Osteoarthritis Cardiomegaly Case Study
Thomas was a 64-year-old male donor whose reported causes of death were renal failure and renal cell cancer. Major pathological findings were discovered during the dissection and will be discussed further in the pathology report. Other findings will be discussed briefly in the review of systems.
Integumentary
Despite the given medical history we were provided mentioned that Thomas had undergone several operations, the patient had no obvious surgical scars. The patient had skin growths of various sizes that were raised and asymmetrical. They were found all over his body (anterior chest, abdomen, arms, back, top of head). We attributed the skin growths to be a result of his renal cell cancer metastasizing to the skin.
Musculoskeletal
Due to his relatively young age at death, Thomas still had large, well-defined muscles. This indicates that he was still quite active before his death. Osteoarthritis was apparent in both knees; however, we checked his other joints, like the acetabulofemoral joints and the glenohumeral joints, and found no signs of osteoarthritis.
Cardiovascular …show more content…
Not only did Thomas’ heart appear large, but it also weighed 550 grams compared to the normal 270-360 grams for the average male. His tricuspid (circumference of 3.14 cm) and mitral (4.71 cm) valves were smaller than average (10-12.5 and 8-10.5 cm, respectively), while his aortic (9.42 cm) valve was larger than normal (6-7.5 cm). Investigating further, dissection revealed myocardium hypertrophy in the left ventricle. There were also calcified plaques in the superior portion of the left anterior descending artery and in the proximal portion of the circumflex branch of the left coronary artery. Moderate aortic arteriosclerosis was observed as well in the ascending
Integumentary
Despite the given medical history we were provided mentioned that Thomas had undergone several operations, the patient had no obvious surgical scars. The patient had skin growths of various sizes that were raised and asymmetrical. They were found all over his body (anterior chest, abdomen, arms, back, top of head). We attributed the skin growths to be a result of his renal cell cancer metastasizing to the skin.
Musculoskeletal
Due to his relatively young age at death, Thomas still had large, well-defined muscles. This indicates that he was still quite active before his death. Osteoarthritis was apparent in both knees; however, we checked his other joints, like the acetabulofemoral joints and the glenohumeral joints, and found no signs of osteoarthritis.
Cardiovascular …show more content…
Not only did Thomas’ heart appear large, but it also weighed 550 grams compared to the normal 270-360 grams for the average male. His tricuspid (circumference of 3.14 cm) and mitral (4.71 cm) valves were smaller than average (10-12.5 and 8-10.5 cm, respectively), while his aortic (9.42 cm) valve was larger than normal (6-7.5 cm). Investigating further, dissection revealed myocardium hypertrophy in the left ventricle. There were also calcified plaques in the superior portion of the left anterior descending artery and in the proximal portion of the circumflex branch of the left coronary artery. Moderate aortic arteriosclerosis was observed as well in the ascending