Surgical notes

Slide 22 Similar slide21

Slide 21 ❗ D: infective endocarditis ❗c.f : bacterial colonies + fibrin deposition + inflammatory cells

Slide 20 ❗ D :- infective endocarditis. ❗ c.f :-severe inflammation with vegetation in the edge of leaflets and upper and lower.

Slide 19 ❗D :- types of vegetation ❗ c.f :- 1. RHD : - small vegetation ( warty ) at site of closure . - normal valve tissue . 2. IE : - large vegetation - destructive valve tissue 3. NBTE : - mass of thrombus ( small bland ) attached to the valve 4. LSE - similar to NBTE but on both sides .

Slide 18 ❗D :- Dilated cardiomyopathy ❗ c.f :- - small myocyte and between them more C.T

Slide 17 ❗ D :- sample of hypertrophic cardiacmyopathy. ❗ c.f :- Irregular ( abnormal distorted ) cardiac myocyte

Slide 16 1. ❗ D :- Dilated cardiomyopathy ❗ c.f :- Dilation of all chambers بخلاف الdilation الذي بسبب ال hypertension يحدث dilation only in 2 chambers 2. ❗D :- hypertrophic cardiomyopathy ❗c.f :- hypertrophy of all cardiac muscle . بخلاف الذي يحصل بسبب hypertension يكون ققي في 1 chamber 3. ❗D :- restrictive cardiomyopathy ❗c.f :- loss of cardiac compliance.

Slide 15 ❗ D: Rheumatic heart disaese ❗ c.f : Aschoff bodies with binucleated macrophage.

Slide 14 ❗ D :- Rheumatic myocarditis ❗c.f :- Presence of Aschoff bodies.

Slide 13 ❗ D :- rheumatic heart disease ❗ c.f :- Aschoff body in acute rheumatic carditis.

Slide 12 ❗ D :- mitral valve prolapse ❗ c.f :- - mitral valve regurgitation because it become ballooning. - Myxoid substance " blue substance "

Slide 11 ❗ D :- calcific valvular degenerative disease ❗ c.f :- - calcium deposition in the base of the leaflet . ماده زي الطباشير

Slide 10 ❗ D :- systemic hypertension. ❗c.f :- cardiac hypertrophy A: Left systemic hypertensive heart disease. Feature: Concenteric thickening of the lt vent and decrease its lumen. B:cor pulmonale. Rt vent. is markedly dilated and hypertrophied..

Slide 9 ❗ D :- multiple MI ❗ ch. feature :- scar formation " fibrous tissue " - Non-infaracted: Brick red tissue. acute: unstained pale. subacute: mottled yellowish. healed: White glistening.

Slide 8 1st picture D :- Normal valve Ch. feature :- - straight edge - normal base - No nodules or mass - complete closure if closed . 2nd picture D:- valvular stenosis. Ch. features :- - fusion edges - incomplete opening " stenosis" 3ed picture D :- valvular regurgitation " incompetence" " insufficiency" Ch. features : - incomplete closer if closed - inflammation of valvular comissure - traction of leaflet .

Slide 6 ❗D:coarctation of aorta ❗c.f :- segmental narrowing of aorta

Slide 4 ❗ D :- transposation of great vessels ❗ ch. features :- - aorta arise from Rt. Ventricle and pulmonary arise from lift ventricle - associated with patent ductus arteriosus ( left picture) or VSD( RT picture ) or ASD ( in both )

Slide 3 ❗ D:- Terralogy of fallote . ❗ ch. feature :- - squatting position - growth retardation. - Cynosis especially in lips - tetralogy of fallote :- 1. Aortic over riding 2. Pulmonary stenosis 3. VSD 4. RT. Ventricular hypertrophy

Slide 2 ❗ D :- Ventricular septa defect "VSD" Ch. features :- Defect in the interventriculatar septum

❗ D :- atrial septa defect "ASD" ❗ ch. features:- Defect in the interatrial septum