The HAUNTED HEART
START
Explore the heart
Inventory
Introduction
You are trapped inside the chambers of a haunted heart. The ghost that guards it cannot rest until its memories of pericardial disease are restored. To escape, you must navigate the pericardium’s dark secrets. Answer carefully: a wrong choice may trigger cardiac arrest, and only knowledge will bring you out alive…
01
While exploring the pericardial hallway, you notice two thin shimmering membranes. Which best describes them?
Parietal and visceral layers of the serous pericardium
Fibrous pericardium and visceral epicardium
Endocardium and myocardium
02
A cracked vial labeled “pericardial fluid” glows faintly in the hallway. Only a trace remains inside. How much fluid normally exists in a healthy dog or cat’s pericardial cavity?
Trace volume (microliters–few mL)
10-20 mL
50 mL
03
The pericardial hallway begins to flood. A ghost warns: “A few drops arrive quickly, and the chambers collapse. A whole bucket seeps in slowly, and the heart endures for weeks. Why?”
Fast effusion causes RAAS activation, while slow effusion does not
Slow accumulation is always benign, regardless of volume
Rapid accumulation raises intrapericardial pressure sharply, causing tamponade at low volumes
04
The walls suddenly constrict, making diastolic filling nearly impossible. The ghost laughs: “When my pressure exceeds that of the right atrium, collapse follows.” What condition has occurred?
Cardiac Tamponade
Chronic effusion
Constrictive pericarditis
This is not correct...
Find the key to continue
Continue exploring the heart
Inventory
01
A Golden Retriever slams the piano keys and collapses. Echo shows effusion with a right atrial mass. What is the most likely cause?
Hemangiosarcoma
Chemodectoma
Idiopathic pericarditis
Mesothelioma
02
A low, rumbling chord echoes. A brachycephalic dog presents with recurrent pericardial effusion and a mass at the heart base. Which cause is most consistent?
Ectopic thyroid carcinoma
Chemodectoma
Brachycephalicoma
Hemangiosarcoma
03
A piercing high note rings out. A 14-year-old cat gasps with dyspnea and tachypnea. Echocardiography shows a small pericardial effusion with marked LA dilation. What is the most likely cause?
A witch
Lymphoma
FIP
CHF
04
The piano lid crashes shut. A toy breed dog with severe left atrial enlargement collapses suddenly. The ghost warns: “Tap me and I bleed.” What rare but deadly cause must you consider?
Left atrial tear
Coagulopathy (DIC)
The haunting of a Beverly Hills Chihuahua
Infectious pericarditis (fungal)
You found a secret message
♪♬ø
Remember these notes and play them on the piano in the correct order
01
...Keep playing
02
...One more
03
Start over...
Continue exploring the heart
Inventory
♪♬ø
You found a new item for your inventory
Use the magnifying glass to search for the code on the cardiac wall and then insert it into the typewriter
224
Enter the secret code
Code
The cardiologist’s ghost blocks your path. A dog lies weak, hypotensive, muffled heart sounds, jugular distension. What is the lifesaving treatment?
01
Thoracocentesis
Pericardiocentesis
Furosemide
The cardiologist’s ghost drags in a cat with a small pericardial effusion secondary to CHF. He hisses: “What is the best treatment for this patient?”
02
Subtotal pericardiectomy
Manage underlying CHF (diuretics/ACEI)
Pericardiocentesis
The surgeon’s ghost towers over you. A spectral dog lies before him — weak, tachycardic, jugular veins distended, pulses faint. The ghost growls: “What is the most common clinical finding of tamponade in dogs?”
03
Muffled heart sounds
Ascites
Dyspnea
The cardiologist’s ghost towers over you. A spectral dog lies before him — weak, tachycardic, jugular veins distended, pulses faint. The ghost growls: “What is the most common clinical finding of tamponade in dogs?”
03
Muffled heart sounds
Ascites
Dyspnea
A briefcase has appeared...
It's locked...look in the inventory for something to open it
Congratulations
You survived cardiac tamponade! Your knowledge was the pericardiocentesis. The ghost is free… and you escaped the Haunted Heart.
Oh, no. You failed...
Are you sure you want to exit?
You will lose all progress made so far...
Back
Exit
Inventory
Inventory
♪♬ø
Inventory
Inventory
Inventory
♪♬ø
Inventory
♪♬ø
Inventory
♪♬ø
Inventory
Inventory
Inventory
♪♬ø
Inventory
Inventory
♪♬ø
Inventory
Inventory
Inventory
Inventory
♪♬ø
Inventory
Inventory
♪♬ø
Inventory
♪♬ø
Inventory
♪♬ø
The Haunted Heart
Amanda Foreman
Created on September 12, 2025
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Transcript
The HAUNTED HEART
START
Explore the heart
Inventory
Introduction
You are trapped inside the chambers of a haunted heart. The ghost that guards it cannot rest until its memories of pericardial disease are restored. To escape, you must navigate the pericardium’s dark secrets. Answer carefully: a wrong choice may trigger cardiac arrest, and only knowledge will bring you out alive…
01
While exploring the pericardial hallway, you notice two thin shimmering membranes. Which best describes them?
Parietal and visceral layers of the serous pericardium
Fibrous pericardium and visceral epicardium
Endocardium and myocardium
02
A cracked vial labeled “pericardial fluid” glows faintly in the hallway. Only a trace remains inside. How much fluid normally exists in a healthy dog or cat’s pericardial cavity?
Trace volume (microliters–few mL)
10-20 mL
50 mL
03
The pericardial hallway begins to flood. A ghost warns: “A few drops arrive quickly, and the chambers collapse. A whole bucket seeps in slowly, and the heart endures for weeks. Why?”
Fast effusion causes RAAS activation, while slow effusion does not
Slow accumulation is always benign, regardless of volume
Rapid accumulation raises intrapericardial pressure sharply, causing tamponade at low volumes
04
The walls suddenly constrict, making diastolic filling nearly impossible. The ghost laughs: “When my pressure exceeds that of the right atrium, collapse follows.” What condition has occurred?
Cardiac Tamponade
Chronic effusion
Constrictive pericarditis
This is not correct...
Find the key to continue
Continue exploring the heart
Inventory
01
A Golden Retriever slams the piano keys and collapses. Echo shows effusion with a right atrial mass. What is the most likely cause?
Hemangiosarcoma
Chemodectoma
Idiopathic pericarditis
Mesothelioma
02
A low, rumbling chord echoes. A brachycephalic dog presents with recurrent pericardial effusion and a mass at the heart base. Which cause is most consistent?
Ectopic thyroid carcinoma
Chemodectoma
Brachycephalicoma
Hemangiosarcoma
03
A piercing high note rings out. A 14-year-old cat gasps with dyspnea and tachypnea. Echocardiography shows a small pericardial effusion with marked LA dilation. What is the most likely cause?
A witch
Lymphoma
FIP
CHF
04
The piano lid crashes shut. A toy breed dog with severe left atrial enlargement collapses suddenly. The ghost warns: “Tap me and I bleed.” What rare but deadly cause must you consider?
Left atrial tear
Coagulopathy (DIC)
The haunting of a Beverly Hills Chihuahua
Infectious pericarditis (fungal)
You found a secret message
♪♬ø
Remember these notes and play them on the piano in the correct order
01
...Keep playing
02
...One more
03
Start over...
Continue exploring the heart
Inventory
♪♬ø
You found a new item for your inventory
Use the magnifying glass to search for the code on the cardiac wall and then insert it into the typewriter
224
Enter the secret code
Code
The cardiologist’s ghost blocks your path. A dog lies weak, hypotensive, muffled heart sounds, jugular distension. What is the lifesaving treatment?
01
Thoracocentesis
Pericardiocentesis
Furosemide
The cardiologist’s ghost drags in a cat with a small pericardial effusion secondary to CHF. He hisses: “What is the best treatment for this patient?”
02
Subtotal pericardiectomy
Manage underlying CHF (diuretics/ACEI)
Pericardiocentesis
The surgeon’s ghost towers over you. A spectral dog lies before him — weak, tachycardic, jugular veins distended, pulses faint. The ghost growls: “What is the most common clinical finding of tamponade in dogs?”
03
Muffled heart sounds
Ascites
Dyspnea
The cardiologist’s ghost towers over you. A spectral dog lies before him — weak, tachycardic, jugular veins distended, pulses faint. The ghost growls: “What is the most common clinical finding of tamponade in dogs?”
03
Muffled heart sounds
Ascites
Dyspnea
A briefcase has appeared...
It's locked...look in the inventory for something to open it
Congratulations
You survived cardiac tamponade! Your knowledge was the pericardiocentesis. The ghost is free… and you escaped the Haunted Heart.
Oh, no. You failed...
Are you sure you want to exit?
You will lose all progress made so far...
Back
Exit
Inventory
Inventory
♪♬ø
Inventory
Inventory
Inventory
♪♬ø
Inventory
♪♬ø
Inventory
♪♬ø
Inventory
Inventory
Inventory
♪♬ø
Inventory
Inventory
♪♬ø
Inventory
Inventory
Inventory
Inventory
♪♬ø
Inventory
Inventory
♪♬ø
Inventory
♪♬ø
Inventory
♪♬ø