Case 17 Part 4

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What's inside?


Pleural space
Pleural cavity
Pleural effusion
Parietal pleura
Visceral pleura
Chest cavity
Intercostal space
Pericardial sac
Pericardial effusion
Pulmonary artery
Superior vena cava
Right atrium
Auricle (right atrium)
Left ventricle
Right ventricle

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Discussion Questions


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1. What likely caused the mediastinal hemorrhage?
2. Where else does the physician check to find a possible cause for the mediastinal hemorrhage?
3. Estimate the volume of pleural fluid in each pleural cavity.
4. What do the terms serous and serosanguinous mean?
5. Is this a lot of pleural fluid or a little?
6. What likely caused the pleural fluid to accumulate?
7. What is the physician’s explanation for why the pleural fluid is somewhat bloody.
8. What difference in appearance and biochemistry are there between an infectious, malignant or cardiac-related pleural effusion?
9. Which crosses anteriorly, the pulmonary trunk or the aorta?
10. Which is right lateral, the aortic root or the pulmonary trunk?
11. The physician moves forceps back and forth from right to left inside the pulmonary trunk. What vessels do the forceps tip go into? Where do those vessels go?
12. Is the pericardial fluid serous or serosanguinous?
13. Is the amount of pericardial fluid normal?
14. Are there any pleural adhesions?
15. What are petechiae?
16. Why might there be scarring with nearby hemorrhage on the back of the heart? How might this related to the physician noticing he can palpate coronary arteries through the pericardial fat?
17. Do you see a cause of death here?

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Anatomy Pins


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