museum text practical
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GIT
Diagnosis : Acute suppurative appendicitis.
Speciment : Appendix.
Description :-1. Organ is swollen.
2. Te patological canges are more prominent towards tip o! origin.
". #olour $ellowis %pus&.
'ed %(peraemia&.
)rown dots %*ge.&.
+. , Dull opaue wite lusterless peritoneal covering.
////////////////////Diagnosis : 0ost corrosive stricture oesopagus.
Speciment : Oesopagus o! cild.
Description :-
1. pper part Dilated (pertropied.
2. ower part 3arrow 4 !i5rous.
". ining Irregular 4 roug 4 !issured due to corrosion !ollowed
5( !i5rosis.
////////////////////Diagnosis : 6alignant ulcer lower 17" oesopagus.
Speciment : oesopagus.
Description :-
- Site : ower 17" o! oesopagus.
2S - Sape : Oval 8 longitudinal axis is parallel to oesopagus
- Si9e : %" 4 cm&.
/ -;dge : raised - everted.
/ -)ase : ard - indurated.
/ -
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. 0/21
43
- ;dge : undermined.
- !i5rinous exudate.
'elation to mesentr( anti mesenteric.
6ucosa in 5etween lesions is sligtl( (peraemic.
////////////////
Diagnosis : Auired diverticulae small intestine.
Specimen : Segment o! small intestine.
Description :-
2 glo5ular 5lind pouces pper cm in diameter.
ower " cm
wit !ollowing caracters :-
1. 3ear mesentr(.
2. #ommunicate wit intestinal lumen 5( ori!ice.
". ?all composed o! mucosa 4 su5mucosa onl( wit no muscle la(er
so tinner tan intestinal wall.
////////////////
Diagnosis : Strangulated ernia 8 moist gangrene o! small intestine.
Specimen : 0art o! small intestine.
Description :-
1. Depression at middle 9one.
2. 0eritoneal covering : Tic@ 4 dull 4 opaue.
". ower al! Swollen 4 edematous.
Sow :- )luis area %congested&.
)lac@ area %gangrene&.
////////////////
Diagnosis :Intussusception moist gangrene o! small intestine.
Specimen : 0art o! small intestine.
Description :- oop o! small intestine is invaginated into itsel!.
1. Te outer covering Opened to sow entering part.
2. ?all o! covering part Dar@ 4 so!t wit *ge.
". 0eritoneal covering : Tic@ 4 dull 4 opaue.
///////////////
Diagnosis : In!iltrative carcinoma o! large intestine.
Specimen : 0art o! large intestine
Description :-1- Te large intestine is opened to sow tumor :-
Site : ower segment.
5
67#8+
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3arrow lumen
in middle part
Tic@ wall 5( tumor wic is-:
Gra(is wite-
*ard-
1S Si9e : + cm in lengt.
2# #olour : Gra(is wite.
#onsistenc( : *ard.
In!iltrate all la(ers o! wall along wole circum!erence.
2- Opposite tumor :-
6ucosa 'oug.
umen 3arrow.
6uscle la(er Interrupted.
"- A5ove tumor :-
?all *(pertropied.
umen Dilated.
///////////////
Diagnosis :In!iltrative carcinoma o! colon.
Specimen : Segment o! colon a5ove 2B cm.
Description :-
1. pper segment : Dilated 4 wit loss o! mucosal !olds.
2. ower segment : 6ore or less wit in normal.
". #olon is opened longitudinal to sow:-
///////////////
Diagnosis :6alignant ulcer o! large intestine.
Specimen : #eacum 8 Ascending colon.
Description :-
2S Si9e : C/ cm.
Sape : Oval.
ongitudinal axis : Transverse across mucosa.2# #olour : Gra(is wite.
#onsistenc( : *ard.
-;dge : 'aised everted.
-)ase : *ard > indurated.
- necrosis.
//////////////
Diagnosis :6ultiple 5ilar9ial pol(p large intestine.
Specimen : ongitudinal section o! large intestine.Description :-
1- 6ultiple
9
:
2;
"#$%&'#'()$*+,
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2S 2-=aria5le in si9e :
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Description :-
Te colon is opened longitudinal to sow ulcers:
6ultiple 4 irregular 4 Super!icial.
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7)$&+8 +$$
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Diagnosis : 2r( in!ected ame5ic liver a5scess.
Specimen : 0art o! liver.
Description :- Te liver sow a5scess cavit( produced 5(
liui!active necrosis extend to diapragmatic sur!ace.
- ?all :
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Not
ommun-
icate
withelvis.1 QRS
Smooth
lining.4T
Grayish
fibrous
wall.
2U
VW
////////////////////
Kidne( > rinar( tract
////////////////////
Diagnosis : T.) 0(oneprosis.
Specimen : *al! o! @idne(.
Description :-
- Si9e : ;nlarged.
- #apsule : Tic@ wit large su5capsular *ge.
- #7S : 6ultiple cavities Interconnecting wit eac oter.
ined 5( (ellow caseous material.
- 'est o! renal tissue :
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Diagnosis : #ronic di!!use glumerulonepritis.
Specimen : *al! o! @idne(
Diagnosis:-
- Si9e : Small.
- #apsule : Tic@ 4 !i5rous aderent.
- #7S :-
- 23 3arrow cortex.
3o demarcation 5etween cortex 4medulla.
- 0eripelvic !at.
- Tic@ walled renal arteries wit patent lumen.
- Outer sur!ace :
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1- Kidne( 2- #al(ces "- 'enal tissue
;nlarged p(oneprosis [T p(oneprosis [T)oss( outer sur!ace 8 - Tin wall 4 more
or less translucent.
- #ommunicate renal
pelvis eac oter.
//////////////////
Diagnosis: In!ected (dro neprosis Stage orn stone.
Specimen : 0art o! @idne(
Diagnosis :-
1- *(droneprosis YZ8Stone : stage orn stone YZ
%descri5ed a!ter&.
//////////////////
Diagnosis: Stage orn stone.
Specimen : A stone.
Description :-
)rown (ellow in colour . arge .
Stone is +' *ard.
)ranced 4 ta@e sape o! pelvis 4 cal(ces.
//////////////////
Diagnosis : 6ultiple ureteritis c(stica stricture ureter mostl( 5ilar9ialH.
Specimen : 0art o! ureter.
Description :-
1- engt : 12cm.
2- ower part : Is narrow.
- pper part : I dilated opened to sow multiple c(sts :- - =aria5le in si9e 1 cm.H
- 0ale 5lue.
- #ontain water( !luid
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\] ^K )ladder wall *(pertrop(.+ > 0rostate ;nlarged.
//////////////////
Diagnosis :Di!!use in!iltrating carcinoma o! .) 4 5enign prostatic
(perplasia (droureter.
Specimen : .) 4 prostate 4 lower pert o! ureter.
Description :-
Te anterior wall o! .) is resected:-
1- umen : O5literated.
2- 0rotate ;nlarged.
reter a& Tic@ 4 indurated Gra(is (ellow.
\] P
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"- )ladder wall : 5& In!iltrated 5( growt c 5( 3ecrotic sur!ace.
Diagnosis :lcerative carcinoma o! 5ladder.
Specimen : .) 4 prostate 4 lower pert o! ureter.
Description :-
lcer c 5( : Site : 0osterior wall.
Si9e : arge.
2S Sape : Irregular.
3um5er : Single.
- ;dge : 'aised > everted.
- )ase : *ard > indurated.
- necrosis.
///////////////////////////////////////////////////////////
/////////////
ung
/////////////
Diagnosis :0ost cricoid carcinoma .
Specimen : ar(nx 4 upper part o! tracea post cricoid area.
Description :-
Te post cricoid part o! tracea is site o! 5ig !ungating mass:-
- Si9e : E/+. cm.
- Sur!ace : Irregular wit *ge.4 necrosis.- )ase :
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2- 'est o! pleura : Tic@ 4 dull 4 opaue 4 lusterlen aderent to lung
tissue.
Diagnosis : ;mp(sema.
Specimen : ung S !Description :-
1- arge 4 ligt in weigt 4 voluminous.
2- 0ale wit antravetic !oci.
"- Apex 4 anterior 5order : Sow dilated distended lung tissue
emp(sematous 5ullaeH.
/////////////////
Diagnosis : #ronic suppurative lung a5scess wit pleural adesion.
Specimen : 't. ung.
Description:-
2S Si9e : 12/ cm.
Sape : Oval.
- ?all : Tic@ > !i5rous 8 gra(is wite wit reddis tinge (peraemiaH.
- 0leura : Tic@ > !i5rous 8 aderent .
- Surrounding : #ollapsed lung tissue.
- ining : a& Smoot.
5& #overed 5( 5rown (ellow exudates.
c& Sow tic@ cords remnants o! 5lood vessels 4
5ronci H
Traceo5roncial .3s : ;nlarged wit antracosis. ![ gh////////////////
Diagnosis : )ronciectasis !i5rinous pleuris(.
Specimen: 0art o! lung.
Description:-
1- 0leura: Tic@ 4 dull 4 opaue. jh0i2- #7S : Sow dilated medium si9ed 5ronci wic are :-- Oval in sape.
- > 1B mm. in diameter.
- ining mucosais roug 4 (ellow pus H .
"- ung tissue in 5etween :
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Specimen : #7S o! lung.
Description:-
2) 1- 0leura : jh0i 8 !i5rin deposition due to acute in!lammation. 2- )ronci mucosa : 'ed 4 swollen due to (peraemia.
"- Traceo5roncial .3s : ;nlarged > antracosis.
+- pper lo5e : 3ormal.
- ower lo5e:;nlarged82# - #olour : Gra(is (ellow wit antracotic !oci
- #onsistenc( : antracosis.
"- #7S : Sow apical cavit( c 5(:-
2S Sape : Oval.
Si9e : +/ cm.
- Surrounding :
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Specimen : ung lo5e.
Description :-
1- #avit( : pper part o! lung
compessing lung tissue around.
2S 6ore or less rounded.
cm. in diameter.
2- #(st : wit tic@ 4 witis 4
opaue wall occup( cavit(.
3.) : k
Specimen : 0art o! lung 8 spleen.
Description :-
1- #avit( : In #7S o! spleen.
2S 6ore or less oval.
E/2 cm. in diameter.
2- #(st : te same.
8
"- #avit(: - /" cm.
- In lower part o! lung aving
c(st as same c in spleen.
/////////////
Spleen 4 .3s
/////////////
Diagnosis: Am(loidosis @idne( locali9ed am(loidosis spleen
Specimen : Spleen 4 @idne(.
Description :-
1- Kidne( 2- Spleen
-Si9e : ;nlarged. Small4 numerous.
- #7S :Tic@ wax( !irm cortex. - c7s : 3odules Semi translucent.
-#olour : $ellowis ting. - Appearance o! am(loidosis in
l(mpoid !ollicle give sago spleen.
//////////////////
Diagnosis: 'ecent in!arction spleen.
Specimen : Spleen.
Description:-
2S Si9e : ;nlarged.
Sape : 0(ramidal area o! in!arction at upper pole.
1# #olour : Dar@ 5rown wit pale (ellow area at periper( related
to emol(sis o! ')#s.
- #apsule : Dull 4 opaue.
-'elation: )ase : Towards sur!ace.
Apex : Towards ilum.
//////////////////
Diagnosis: )ilar9ial spleenomegall(.
Specimen : Spleen.Description:-
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- Splenic 3otces : 0redominant.
"# - #apsule: Tic@ 4 witis due to !i5rosis.
- #onsistenc(:
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Specimen: (mp nodes.
Description:-
.3s are discrete not matled to
eac oter not to surrounding.
2S Si9e : ;nlarged.
Sape: Oval.
2# #onsistenc(: 'u55er(.
#olour : 0ale 4 gra(is.
#7S : *omogenous.
3.) :2S 42# 4 #7S.
Description:-
.3s are mounted 4 man( o! tem
!use togeter to !orm large ones.
2S =aria5le gew mm. - Ccm.H.
=aria5le oval rounded irregularH
2#
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)one Moints
//////////////////
Diagnosis : 6alunion !racture !emur.
Specimen: ongitudinal section o! lower 27" o! !emur.
Description :-
1. O5liue !racture o! sa!t o! !emur.
2. Distal end is displaced.
".
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Diagnosis :#ondrosarcoma o! ri5s.
Specimen : 6ass on cest wall.
Description:-
2S - Si9e : /E cm. 2# - #olour :
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Diagnosis : ;wing sarcoma.
Specimen :0art o! cest wall.
Description :-
1- 'i5 in!iltrated 5( tumor tissue c 5( :
a&
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2S - =aria5le in si9e : "mm. - 2 cm. in diameter H
- =aria5le in sape : 'ounded 4 oval H.
- Tissue in 5etween :$%K+,
m#((>%K+,
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Description:-
- S@ull sutures :
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//////////////////////
Diagnosis :)rown atrop( o! eart.
Specimen : *eart 8 upper aorta.
Description:- Te eart is o! adult not cild due to :-
1. arge aorta 4 aortic ori!ice.
2. Tortuous appearance o! coronaries.
". t. ventricle opened to sow : a& Small cavit(.
5&)rown tin wall due to accumulation o! lipocrome pigment.
///////////////////////
Diagnosis : Old m(ocardial in!arction.
Specimen : *eart.
Description:- 1- t ventricular sur!ace o! I.= septum sow :-
arge old ealed in!arction c 5( :-
- 1# Gra(is wite. -Transverse section across apex sow
in!arct area sow onl( in endocardium.
2- 6uscle 5undles :
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". A5sent line o! demarcation.
+.
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Specimen : Distal !orearm
and.
Description:-
2S Si9e : C/ cm.
Sape: Ovoid 4 irregular
in outlines.
- ;dge : 'aised 4 everted.
-
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Description:-
1- Testis epidid(mis opened to sow enlarged epidid(mis sow
!oci o! caseation:-
8 - In ead o! epidid(mis.
- 6ultiple.
1S - =aria5le in si9e.
2# - Gra(is (ellow in colour.
-
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2S E/+ cm. in diameter.
6ore or less oval
A5sent capsule.
2# *ard in consistenc(.
Gra(is wite wit reddis tinge.
Outer sur!ace: 3on omogenous sowing wite strands o! !i5rous
tissue running in various direction.
////////////////////
Diagnosis: Su5involuted uterus puerperal sepsis.
Specimen : terus 8 its adenxia 8 upper part o! vagina.
Description:-
1. Si9e : ;nlarged : it is excess tan normal 5ut !ull term gravis uterus.
2. 0eritoneum : Tic@ 4 dull 4 opaue jh0i". Anterior wall : Is removed to sow terine cavit( irregular
lined 5( necrotic la(er.
+. terine wall " cm. in tic@ness.
Sow dilated veins containing greenis (ellow
trom5i.
////////////////////
Dermoid c(st ovar( Dermoid c(st ovar(
Specimen : Ovar( contain c(st.Description:-
- ?all : Tic@.
- ining : Smoot.
- Sur!ace : Smoot wit ovarian
tissue remnants.
- #ontent :*air tu!t 8 0ale gra(is
(ellow
material
Dermoid ridges :
- Glo5ular structure 2 cm. in
diameter.
- 0roFect !rom wall c(st cavit(.
Specimen :terus 8 its adenxia.Description:-
1- t ovar( sow c(st :
2S - Si9e : 1B cm in diameter.
- Sape : 'ounded.
- Sur!ace : Smoot gra(is.
- #ontent :-
*air tu!t 8 se5acous gra(is
(ellow material.At one side o! air tu!t H.
2- Oter ovar(: #ontain small
emorragic c(st.
"- 3ormal si9ed uterus.
Simple serous
c(stadenoma ovar(H
0appilar( serous
c(stadenoma ovar(H
Serous
c(stadenocarcinoma ovar(H
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Specimen:Ovar(
contain c(st.
Description:-
2S Si9e: E/+ cm.
Sape : Ovale.
Outer sur!ace:-
Smoot
?all: Tin gra(is
wite transparent.
8
#ontain water( serous
!luid 5ut evacuated.
1"/1B cm indiameter.
3ot lo5ulated : gra(is
wite transparent.
2mm. in tic@ness.
8
ower part sow
papillomatous structure:-
- /+ cm.
- Gra(is wite crowded
wit sort pedicle.
- Oter dispersed ones o!
!ew mm. proFect !rom
rest
o! wall.
2B cm in diameter.
'ounded.
Smoot wit some
in!iltrated nodules.
)uis wite.
8
#ontain :- Solid
necrotic part
opposite sur!ace
nodule wile
remaining part
contain !luid.
////////////////////
Diagnosis: 6ucinous c(stadenoma ovar( H.
Specimen : Ovarian c(st.
Description:-
#7S : - =aria5le in si9e.
- =aria5le in sape rounded 4 oval 4 irregular H.
ining : Smoot.
#ontent : a& #oagulated pale 5lue gelatinous material.
5& Anoter 5igger locus :-
;vacuated !rom Tin !i5rous wall. Smoot outer sur!ace.
its content.
Diagnosis : In!iltrating carcinoma o! cervix.
Specimen: )issected uterus upper part o! vagina.
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Description :-
Te cervix is site o! mass :-
1. Gra(is (ellow.
2. ;xtend to cervical canal.
". In!iltrate di!!usel( cervical wall.
+. pper oart o! vagina not involved.
.
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Specimen : trus 8 !allopian tu5e 8 ovaries.
Description:-
1- *(pertrop( uterus.
2- #ervis 8 anterior wall o! uterus is opened to sow 2 masses :-
a& Arise !rom posterior uterine wall.
5& #overed 5( intact mucos mem5rane.
c& Smoot outer sur!ace.
pper mass ower mas
- Oval. - 0(ri!orm.
- 3o pedicle. - Sort pedicle.
- Arise a5ove lower protrude - Arise a5ove cervical canal.
troug uterine cavit(.
////////////////////Diagnosis:
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Specimen : terus 8 2 ovaries.
Description:-
1. terus : ;nlarged.
2. Anterior wall o! uterus is dissected to sow vesicle :-
- 6ultiple.
2S - Sape : Grape li@e.
- Si9e : 2-1B mm. in diameter.
1# - #olour : 0ale gra( transparent.
- Some are seen at 5ottom o! Far.
". 2 ovaries sow c(stic spaces o! varia5le colours.
////////////////////
Diagnosis : D(sgerminoma.
Specimen : Ovarian tumor.
Description:-
2S - Si9e : 2B/1B cm.
- Sape : Oval.
- Outer sur!ace : )oss( 4 irregular.
- #7S : *a9em &