Today’s blog  is directed at the 17 2nd Year UCL Medical Students who attended week 1 at NMUH . Thank you for attending on Friday afternoon. From the first session you will have understood that pathology is the study of disease and Pathologists work with doctors and nurses in hospitals and GPs’ surgeries to diagnose, treat and prevent illness. So it isn’t it all about dead bodies. Pathology is involved in 70% of all diagnoses made in the NHS and there are over 19 different specialties.

As part of your overall  assessment in this SSC  I expect good attendance (full attendance is 10% of the marks), interest in what is probably quite new to you, and an inquiring attitude. Please register with “Athens”. I will have you ID cards available by next week

The learning objectives of the first  afternoon were  the following

  1. Achieve competence in the use of the microscope
  2. Review Homework Wk 1 and start Reflective blog.
  3. Review classical examples of Head and Neck and Oesophageal Stomach & gall bladder

Can I emphasize to those who have not sent in their Individual Learning Plan to do so as soon as possible. I will be using this to help me decide what to offer the individual student for their presentation in week 7.

Your first week’s blog must be in by Tuesday. Note the accumulative Blog is part of you course assessment written work.

In advance of applying for an iBSc SSC students are welcome to have a taster in the Histology Laboratory for 1 – 5 days  during the Christmas or Easter Break. This can include a one day attachment in Microbiology. This however requires advanced notice and no more than 2 students at a time in the laboratory.

WEEK 1  Surgical Pathology of the Head and Neck and Upper GI tract.

The following specimens were illustrated and/or points raised

Thyroid gland .  The normal weight is ……. Gms

  • Multinodular Colloid Goitre
    • Degenerative changes: fibrosis, haemorrhage, cystic change
  • Toxic Hyperplasia (Graves Disease) not illustrated
  • Autoimmune Thyroiditis (Hashimoto’s Disease) not illustrated
  • Solitary Thyroid Nodules (differential diagnosis)
  • Follicular Neoplasms (Adenomas v Carcinoma)
  • Papillary Carcinoma of the Thyroid
  • Tumours not discussed or Illustrated
    • Hurthle Cell Tumour (rare)
    • Lymphomas (rare)
    • Medullary Carcinoma (rare)

Salivary Gland Tumours (in particular the Parotid Gland)

  • Benign Tumours shown
    • Pleomorphic Adenoma (Mixed Parotid Tumour)
    • Warthin’s Tumour (Adenolymphoma – not a great name)
  • Malignant tumour not illustrated or discussed
    • Mucoepidermoid Carcinoma, Adenocarcinoma, Adenoid Cystic Carcinoma

Oesophageal Pathology

  • Gastroeosphageal Reflux Disease
  • Squamous (illustrated) and Adenocarcinoma of the Oesophagus
  • Poorly differentiated Adenocarcinoma was slide A in the slide set.

Gastric Pathology

  • Benign Peptic Ulceration and association with Helicobacter Pylorus
  • Gastric Abscess due to Fishbone Perforation

 

In the slide set

Coeliac Disease Discussed

What are the presenting features of “Malabsorption” ……………………………………….

Tropical Sprue alluded to

What is the treatment …………………………………………………………………….

Giardiasis Illustrated.

What is Giardiasis   ………………………………………………………………………………

What is its treatment ……………………………………………………………………………

 

Gall Bladder Disease

Look up the typical presenting features of Cholecystitis…………………………………………

Chronic Cholecystitis (several examples shown)

What are Rokitansky Aschoff Sinuses ……………………………………………..

Who was  Rokitansky  …………………………………………………….

& Aschoff  …………………………………………………….

Carcinoma of the Gall Bladder (uncommon)

 

Note that this session was only able to give a glimpse of Surgical Pathology of Head and Neck and Upper GI. There was insufficient time to discuss Small Intestine Liver and Pancreas which I will try to cover in due course.

The best online link to Surgical Pathology is www.pathologyoutlines.com

The following Hyperlinks maybe of use for Wk 1 & Wk 2 and the future

Core subject Hyperlink
Dysphagia, inc. benign strictures, oesophagitis & neoplasia Dysphagia
Oesophageal stricture: benign & carcinoma Esophageal Stricture
Barrett’s Oesophagus Barrett’s Esophagus
Carcinoma of the oesophagus Carcinoma of the oesophagus
Perforated peptic ulcer Peptic Ulcer Disease
Peptic ulcer disease inc. Helicobacter pylori PUD
Gastrointestinal bleeding upper Upper Gastrointestinal Bleeding, Surgical Treatment*
Gastrointestinal bleeding upper Upper Gastrointestinal Bleeding
Gastrointestinal bleeding lower Lower Gastrointestinal Bleeding, Surgical Treatment*
Gastrointestinal bleeding lower Lower Gastrointestinal Bleeding
Carcinoma of the stomach Carcinoma general
Coeliac disease celiac disease
Gallstones & their complications gallbladder
Hepatitis hepatitis general
Cirrhosis, cirrhosis
Hepatic neoplasms Liver tumour
Pancreatitis, acute & chronic Acute pancreatitis
Pancreatitis, acute & chronic pancreas chronic
Carcinoma of the pancreas ductal
Diverticulosis diverticulosis
Divericulitis diverticulitis
Motility disorders of the alimentary tract: irritable bowel syndrome Irritable Bowel Syndrome
Dysentery diarrhea general
Antibiotic associated AA colitis
Infectious colitis colon acute self limited
Campylobacter campylobacter
Mycobacteria  colon MAI
Rotovirus rota virus
Crohn’s disease small bowel crohns disease
Crohn’s disease crohns
Ulcerative colitis uc
Colonic & rectal polyps & carcinoma polyp general
Carcinoma of colon & rectum carcinoma general
Acute appendicitis acute appendicitis
Acute diverticular disease diverticulosis
Acute cholecystitis acute cholecystitis
Hernias, inguinal, femoral, umbilical obstruction
Strangulated hernias hernias

 

Please become a student member (free) of Medscape.com

For those interested in joining the BMA as Medical Students this link will tell you what e-books are available (free access when you join)

https://www.bma.org.uk/library/e-resources/student-e-books

Any SSC student joining the BMA or who are already BMA Student members and would like more information about the organisation contact me or your student representative.

The speech the Medical Students Committee Co-Chairs gave at the Annual Representatives Meeting in Belfast in June can be found at

https://www.bma.org.uk/collective-voice/committees/medical-students-committee/arm-cochairs-speech

Don’t forget to send in your ILP ASAP.

 

 

 

 

 

 

 

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