Hemodynamic Disorders

Coordinator: Jim Fishback, M.D.

Hemorrhage

• Petechia
• Purpura
• Ecchymosis

Hyperemia

• Active hyperemia - usually physiologic (e.g., muscle during exercise)
• Passive hyperemia, liver, gross (nutmeg liver)
• Passive hyperemia, liver, micro, H/E, x10
• Passive hyperemia, kidney, gross
• Passive hyperemia, kidney, micro, H/E, x100
• Normal lung, gross
• Passive hyperemia lung, gross
• photomicrograph, passive hyperemia
• microscopic, H/E, x100, "heart failure" cells in alveoli

Thrombosis

Thrombosis in the arterial system

• gross, recent occlusive thrombus, coronary artery.
• microscopic, recent occlusive thrombus, coronary artery, H/E, x10
• recent thrombus, coronary artery, H/E, x25
• reorganizing thrombus, coronary artery, H/E, x10
• reorganizing thrombus, coronary artery, H/E, x100

Thrombosis in the venous system

• femoral vein, recent thrombus, gross
• femoral vein recent thrombus, photomicrograph, H/E x25, lines of Zahn
• femoral vein, recent thrombus, photomicrograph, H/E x100
• femoral vein, organized thrombus with recanalization, photomicrograph, H/E, x 100

Thrombosis in the heart

• Mural thrombus, LV, gross

Embolism

• Pulmonary thromboemboli, gross, in situ
• Pulmonary thromboemboli, gross, in situ, second example
• Pulmonary thromboemboli, gross, view from hilum
• Fat embolism, brain, gross
• Fat embolism, brain, gross
• Fat embolism, lung, photomicrograph, Oil Red O stain
• Cholesterol emboli, aorta, gross, severe atherosclerosis
• Cholesterol emboli, pancreas, photomicrograph
• Bone marrow embolism, lung, photomicrograph
• Amniotic fluid embolism
• Foreign body embolism
• Septic embolus, Candida myocardial microabscess

Infarction

• recent myocardial infarct, gross
• recent myocardial infarct, subendocardial, circumferential, gross
• recent myocardial infarct, photomicrograph, H/E, x25
• Pulmonary infarct, gross
• Pulmonary infarct, micro, H/E, x10
• Pulmonary infarct, micro, H/E, x25
• Renal infarct, gross
• Renal infarct, micro, H/E, x25

Edema

• Pitting edema, gross
• Cardiomegaly and dilation, heart, gross
• Congestive heart failure, chest x-ray
• Cerebral edema, with herniation
• Lung, pulmonary edema, gross
• Pulmonary edema, photomicrograph
• Nephrotic syndrome

Shock

• Shock kidney, hypovolemic shock
• Endotoxic shock, Waterhouse-Friderichsen syndrome, gross
• Endotoxic shock, Waterhouse-Friderichsen syndrome, photomicrograph, adrenal, H/E x10
• Endotoxic shock, Waterhouse-Friderichsen syndrome, photomicrograph, glomerulus, fibrin thrombi, H/E x100