Template:Heart autopsy report: Difference between revisions
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| {{Comprehensive-begin}}No atrial or ventricular dilation. The right and left auricular appendage is unremarkable. The left ventricular wall thickness is __ cm and the right is ___. The trabeculae carneae are normal ({[Finding-begin}}/ prominent /flattened{{Finding-end}}.{{Comprehensive-end}}<br>{{Comment-begin}}A comprehensive report may describe each atrium, valve and ventricle etc. in order of blood flow.{{Comment-end}} | | {{Comprehensive-begin}}No atrial or ventricular dilation. The right and left auricular appendage is unremarkable. The left ventricular wall thickness is __ cm and the right is ___. The trabeculae carneae are normal ({[Finding-begin}}/ prominent /flattened{{Finding-end}}.{{Comprehensive-end}}<br>{{Comment-begin}}A comprehensive report may describe each atrium, valve and ventricle etc. in order of blood flow.{{Comment-end}} | ||
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{{Moderate-begin}}Foramen ovale is closed.{{Moderate-end}} {{Comprehensive-begin}}The ductus arteriosus is obliterated{{Comprehensive-end}}<br>The '''coronary arteries''' {{Comprehensive-begin}}arise in normal position. The coronary ostia are << patent {{Finding-begin}}partially occluded by arteriosclerotic calcification{{Finding-end}}>>. They{{Comprehensive-end}} have << no / mild / moderate / severe >> {{Finding-begin}}and | {{Moderate-begin}}Foramen ovale is closed.{{Moderate-end}} {{Comprehensive-begin}}The ductus arteriosus is obliterated{{Comprehensive-end}}<br>The '''coronary arteries''' {{Comprehensive-begin}}arise in normal position. The coronary ostia are << patent {{Finding-begin}}partially occluded by arteriosclerotic calcification{{Finding-end}}>>. They{{Comprehensive-end}} have << no / mild / moderate / severe >> {{Finding-begin}}and partially calcified{{Finding-end}}</font> arteriosclerosis. They are traced, {{Comprehensive-begin}}throughout their length by transverse sections{{Comprehensive-end}} {{Finding-begin}}after fixation and decalcification{{Finding-end}} <<without significant constrictions.{{Finding-begin}} / The lumina of the left anterior descending, right coronary, and left circumflex coronary arteries are _%, _%, and _% narrowed, respectively.{{Finding-end}} {{Comment-begin}}If the degree of stenosis on microscopy sections of coronary arteries only differ slightly from the gross description, preferably write "mild/moderate/severe atherosclerosis consistent with the gross inspection."{{Comment-end}} (Gross measurement of coronary artery stenosis is generally more accurate than microscopic measurement, so the former generally has precedence.) | ||
No thrombi in the cardiac atria {{Moderate-begin}}including auricles{{Moderate-end}}, chambers or coronary arteries. | No thrombi in the cardiac atria {{Moderate-begin}}including auricles{{Moderate-end}}, chambers or coronary arteries. | ||
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| {{Moderate-begin}}The endocardium is smooth and shiny. Chordae tendineae are unremarkable. The valves are normal in number, and are thin and fine at the openings.{{Moderate-end}} | | {{Moderate-begin}}The endocardium is smooth and shiny. Chordae tendineae are unremarkable. The valves are normal in number, and are thin and fine at the openings.{{Moderate-end}} | ||
| {{Comprehensive-begin}}The endocardium is smooth, transparent and free of mural thrombi. The valve leaflets and chordae tendinae are overall delicate, pliable and free of lesion or calcification. <<Its leaflets are thin and pliable / No signs of inflammation>>. | | {{Comprehensive-begin}}The endocardium is smooth, transparent and free of mural thrombi. The valve leaflets and chordae tendinae are overall delicate, pliable and free of lesion or calcification. <<Its leaflets are thin and pliable / No signs of inflammation>>. | ||
*The tricuspid valve | *The tricuspid valve <is / is not> dilated, measuring _cm in circumference. | ||
*The pulmonic valve | *The pulmonic valve <is / is not> dilated, measuring _cm in circumference. It is composed of <<two / three>> cusps which are discrete and pliable. | ||
*The mitral valve | *The mitral valve <is / is not> dilated, measuring _cm in circumference. Its leaflets are thin and pliable {{Finding-begin}}/ redundant / adherent to each other{{Finding-end}}. | ||
*The aortic valve | *The aortic valve <is / is not> dilated, measuring _ cm in circumference. It is composed of <<two / three>> cusps which are thin and pliable. | ||
{{Finding-begin}}The cusps are calcified at the bases / adherent to each other.{{Finding-end}} {{Finding-begin}}The valve displays mild / moderate / severe myxomatous degeneration.{{Finding-end}} | |||
The epicardium and subepicardium are unremarkable. The papillary muscles are normal {{Finding-begin}} / hypertrophied{{Finding-end}}{{Comprehensive-end}} | The epicardium and subepicardium are unremarkable. The papillary muscles are normal {{Finding-begin}} / hypertrophied{{Finding-end}}{{Comprehensive-end}} | ||
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The '''myocardium''' has {{Comprehensive-begin}}a homogeneous reddish brown color, and{{Comprehensive-end}} no signs of <<fresh lesion / {{Comprehensive-begin}}areas of necrosis or hemorrhage{{Comprehensive-end}}>> {{Moderate-begin}}or scar{{Moderate-end}}{{Finding-begin}}/ streaks of white scar tissue{{Finding-end}}.< | The '''myocardium''' has {{Comprehensive-begin}}a homogeneous reddish brown color, and{{Comprehensive-end}} no signs of <<fresh lesion / {{Comprehensive-begin}}areas of necrosis or hemorrhage{{Comprehensive-end}}>> {{Moderate-begin}}or scar{{Moderate-end}}{{Finding-begin}}/ streaks of white scar tissue{{Finding-end}}.<noinclude> | ||
{{Bottom}} | {{Bottom}} | ||
</noinclude> | </noinclude> | ||