Monday, September 11, 2017

Guest Post from Dr. PJ Cimino: Blue discoloration of the gray matter in a patient who received methylene blue for respiratory distress prior to death

Dr. PJ Cimino, whom we profiled when he was a fellow back in November of 2013, is a now faculty member at the University of Washington. I was delighted to receive this email from him today:

"I had an autopsy case with interesting gross pathology findings, which made for some nice clinical images (below). The patient received therapeutic methylene blue in the setting of respiratory distress prior to death. The gross pathology showed striking widespread green-blue gray matter discoloration. I thought these images might be of interest to share with the general neuropatholgy community, and thought your blog might be a good platform to do so, especially since you have posted many good clinical images."

Friday, September 8, 2017

American Board of Pathology Maintenance of Certification Exam Pass Rate Dips to 97.7%!!!

The American Board of Pathology (ABP) recently published their pass rates for the Spring 2017 administration. After maintaining a 100% pass rate for the previous four administrations of the exam over two years, the Spring 2017 exam pass rate has dipped to an appalling 97.7%!

A total of 265 individuals took the exam (at $700 per examinee, the ABP brought in a paultry $185,000 from this administration). Included in this number is probably the few like me who only took the neuropathology exam, with the majority likely taking the AP/CP exam.)

Bottom line: No need to worry about either your likelihood of passing the MOC exam or the financial well-being of the ABP.

Friday, August 25, 2017

I took the American Board of Pathology Neuropathology Maintenence of Certification Exam

I took the American Board of Pathology neuropathology maintenance of certification exam this week. Given that the ABP goal is virtually a 100% pass rate, I found the test more difficult than I anticipated. I suppose I shouldn't have been surprised by the level of difficulty of some of the questions, given that the ABP publishes the topics covered. But in some cases knowing the topic does not really help with preparation. For example, one topic listed is: "abnormal corticospinal tracts/pyramids". In any case, I am sure the cut-off score for passing is relatively low. Results, which only entail whether or not one has passed, will be released in October.

Thursday, August 17, 2017

Tuesday, August 8, 2017

College of American Pathologists Neuropathology Committee met in Monterey, CA this past weekend

The College of American Pathologists Neuropathology (CAP-NP) Committee met in Monterey, CA this past weekend.  We are making plans for our next SAM-eligible educational product that will, among on things, update you on the latest World Health Organization system of pituitary adenoma classification. After a long day at work on the CAP-NP educational product, committee members retired to a nearby restaurant where this picture was snapped:

Some of the CAP Neuropathology Committee members (left to right, in the foreground)" Brett Harris, Andrea Weins, Areli Cuevas-Ocampo, Matt Scheiderjan (standing), Eyas Hattab (seated), and Rania Hattab (wife of Dr. Eyas Hattab)

Friday, July 14, 2017

Best Post of May 2017 - Guest Post: A Case from the Hawkeye State

The next in our "Best of the Month" series is from May 19, 2017:

From the illustrious Dr. Karra Jones of the University of Iowa:

Karra Jones, MD, PhD
40 year old female with progressive headaches over 6-8 months. MRI showed a large cystic and solid mass, favored to be extra-axial and arising from the anterior skull base just left of midline with possible dural attachment. Sections showed a densely cellular mass arranged in a mostly haphazard, slightly fascicular pattern. Alternating hypercellular and hypocellular areas were seen. Tumor cells were ovoid to spindle shaped with scant eosinophilic cytoplasm. No eosinophilic bands of wire-like collagen were noted, and only focal staghorn-like vasculature was identified. Only up to 3 mitotic figures were enumerated in 10 hpf counts. No necrosis was identified. You can see the diagnosis in the comment section after considering the photographs below:

Axial MRI T1 Post-Contrast




Wednesday, July 5, 2017

Best Post of April 2017: Screenshots of the surgical neuropathology volume of the Johns Hopkins Atlases of Pathology

The next in our "Best of the Month" series is from April 6, 2017:

A month ago I put up a post regarding the release of Volume 3 of the Johns Hopkins Atlases of Pathology for the iPad. This app only costs $4.99 .  Here are some screenshots of the app provided to me by series editor Toby Cornish, MD, PhD: