Pseudocysts
Pseudocyst on CTCT shows a unilocular cyst located in the head of the pancreas, consistent with a pancreatic pseudocyst . Pseudocyst With Hemorrhagic FluidGross photograph shows a pseudocyst in the…
Tyrosinemia
Distinguished clinically • Hereditary fructose intolerance Distinct ultrastructural features • Neonatal hemochromatosis Diagnostic Checklist • Fibrosis with variable amounts of steatosis and cholestasis; requires clinical correlation • High risk of hepatocellular carcinoma Micronodular Cirrhosis…
Venoocclusive Disease
Marked CongestionIn severe cases, venoocclusive disease is characterized by marked congestion in the sinusoids and can be accompanied by areas of hemorrhage . Congestion and Plate AtrophyEndothelial injury in sinusoids…
Dubin-Johnson Syndrome
Grossly Evident PigmentGross photograph of liver core biopsies embedded in the paraffin block show dark regions corresponding to the pigment within centrizonal hepatocytes. Cytoplasmic PigmentH&E section shows coarse granular pigment…
Gilbert Disease
Cytoplasmic PigmentH&E at high power shows lipofuscin pigment in centrizonal hepatocytes. PAS-D StainPeriodic acid-Schiff with diastase digestion accentuates the granular pigment in centrizonal hepatocytes , even though the pigment is…
Aims and structure of the consultation
3 Aims and structure of the consultation Chapter Contents Concerning aims Interim thoughts Notions of health and illness Engendering wellbeing Accept the gift of one’s own symptoms 100 If you feel…
Case history-taking: Hearing the patient’s story
5 Case history-taking Hearing the patient’s story Chapter Contents General considerations Taking the history Summary of the aims of history-taking The history of the case history The ‘conversation’ The nature…
The therapeutic relationship in phytotherapy
2 The therapeutic relationship in phytotherapy Chapter Contents The challenge of the therapeutic relationship What is the ‘therapeutic relationship’? The variety of relationship models in healthcare Patient expectations: clarification and…
Phytotherapy in context
1 Phytotherapy in context Chapter Contents The origins of herbal therapeutics The common origins of diet and medicine Matters of taste Shape-shifting Food, medicine and pharmacology Co-evolution Wholeness and complexity…
On profiling and diagnosis: Appreciating the patient’s predicament
4 On profiling and diagnosis Appreciating the patient’s predicament Chapter Contents Introduction Expectations and agendas: never assume Weighing the three classic strategies On convergence and divergence Distinctive features of the…
