#case |Solution|Part 3
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The answer to the given question is “Dilated Cardiomyopathy (DCM)”

⏩On Microscopic Examination

⏹There will be non-specific finding:

✅Myocyte Hypertrophy
✅Interstitial Fibrosis (Blue fibrotic area)

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The above picture shows Chest Xray in case of “Dilated Cardiomyopathy (DCM)”

⏩Findings:

✅Dilated water bottle shaped heart
✅Pleural effusion can be seen
✅Kerley B lines can be seen (if pulmonary edema is present)

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LISTEN CAREFULLY and notice the difference between two beats.

The above video shows Heart sounds in case of Dilated Cardiomyopathy (DCM) which maybe helpful in diagnosis:

✅Holosystolic Murmur
✅S3 Heart sound


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Identify the disease based on the symptoms and examination reports 🧐

The more you participate, more you learn💪

Comment in the box below⬇️⬇️

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#case ||Solution|| Part 1
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The answer to the given question is “Cardiac Myxoma”

The following may be noted:

⏩M/C primary tumor of heart in adults

⏩Benign Tumor

⏩Female predominance (F>M)

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case ||Solution||Part 2
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The answer to the given question is “Cardiac Myxoma”

A Basic Introduction & Gross examination was covered in the previous post.

⏩On Microscopic Examination:

✅Background:

Abundant Mucopolysaccharide (MPS) ground substance

✅Stellate mesenchymal tumor cells called as ‘Lepidic cells’

✅Abnormal vascular formations

(As shown in the picture)

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case ||Solution||Part 3
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The answer to the given question is “Cardiac Myxoma”

⏹Echocardiography:

Pedunculated forms are sufficiently mobile to swing into the mitral or tricuspid valve, causing intermittent obstruction or exerting a “wrecking ball” effect that damages the valve leaflets

⏺Tumor location, size, attachment, and mobility can be assessed with this technique

⏺All four chambers should be visualized (as may be multiple)

⏺An atrial myxoma must be differentiated from a left atrial thrombus:

✅Thrombus is usually situated in the posterior portion of the atrium and has a layered appearance

✅Presence of a stalk and mobility favors atrial myxoma


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✅Echocardiogram demonstrates left atrial myxoma

✅A mass prolapsing into the left ventricle in diastole

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