Michael Feely, DO

Gastrointestinal and Liver Pathologist at University of Florida

[GIPS (GI Pathology Society) @USGIPS]

Interested in the crossroads of pediatric and adult GI pathology? Members can join us today at 12:00 PM EST for a free e-Learning forum. Please see the details below! #GIPS #GIpath #pathology

[GIPS (GI Pathology Society) @USGIPS]

What do all of these beautiful cases have in common besides being found in the most exciting organ system of the body? They have all been featured as one of our Cases of the Month! Interested in sharing a case with a worldwide audience? 👀⬇️ #GIPS #GIpath

[Michael Feely, DO @MFeelyDO]

@DrLaurenceGalea Agree with the other folks below. These are trisacryl gelatin microspheres which among many utilities can be used for prostatic artery embolization to treat BPH. Great pictures!

[Michael Feely, DO @MFeelyDO]

Thanks so much to everyone that has clicked their way through our questions. It's curious, and perhaps not surprising, to see where we all land on this. We'll be sure to let everyone here know how this all shakes out.

[Michael Feely, DO @MFeelyDO]

Have 5 minutes?

A resident and I are attempting to understand reporting variability in ischemic bowel cases and would love to hear your practice through this survey. Nothing fancy, but a boots on the ground kind of project. #pathology #GIpath #UFpath

https://t.co/JFh3WMW4xf

[Michael Feely, DO @MFeelyDO]

@ariella8 @JasonPathology @ParasiteGal @Histopatolomon @nucleololailo @Vik_deshpandeMD @ashokparameswar @olopeznu @DraEosina @Mvgs1706 @drtimbracey This is the rhabditiform larvae of Strongyloides making their way back in. Nice example!

[Michael Feely, DO @MFeelyDO]

@appy_vashi Renal you say…… I think we have an interloper.

[Hanna Lapsar @HLapsar]

Polypoid lesion of sigmoid colon.
Not a frequently seen one 🙃
#PathTwitter #GIpath #BeautyInBenign

[Michael Feely, DO @MFeelyDO]

@Teclis82 @LizMontgomeryMD @Voltaggiol @IHC_guy @smlungpathguy @TristanRutland7 @lbsmithmd @RaulSGonzalezMD Cool! I’ve never caught a case. Perhaps I need to pay more attention. If you’re up for a fun surprise do a BRAF IHC.

[Michael Feely, DO @MFeelyDO]

@YarisDombrovsky @IHC_guy @stephen_lagana @emma_furth @RAStandish @RaulSGonzalezMD Any molecular on this one? Would be interesting to see if there’s a BRAF.

[Michael Feely, DO @MFeelyDO]

@Gut_BMJ @NStockerSAT Waldenstroms versus amyloid, favor the former. Whipples should have a subtle blue-gray tinge to the macrophages and should be PAS positive. In one panel shown here it looks negative. Great case.

[Michael Feely, DO @MFeelyDO]

@navale_pooja @Vik_deshpandeMD @RaulSGonzalezMD @Deyali7 @Mvgs1706 @RunjanChetty @brian_odum We do. We have a very active advanced GI group that essentially expects it. Honestly I also prefer it too because it ensures some uniformity in reporting amongst our group of GI paths.

[Michael Feely, DO @MFeelyDO]

@TGeorgeMD @UF @UFHealthCancer @ASCO I hear the pathologists you get to work with are pretty cool too. 😎 #UFpath

[Michael Feely, DO @MFeelyDO]

Great work by an awesome multidisciplinary team here at UF! @UFHealth #UFpath

[Thiago Beduschi @tbeduschi]

UF has the highest 1y liver graft survival in US. HR of graft loss is 75% lower than the American average. Heavy work by many people and reason of great honor for us. Could not be prouder of the team! Gators strong! 🐊@UF @UFHealth @UFSurgery @ASTSChimera #livertwitter

[Michael Feely, DO @MFeelyDO]

@DraEosina @Histopatolomon @yro854 @Elenacolcri Any history of prior barium study?

[Michael Feely, DO @MFeelyDO]

Another one for the bucket list. Beautiful case of an alien invader.

[Vananthan @Vijuananthan]

Any thoughts on this beautiful, elegant creature that "crawled" into the colonic mucosa and presented as polyp !! I have been googling it for ages and can't find a morphologic fit with any of the adult/ larval parasitic forms that I have ever encountered. Pt is asymptomatic.

[Michael Feely, DO @MFeelyDO]

@RaulSGonzalezMD Go Gators!

[Michael Feely, DO @MFeelyDO]

@jansen_marnix All things considered this would be consistent with condylomata lata.

[Michael Feely, DO @MFeelyDO]

Apparently these things come in a “plasma cell light” version now? I see more treponema IHC in my future. Nice case shared by a colleague. #GIpath #IDpath #UFpath

[Michael Feely, DO @MFeelyDO]

This was a perianal lesion in a young adult. Scouring their chart revealed a brief mention of "partner recently dx with syphilis". I shudder to think what the result could have been w/o that hx.

Lessons:
- Trust no one. Always check the chart.
- It. Can. Always. Be. Syphilis.