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Prognosis

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Hint - look at scale

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(same organ but 2 different tumours)

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All the photos are from the urogenital tract
Think of a first name for your patient - choose names that are gender and age specific eg Rose is normally a woman in her 70's, Nigel is a man in his 60's, Harry is a man in his 20/30's
What pathology does the picture show?
Think how they would present to their GP - what are their symptoms not just their signs.
We will discuss treatment and prognosis but there are golden rules for this.....
Click on the + beneath the patient you have been assigned and answer the questions - Use Patient #1 as an example.

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1. A tube can be blocked by something in its lumen, something in the wall, something outside its wall
2. Prognosis is related to the Stage and Grade of the tumour as well as the type of tumour/site
3. Acute damage will retain the shape and size of an organ - chronic damage will cause scarring.
4. Patients can always present with metastatic disease eg back pain due to a met to the back from a prostate cancer
5. Look at the Scale if one is present
6. For inherited conditions then autosomal recessive diseases tend to cause death before adulthood, whereas autosomal dominant conditions can reach adulthood.

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George
Age: 65
Organ: Kidney - opended up down middle
Pathology: The upper pole of the kidney appears pale beacuse it has been starved of blood - and has died - infarcted. Note the normal outline of the kidney - so this is an acute infarct (chronic ischaemia would cause it to shrink due to scarring).
Infarcts due to BLOCKAGE of artery - SEE GOLDEN RULE 1 -
lumen = embolism
wall = atheroma
outside = tumour pushing onto vessel
This case is embolic - causes - atrial fibrillation, infective endocarditis BUT NOT DVT as this would go to lungs (unless they have patent foramen ovale in heart)
Presentation:
George presented with signs of embolic disease (splinter haemorrhages in finger nails, stroke) He died unfortunately - this is a PM picture - the shiny thing at top of picture is the IVC opened up.
Treatment: Treatment of renal infarcts is supportive - as you have 2 kidneys normally - but it is normally part of a widespread systemic disease - so it depends on this.
Prognosis: Depends on what else is going on.....