IPLab:Lab 3:Fibrinous Pericarditis

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Clinical Summary

This patient is a 36-year-old white male with a history of long-standing renal disease who presents with end-stage kidney disease and a BUN of 112 mg/dLA normal BUN for this patient would be 10 to 20 mg/dL.. During the present hospitalization he developed a pericardial friction rubA pericardial friction rub is the characteristic sign of pericarditis. It sounds like the rubbing together of two rough surfaces. The sound may vary over time and patient position. and pericardial and pleural effusionsPleural effusion is the presence of fluid in the pleural space. Increased hydrostatic pressure in the pulmonary vasculature, as seen in heart failure, is one cause of pleural effusion.. A semi-elective pericardiectomyA pericardiectomy is a surgical procedure in which the pericardial sac is opened, a piece is removed, and the sac is left open. was performed.


Submitted for examination was a rectangular segment of gray-tan tissue measuring 9.5 x 8.5 x 0.3 cm. The outer surface was fatty in appearance. The inner surface was rough and covered by a number of fine red papillary projections. The projections were composed of fine strands having the appearance of fibrin.


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