Cardiovascular Pathology

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• Cardiovascular Pathology
• Case Discussion
• Session 1

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• Case 1
• 25 years, Male
• History of being trapped in monsoon deluge
• Presented with high grade fever with chills for
  5 days
• Admitted for severe dyspnea jaundice
• Investigations for Malaria Dengue negative
• Died within 2 days of admission
• Autopsy Hemorrhages over skin mucus membranes
  
• in lung parenchyma

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• Case 2
• 14 years, Female
• Complaints of progressive dyspnoea since one year
  with
• chest pain, decreased appetite weight loss
• Clinical Impression Constrictive pericarditis of
  possibly
• tuberculous etiology
• 2D Echo RA Enlargement, LV EF 40, Thickened
• pericardium 10 mm

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• Case 3
• 24 years, Male
• Admitted with a five-day history of High-grade
  fever with chills, Erythematous maculopapular
  rash, Bilateral parotid enlargement Posterior
  cervical lymphadenopathy
• Rapid test for leptospirosis was positive
• Autopsy Moderate cardiomegaly (weight 325 gm)
  Moderate biatrial biventricular hypertrophy
  Creamy, fleshy myocardium

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• Case 4
• 19 years, Male
• Admitted with 4 days history of fever, followed
  by altered sensorium bilateral upper and lower
  limb weakness History of passing urine stool
  in bed
• Hematological investigations Hb 10.5 gm/dl TLC
  67000/cmm 81 eosinophils
• Clinical radiological impression Acute
  demyelinating encephalomyelitis
• Therapy with steroids Imatinib

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• Case 4
• Expired after 8 days of admission
• Heart showed multiple thrombi in both ventricles
• Section from the left ventricle provided

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• Case 5
• 11 years, Female
• Cough, fever off and on, dyspnea for the past 15
  days
• Past history of arthralgia with therapy for
  rheumatic heart disease
• Normotensive Difference in pulse rate and
  amplitude in both upper limbs
• Section of the proximal arch of aorta.

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