Pathology Gross Dictation Templates Spinal Disorders
Spinal stenosis can occur in any section of the spine. While spinal columns are very strong, they are subject to a host of problems, many of which can cause painful narrowing. Some of the underlying causes of spinal stenosis include: Additional common Spinal Stenosis causes include:. Age-related wear and tear, which can lead to. Other conditions, such as arthritis, and others.
Provides New Tumor-Reporting Templates. E-Gross Exam Manual. Pathology diagnosis begins with specimen handling. Assists in Quantifying Diseases. Pathology Gross Dictation Templates. Create More Accurate Pathology Reports in Less Time and for Less Money.
Gross Dictation Templates
Back or neck strain due to repetitive physical activity, poor posture, imbalances in the musculature, or heavy lifting. Direct physical injury such as a car accident or fall.
Genetics, whether or not the symptoms appeared in your parents. Condition: Procedure: Hometown: Oklahoma “My life was consumed with pain 24 hours a day.” “My life is back to normal and no more sciatic pain! I can now go shopping, clean house, work on whatever with no debilitating pain! I can’t say enough good things about North American Spine and how they helped me get my life back! Thank you so much!” “I was on pain pills and having injections in my back for the sciatic pain, which didn’t even phase my pain level whatsoever. I had gone to several doctors but none of them could reassure me they knew where to start to fix my back to relieve the sciatic pain.'
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Free Medical Dictation Templates
All medical decisions must be made by you and your physician.
Triage. The Hematopathologist on call should be contacted (4659 or 2-1314) for advice on triage/grossing.
Look up the patient's relevant history in EPIC. Splenectomies can be performed for a variety of conditions both benign and malignant, and knowing the reason can be helpful. Benign conditions: Immune thrombocytopenic purpura. Malignant conditions: Lymphomas, myeloproliferative neoplasms (polycythemia vera, essential thrombocythemia, primary myelofibrosis), hairy cell leukemia. Storage diseases/histiocytic disorders: May require special fixatives, so discuss this with the heme attending. Weigh, measure (3D), describe capsule, and photograph if specimen is not macerated.
Gross. Look for lymph nodes in the splenic hilum, dissect out, and submit after formalin fixation for histology. Using a long blade, slice the entire spleen into thin (3 mm) slices, and inspect carefully for nodules. If the cut surface is unremarkable without nodules: Take 1 section each of the following areas: hilar spleen, uninvolved parenchyma, and capsule.
If parenchymal nodules/masses are noted:. Note the size range, locations (hilar, parenchymal, capsular etc), and approximate number. Photograph a representative cut surface. Make a touch preparation of the nodule(s), stain 1-2 touch preps with Giemsa stain and leave 1-2 touch preps unstained. Take 2-3 sections of the nodules for histology (fix in formalin). Additionally, take 1 section each of the following areas: hilar spleen, uninvolved parenchyma, and capsule.
Based on the clinical history, the attending may ask for additional preparations:. Make touch preparations, stain 1-2 touch preps with Giemsa stain, and leave 1-2 touch preps unstained. Submit a small piece (0.5-1 cubic cm) for flow cytometry in a tube of RPMI (red top). Submit a small piece (0.5-1 cubic cm) for cancer cytogenetics in a tube of RPMI+PenStrep (orange top). Snap freeze a piece for additional studies, or lymphoma bank. The remainder of the spleen may be fixed in formalin in the container in which it was received.