Qap (Anatomical Pathology) 

QAP Peer Review

AP334
Case History: M/63. Obese with metabolic syndrome. Admitted for diarrhea and fever not responding to antibiotics. Developed pneumoperitoneum. Extended right hemicolectomy for multiple perforations in colon.
Intended diagnosis: Cytomegalovirus colitis. Contributed by:SKC
Code Diagnosis Comment Score
anonymous Cytomegalovirus infection, Kayexalate-induced colonic ulcer (100%) Confirm with immunohistochemical stain CMV  100
anonymous CMV infection+kayexalate nil  100
anonymous CMV-COLITIS, presence of ulcer and KAYEXALATE CRYSTALS (100%) nil  100
anonymous CMV colitis, wth Kayaxelate crystal deposition 100% Confirm with immunostaining for CMV  100
anonymous Cytomegalovirus colitis. Confirm by CMV immunostain.  100
anonymous Ulcer with Cytomegalovirus inclusions nil  95
anonymous Cytomegalovirus colitis 100% Immunostaining to confirm CMV  100
anonymous CMV colitis + kayexelate crystals (100%) nil  100
anonymous Cytomegalovirus colitis; Kayexalate-assoicated colitis nil  100
anonymous Ulcerative inflammatory process with presence of Cytomegalovirus infection. nil  100
anonymous COLON, right hemicolectomy - CYTOMEGALOVIRUS COLITIS nil  100
anonymous cytomegalovirus colitis nil  100
anonymous Kayexalate-associated ulcer (100%). Immunohistochemical staining for cytomegalovirus (CMV) would be performed to look for CMV inclusion.  80
anonymous colonic ulceration with CMV inclusions and deposits of crystals consistent with sodium polystyrene sulfonate (100%) perform immunostaining to confirm CMV infection and correlate with clinical and drug history  95
anonymous CMV colitis and presence of resonium crystals with ulcer (100% Probability). nil  100
anonymous Colitis with ulceration, suggestive of CMV colitis. IHC for CMV confirmation nil  100
anonymous CMV colitis; kayexalate seen (100%) nil  100
anonymous Colon - Ulcer with CMV (cytomegalovirus) infection nil  100