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EQA

Liver EQA circulation LS MCQ

Questions:
1
2
3
4
5
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10
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12
End

Download EQA history and answer sheet (for all cases) here pdf document symbol

Case 4 History and photomicrographs pdf document symbol

Case number 4

Male 67 years

Methotrexate for psoriasis, fatty liver on US, elevated P3NP, fibroscan 6kPa. Risk factors for metabolic liver disease (BMI 32). ? methotrexate liver injury, ? hepatic fibrosis.

Specimen:

Liver biopsy.

Macroscopic description:
One core 29mm long.

Immunohistochemistry:
van Gieson, retic, Cam 5.2.

H&E


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Keratin CAM5.2


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Van Gieson


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Reticulin


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Please Select an Answer

Steatosis. Comment on fibrosis. Alcohol or non alcohol related +/- drug injury
Steatohepatitis. Severe fibrosis. Alcohol or non alcohol related +/- drug injury
Glycogenic hepatopathy. Comment on fibrosis
Methotrexate related fibrosis
Steatohepatitis. Mild fibrosis. Alcohol or non alcohol related +/- drug injury