j******g
发帖数: 171 | 1 I went nuts this morning, for two cases. Share your responses, and I'll give
what I did and found at the end. It is hoped that you'd learn something
through the practical components of pathology.
1 case. A biopsy of transverse colon only contains piece of fat with some
cautery/crush artifact. What will you do?
2 case. A biopsy of colon polyp has a fragmented typical tubular adenoma.
However, in the early afternoon, I got additional slides for the same case
with the same label! Now I have two slides with identical label for one case
. The worse: I'd write up diagnosis. What should I do? |
s*********a
发帖数: 336 | 2 Is it possible to talk to the surgeon before you write up the report? |
p***1
发帖数: 272 | 3 Pull out the blocks for both cases.
Cut again if necessary. Most likely is a clerk error for mixing up.
give
case
【在 j******g 的大作中提到】
: I went nuts this morning, for two cases. Share your responses, and I'll give
: what I did and found at the end. It is hoped that you'd learn something
: through the practical components of pathology.
: 1 case. A biopsy of transverse colon only contains piece of fat with some
: cautery/crush artifact. What will you do?
: 2 case. A biopsy of colon polyp has a fragmented typical tubular adenoma.
: However, in the early afternoon, I got additional slides for the same case
: with the same label! Now I have two slides with identical label for one case
: . The worse: I'd write up diagnosis. What should I do?
|
j******g
发帖数: 171 | 4 Sure. But what if the surgeon/gasroenterologist asks you what's going? How
will you answer?
Anything else?
【在 s*********a 的大作中提到】
: Is it possible to talk to the surgeon before you write up the report?
|
j******g
发帖数: 171 | 5 Good suggestions! Anything else?
【在 p***1 的大作中提到】
: Pull out the blocks for both cases.
: Cut again if necessary. Most likely is a clerk error for mixing up.
:
: give
: case
|
s*********a
发帖数: 336 | 6 I think this kind of issue really put the pathologist onto a tough spot. I
agree that double check our own part first is a good idea. If things don't
change, I guess we might have to be honest to the surgeon/gastroenterologist
or even the clerks about what we've found here in the lab, and tell them
that we have already double/triple checked. Plus I would offer any help I
could to fix the problems because I don't want any of my colleagues to look
stupid in front of our patients. Dr. Jonzhang, please advice. |
s********p
发帖数: 1319 | 7 Thanks for sharing!
改天要麻烦请教些心脏病理的问题。 |
m*********8
发帖数: 292 | 8 My answer is as simple as path1's. Very curious now.
【在 j******g 的大作中提到】
: Good suggestions! Anything else?
|
j******g
发帖数: 171 | 9 1 case. A biopsy of transverse colon only contains piece of fat with some
cautery/crush artifact. What will you do?
A. Go check block against slide/
B. Go check the container including the lid(!). And filter the contents into
another block (wrap with filter paper or mesh bag).
C. If the block matched with slide and the remaining contents does not have
anything meaningful, call the MD to tell the situation and ask for his/her
input. In fact, he said "Oh, I thought it was a lipoma and thank you for
double checking everything." My problem kinda resolved.
2 case. A biopsy of colon polyp has a fragmented typical tubular adenoma.
However, in the early afternoon, I got additional slides for the same case
with the same label! Now I have two slides with identical label for one case
. The worse: I'd write up diagnosis. What should I do?
Again standard QC protocol:
A. Check slide against block. => It turned out the part has two blocks, but
the lab didn't log in and just had one on file (hence duplicate of part I-1)
. So this is an easier case of possible error.
Thanks for your attention! Happy holidays!
give
case
【在 j******g 的大作中提到】
: I went nuts this morning, for two cases. Share your responses, and I'll give
: what I did and found at the end. It is hoped that you'd learn something
: through the practical components of pathology.
: 1 case. A biopsy of transverse colon only contains piece of fat with some
: cautery/crush artifact. What will you do?
: 2 case. A biopsy of colon polyp has a fragmented typical tubular adenoma.
: However, in the early afternoon, I got additional slides for the same case
: with the same label! Now I have two slides with identical label for one case
: . The worse: I'd write up diagnosis. What should I do?
|
s*********a
发帖数: 336 | 10 Thank you Dr. Jonzhang for your answers. They are very helpful! |
m*********8
发帖数: 292 | 11 Anything can happen. Interesting.
Thanks for your answer!
into
have
【在 j******g 的大作中提到】
: 1 case. A biopsy of transverse colon only contains piece of fat with some
: cautery/crush artifact. What will you do?
: A. Go check block against slide/
: B. Go check the container including the lid(!). And filter the contents into
: another block (wrap with filter paper or mesh bag).
: C. If the block matched with slide and the remaining contents does not have
: anything meaningful, call the MD to tell the situation and ask for his/her
: input. In fact, he said "Oh, I thought it was a lipoma and thank you for
: double checking everything." My problem kinda resolved.
: 2 case. A biopsy of colon polyp has a fragmented typical tubular adenoma.
|
j******g
发帖数: 171 | 12 Yep! This is a really good take-home message.
【在 m*********8 的大作中提到】
: Anything can happen. Interesting.
: Thanks for your answer!
:
: into
: have
|
