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November 2017 Case of the Month

…with multiple fluid-filled cavities in the center (corresponding to the liquid center noted on ultrasonographic examination). There were very many (>100) other smaller masses scattered throughout the liver lobes. The duodenal and colonic mucosa and enlarged left kidney were diffusely red (congestion) with hemorrhagic luminal contents in the intestine. Histopathologic examination of hematoxylin-&-eosin-stained sections of formalin-fixed tis…

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2019 Case #7

…fusely coarse liver and a hyperechoic gall bladder wall (inflammation, presumptive). A liver aspirate was taken and submitted to the Animal Health Diagnostic Center at Cornell University for examination. Examine the provided images from the liver aspirate, then answer the following questions: What abnormalities can you identify in the aspirate? What additional tests are indicated? Figure 1: Liver aspirate (Diff-quik, 100x objective) Figu…

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November 2018 Case of the Month

…m and the crystals pictured below (Figures 2-3) were seen. Evaluate the provided cytologic images (Figures 1-3) and answer the following questions: What differential diagnosis would you have for this patient based on the history and imaging results? What is your main differential diagnosis based on the crystalluria and what is unusual about the urinalysis in this case? What additional treatment and tests would you recommend? Figure 1: Left…

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November 2014 Case of the Month

…Figure 3a. High power (1000x) image of the mass Figure 4. High power image (500x) of the mass Additional information Figure 5. Histopathologic image of the brain mass Histopathological examination of the surgical biopsy of the brain mass revealed an unencapsulated, highly cellular, infiltrative neoplasm composed of polygonal to spindle-shaped cells arranged in solid sheets and streams on scant fibrous stroma (Figure 5). The cells had indis…

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Figure 4: Flow cytometric analysis of EDTA-anticoagulated venous blood from the cat with presumptive acute myeloid leukemia

A forward (x-axis) and side (y-axis) scatter plot revealed 2 clouds of cells, with the R1 gate (red) consisting of small residual lymphocytes and the R2 gate (green) consisting of the tumor population. The right panels are frequency distribution curves (histograms) of fluorescent intensity of the antibody against the relevant leukocyte marker (green solid curve) with overlaid isotype control (open orange curve). The M1 marker represents cells t…

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2021 Case #5

…ncer (Question 1). Figure 1a: Mandibular mass in a cat (20x objective, Wright’s stain) Figure 2a: Mandibular mass aspirate in a cat (50x objective, Wright’s stain)   Further diagnostic tests The mass and enlarged left mandibular lymph node were surgically removed and submitted for histopathologic examination. On histologic examination, the mass consisted of haired skin with an ulcerative central lesion, comprised of nec…

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March 2018 Case of the Month

…od of collection explained the hepatocytes found in the sample, and the large swaths of cells initially thought to be smooth muscle were likely the skeletal muscle of the diaphragm. Interestingly, this skeletal muscle is a little divergent from the rest of the skeletal muscle in the body in terms of its innervation and appearance. Additional information on leiomyomas: Smooth muscle tumors are most common in the gastrointestinal and genitourinary…

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December 2016 Case of the Month

Joint aspirate from a tortoise Case information: An approximately 18 month old, male Hermann’s tortoise presented for raspy breathing, exuberant, pink tissue over the eyes and being less active than normal. On physical examination the tortoise was small for his age, had increased respiratory rate and effort, was 5% dehydrated and would not open his eyes. While the tortoise was fully ambulatory, his left rear leg was swollen in the tarsal region….

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The optical hemoglobin concentration (HC) is calculated by dividing the cellular hemoglobin and the red blood cell volume. The cellular hemoglobin is obtained from the degree of side scatter as RBCs pass through the laser, whereas the volume is obtained from the degree of forward scatter.

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