April 2019 — Anatomic and Clinical Pathology 1

26-year-old homeless man with history of substance abuse is found unresponsive on the street following a blizzard. He is in a partial state of undress with shirt removed and pants partially pulled down. Autopsy was notable for the presence of multiple superficial punctate gastric erosions (photo 1) and a pancreatic abnormality (photos 2 and 3). Toxicology was positive for methamphetamine in the blood.

Photo 1—Stomach
Photo 2—Pancreas (gross)
Photo 3—Acute Pancreatitis; 10x (left), 20x (right)
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Photo of Rachel K. Horton, D.O. Rachel Horton, D.O.
Resident, Anatomic and Clinical Pathology
Mayo Clinic
Photo of Peter T. Lin, M.D. Peter Lin, M.D.
Consultant, Anatomic Pathology
Mayo Clinic
Assistant Professor of Laboratory Medicine and Pathology
Mayo Clinic College of Medicine

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