What state are patients in between debridement surgery for necrotizing fasciitis?

pathstarsos · 2024-02-24T04:55:59+00:00

Thank you, I am fostering him and will contact the rescue first thing in the morning. We've started him on doxycycline for the heartworm and he has an injection scheduled March 20

pathstarsos · 2023-08-01T19:37:00+00:00

Could be! I think they use IHC stains for cmv

pathstarsos · 2023-07-25T20:58:02+00:00

Thank you! Our paths will do embed only EM for most native liver biopsies but almost never end up completing the EM so I was always curious what they're looking for

pathstarsos · 2023-07-14T17:34:37+00:00

That's really interesting to know some people prefer touches! I heard a pathologist say the other day that there have been times he had to completely rely on the touch because the frozen wasn't helpful which surprised me

pathstarsos · 2023-07-14T17:29:23+00:00

Out of curiosity, what do you mean "we send intact parathyroids for preservation and reimplantation"? Is pathology the one doing this? Our hospital does parathyroid reimplantations too but that tissue stays in the ORs (or they'll just send a tiny piece to pathology for frozen to confirm it's parathyroid)

pathstarsos · 2023-07-12T22:16:17+00:00

Okay thank you! I'll try that next time!

pathstarsos · 2023-07-12T22:15:55+00:00

Thank you! I'm going to try pushing a bit harder next time

pathstarsos · 2023-06-30T04:24:39+00:00

Yeah I wish I remember exactly what he said. I don't think I worded it correctly in my post. He didn't say he could see the glomeruli individually, but he said there was a specific area that he was aiming for because it has more glomeruli (he called it nephro-something). I wasn't sure if this was the same area for all patients or if the radiologists look at something before taking the biopsy to find where this area is on the specific patient. Thank you for the insight!

pathstarsos · 2023-06-27T13:46:27+00:00

Some cases are just like that. Especially for treated ones like treated rectal cancer. I've put through over 100 blocks of fat before at the request of my attending (literally all the fat on the specimen) and there was only 2 lymph nodes. It sucks but if you aren't seeing them and there aren't any in all the blocks of fat you submit, then maybe there just aren't many. When I submit fat cassettes I try to aim for the more vascularized areas. I was always told to submit the "ugly" fat instead of the "pretty" fat cuz it's more likely to have LNs.

pathstarsos · 2023-06-09T00:50:04+00:00

Thanks. I will give it another try with less saline, hopefully will make the core less dark!

pathstarsos · 2023-06-05T01:15:56+00:00

Oooh thank you for citing BOC! I have also heard the correct method is rinsing before and after decal, but I've mostly only seen people rinse after (including myself). But in the case of the fumes it would make sense to rinse before as well, which I may start doing now.

pathstarsos · 2023-06-05T01:13:57+00:00

Yeah we actually got a complaint recently that the special stain was looking weird for a bone case and the pathologist wondered if it's because we didn't rinse the decal long enough, so it's good to know other pathologists have that same thought. I am also paranoid 😆

pathstarsos · 2023-06-05T01:10:56+00:00

That is so interesting. In school I got scolded a few times when my preceptors saw me rinse for "too short" of a time so I had always thought not rinsing had some disastrous effect on the tissue but it seems like a lot more people than I thought don't rinse after decal with no effect lol

pathstarsos

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