Marasigan,

Czarina Andrea V.
Patho B Sec 2Y

First CPC Flowchart

53 year old man, hypertensive



Hypertension




Squaring of muscle fiber nuclei Left Ventricular Wall Coronary Left main Renal Congestion
with increase diameter, foamy coronary artery
Atheromatous Atherosclerosis
macrophages, cholesterol showed 80%
clefts seen at the left Plaque obstruction
Right and left kidneys weigh 200
ventricular wall endocardium with plaques
and 150 grams respectively.
Presence of finely granular cortical
surfaces with lobulations
Acute Myocardial Left Ventricular 12 – L ECG - ST elevation at V1 V2
Troponin: <0.04 (Normal: 0.111) V3 V4; heart weighed 450 grams;
Infarction Hypertrophy left ventricular thickness measured
2.4cm



Results from inability of heart to Cardiogenic Shock
pump oxygen-rich blood to the
body
Chronic Passive Hepatomegaly Pulmonary
Congestion Edema
Death
Liver weighs 1,750 grams
Presence of Hemosiderin-laden Alveoli are partially filled with pink,

macrophages homogenous material. Alveolar
capillaries are dilated and filled
with red blood cells.


I. Direct Cause of Death: Acute Myocardial Infarction secondary to Coronary Atherosclerosis
II. Cause/Effect:
-Left Ventricular Hypertrophy
-Chronic Passive Congestion
-Renal Congestion
-Pulmonary Edema
-Hepatomegaly
-Left Ventricular Wall Atheromatous Plaque
III. Anatomic Cause of Death: Cardiogenic Shock secondary to Massive Myocardial Infarction