#Everydayliver
Bile ducts get all their blood supply from hepatic artery

Dr. Hart #USCAP2024 #liverpath #pathresidents #NIPPathX #PathX #PathTwitter #pathology

#Everydayliver
Amyloid deposition in the space of Disse

Dr. Hart #USCAP2024 #liverpath #pathresidents #NIPPathX #PathX #PathTwitter #pathology

#Everydayliver
6yo, jaundice
Bile pigment is located in the bile canaliculi
-Frozen sections can show more bile than permanents, why?
-Bile is water soluble and washes out of tissue during processing
Dr. Hart #USCAP2024 #liverpath #pathresidents #NIPPathX #PathX #PathTwitter

#Everydayliver
How much portal inflammation is normal and when it becomes abnormal?🧐
Difficult question
👇📷This degree of portal inflammation is NOT chronic hepatitis
This is best signed as Liver without diagnostic abnormality and in the comment you can mention that there are

#Everydayliver
Hemochromatosis
Liver is usually located in periportal area
If there is pigment close to central vein then it is probably lipofuscin, pic 3⃣
Iron stains blue with Prussian blue, pic 2⃣
Dr. Hart #USCAP2024 #liverpath #pathresidents #NIPPathX #PathX #PathTwitter

#Everydayliver
Causes of Mild Portal Inflammation
Dr. Hart #USCAP2024 #liverpath #pathresidents #NIPPathX #PathX #PathTwitter

#Everydaybooks
'When you choose between two thoughts and can prove neither with total certainty, choose the one that makes you happy.
What could be simpler? '
📚Solve for happy. Mo Gawdat
#books #ideas #amreading #booklovers

#Everydayliver
55yo female with fatigue, mildly elevated liver chemistry tests, other tests are negative
Medications: Atorvastatin, hydroclorothiazide, Gingko biloba, ginseng, tumaric, vitamins
🔬H-E completely normal except these👇almost invisible ceroid laden Kupffer cells.

New-in-Practice Pathologists
How to recover from a mistake
#Tipoftheweek #CAP #NIPPathX #PathX #pathtwitter #pathology

#Everydayliver
Acetaminophen toxicity
Necrosis of centrilobular zone (zone 3)
Necrosis looks red grossly
Dr. Hart #USCAP2024 #liverpath #pathresidents #NIPPathX #PathX #PathTwitter

#Everydaythyroid
Posterior thyroid-NORMAL FINDINGS
-The capsule is deficient and thyroid is close to the muscle
-You can have deposits of thyroid gland embedded in skeletal muscle
Dr. Baloch #USCAP2024 #pathologists #pathology #PathX #PathTwitter #pathresidents #NIPPathX

#Everydaythyroid
Graves/multinodular goiter/chronic lymphocytic thyroiditis-NORMAL FINDINGS
-You could see deposits of thyroid tissue outside of thyroid=parasitic nodules
-Important to report them- Why?
After total thyroidectomy they may leave tissue behind and if not on

#Everydaythyroid
Intrathyroidal parathyroid
IHC: GATA-3, chromo, synapto, PTH
Dr. Baloch #USCAP2024 #pathresidents #NIPPathX #Pathology #PathX #PathTwitter