Difference between revisions of "Template:Heart autopsy report"
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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 particually 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}}<ref group=notes>Gross measurement of coronary artery stenosis is generally more accurate than microscopic measurement, so the former generally has precedence.</ref> | + | {{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 particually 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}}<ref group=notes>Gross measurement of coronary artery stenosis is generally more accurate than microscopic measurement, so the former generally has precedence.</ref> |
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. |
Revision as of 14:56, 10 June 2021
Author:
Mikael Häggström [note 1]
The heart << has normal weight / is enlarged [[ > 399 g in women and> 449 g in men]] >>, weighing ___ g. ((The epicardium is transparent. There is a moderate amount of subepicardial fat.
Normal configuration | (No atrial or ventricular dilation. No ventricular wall thickening) / {{The left ventricle has {{concentric}} hypertrophy, with a wall thickness of ___ mm.}} | ((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}}.)) [[A comprehensive report may describe each atrium, valve and ventricle etc. in order of blood flow.]] |
(Foramen ovale is closed.) ((The ductus arteriosus is obliterated))
The coronary arteries ((arise in normal position. The coronary ostia are << patent {{partially occluded by arteriosclerotic calcification}}>>. They)) have << no / mild / moderate / severe >> {{and particually calcified}} arteriosclerosis. They are traced, ((throughout their length by transverse sections)) {{after fixation and decalcification}} <<without significant constrictions.{{ / The lumina of the left anterior descending, right coronary, and left circumflex coronary arteries are _%, _%, and _% narrowed, respectively.}} [[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."]][notes 1]
No thrombi in the cardiac atria (including auricles), chambers or coronary arteries.
Chordae tendineae, the endocardium and heart valves are unremarkable. | (The endocardium is smooth and shiny. Chordae tendineae are unremarkable. The valves are normal in number, and are thin and fine at the openings.) | ((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 cusps are calcified at the bases / adherent to each other.}} {{The valve displays mild / moderate / severe myxomatous degeneration.}} The epicardium and subepicardium are unremarkable. The papillary muscles are normal {{ / hypertrophied}})) |
The myocardium has ((a homogeneous reddish brown color, and)) no signs of <<fresh lesion / ((areas of necrosis or hemorrhage))>> (or scar){{/ streaks of white scar tissue}}.
Contents
Notes
- ↑ Gross measurement of coronary artery stenosis is generally more accurate than microscopic measurement, so the former generally has precedence.
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
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