Flashcards in Pericarditis, Cardiac Tumors / Cardiac Patho Test 2/2 Deck (34):
Parietal Pericardium Anatomy ?
-Tough, fibrous outer layer
- Inner serous membraneous
Visceral Pericardium Anatomy?
Reflected serosal membrane over the epicardial surface
4 cause of "INFECTIVE"
3 secondary causes of
-Radiation to mediastinum
4 systemic disorders that can cause Pericarditis ?
-Acute rheumatic fever
-Systemic lupus erythematosus
Morphology of pericarditis varies with etiology, what are 3 conditions that result in Pericarditis as a result of FIBRINOUS EXUDATE ?
-acute rheumatic fever
Disease that can cause "CASEOUS" Pericarditis ?
Disease that can cause "FIBRINOUS & BLOODY" Pericarditis ?
Organism that can cause papules that look like herpes on the parietal pericardium?
Fibrinopurulent (containing, characterized by, or exuding fibrin and pus) Pericarditis is the result of what ?
Pericarditis outcome of fibrosis will lead to what ?
Extensive Suppuration (process of discharging pus) or cessation.
Pericarditis resolution will lead to what ?
Fibrinous & Fibrinopurulent
Chronic Pericarditis will lead to
Delicate adhesions &
Fibrotic scars. These Fibrotic scars will lead to what ?
obliteration of pericardial space
Constrictive pericarditis will lead to what ?
Inability of heart to expand during diastole.
3 Clinical Features of Pericarditis?
- Atypical chest pain (worse on
- Pericardial friction rub
- Cardiac tamponade
Massive exudate can result in Cardiac Tamponade. What are 4 clinical signs and symptoms can confirm this suspicion?
- Faint, distant heart sounds
- ↓ cardiac output
2 Clinical Features of
Chronic constrictive pericarditis?
- venous distention
- ↓ cardiac output
Inflammatory pericardial effusion leads to ?
Non-inflammatory "SEROUS" pericardial effusion can result from what ?
Serosanguineous Pericardial Effusions can result from what?
- blunt chest trauma
Chylous Pericardial Effusions can result from what?
mediastinal lymphatic obstruction
A milky bodily fluid consisting of lymph and emulsified fats, or free fatty acids (FFAs).
Rapid accumulation of Pericardial Effusions can lead to what ?
Presence of pure (undiluted) blood in pericardial sac describes what?
3 causes of Hemopericardium?
-Ruptured Aortic Aneurysms
-Ruptured Myocardial Infarcts
-Penetrating traumatic injury to the heart
Metastatic Neoplasms are far more common than primary neoplasms of the heart
Occur in 10% of patients with what?
Metastatic Neoplasms Usually involve the pericardium and result in ?
-hemorrhagic pericardial effusion
Most Common Metastatic Neoplasms ?
Most Common Primary Neoplasms ?
- Myxomas (most common)
- Papillary Elastofibromas
- Rhabdomyosarcomas (least common)
Myxomas as the most common primary tumor of the heart in adults.
- Most often in left atrium
- Sessile (low growing)
- More common in adults
- Bland stellate cells in
Tendency to fragment and embolize creating what?
Ball-Valve obstruction to AV valves which can cause syncope
Benign neoplasm derived from skeletal muscle. Eosinophilic, polygonal cells with large glycogen-rich cytoplasmic granules.
What is the most common primary cardiac tumor of infancy and childhood?