ECHAVEZ, Hazel Marie SECTION 2-H PATHO B CPC #1

J.D., 2 year, Male, born full Full term via NSVD, with meconium aspiration; 3RD of 4 siblings;
term, history of pneumonia breast fed for 1½ years; diagnosed of bronchial asthma 5 mos PTA

Cough and whitish sputum 1 week Inflammatory Lymphadenitis

PTA and (+) Hilar Infiltrates on process Previous infections
CXR upon admission
j MYOPERICARDITIS Pericardial
Lymphocytes scatteered around Inflammatory process
myocardium and at pericardium and aggregation of Effusion
infiltrates
Inflamatory process thus, myocytes
are hypertrophied with Hypercellular
hyperchromatic nuclei M:E ratio of 5:1 is
bone marrow indicative of infection
Pulmonary Increase in hydrostatic Impaired venous
pressure Biventricular dilated return hence
Edema pooling of blood
Pressure and fluid hypertrophic Liver Centrilobular
in the venous
accumulation in the cardiomyopathy necrosis, Heart
Fluid in the alveoli circulation Congestion Hepatomegaly
Atelectasis lungs failure cells and
causes adventious widened
heart sounds and and Pleural
Severe dilated sinusoids
increase in lung size effusion
hypertrophic
cardiomyopathy and Gallbladder, Spleen and
Mishandling of
Ventricular chambers fluid overload Testicular congestion
Rales and increased fluid overload
lung markings are dilated and
hypertrophied
Collapsed Ascites, Facial
alveolar Congestive Heart Peritoneal Effusion Fluid swelling,
spaces Retention
Precordial Bulge Failure and Pitting Edema bipedal and
generalized
edema
Irritation of the electrical
conduction system in the I  MYOPERICARDITIS
Respiratory
Distress
myocardium and Increased
II  Biventricular dilated hypertrophy
effort of the heart to pump
against congestion  Lymphadenitis
 Pericardial Effusion
Tachycardia and  Liver Congestion
Cardiac distress
 Gallbladder, Spleen, Testicular Congestion
 Peritoneal Effusion and Edema
Cardiac arrest brought
about by pump failure  Atelectasis and Pleural Effusion
 Pulmonary Edema
III  None
DEATH IV  None
V  CONGESTIVE HEART FAILURE secondary to biventricular
pump failure