1,845
edits
Changes
→Virtual Microscopy
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.
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 Findings ==
File:IPLab2Hypertrophy6.jpg|This gross photograph shows an example of normal physiologic hypertrophy. The organs shown are an open uterus (1), cervix (2) and vagina (3), both ovaries (4) and both kidneys (5) from a woman who died shortly after normal delivery from causes unrelated to childbirth. Note the marked thickening of the uterine wall due to smooth muscle cell hypertrophy.
</gallery>
== Virtual Microscopy ==
=== Myocardial Hypertrophy ===
<peir-vm>IPLab2Hypertrophy</peir-vm>
=== Normal Heart ===
<peir-vm>IPLab2Hypertrophy_normal_Heart</peir-vm>
== Study Questions ==
=== Images ===
* [http://peir.dnsdynamic.com{{SERVER}}/library/index.php?/tags/76-cardiomyopathy PEIR Digital Library: Cardiomyopathy Images]* [http://peir.dnsdynamic.com{{SERVER}}/library/index.php?/tags/1202-hypertrophy_biventricular PEIR Digital Library: Cardiac Hypertrophy Images]
* [http://library.med.utah.edu/WebPath/CVHTML/CVIDX.html#11 WebPath: Cardiomyopathies]
== Related IPLab Cases ==
* [[IPLab:Lab 6:Scleroderma|Lab 6: Lung: Scleroderma]]
{{Template:IPLab 2}}
[[Category:IPLab:Lab 2]]