IPLab:Lab 2:Hypertrophy: Difference between revisions - Pathology Education Instructional Resource

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== Clinical Summary ==

This 68-year-old man ~~initially sought medical advice five years prior~~ to ~~his death. His symptoms at that time were~~ exercise intolerance and occasional peripheral edema. He gave a history of a "heart murmur" that was diagnosed 25 years ago during an employment physical~~. No~~ follow up care had been given for this murmur.

This 68-year-old man came to the hospital with complaints of exercise intolerance and occasional peripheral edema. He gave a history of a "heart murmur" that was diagnosed 20 years ago during an employment physical but no follow up care had been given for this murmur. On examination the patient had peripheral edema and shortness of breath and a chest x-ray revealed significant cardiac enlargement and pulmonary edema with bilateral pleural effusions. He sustained a cardiac arrest shortly after admission and could not be resuscitated.

~~The patient's terminal admission was for signs of severe heart failure --~~ the patient had ~~marked~~ peripheral edema and shortness of breath and chest x-ray revealed significant cardiac enlargement and pulmonary edema with bilateral pleural effusions. He sustained a cardiac arrest shortly after admission and could not be resuscitated.

Autopsy disclosed a markedly enlarged heart weighing 650 grams. The aortic valve was calcified and showed evidence of stenosis and insufficiency. The coronary arteries were narrowed 60 to 70% by atherosclerosis. No acute coronary occlusions were found.

== Autopsy Findings ==

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 == Clinical Summary ==
-This 68-year-old man initially sought medical advice five years prior to his death. His symptoms at that time were exercise intolerance and occasional peripheral edema. He gave a history of a "heart murmur" that was diagnosed 25 years ago during an employment physical. No follow up care had been given for this murmur.
+This 68-year-old man came to the hospital with complaints of exercise intolerance and occasional peripheral edema. He gave a history of a "heart murmur" that was diagnosed 20 years ago during an employment physical but no follow up care had been given for this murmur.  On examination the patient had peripheral edema and shortness of breath and a chest x-ray revealed significant cardiac enlargement and pulmonary edema with bilateral pleural effusions. He sustained a cardiac arrest shortly after admission and could not be resuscitated.
-The patient's terminal admission was for signs of severe heart failure -- the patient had marked peripheral edema and shortness of breath and chest x-ray revealed significant cardiac enlargement and pulmonary edema with bilateral pleural effusions. He sustained a cardiac arrest shortly after admission and could not be resuscitated.
+Autopsy disclosed a markedly enlarged heart weighing 650 grams. The aortic valve was calcified and showed evidence of stenosis and insufficiency. The coronary arteries were narrowed 60 to 70% by atherosclerosis. No acute coronary occlusions were found.
 == Autopsy Findings ==