INFLAMMATION AND REPAIR
Ed Friedlander, M.D., Pathologist
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More of Ed's Notes: Ed's Medical Terminology Page

Perspectives on Disease
Cell Injury and Death
Accumulations and Deposits
Inflammation
Fluids
Genes
What is Cancer?
Cancer: Causes and Effects
Immune Injury
Autoimmunity
Other Immune
HIV infections
The Anti-Immunization Activists
Infancy and Childhood
Aging
Infections
Nutrition
Environmental Lung Disease
Violence, Accidents, Poisoning
Heart
Vessels
Respiratory
Red Cells
White Cells
Coagulation
Oral Cavity
GI Tract
Liver
Pancreas (including Diabetes)
Kidney
Bladder
Men
Women
Breast
Pituitary
Thyroid
Adrenal and Thymus
Bones
Joints
Muscles
Skin
Nervous System
Eye
Ear
Autopsy
Lab Profiling
Blood Component Therapy
Serum Proteins
Renal Function Tests
Adrenal Testing
Arthritis Labs
Glucose Testing
Liver Testing
Porphyria
Urinalysis
Spinal Fluid
Lab Problem
Quackery
Alternative Medicine (current)
Preventing "F"'s: For Teachers!
Medical Dictionary

Courtesy of CancerWEB

LEARNING OBJECTIVES

This chapter is absolutely pivotal to your learning medicine. The handout, which is relatively short, is really all mastery material. You need to learn the content at the recall level.

Recognize what things that happen to a person result in inflammation, and distinguish its acute and chronic phases.

Give a full account of the stereotyped processes of acute inflammation. Explain the pathophysiology underlying the classic "rubor, calor, dolor, and tumor", and a complete account of vascular caliber and permeability changes during acute inflammation.

Give a complete account of white cell behavior in acute and chronic inflammation. Tell what white cells are (and aren't) recruited in various kinds of inflammation, and in response to which invaders. Tell the means by which white cells are recruited, the weaponry they carry, and how they find and destroy invaders.

Explain when and how pus forms, and account for its familiar properties and variable appearances. Mention factors that interfere with leukocyte function.

Describe the acute phase reaction and the physiology of the erythrocyte sedimentation rate. Give a short account of the "systemic inflammatory response" and mention why it's deadly.

Describe the role of mononuclear phagocytes in inflammation. Tell how and when granulomas form, and why they are important.

Give a good basic account of how tissues regenerate, injuries heal, and scars form. Given the name of a cell, tell whether it is labile, stable, or permanent, and why it matters. Explain how fibrosis forms in chronic inflammation. Describe how a fibrin meshwork is transformed into a fibrous scar. Distinguish healing by primary and secondary intention, and cite the factors that promote and oppose good wound healing.

Describe the activities of the following mediators of inflammation and/or healing, and when an activity is mentioned, remember which molecule or molecules mediates the effect:

Use each the following terms properly, and recall the term, given the definition:

Describe how problems with inflammation cause or exacerbate the following illnesses:

Be sure you can recognize each of the following under the microscope:

Use and apply the common suffixes for surgical operations properly.

KCUMB Students
"Big Robbins" -- Inflammation
Lectures follow Textbook

KCUMB Students
"Big Robbins" -- Repair
Lectures follow Textbook

QUIZBANK

Inflammation and Tissue Repair
Taiwanese pathology site
Good place to go to practice

Inflammation
Photo Library of Pathology
U. of Tokushima

Cell Injury / Inflammation / Repair
Iowa Virtual Microscopy
Have fun

Inflammation I
From Chile
In Spanish

Inflammation II
From Chile
In Spanish

Inflammation III
From Chile
In Spanish

Inflammation IV
From Chile
In Spanish

Inflammation V
From Chile
In Spanish

Inflammation VI
From Chile
In Spanish

Inflammation VII
From Chile
In Spanish

Inflammation
Photos, explanations, and quiz
Indiana U.

Inflammation and Repair
First Section
Chaing Mi, Thailand

Inflammation and Repair
Second Section
Chaing Mi, Thailand

LEARN FIRST

INTRODUCTION

    WAR IS THE METAPHOR FOR INFLAMMATION. Both are unpleasant facts of life. Both are more-or-less stereotyped responses to outside threats. There are specialized troops (white cells), including high-risk-commandos (neutrophils), long-term siege armies (granulomas), and many others. There are supply routes (vessels), communications and intelligence (mediators), and a huge array of lethal weapons (inflammatory enzymes). In war as in inflammation, there will be damage to both the enemy and to friendly forces, and there will very likely be severe damage to the battlefield itself. Despite idealistic rhetoric about "the laws of war", when the fighting starts, there is really only one law for the soldiers: "Kill your enemy." Like it or not, if you want peace, you must be prepared to fight under certain conditions. Like it or not, if you want to be healthy, your body must be able to mount an inflammatory response. Force will always rule our world. Our best hope is that this will be the force of good laws. And the best for which we can hope from the inflammatory response is that, for most of our lives, it will do us more good than harm.

Pus
Suppurative pericarditis
WebPath Photo

Purulent meningitis

WebPath Photo

Purulent peritonitis

WebPath Photo

{26419} normal neutrophil in a smear; finely granular cytoplasm and segmented, dark nucleus
{14704} normal neutrophil in a smear; finely granular cytoplasm and segmented, dark nucleus
{10067} pus in an abscess, section; notice how neutrophils look different in sections and smears
{08979} histopathology of an acne pimple! Find two cross-sections of the keratin plug.

Liver abscess
Urbana Atlas of Pathology

Pus
Lung abscess
WebPath Photo

Pus
Liver abscess
WebPath Photo

Longstanding lung abscesses

WebPath Photo

Psoas abscess
Pittsburgh Pathology Cases

Organizing lung abscess

WebPath Photo

Neglected peritonitis with
neutrophils and necrosis
One of my autopsies

HISTORICAL HIGHLIGHTS: "Big Robbins" lists, or might have listed....

Redness
Maybe strep
WebPath Photo

Redness
Maybe strep
WebPath Photo

Lung abscesses

WebPath Photo

Myocardial abscesses

WebPath Photo

Myocardial abscess
Germs in the center
WebPath Photo

Abscessing pneumonia

WebPath Photo

Abscessing pneumonia

WebPath Photo

Abscessing pneumonia

WebPath Photo

Abscessing pneumonia

WebPath Photo

ACUTE INFLAMMATION: A stereotyped response to most kinds of noxious stimuli. Something a part of the body does when it knows it's been hurt.

Neutrophils on
pap smear
Dave Barber MD, KCUMB

Acute pyelonephritis
Neutrophils in tubules
KU Collection

Inflammation
Edema and white cells in skin
KU Collection

Neutrophils in the lung
Pneumonia
WebPath Photo

Acute inflammation
Polys in gallbladder mucosa
WebPath Photo

Acute inflammation
Lung alveoli
WebPath Photo

Acute inflammation
Diapedesis, etc.
WebPath Photo

Acute inflammation
Loose fibrin
WebPath Photo

Acute inflammation
Gram stain showing germs
WebPath Photo

{10901} gonorrheal salpingitis; note tremendous swelling and redness of both oviducts
{46310} acute inflammation from a bacterial infection of the kidney
{18719} fibrinous ("bread and butter", better "ketchup on bread") pericarditis

Pericarditis
Urbana Atlas of Pathology

Fibrinous pericarditis

WebPath Photo

Fibrinous pericarditis

WebPath Photo

Monocyte

WebPath Photo

Polys marginating
Acute inflammation
KU Collection

Increased neutrophils
Notice some bands
WebPath Photo

Lymphocyte and neutrophil

WebPath Photo

{26191} mature neutrophils
{13655} mature neutrophils (lots of segments; can you see the granules?)
{16186} electron micrograph of neutrophil showing granules
{26189} immature neutrophil "bands" in the center
{13643} immature neutrophil "bands"; there is also a lymphocyte
{09809} Pap smear, trichomonas vaginitis, showing neutrophils

MONONUCLEAR PHAGOCYTES

{26440} monocyte in smear; most monocytes you see will not have such good vacuoles
{26442} monocyte in smear

ACUTE INFLAMMATORY MEDIATORS

CHRONIC INFLAMMATION

{10973} lymphocytes and plasma cells in chronic inflammation
{10061} mostly lymphocytes;
{25397} autoimmune adrenalitis; low power photo; many lymphocytes in the adrenal gland
{26430} small lymphocyte; notice that it is slightly larger than the red cells
{26433} lymphocyte
{26436} lymphocytes, one resting, one a little bit turned-on (more cytoplasm, more euchromatin)
{26412} plasma cell in a smear, top; eccentrically-located soccer-ball (clockface) nucleus, abundant basophilic cytoplasm, golgi pale spot

Chronic inflammation
Uterine cervix
ERF/KCUMB

Chronic inflammatory cells
around a nerve twig
David Barber MD -- KCUMB

Chronic inflammation

WebPath Photo

Lymphocytes and fibrosis
Rheumatoid arthritis
WebPath Photo

Mixed acute and chronic inflammation
Neutrophils and lymphocytes
WebPath Photo

{14708} eosinophil in smear

Eosinophils and lymphocytes
Two good eos in the center
ERF/KCUMB

Eosinophil in stomach
among parietal cells
ERF/KCUMB

Eosinophils in tissue

KU Collection

Epithelioid cells of a granuloma
Purple rice krispies on a frayed pink tablecloth
WebPath Photo

Granuloma
This was Crohn's disease
Wikimedia Commons

{17629} granulomas in the lung

Granuloma
Crohn's disease
ERF/KCUMB

Granuloma Exhibit
Yale Rosen MD
Nicest granulomas on the web

TB of the liver
Great granulomas
Pittsburgh Pathology Cases

Granulomas, low magnification
This was TB.
WebPath Photo

Granulomas, low magnification

WebPath Photo

Granuloma
Coccidioides

WebPath Photo

Langhans giant cells
WebPath Photo

Foreign body giant cell
Around a tiny vegetable fiber
WebPath Photo

Foreign body giant cell
Around a suture
WebPath Photo

Foreign body granulomas
Around talc
WebPath Photo

{17628} epithelioid giant cell

{25626} asteroid bodies in giant cells
{21428} granuloma with good asteroid body; this was a reaction to a jailhouse tattoo

Tuberculosis
Granulomas and caseation -- trust me
WebPath Photo

Caseating granuloma
WebPath Photo

Caseating granuloma
WebPath Photo

Lots of little granulomas

WebPath Photo

Asteroid bodies
Lung pathology series; follow the arrows
Dr. Warnock's Collection

TB granuloma
Classic drawing
Adami & McCrae, 1914

{10958} tuberculosis, good caseous granuloma
{10964} tuberculosis, good caseous granuloma
{10106} sarcoid granuloma
{49350} silicone granuloma from ruptured breast implant (microscopy would be needed for confirmation)

TB granuloma
Good caseous necrosis
WebPath Photo

{23386} lymphogranuloma venereum

Esophageal erosion
Very severe reflux
ERF/KCUMB

Chronic Peptic Ulcer
Australian Pathology Museum
High-tech gross photos

Stomach ulcer

WebPath Photo

Tube pressure ulcers
Larynx
WebPath Photo

Inflamed Fibrin Meshwork
Ulcer crater
David Barber MD -- KCUMB

Peptic esophagitis ulcers

WebPath Photo

{10461} duodenal ulcer (stomach is at top)
{10471} stomach ulcer (esophagus at right, duodenum at left)
{53543} stomach ulcer (a section has already been taken by the pathologist)
{10811} stomach ulcer, side view of a section through the crater; see how the ulcer has penetrated through the muscularis propria and only scar prevents perforation)
{11651} bad foot ulcer
{15560} bleeding stomach ulcer (arrow marks bleeding site)
{48177} diabetic ulcer

{10529} pseudomembranous enterocolitis

Pseudomembranous colitis
Great photos
Pittsburgh Pathology Cases

Pseudomembrane
Colon
WebPath Photo

Pseudomembranous colitis
Tom Demark's Site

REGENERATION

Regeneration
From Chile
In Spanish

Trauma Image Bank
Trauma.org
Great site, but the image bank is presently down!

Repair
From Chile
In Spanish

Organization / Granulation Tissue
From Chile
In Spanish

Healing by Secondary Intention
From Chile
In Spanish

Regenerating skeletal muscle
Tom Demark's Site

REPAIR BY CONNECTIVE TISSUE

      They jest at [joke about] scars that never felt a wound.

            -- Shakespeare's Romeo

      And the world will be better for this, that one man scorned and covered with scars still strove with his last ounce of courage to reach the unreachable stars.

            -- Cervantes's Don Quixote ("Man of La Mancha")

      The history of a soldier's wound beguiles the pain of it.

            -- Sterne's Tristram Shandy

Ford Madox Brown, Romeo & Juliet
Shakespeare's Romeo & Juliet

Student Doc's Soccer Injury
Fibrin

Granulation tissue
Young capillaries
KU Collection

Granulation tissue
Healing heart attack
WebPath Photo

Granulation tissue
Wall of abscess
WebPath Photo

Granulation tissue
Wall of abscess
WebPath Photo

Granulation tissue
High magnification
WebPath Photo

Granulation tissue
Great labels
Romanian Pathology Atlas

Granulation tissue
forming within Gelfoam
KCUMB Team

Inflamed Fibrin Meshwork
Polys, red cells, dense and loose fibrin
David Barber MD -- KCUMB

Epithelium growing down the
track of a colon perforation
One of my cases.

{12707} granulation tissue
{17606} granulation tissue in healing ulcer
{17607} granulation tissue in healing ulcer
{17608} granulation tissue
{17609} granulation tissue
{17610} granulation tissue in healing ulcer
{17611} granulation tissue in healing ulcer

Scar Tissue
Text and photomicrographs. Nice.
Human Pathology Digital Image Gallery

Granulation tissue
Becoming dense scar
WebPath Photo

HEALING BY PRIMARY INTENTION

{08210} skin scar, nicely healed

HEALING BY SECONDARY INTENTION

{12805} "keloids", gross
{12807} "keloid", elbow
{24487} keloid, after a burn
{40368} "keloid", ear lobe
{25527} keloid, histology
{26432} keloid, histology
{26438} keloid, histology ("glassy fibers")

Keloids
Text and photomicrographs. Nice.
Human Pathology Digital Image Gallery

Keloid
Prize photograph
Institute of Medical Illustrators

WHAT MAKES WOUND HEALING HAPPEN?

FACTORS MODIFYING INFLAMMATION AND REPAIR

RULES OF THUMB:

Viral lung infection
Lymphocytes
WebPath Photo

TYPES OF PAIN

* If you want to get good at looking at pictures, and you have extra time, enjoy these pathology pictures of inflamed tissue now:

{08121} polyp, inflammatory
{09322} polyp, inflammatory fibroid
{09806} inflammation, non-specific changes on a pap smear; look at nice neutrophils and the nuclei of the epithelial cells with some big nucleoli
{09822} polyp, inflammatory polyp in stomach
{10058} inflammation, mixed acute and chronic
{10061} inflammation, chronic
{10106} inflammation, granulomatous
{10229} inflammation, granulomatous
{10529} inflammation, pseudomembranous colon
{10973} inflammation, chronic soft tissue
{12186} hypopigmentation, post-inflammatory
{12207} hyperpigmentation, post-inflammatory
{13153} inflammation, submandibular gland
{14350} dermatomyositis, severe inflammation
{14352} dermatomyositis, severe inflammation
{14432} polymyositis, acute inflammatory
{14433} polymyositis, acute inflammatory
{14702} polymorphonuclear leukocyte, normal
{14703} polymorphonuclear leukocyte, normal
{14704} polymorphonuclear leukocyte, normal
{14705} polymorphonuclear leukocyte, normal
{14706} polymorphonuclear leukocyte, normal
{14707} polymorphonuclear leukocyte, normal
{14734} polymorphonuclear leukocyte & lymphocyte
{14735} polymorphonuclear leukocyte & lymphocyte
{16061} chronic inflammation, liver
{16188} polymorphonuclear leukocyte
{16194} polymorphonuclear leukocyte
{16365} post inflammatory ossification
{16366} post inflammatory ossification
{16367} post inflammatory ossification
{16368} post inflammatory ossification
{16369} post inflammatory ossification
{16370} post inflammatory ossification
{16767} inflammation, glomerulus
{16771} neutrophil stuck to glomerular basement membrane
{17406} necrosis, fibrinoid inflammatory artery
{17612} inflammation, chronic acute skin (no normal tissue here)
{17613} inflammation, chronic
{17614} inflammation, chronic
{17615} inflammation, chronic
{17616} inflammation, chronic in skin
{17618} inflammation, chronic and acute
{17622} inflammation, lung
{17630} inflammation, chronic granulomatous lung
{20782} polymorphonuclear leukocyte, normal
{24652} inflammation, perivascular muscle
{24680} polyp, inflammatory colon
{25041} atypia, inflammatory
{25049} atypia, inflammatory
{25117} lymphogranuloma venereum
{25198} fibrous pseudotumor
{25776} single cell arrangement
{25869} inflammation, pap smear
{25897} inflammatory atypia - mild
{26001} lymphocyte
{26007} lymphocyte, chronic inflammation
{26107} inflammation, chronic
{26109} inflammation, acute and bacteria
{26187} promyelocyte and neutrophil segment
{26188} promyelocyte and neutrophil segment
{26189} neutrophil, band
{26190} neutrophil, band
{26191} neutrophil segment
{26192} neutrophil segment
{26193} neutrophil segment
{26194} neutrophil segment
{26201} neutrophil, band and metamyelocyte
{26202} neutrophil, band and metamyelocyte
{26211} myelocyte, neutrophil
{26212} myelocyte, neutrophil
{26214} neutrophil, band
{26215} neutrophil, band
{26230} polymorphonuclear leukocyte, normal
{29997} title slide
{30268} inflammation, brain
{30269} inflammation, brain
{32242} leishmaniasis in skin inflammation
{32287} brugia microfilaria with neutrophils
{34748} inflammation, vaginal smear
{38377} endarteritis, inflammatory
{39832} pelvic inflammatory disease
{40392} hydrocele; inflamed
{46186} polyarteritis
{46192} vasculitis
{46194} candida pseudohyphae (silver)
{46195} candida pseudohyphae (H&E)
{46199} toxoplasma
{46204} stenosis rheumatic mitral
{46213} pneumococcal septicemia
{46214} listeria
{46215} pyomyositis
{46218} tuberculoma
{46219} meningitis, tuberculous
{46221} trichinosis
{46222} hepatitis herpes simplex
{46223} hepatitis herpes simplex
{46224} nocardia
{46225} coccidioidomycosis
{46226} histoplasma capsulatum
{46227} histoplasma capsulatum
{46228} histoplasma capsulatum
{46229} histoplasma duboisii
{46230} aspergillus fumigatus
{46233} candida albicans
{46234} cryptococcus
{46235} trichomonas mentagrophytes
{46236} aspergillus flavus
{46237} actinomyces israeli
{46238} nocardia
{46239} nocardia
{46240} Microsporum audouini
{46241} leishmaniasis (cutaneous)
{46242} leishmaniasis (cutaneous)
{46243} leishmaniasis (kala azar)
{46247} malaria p. falciparum
{46248} malaria p. falciparum
{46249} malaria cerebral
{46251} stenosis rheumatic mitral
{46259} aspergillus septicemia
{46262} bronchiectasis and tuberculosis
{46263} asthma
{46268} Crohn's disease
{46289} herpes simplex
{46300} lupus band
{46301} dermatitis herpetiformis iga
{46305} rheumatic fever
{46310} pyelonephritis acute
{46311} pyelonephritis xanthrogranulomatous
{46317} Berger's disease (h&e)
{46318} Berger's disease (iga)
{46390} spondylitis ankylosing
{46391} rheumatoid arthritis synovium
{46392} rheumatoid arthritis
{46396} polyarteritis nodosa
{46441} Crohn's disease
{46443} amebiasis
{46466} carbon tetrachloride injury 24 hours
{46467} radiation injury
{46469} pneumonia cytomegalovirus
{46472} mast cell
{46473} mast cell degranulation
{46474} macrophage migration inhibition
{46475} Chagas' disease
{46476} Chagas' disease
{46477} Chagas' disease
{46478} cysticercus cellulosae
{46480} rheumatic valvulitis
{46481} rheumatic heart disease anitschkow myocyte
{46484} Crohn's disease
{46486} diarrhea (30 mins.)
{46491} treponema (Levaditi)
{46492} candida septicemia
{46493} echinococcus
{46495} trichuris
{46496} filaria
{46497} babesia
{46498} trichomonas vaginalis
{46505} tuberculosis
{46532} phlebitis pericentral
{46543} hyaline droplets
{46548} fibrin
{46551} mast cell degranulating
{47613} tooth pulp, inflamed
{47614} tooth pulp, inflamed
{47621} tooth pulp, inflamed
{47622} tooth pulp, inflamed
{53544} inflammation, necrotizing wall
{53545} inflammation, necrotizing wall
{53546} inflammation, chronic after inflammation

{06190} schistosomiasis egg shell in granuloma with giant cells
{07061} trauma vascular obstruction
{07062} trauma vascular obstruction
{07152} trauma vascular obstruction
{09120} granuloma
{09246} thyroiditis, granulomatous
{09247} thyroiditis, granulomatous
{09854} Q-fever hepatitis, ring granuloma
{10106} inflammation, granulomatous
{10229} inflammation, granulomatous
{10958} granuloma, lymph node caseous
{10964} granuloma, lymph node caseous
{10976} granulomas, tonsil
{10979} granulomas, tonsil
{10982} granulomas, tonsil
{11423} granuloma, lung fibrocalcific
{11541} pyelonephritis, xanthogranulomatous
{11659} granuloma, lung necrotizing
{11990} Wegener's granulomatosis, necrotic nodule
{11991} Wegener's granulomatosis, pulmonary
{12225} granuloma, pyogenic
{12226} granuloma annulare
{12356} erosion, granuloma inguinale
{12783} granuloma, pyogenic
{12784} granuloma, pyogenic
{12786} granuloma, pyogenic
{12787} granuloma, pyogenic
{12789} granuloma, pyogenic
{12790} granuloma, pyogenic
{13053} granuloma annulare
{13054} granuloma annulare
{13056} granuloma annulare
{13180} granuloma, larynx
{13185} granuloma, vocal cord
{13364} histoplasmosis, lung; granuloma
{13365} histoplasmosis, lung; granuloma
{13670} granuloma, lymph node
{14427} sarcoid, diffuse granulomatous myositis
{15376} granuloma, lymph node
{15379} granuloma with necrosis DF-2
{15671} granuloma, eosinophilic
{15672} granuloma, eosinophilic
{15746} schistosoma eggs
{15757} schistosoma
{17629} inflammation, granulomatous lung
{17630} inflammation, chronic granulomatous lung
{17631} granuloma, lung
{19512} colitis, granulomatous
{20125} lipogranulomatosis, farber's
{20127} lipogranulomatosis, farber's
{20206} granulomas, spleen
{21285} granuloma, peripheral giant cell
{21286} granuloma, peripheral giant cell
{21294} granuloma, peripheral giant cell
{21295} granuloma, peripheral giant cell
{21296} granuloma, peripheral giant cell
{21297} granuloma, peripheral giant cell
{21298} granuloma, peripheral giant cell
{21303} granuloma, traumatic
{21367} granuloma, central giant cell
{21497} granuloma, central giant cell
{21531} granuloma, peripheral giant cell
{21532} granuloma, peripheral giant cell
{21533} granuloma, peripheral giant cell
{21534} granuloma, peripheral giant cell
{21535} granuloma, peripheral giant cell
{21541} granuloma, traumatic
{21542} granuloma, traumatic
{21543} granuloma, traumatic
{21545} granuloma, traumatic
{21546} granuloma, traumatic
{21584} granuloma, pyogenic
{21585} granuloma, pyogenic
{21586} granuloma, pyogenic
{21587} granuloma, pyogenic
{21602} epulis, congenital=giant cell granuloma
{21603} epulis, congenital=giant cell granuloma
{21604} epulis, congenital=giant cell granuloma
{21605} granuloma, peripheral giant cell
{21606} granuloma, peripheral giant cell
{21607} granuloma, peripheral giant cell
{21710} granuloma, pyogenic
{21721} granuloma, peripheral giant cell
{21777} granuloma, peripheral giant cell
{21880} pyogenic granuloma, conjunctiva
{21882} pyogenic granuloma, conjunctiva
{21883} pyogenic granuloma, conjunctiva
{23386} lymphogranuloma venereum
{23422} sarcoidosis, granulomas
{23425} lymphogranuloma venereum
{23968} prostatitis, granulomatous
{23999} granuloma, post surgical
{24005} granuloma, BCG
{24006} granuloma, BCG
{24044} pyelonephritis, xanthogranulomatous
{24045} pyelonephritis, xanthogranulomatous
{24720} thyroiditis, granulomatous
{24721} thyroiditis, granulomatous
{24760} granuloma, cholesterol tendon
{24852} granulomatosis, Wegener's kidney
{24886} xanthogranuloma, juvenile
{24918} granuloma annulare
{25089} granuloma inguinale
{25090} granuloma inguinale, silver stain
{25117} lymphogranuloma venereum
{25140} epididymitis with sperm granulomas
{25141} epididymitis with tubal rupture
{25142} orchitis, granulomatous
{25143} orchitis, granulomatous
{25196} sperm granuloma
{25218} prostatitis, granulomatous
{25220} tuberculosis
{25340} pyelonephritis, xanthogranulomatous
{27503} berylliosis, granulomas
{27667} coccidioides, granuloma
{27672} coccidioides, granuloma
{29997} title slide
{29998} inflammatory granulomatous syndromes
{29999} inflammatory granulomatous syndromes
{30000} inflammatory granulomatous syndromes
{30001} inflammatory granulomatous syndromes
{31996} aspergillus granuloma, brain
{32215} schistosoma mansoni egg granuloma
{32226} pyogenic granuloma in skin
{32227} schistosoma mansoni egg granuloma
{32251} schistosoma egg granuloma
{32277} schistosomal granuloma
{32311} schistosoma japonicum granuloma fibrosis
{32321} granuloma, noncaseating
{32324} granuloma, noncaseating
{32346} schistosoma japonicum granuloma, mouse
{34147} granuloma, eosinophilic
{34150} granuloma, eosinophilic
{35549} beryllium, granuloma
{35552} beryllium, granuloma
{36790} granuloma, eosinophilic
{36793} granuloma, eosinophilic
{37462} granuloma, cryptococcus
{38881} pyelonephritis, xanthogranulomatous
{39496} granulomatosis, Wegener's
{39497} granulomatosis, Wegener's
{39543} granulomatosis, Wegener's
{39573} pyelonephritis, xanthogranulomatous
{39574} pyelonephritis, xanthogranulomatous
{39575} pyelonephritis, xanthogranulomatous
{39879} granuloma, fungal
{39880} granuloma, fungal
{40073} xanthogranuloma
{40120} salpingitis, xanthogranulomatous
{40351} granuloma
{40352} granuloma
{40520} granulomatosis, Wegener's
{40521} granulomatosis, Wegener's
{40522} granulomatosis, Wegener's
{40523} granulomatosis, Wegener's
{40524} granulomatosis, Wegener's
{40525} granulomatosis, Wegener's
{40526} granulomatosis, Wegener's
{40527} granulomatosis, Wegener's
{40568} granuloma, giant cell
{40569} granuloma, giant cell
{40570} granuloma, giant cell
{40571} granuloma, giant cell
{40662} granuloma, eosinophilic
{40663} granuloma, eosinophilic
{40664} granuloma, eosinophilic
{46311} pyelonephritis xanthrogranulomatous
{49307} pyelonephritis, xanthogranulomatous
{49350} lipogranuloma from ruptured breast implant
{49459} thyroiditis, granulomatous
Romeo wanted to be loved.
Don Quixote wanted to find meaning.
Tristram Shandy wanted to find an answer for death.
All are great reads. Watch these themes as you go through your medical education and practice.

BIBLIOGRAPHY / FURTHER READING

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