JLpath

Pathologists' Assistant

Pleura and portions of #Lung tissue removed for metastatic #Melanoma.

First pic shows the pleura which is extensively involved by hyperpigmented #Metastases (blue arrows). You can see the stark difference in colors between the dark nodules and the adjacent, uninvolved pleura. 2nd pic just just a close-up of one of these areas. 3rd pic shows 2 lung wedge resections which show involvement by metastatic melanoma. The blue arrows point to hyperpigmented nodules that formed on the outside of the lung and the black arrow points to a large (2.5cm) mass within the lung itself which also came back on final pathology as metastatic melanoma.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?