Bronchoscopy results
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation
 

Papanicolaou stain of the alveolar washings reveals a frothy, "honeycomb" looking proteinaceous material.

Here we see a few epithelial cells in the background and a large piece of the "honeycomb" material. The shape of the fragment suggests the appearance of the alveolar space it came from.  Do you see the exudate

The cytotechnogist interpreting the slide suggested a Gomori Methanamine Silver stain to check for Pneumocystis carinii organisms. 

 

 

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