Heart- NBTE

A 65-year-old male who was previously diagnosed with advanced mucinous cystic pancreatic cancer died of extensive myocardial infarction. Autopsy reveals deposition of small (1 to 5 mm) sterile thrombi on the leaflets of the cardiac valves. The pathogenesis of this patient’s vegetation is most similar to that of?

Heart- Coarctation of aorta

A 7-month-old girl is brought to the emergency room by her parents, who complain that their daughter is breathing rapidly and not taking feed. Physical examination reveals tachypnea, pallor, absent femoral pulses, and a murmur heard at the left axilla. A selective (differential) cyanosis of lower extremities is also noted. 2 weeks ago the infant […]

Heart- Calcific aortic stenosis

A 78-year-old man with a history of recurrent exertional syncope and angina undergoes surgery for aortic valve disease. A hard, markedly deformed valve is observed (shown in the image) but the patient expires during surgery. What is the appropriate diagnosis?

Heart- Atrial myxoma ddx

A 50-year-old woman presents with complaints of generalized fatigue and shortness of breath which has worsened over the past few days. On examination, fine crackles are heard on auscultation and echocardiogram shows an enlarged left atrium due to a large mass in the left atrium along with calcification of the mitral valve. Before open heart […]

Heart- Jones criteria

Which one of the following manifestations is not included as major diagnostic criteria in Jones’s criteria?

Heart- MI Timeline 12 days

A 67-year-old male presents to the emergency room complaining of sudden substernal pain and a feeling that something tragic is about to occur. He is treated for an acute myocardial infarction but dies 12 days after. On autopsy, a large transmural anterior wall infarction is noted by the pathologist after staining with triphenyl tetrazolium chloride. […]

Heart- MI timeline

A 75-years-old female had severe chest pain and was admitted to the hospital with a diagnosis of acute myocardial infarction. Three days later she died and the autopsy showed transmural coagulative necrosis. Which of the following microscopic features will be seen on further examination?