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johndoe3344

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Kaplan says its mitral valve prolapse.

Why? Am I looking at a ruptured papillary muscle? What am I supposed to be seeing that makes it a MVP?
 

MrBeauregard

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Those thick, pink, "fluffy" portions of the mitral valve (the middle right of the picture) are areas of myxomatous degeneration.
 

shan564

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I remember a Kaplan question where it had a picture like that where it asked what the underlying pathology was. I thought it looked like mitral vegetations, but that wasn't an answer choice. I can't remember what I answered (I think I got it wrong)... the valve had vegetations, but they wanted us to say "mitral prolapse" because that's an underlying pathology that predisposes to conditions that cause vegetations.
 

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johndoe3344

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You know it's MVP bc the chordae tendineae are long and thin (lower-center of image) and the valve leaflets are "ballooning" upward (entire top of image). Here's a different example of an MVP:

http://library.med.utah.edu/WebPath/CVHTML/CV033.html

Although infective endocarditis is a possibility, if they want you to identify vegetations, they'd likely make them reddish-tan/I]. Here's an example of IE:

http://library.med.utah.edu/WebPath/CVHTML/CV038.html


Ah yes, thanks. When I was looking at it I kept on saying to myself "man, these vegetations look so weird..." and I still picked infectious endocarditis afterwards lol.
 
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