Pathology (Caterpillar cells ๐Ÿ›)
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Q2 .Yesterday, a 60-year-old man presented to the emergency department with dyspnea, diaphoresis, and crushing substernal chest pain that radiated to his neck and left arm. When asked to describe the pain, he put his fist to the center of his chest and stated that it felt "as if someone is squeezing my heart." An electrocardiogram demonstrated changes consistent with myocardial infarction, and serum troponin I levels were elevated. If the patient unexpectedly dies today, which of the following would almost certainly be found on histologic examination
of the affected myocardium?
ุงู„ู„ูŠ ู…ุงุฒุงู„ ู…ุง ู‚ุฑุง ุฌุฒุฆูŠุฉ ischemic heart disease ุงู„ุฃูุถู„ ู…ุง ูŠุญุงูˆู„ุด ูŠุญู„ ุงู„ุฃุณุฆู„ุฉ ุจุนุฏ ูŠู‚ุฑุงู‡ุง ุญูŠู„ู‚ู‰ ููƒุฑุชู‡ู† ุณุงู‡ู„ุฉ ๐Ÿ˜‚๐Ÿ’œ
Q3 .A 65-year-old man who has a long history of hypertension presents to the emergency department with tearing chest pain that radiates to the back. An electrocardiogram is normal, as are cardiac enzymes. A "stat" chest radiograph demonstrates widening of
the mediastinum. Which of the following is the most likely?
Q4 .A 23-year-old man presents with fever, weight loss, malaise, abdominal pain, and myalgias. Workup reveals that the patient has polyarteritis nodosa. Which of the following is associated with this form of vasculitis?
Q3 & Q4 ู…ู† ุฌุฒุฆูŠุฉ vascular disease
ูŠุง ุฑูŠุช ุชุถูŠููˆ ุงู„ู„ูŠ ุชุนุฑููˆู‡ู… ู„ู„ู‚ู†ุงุฉ ุจูŠุด ุชุนู… ุงู„ูุงุฆุฏุฉ ๐Ÿ’œ ูˆุฑุจูŠ ูŠูˆูู‚ูƒู… ูˆูŠูุชุญ ุนู„ูŠูƒู… .. ุจูƒุฑุฉ ุญู†ุดุฑุญ ุญู„ ุงู„ูƒูŠุณุณ ูˆู†ุฒู„ ู…ุฌู…ูˆุนุฉ ุฌุฏูŠุฏุฉ
Pathology (Caterpillar cells ๐Ÿ›) pinned ยซูŠุง ุฑูŠุช ุชุถูŠููˆ ุงู„ู„ูŠ ุชุนุฑููˆู‡ู… ู„ู„ู‚ู†ุงุฉ ุจูŠุด ุชุนู… ุงู„ูุงุฆุฏุฉ ๐Ÿ’œ ูˆุฑุจูŠ ูŠูˆูู‚ูƒู… ูˆูŠูุชุญ ุนู„ูŠูƒู… .. ุจูƒุฑุฉ ุญู†ุดุฑุญ ุญู„ ุงู„ูƒูŠุณุณ ูˆู†ุฒู„ ู…ุฌู…ูˆุนุฉ ุฌุฏูŠุฏุฉยป
Q1 ุญู„
Q5 . A 19-year-old young woman who emigrated from Taiwan 8 years ago presents with fever, malaise, myalgias, and arthritis and "coldness" in her upper extremities. She has a weak radial pulse bilaterally, and a magnetic resonance angiogram demonstrates nearly 75% stenosis of the main arteries origi nating from the aorta. She likely has which of the following rheumatologic conditions?
Q6. A 74-year-old woman presents to her primary care physician with malaise, proximal muscle pain, morning stiffness, and claudication of the jaw , along with occasional visual impairment. On examination, palpa tion along the lateral aspect of the head elicits tenderness. This is likely a result of :