Autopsy report question

[nadk9f]

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Hey guys, I'm in pathology right now and for a part of our final grade, we have to do an autopsy case presentation and I was wondering if I could get some of you pathology pros' opinions on what you think it is.

Here are the pictures:
http://www.flickr.com/photos/neal540/

Concentric left ventricular hypertrophy w/ systemic HTN. You can see evidence of an MI. I am having difficult with the lung ones though. My friend and I think there is a pulm hemorrhage, but the micro specimen of the lung looks like ARDS. Don't laugh if I'm wrong, I really suck at this.

Thanks in advance.

-Neal

 

[yaah]

Dunno - it's kind of hard to tell on the low power images. The gross image of the heart looks like concentric LVH. The micro pictures,

I am not sure what that is at this power - looks like lung but there are atypical cells there. Lungs with ARDS usually are heavy (i.e. over 1kg each, normal is ~200g), you would see hyaline membranes in the alveoli +/- lots of inflammatory cells depending on the cause and the time course.

 

[yaah]

I should add that I doubt they care if your diagnosis is accurate. Usually when schools ask you to write up a report on the autopsy they just want to see how you think. Med students get caught up in "the right answer" a lot of the time instead of the process.

Try to equate histologic findings with clinical history and lab/radiology findings prior to death.

 

[YoungFP]

I don't think you have really good hyaline membranes in the lungs. The pic is terrible, but you mave have some giant cells in there. The heart shows LVH, and the micro shows a healing infarct. The gross of the lungs looks like they are congested, no bullous changes. Wish I could be more help...

 

[RunwayModel]

Hey guys, I'm in pathology right now and for a part of our final grade, we have to do an autopsy case presentation and I was wondering if I could get some of you pathology pros' opinions on what you think it is.

Here are the pictures:
http://www.flickr.com/photos/neal540/

Concentric left ventricular hypertrophy w/ systemic HTN. You can see evidence of an MI. I am having difficult with the lung ones though. My friend and I think there is a pulm hemorrhage, but the micro specimen of the lung looks like ARDS. Don't laugh if I'm wrong, I really suck at this.

Thanks in advance.

-Neal

Your class is probably already over, but to me it looks like cor pulmonale. The concentric LVH results in heart failure so you get back up of fluid, and thus congestions in the lungs and see the so called "heart failure cells" which are macrophages in the lung during left heart failure that often carry large amounts of hemosiderin.