Pathnologic @pathnologic
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Rouleaux formation is common in IgM gammopathy and may be particularly striking

Genevieve Crane, MD, PhD@evemariecrane

#Rouleaux #formation
Rouleaux formation ... #Rouleaux #formation ... MGUS #Clinical #Pathology ... #Hematology #Smear
Plasma cell leukemia with extensive rouleaux formation. Aggressive disease & patients typically younger than other forms
extensive rouleaux formation ... leukemia #rouleaux #formation ... #Clinical #Smear ... #Hematology #Pathology
Borrelia recurrentis Infection - Spirochetes were visible (arrows), a finding that suggested louseborne relapsing fever #Clinical
fever #Clinical #Pathology ... #Recurrentis #Smear ... #Microscopy #NEJM
African Trypanosomiasis - The examination was notable for the two erythematous lesions, each measuring 3 to
peripheral-blood smear ... Clinical #Derm #Pathology ... #Smear #Microscopy ... TrypanosomaBrucei #NEJM
Urinary Tract Tuberculosis - Contrast-enhanced computed tomography (CT) of the abdomen showed mild dilatation of the
D) #Clinical #Radiology ... #Pathology #CT ... Tuberculosis #Pyuria #Smear ... AcidFastBacilli #Microscopy #NEJM
Peripheral-Blood Smear. A peripheral-blood smear (Wright’s stain) shows spherocytes (selectively indicated by arrows). #Clinical #Pathology #Spherocytosis
Peripheral-Blood Smear ... peripheral-blood smear ... #Clinical #Pathology ... HereditarySpherocytosis #NEJM
Autoagglutination should also be distinguished from “Rouleaux formation” wherein normal blood tends to form stacks on
from “Rouleaux formation ... #Clinical #Pathology ... #Blood #Smear # ... Microscopy #Rouleaux #Formation
Disseminated Cysticercosis - Magnetic resonance imaging (MRI) of the head revealed diffuse hyperintense septated cystic lesions
#Clinical #Radiology ... #Pathology #MRI ... Solium #Microscopy #NEJM
Grouped Pustules on an Erythematous Base - On physical examination, grouped, coalescing pustules that had scalloped
stain (Tzanck smear ... Clinical #Derm #Pathology ... Pustules #Tzsanck #Smear ... #Microscopy #NEJM
Placenta Increta - Antenatal ultrasonography suggested placenta accreta (Panel A), with the appearance of irregular vascular
#Clinical #Radiology ... #Pathology #OBGyn ... US #Microscopy #NEJM