Blueprints Surgery, 5th Edition

COLOR PLATES

 

Color Plate 1 Gastric ulcer. The stomach has been opened to reveal a sharply demarcated, deep peptic ulcer on the lesser curvature.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 2 Crohn's disease. The mucosal surface of the colon displays a "cobblestone" appearance owing to the presence of linear ulcerations and edema and inflammation of the intervening tissue.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 3 Crohn's disease. Active phase of Crohn's disease shows cobblestoning, caused by interconnecting ulcerations (left). An area of cobblestoning after therapy is shown on the right.

From Yamada T, Alpers DH, Kaplowitz N, et al. Atlas of Gastroenterology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2003.

 

Color Plate 4 Carcinoid tumor of the small intestine. A bisected annular carcinoid tumor (arrows) constricts the lumen of the small intestine. Lymph node metastases are evident.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 5 Hepatic segmentation. A. The segmental anatomy of the liver is based on the blood supply. Segment I is the caudate lobe. Segments II, III, and IV are part of the left lobe, and segments V, VI, VII, and VIII are part of the right lobe.

From Moore KL, Dalley AF. Clinically Oriented Anatomy. 4th ed. Baltimore, MD: Lippincott Williams & Wilkins, 1999.

 

Color Plate 6 Hepatic adenoma. A surgically resected portion of liver shows a tan, lobulated mass beneath the liver capsule. Hemorrhage into the tumor has broken through the capsule and also into the surrounding liver parenchyma. The patient was a woman who had taken birth control pills for a number of years and presented with sudden intraperitoneal hemorrhage.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 7 Hepatocellular carcinoma. Cross-section of a cirrhotic liver shows a poorly circumscribed, nodular area of yellow, partially hemorrhagic hepatocellular carcinoma.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 8 Inguinal region of a male. The aponeurosis of the external oblique is partly cut away and the spermatic cord has been cut and removed from the inguinal canal. The reflected (reflex) inguinal ligament is formed by aponeurotic fibers of the external oblique. Observe the iliohypogastric and ilioinguinal nerves (branches of the first lumbar nerve) passing between the external and internal oblique muscles. The ilioinguinal nerve is vulnerable during repair of an inguinal hernia.

From Moore KL, Dalley AF. Clinically Oriented Anatomy. 4th ed. Baltimore, MD: Lippincott Williams & Wilkins 1999.

 

Color Plate 9 Thyroid-related ophthalmopathy with proptosis, lid retraction, and limited motility.

From Tasman W, Jaeger E. The Wills Eye Hospital Atlas of Clinical Ophthalmology. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2001.

 

Color Plate 10 Diffuse enlargement of the thyroid gland.

From Weber J, Kelley J. Health Assessment in Nursing. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2003.

 

Color Plate 11 Medullary thyroid carcinoma. Coronal section of a total thyroid resection shows bilateral involvement by a firm, pale tumor.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 12 Pheochromocytoma. The cut surface of an adrenal tumor from a patient with episodic hypertension is reddish brown with a prominent area of fibrosis. Foci of hemorrhage and cystic degeneration are evident.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 13 Calcific aortic stenosis. Large deposits of calcium salts are evident in the cusps and the free margins of the thickened aortic valve, viewed from above.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 14 Posterior abdominal wall showing great vessels, kidneys, and suprarenal glands. Most of the fascia has been removed. Observe that the ureter crosses the external iliac artery just beyond the common iliac bifurcation and that the testicular vessels cross anterior to the ureter and join the ductus deferens (vas deferens) to enter the inguinal canal. Renal arteries are not seen because they lie posterior to the renal veins.

From Moore KL, Dalley AF. Clinically Oriented Anatomy. 4th ed. Baltimore, MD: Lippincott Williams & Wilkins, 1999.

 

Color Plate 15 Renal cell carcinoma. The kidney contains a large irregular neoplasm with a variegated cut surface, including yellow areas that correspond to lipid-containing cells.

From Rubin E, Farber JL. Pathology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1999.

 

Color Plate 16 Pigmented basal cell carcinoma. Note the pearly, waxy surface.

From Goodheart HP. Goodheart's Photoguide of Common Skin Disorders. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2003.

 

Color Plate 17 Nodular basal cell carcinoma. Note the rolled borders with telangiectasia.

From Goodheart HP. Goodheart's Photoguide of Common Skin Disorders. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2003.

 

Color Plate 18 Common donor skin graft sites. Blue skin areas are appropriate for full-thickness grafts; green areas are used for split-thickness grafts and rose sites are used for fat-dermal grafts.

From Smeltzer SC, Bare BG. Textbook of Medical-Surgical Nursing. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2000.



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