The patient is a 58-year-old male who presents with progressive shortness of breath, cough with green sputum, wheezing, fever, and loss of appetite. On examination, he has signs of respiratory distress, decreased breath sounds, and crackles in the lower left chest. Differential diagnoses include pneumonia.

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4. Pathology of Pneumonia Dr Richa Dua Lecturer- Pathology 030309

6. Normal Lung

7. Normal Lung

15. Etiologic agents in Pneumonia:

17. Pathogenesis of Pneumonia Congestion Red Hepatisation Grey Hepatization Resolution

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19. Lobar Pneumonia:

20. Lobar Pneumonia: Grey Hepatization

21. Lobar Pneumonia:

22. Lobar Pneumonia – Gray hep…

23. Lobar Pneumonia:

24. Lobar Pneumonia:

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26. Congestion- to - Red hepatization. Exudate filling alveoli Few RBC and Inflammatory cells.

27. Lobar Pneumonia: Red Hepatization:

28. Red – to - Grey hepatization:

30. Red  Grey hepatization.

31. Grey Hepatization

32. Lobar Pneumonia: Grey hepat.

33. Sputum Cytology: (gram positive diplococci) Streptococcus pneumoniae

35. Broncho-pneumonia

36. Broncho-pneumonia

37. Broncho Pneumonia

38. Bronchopneumonia - CT

39. Bronchopneumonia

40. Bronchopneumonia:

41. Bronchopneumonia

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46. Interstitial Pneumonia:

47. Interstitial Pneumonia: Lymphocyte Infiltrate in alveloar wall

49. Tuberculosis: Typical + Miliary spread

50. Acid Fast Bacilli

51. Aspergilloma in Lung:

52. Aspergillus in sputum

56. Gram Positive Cocci in Sputum

57. Gram Negative Bacilli in sputum

58. Pneumocystis jirovecii cysts from BAL stained with Toluidin blue O stain

59. Agar? Morphology? diagnosis? Further tests?

60. Klebsiella colonies on MacConkey Agar

62. Abscess formation

63. Lung Abscess:

64. Lung Abscess:

65. Abscess formation following pneumonia:

66. Lung Abscess:

67. Lung Fungal Abscess: Candida

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84. Impressive….! Keep it up…..! 9/3/2006 From Clinical coordinator Mr. Isa centre. I have no concerns that this group of students are in any way resting on their laurels. So far the feedback from the medical staff has been excellent. There have been a number of preceptors who have noted the substantial difference between this years 4th yrs and last years 4th yrs. A number of their preceptors in the hospital, who are not easily impressed, have gone out of their way to tell me how impressed they have been with this group. …………

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