Again, getting yourself
oriented on the slide will save lots of time. You're looking for the exudate
and inflammatory reaction on the epicardial surface. You will see some
"organization" of the exudate. That is to say ingrowth of granulation
tissue. But there is still very little in the way of an acute inflammatory
reaction.
This slide shows one
of the common problems of renal failure: sterile inflammation of mesothelial
surfaces. Evidently the uremic products crystallize on these surfaces and
elicit an inflammatory reaction. Pleura, abdominal cavity lining, pericardium
and even esophagus are sites of this type of injury. Note the granulation
tissue (not granulomas, there is a big difference), in the epicardial fat.
The exudate is largely proteinaceous.
