Pulmonary Pathology Cases
About the cases:
These cases were developed for the Pulmonary Organ System Course by Dr. Juliana Szakacs in the Department of Pathology at the University of Utah. The use of Olympus and RadWeb at the University Hospital is restricted to physicians and care givers with passwords. Please respect the privacy and confidentiality of patients at all times following HIPAA guidelines. The cases published on this web-site contain no personal identifiers.
How to use the cases for study:
1. These cases will guide you through the presentations and diagnoses of complex pulmonary diseases. Follow the cases part by part and answer the questions as you come to them. Discussion in your small group is encouraged.
2. Review the gross materials at your lab station during the first lab period.
3. Your group will prepare an oral presentation of one case. This means a summary of the chief complaint, clinical history, review of labs, X-rays and other tests, and an academic discussion of the disease entity with references in the current literature. Please stay within the time limit of 10 minutes for presentation of the case and 5 minutes to answer questions.
Goals and Objectives:
Following the participation in lab sessions one and two the student will be able to:
1. Use the electronic medical record to gather data on patients
2. Use the library electronic reference system to research data on diseases, therapies and drugs
3. Understand the basic pathology, presentation, and treatment of lung disorders including:
1. Chronic Bronchitis (not done)
Transplantation as treatment for end stage disease
Complications of therapy (steroids, surgery, antibiotics)
2. Squamous Cell Carcinoma
Treatment of primary and metastatic disease
Etiology of Squamous Cell Carcinoma (include lung, and upper airways)
3. Emphysema, etiology and sequelae
Treatment of emphysema
Aspergillus pneumonia, fungus ball and invasive type
4. Organizing Pneumonia vs ARDS/DAD
Predisposing risk factors for organizing pneumonia
Diagnosis and treatment of organizing pneumonia
5. Opportunistic infections following immunosuppression
6. Alpha-1 antitrypsin deficiency (not done)
7. Pulmonary Embolism, etiology and diagnosis
Therapy and outcomes of PE
8. Adenocarcinoma of the lung, diagnosis and treatment
Explain the work-up for metastatic tumor of unknown origin
and the use of frozen section at surgery