IPLab:Lab 3:Fibrinous Pericarditis - Revision history

Peter Anderson: /* Images */

2020-06-19T23:49:56Z

‎Images

Peter Anderson: /* Clinical Summary */

2020-06-19T23:46:30Z

‎Clinical Summary

Peter Anderson: /* Findings */

2020-06-19T23:46:06Z

‎Findings

Peter Anderson: /* Images */

2020-06-19T23:45:31Z

‎Images

Peter Anderson: /* Images */

2020-06-19T23:42:44Z

‎Images

Peter Anderson: /* Images */

2020-06-19T23:41:05Z

‎Images

Seung Park at 16:07, 3 January 2014

2014-01-03T16:07:53Z

Seung Park: /* Images */

2013-08-30T01:26:47Z

‎Images

Seung Park: /* Related IPLab Cases */

2013-08-22T02:19:16Z

‎Related IPLab Cases

Seung Park: /* Related IPLab Cases */

2013-08-21T22:17:40Z

‎Related IPLab Cases

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 <gallery heights="250px" widths="250px">
 File:IPLab3FibrinousPericarditis1.jpg|Gross photograph of this heart illustrating acute fibrinous pericarditis. The pericardium on this heart has been reflected back (arrows). The surface of the heart is rough due to the deposition of fibrin on the epicardial surface of the heart and on the inner surface of the pericardium.
-File:IPLab3FibrinousPericarditis2x.jpg|This is another example of fibrinous pericarditis in another heart. The pericardium has been removed and most of the epicardial surface is covered with fibrinous deposits as in the previous slide. There are a few glistening areas of exposed normal myocardial tissue.
+File:IPLab3FibrinousPericarditis2y.jpg|This is another example of fibrinous pericarditis in another heart. The pericardium has been removed and most of the epicardial surface is covered with fibrinous deposits as in the previous slide. There are a few glistening areas of exposed normal myocardial tissue.
 File:IPLab3FibrinousPericarditis3b.jpg|This low-power photomicrograph illustrates the dark-red-staining fibrin deposits on the inner surface (arrows). This pericardium is much thicker than normal and there are numerous inflammatory cells within the pericardial tissue.
 File:IPLab3FibrinousPericarditis4b.jpg|This is a higher-power photomicrograph demonstrating fronds of fibrin (arrows) projecting from the surface of the pericardium.

← Older revision		Revision as of 23:46, 19 June 2020
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	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/dL. During the present hospitalization he developed a pericardial friction rub and pericardial and pleural effusions. A semi-elective pericardiectomy was performed.		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/dL. During the present hospitalization he developed a pericardial friction rub and pericardial and pleural effusions. A semi-elective pericardiectomy 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.

	== Images ==		== Images ==

← Older revision		Revision as of 23:46, 19 June 2020
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	== Clinical Summary ==		== 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/dL. During the present hospitalization he developed a pericardial friction rub and pericardial and pleural effusions. A semi-elective pericardiectomy was performed.		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/dL. During the present hospitalization he developed a pericardial friction rub and pericardial and pleural effusions. A semi-elective pericardiectomy was performed.
−
−
−	~~== Findings ==~~
−	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.

@@ Line 10: / Line 10: @@
 <gallery heights="250px" widths="250px">
 File:IPLab3FibrinousPericarditis1.jpg|Gross photograph of this heart illustrating acute fibrinous pericarditis. The pericardium on this heart has been reflected back (arrows). The surface of the heart is rough due to the deposition of fibrin on the epicardial surface of the heart and on the inner surface of the pericardium.
-File:IPLab3FibrinousPericarditis2b.jpg|This is another example of fibrinous pericarditis in another heart. The pericardium has been removed and most of the epicardial surface is covered with fibrinous deposits as in the previous slide. There are a few glistening areas of exposed normal myocardial tissue.
+File:IPLab3FibrinousPericarditis2x.jpg|This is another example of fibrinous pericarditis in another heart. The pericardium has been removed and most of the epicardial surface is covered with fibrinous deposits as in the previous slide. There are a few glistening areas of exposed normal myocardial tissue.
 File:IPLab3FibrinousPericarditis3b.jpg|This low-power photomicrograph illustrates the dark-red-staining fibrin deposits on the inner surface (arrows). This pericardium is much thicker than normal and there are numerous inflammatory cells within the pericardial tissue.
 File:IPLab3FibrinousPericarditis4b.jpg|This is a higher-power photomicrograph demonstrating fronds of fibrin (arrows) projecting from the surface of the pericardium.

@@ Line 10: / Line 10: @@
 <gallery heights="250px" widths="250px">
 File:IPLab3FibrinousPericarditis1.jpg|Gross photograph of this heart illustrating acute fibrinous pericarditis. The pericardium on this heart has been reflected back (arrows). The surface of the heart is rough due to the deposition of fibrin on the epicardial surface of the heart and on the inner surface of the pericardium.
-File:IPLab3FibrinousPericarditis2.jpg|This is another example of fibrinous pericarditis in another heart with the pericardium removed. Most of the epicardial surface is covered with fibrinous deposits as in the previous slide. There are a few glistening areas of exposed normal myocardial tissue.
+File:IPLab3FibrinousPericarditis2b.jpg|This is another example of fibrinous pericarditis in another heart. The pericardium has been removed and most of the epicardial surface is covered with fibrinous deposits as in the previous slide. There are a few glistening areas of exposed normal myocardial tissue.
-File:IPLab3FibrinousPericarditis3.jpg|This low-power photomicrograph illustrates the dark-red-staining fibrin deposits on the inner surface (arrows). This pericardium is much thicker than normal and there are numerous inflammatory cells within the pericardial tissue.
+File:IPLab3FibrinousPericarditis3b.jpg|This low-power photomicrograph illustrates the dark-red-staining fibrin deposits on the inner surface (arrows). This pericardium is much thicker than normal and there are numerous inflammatory cells within the pericardial tissue.
-File:IPLab3FibrinousPericarditis4.jpg|This is a higher-power photomicrograph demonstrating fronds of fibrin (arrows) projecting from the surface of the pericardium.
+File:IPLab3FibrinousPericarditis4b.jpg|This is a higher-power photomicrograph demonstrating fronds of fibrin (arrows) projecting from the surface of the pericardium.
-File:IPLab3FibrinousPericarditis5.jpg|This high-power photomicrograph demonstrates fibrin (red amorphous material) on the surface of the pericardium (1). Note the reactive mesothelial cells on the surface of the pericardium (arrows) and the inflammatory cells within the pericardial tissue.
+File:IPLab3FibrinousPericarditis5b.jpg|This high-power photomicrograph demonstrates fibrin (red amorphous material) on the surface of the pericardium (1). Note the reactive mesothelial cells on the surface of the pericardium (arrows) and the inflammatory cells within the pericardial tissue.
 </gallery>

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 </gallery>
-Study Questions
+== Virtual Microscopy ==
 * <spoiler text="What is the etiology of the fibrinous pericarditis that developed in this patient with renal failure?">Azotemia (an excess of nitrogen in the blood) is believed to be the cause of fibrinous pericarditis but the exact mechanism is unknown.</spoiler>
 * <spoiler text="What are some other possible causes for pericarditis?">These include:

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 === Images ===
-* [http://peir.path.uab.edu/library/index.php?/tags/162-fibrinous_pericarditis PEIR Digital Library: Fibrinous Pericarditis Images]
+* [{{SERVER}}/library/index.php?/tags/162-fibrinous_pericarditis PEIR Digital Library: Fibrinous Pericarditis Images]
 * [http://library.med.utah.edu/WebPath/CVHTML/CVIDX.html#7 WebPath: Pericarditis]

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 * [http://library.med.utah.edu/WebPath/CVHTML/CVIDX.html#7 WebPath: Pericarditis]
-=== Related IPLab Cases ===
+== Related IPLab Cases ==
 * [[IPLab:Lab 3:Acute Myocardial Infarction|Lab 3: Heart: Acute Myocardial Infarction]]

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 === Related IPLab Cases ===
+* [[IPLab:Lab 3:Acute Myocardial Infarction|Lab 3: Heart: Acute Myocardial Infarction]]
 {{IPLab 3}}
 [[Category:IPLab:Lab 3]]