The centers of the flowers and the 3 little gems on the top right of the card are actually "pearls" but don't show up so well in this photo.
When the card is open, it looks like this on the inside.
Here you can see the pearls better. And you can see that inside there is another die cut that does not show when the card is closed.
I am entering this card in the following challenge:
http://robynsfetishchallengeblog.blogspot.com/2013/06/challenge-163-die-cuts-or-punches-692014.html