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Dermpath_doc_trish Profile picture
@PIorfino
May 6, 2023 • 6 tweets • 8 min read • Read on X
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Finally a quiet moment😓.
This is an interesting case that came through this week:

76 F Rt Forehead.
SCC vs NUB #skin #dermpath #dermatology #dermatopathology #pathology #pathtwitter
low power 1st: ImageImageImageImage
Next is higher power at 100x ImageImageImage
And now 200x ImageImageImage
And finally a few stains ImageImageImageImage
Let me know your thoughts 💭. Mine can be found here:👇🫣
Am I a chicken 🐔?
instagram.com/p/Cr4qvy4u7YM/…
I will tag a few others who may find it interesting 🧐
@kis_lorand @david_terrano
@DrAldehyde @TBrennster
@DiegoMoralesN @DrGeeONE
@JMGardnerMD @tonitatirado @SGottesmanMD @pembeoltulu @Dermpathl @ChristineJKoMD
@VHNguyenMD @mccalmo

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More from @PIorfino

Dermpath_doc_trish Profile picture
May 1, 2023
Happy Monday #PathTwitter verse!
Finally the sun ☀️ is back in NYC metro! Here’s a nice ex. of a classic. 41 y.o. F. Lt 1st Toe. Clin Info: Generalized infiltrative orange - yellow papules coalescing into annular plaques. GA vs. CTD #skin #dermpath #dermatology #dermatopathology





More pics:





What’s your diagnosis and differential?
Tagging some ⭐️s and friends:
@gonzadetoro
@DrAldehyde @TBrennster
@DiegoMoralesN @DrGeeONE
@JMGardnerMD @tonitatirado @AlomariDermpath
@SGottesmanMD @pembeoltulu @ChristineJKoMD
@VHNguyenMD @mccalmo
Read 4 tweets
Dermpath_doc_trish Profile picture
Apr 4, 2023
Feeling lucky 🎰?
🍑vs 🍓.
These 2 lesions are similar but not the same. Let’s take a closer 👀 look…
#skin #dermpath #dermatology #dermatopathology #pathology #dermresident #dermboards #dermboardsstudying #pathologist #surgicalpathology #surgpath #pathtwitter #pathresident ImageImageImageImage
Let’s look closer at peach 🍑 ImageImageImageImage
Now closer at strawberry 🍓 ImageImageImage
Read 8 tweets
Dermpath_doc_trish Profile picture
Mar 29, 2023
A pathologist’s first words:

“red is dead, blue is bad.”

This picture of a slide encapsulates both in one image.

#skin #dermpath #dermatology #dermatopathology #pathology #pathologist #surgicalpathology #surgpath #pathtwitter #pathresident #trishtorial Image
Only 53…leg. Didn’t suspect it. Only hx of prior nevi removed.
I suppose it’s obvious where the diagnosis is headed… ImageImageImageImage
I only did 3 stains, probably could have used just 1, but with the lack of history I guess it felt right to super-prove it . ImageImageImageImage
Read 7 tweets
Dermpath_doc_trish Profile picture
Jan 7, 2023
This little lesion was a cute surprise. It came in from the finger (radial nail fold) of a 46 yo male, clinically described as either a wart or callus.

Let’s take a little look 👀see🫣shall we?#dermpath #trishtorial #pathtwitter@ ImageImageImageImage
Things you can notice at low power:
🔺acral skin with nail☑️,
🔺no epidermal collarette around area of lesion (which appears dermal)☑️,
🔺something looks bluish☑️ ImageImageImageImage
So let’s start figuring this out, yes 🙌? Is this a:
Read 9 tweets

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