Differential diagnosis

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large numbers of small round bodies with a basophilic center in mononuclear phagocytes from your sample-- Histoplasmosis or Blastomycosis

Histo
What is seen on a cytology of blastomycosis?

5-20 micrometer diameter thick, refractile, double-contoured cell wall, and broad-based budding organism
Which one? Histo or Blasto?
Skin Lesions?
Enlarged lymph nodes?
GI large bowel involvement?
inhaled spores via environment?

Skin lesions, spores inhaled and lymph nodes all Blasto

GI is histo
Aortic stenosis presents how?

concentric hypertrophy of left heart with murmur over left heart base