Shared Flashcard Set

Details

Lefkowitch- Cardio
Lefkowitch
9
Other
Not Applicable
07/17/2012

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Cards

Term
Carney complex? Farm Animal?
Definition
LAMB
L - lentigines
AM - atrial myxoma
B - blue nevi
Term
What do atrial myxoma cells stain for?
Definition
CD34, CD31, Variable S-100, calretinin in 75-100% of cases
Term
Cardiac myxomas - Location? Exception?
Definition
most occur in the left atrium near the fossa ovalis, except for myxomas in familial syndromes which occur predominantly in the right atrium.
Term
Do myxomas in Carney complex have a sex predominance?
Definition
Yes - females (62%)
Term
Why can a myxoma be confused for metastatic adenocarcinoma?
Definition
Myxomas can contain heterologous elements and glands (2%)
Term
Idiopathic giant cell myocarditis
1) Associated with?
2) Young or Old?
3) Mean time from onset of symptoms to diagnosis?
4)Prognosis?
5) Characteristic histology?
6) Treatment?
Definition
1) Autoimmune disorders
2) young
3) 5 months
4) Rapidly fatal
5) MNGC's without granulomas and diffuse geographic necrosis with mixed inflammatory infiltrate
6) Transplant - BUT it can recur in transplanted heart.
Term
Most common mutation in HCM affects what gene?
Definition
beta-myosin heavy chain gene
Term
Aschoff bodies?
Definition
- Collections of plump macrophages with surrounding lymphocytes and plasma cells
-Acute rheumatic heart disease
Term
What are the four types of amyloidosis and which two types most commonly affect the heart? What are the extracellular proteins involved in those two?
Definition
1) Primary ~ plasma cell dyscrasias**
a) Monoclonal light chains
2) Secondary ~ inflammatory conditions
3) Hereditary
4) Age-related*
a) systemic senile - TTR
b) localized senile - ANP
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