slide seminar dr rajendiran cme on gastrointestinal pathology

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A....B....C....of Endoscopic Gastric Biopsies Dr. S. Rajendiran Sri Ramachandra University Porur, Chennai, India

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Slide seminar by Dr Rajendiran S for the delegates to diagnose the cases. These cases will be discussed on 28th June 2014 in the CME on Gastrointestinal Pathology to be held at SDUMC Kolar

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Page 1: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY

A....B....C....of Endoscopic Gastric Biopsies

Dr. S. RajendiranSri Ramachandra University

Porur, Chennai, India

Page 2: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY

Case Studie

s

Page 3: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY

Case 1

• 60 year male

• Upper GI discomfort for the past 7 months

• Underwent EGD - erosions in the antrum

• Fundic and antral biopsies taken

Page 4: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY
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Page 6: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY
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Case 2• 38 year male

• Pain in the epigastrium

• History of renal transplant and immunosuppression

• Underwent EGD - irregular erythematous areas in the body

• Fundic and antral biopsies taken

Page 9: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY

What do you see?

Page 10: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY

Case 3• 45 year female

• Unexplained megaloblastic anemia for the past 5 months (Hb. 8 gms%)

• Underwent EGD - Gastric erosions, more in the body with relative antral sparing

• Fundic and antral biopsies taken

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Case 4• 56 year female

• H/O malabsorbtion present 5 months. Duodenal biopsy showed evidence of celiac disease

• Now presented with dyspepsia

• Underwent EGD - Irregular nodularity

• Fundic and antral biopsies taken

Page 15: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY
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Case 5• 66 year female

• Now presented with heart burn - 4 months

• H/O Rheumatoid Arthritis +

• Underwent EGD - pre-pyloric mucosal ulcerations

• Fundic and antral biopsies taken

Page 18: SLIDE SEMINAR   DR RAJENDIRAN    CME ON GASTROINTESTINAL PATHOLOGY
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Case 6

65, male, subtotal gastrectomy, ? ca

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Case 7

55, male, GE junction polyp ? ca

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Case 8

62, female, multiple gastric polyps

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Case 9

50, male, gastric polyp

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Case 10

57, female, gastric growth biopsy

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