstable stained for CD3 lymphocytes that are classic for MSI carcinoma
What is this finding in the appendix?
What is this finding in the appendix?
mucinous cystadenoma
What is this bug?
giardia
What is this bug?
entamoeba histolytica
What is this finding in an infant?
meconium ileus
What is this finding in the esophagus?
squamous cell carcinoma = found in upper 2/3 of esophagus
What is this finding in the esophagus?
squamous cell carcinoma
What is this finding in the esophagus?
squamous cell dysplasia = precursor to carcinoma
What is this finding in the esophagus?
Candida esophagitis
What is this finding in the esophagus?
herpes esophagitis = most common cause of esophagitis in immune competent
What is this finding in the esophagus?
What is this finding in the stomach?
ECL cell hyperplasia; possible carcinoid tumor
stained by chromogranin
What is this finding in the smalll intestine?
celiac disease = villous atrophy
What is this disease of the colon that presents with normal endoscopy?
What is this disease of the colon that presents with normal endoscopy?
lymphocytic esophagitis
What is on the left and right in these images of liver?
left = normal; right = hepatocellular carcinoma