{"id":1025,"date":"2016-08-22T11:24:17","date_gmt":"2016-08-22T03:24:17","guid":{"rendered":"http:\/\/ww4.mywebsparks.com\/nus_pathweb\/?page_id=1025"},"modified":"2023-06-30T11:00:52","modified_gmt":"2023-06-30T03:00:52","slug":"approach-to-gross-pathology","status":"publish","type":"page","link":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/","title":{"rendered":"How to Describe Pots: Approach to Gross Pathology"},"content":{"rendered":"\r\n<h2>\r\n\t\thow to describe pots: approach to gross pathology\r\n\t<\/h2>\r\n\t<p>The purpose of this chapter is simply to introduce you to gross pathology and to demonstrate how to describe and appreciate gross morphology i.e. abnormal organs and tissues.<\/p>\r\n\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Does appreciating gross morphology make me a better doctor? (Click to expand)<\/a>\r\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\n\t\t\t\t\t<p>&nbsp;<\/p>\r\n<p>Consider Mdm Rosnah, a 63 year old lady, who presents with a growth in her foot. It has been increasing in size over the last few months, and is starting to interfere with walking. She also feels the foot is becoming rather unsightly.<\/p>\r\n<p><strong>Q: After taking a detailed history, what would you do next?<\/strong><\/p>\r\n<p><strong>A<\/strong>: The next step would be to <strong>examine the patient<\/strong>, with the ultimate aim of making an <strong>accurate diagnosis.<\/strong> With the history of a growth in the foot, it would be important to think of a possible <strong>neoplastic process<\/strong>, or possibly an infectious process causing skin changes, eg. viral wart, fungal infection.<\/p>\r\n<p><em>Take a look at the picture. What clues are there that point to the correct diagnosis?<\/em><\/p>\r\n<p>On physical examination, you carefully examine the foot &#8211;\u00a0this is essentially assessing gross pathology!<\/p>\r\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg\" alt=\"\" width=\"312\" height=\"604\" \/><\/p>\r\n\t<p>Here is a picture of the foot of a patient who complains of difficulty walking. Try to describe this in your own words.<\/p>\r\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg\" alt=\"FoPic-1-ot-SCC-2c3ppc7\" itemprop=\"image\" height=\"604\" width=\"312\" title=\"FoPic-1-ot-SCC-2c3ppc7\" onerror=\"this.style.display='none'\"  \/>\r\n\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Click here for sample description<\/a>\r\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\nThere is a fungating growth arising from the skin of the distal and lateral aspect of the right foot. It has irregular margins and appears to invade into the underlying soft tissue and bone. The last two toes are completely destroyed, while the middle toe shows partial destruction by this growth.\r\n<p>&nbsp;<\/p>\r\n<p>Features are highly suggestive of a <strong>malignant tumour.<\/strong><\/p>\r\n\t<ul>\r\n<li><strong>Physical examination<\/strong> tells you if this is a <em>tumour<\/em>, <em>infectious process<\/em>, or <em>something else<\/em>. Essentially, the appreciation of the gross pathological features <strong>clinches the diagnosis<\/strong><strong>.<\/strong><\/li>\r\n<li>With the <strong>correct diagnosis<\/strong> -&gt; one can order <strong>appropriate investigations<\/strong> -&gt; proceed to <strong>appropriate treatment<\/strong>.<\/li>\r\n<li>In <strong>internal organs,<\/strong> e.g. in the lung, a <strong>radiological test<\/strong> (e.g. X-ray, CT scan) shows the appearance, and this is essentially <em>assessing gross pathology, but in black and white, in vivo.<\/em><\/li>\r\n<\/ul>\r\n<p><strong>Key points:<\/strong><\/p>\r\n<ul>\r\n<li>Essentially, the appreciation of the gross pathological features clinches the diagnosis.<\/li>\r\n<li>Subcellular changes -&gt; abnormal appearance of cells -&gt; grossly abnormal organs.<\/li>\r\n<li>Gross pathology tells the <strong>story<\/strong> of the disease &#8211; how it behaves, progresses and gives rise to clinical signs and symptoms.<\/li>\r\n<li>In deep seated organs (e.g. liver or lung), we perform radiologic scans or endoscopy &#8211; this is the study of gross pathology.<\/li>\r\n<\/ul>\r\n\t<p>You may find the <strong>ONE PAGE Summary<\/strong> useful as a concise summary of the approaches learned. <\/p>\r\n<p>Click on the button below to access it.<\/p>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/where-to-start\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\t\tI. Where to Start?\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/glossary-of-gross-terms\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\t\tII. Glossary of Terms\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/practice\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\t\tIII. Approach to Gross Pathology: Practice!\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/approach-to-gross-pathology-one-page-summary\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\t\tApproach to Gross Pathology One Page Summary\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\t\tPathology Demystified\r\n\t\t\t\t\t<\/a>\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>how to describe pots: approach to gross pathology The purpose of this chapter is simply to introduce you to gross pathology and to demonstrate how to describe and appreciate gross morphology i.e. abnormal organs and tissues. Does appreciating gross morphology make me a better doctor? (Click to expand) Expand &nbsp; Consider Mdm Rosnah, a 63 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":825,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1025","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NUS Pathweb<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:description\" content=\"how to describe pots: approach to gross pathology The purpose of this chapter is simply to introduce you to gross pathology and to demonstrate how to describe and appreciate gross morphology i.e. abnormal organs and tissues. Does appreciating gross morphology make me a better doctor? (Click to expand) Expand &nbsp; Consider Mdm Rosnah, a 63 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/\" \/>\n<meta property=\"og:site_name\" content=\"NUS Pathweb\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-30T03:00:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/\",\"name\":\"\",\"isPartOf\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg\",\"datePublished\":\"2016-08-22T03:24:17+00:00\",\"dateModified\":\"2023-06-30T03:00:52+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#primaryimage\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg\",\"contentUrl\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg\",\"width\":312,\"height\":604},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pathology Demystified\",\"item\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"How to Describe Pots: Approach to Gross Pathology\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#website\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/\",\"name\":\"NUS Pathweb\",\"description\":\"Pathology made easy\",\"publisher\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization\",\"name\":\"NUS Medicine PathWeb\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png\",\"contentUrl\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png\",\"width\":300,\"height\":61,\"caption\":\"NUS Medicine PathWeb\"},\"image\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.instagram.com\/pathweb\/\",\"https:\/\/www.youtube.com\/channel\/UC3FweZwONWAicB72vF9P5ew\/playlists\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"NUS Pathweb","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/","og_locale":"en_US","og_type":"article","og_description":"how to describe pots: approach to gross pathology The purpose of this chapter is simply to introduce you to gross pathology and to demonstrate how to describe and appreciate gross morphology i.e. abnormal organs and tissues. Does appreciating gross morphology make me a better doctor? (Click to expand) Expand &nbsp; Consider Mdm Rosnah, a 63 [&hellip;]","og_url":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/","og_site_name":"NUS Pathweb","article_modified_time":"2023-06-30T03:00:52+00:00","og_image":[{"url":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/","name":"","isPartOf":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#website"},"primaryImageOfPage":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#primaryimage"},"image":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#primaryimage"},"thumbnailUrl":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg","datePublished":"2016-08-22T03:24:17+00:00","dateModified":"2023-06-30T03:00:52+00:00","breadcrumb":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#primaryimage","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg","contentUrl":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2016\/08\/FoPic-1-ot-SCC-2c3ppc7.jpg","width":312,"height":604},{"@type":"BreadcrumbList","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/approach-to-gross-pathology\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/medicine.nus.edu.sg\/pathweb\/"},{"@type":"ListItem","position":2,"name":"Pathology Demystified","item":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/"},{"@type":"ListItem","position":3,"name":"How to Describe Pots: Approach to Gross Pathology"}]},{"@type":"WebSite","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#website","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/","name":"NUS Pathweb","description":"Pathology made easy","publisher":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medicine.nus.edu.sg\/pathweb\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#organization","name":"NUS Medicine PathWeb","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/","url":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png","contentUrl":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2020\/08\/NUS-Medicine-Logo.png","width":300,"height":61,"caption":"NUS Medicine PathWeb"},"image":{"@id":"https:\/\/medicine.nus.edu.sg\/pathweb\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.instagram.com\/pathweb\/","https:\/\/www.youtube.com\/channel\/UC3FweZwONWAicB72vF9P5ew\/playlists"]}]}},"_links":{"self":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/1025"}],"collection":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/comments?post=1025"}],"version-history":[{"count":10,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/1025\/revisions"}],"predecessor-version":[{"id":35870,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/1025\/revisions\/35870"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/pages\/825"}],"wp:attachment":[{"href":"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-json\/wp\/v2\/media?parent=1025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}