Difference between revisions of "Forensic pathology"

@@ Line 455: / Line 455: @@
 Things usually collected at autopsy:
 #Blood in EDTA tube (genetic testing).
-#Urine toxicology.
+#Urine toxicology:
 #*Useful to evaluate ''myoglobin''.
-#Vitreous
+#Vitreous:
-#*Biochemistry (??? lytes ???).
+#*Biochemistry.
 #*Ketones.
 #*Urea (???).
+#Bile:<ref>{{Ref HospAuto|220}}</ref>
+#*Acetaminophen overdoses.
+#*Opiate overdoses.
 Myoglobin DDx:
@@ Line 466: / Line 469: @@
 *Malignant hyperthermia.
 *Serotonin syndrome.
+===Biochemistry===
+*Diabetes:<ref name=Ref_HospAuto221>{{Ref HospAuto|221}}</ref>
+**Plasma:
+***Hemoglobin A1c - increased.
+***Acetone - increased.
+***Beta-hydroxybutyrate - increased.
+****Also increased in alcoholic ketoacidosis (though ketones low).
+**Urine:
+***Aceto-acetate - increased.
+Death by insulin overdose:<ref name=Ref_HospAuto224>{{Ref HospAuto|224}}</ref>
+*C-peptide - low.
+*Insulin - high.
+====Serum====
+*Potassium - rises quickly and rapidly after death; completely useless.
+*Sodium - tends to decrease after death; usually useless.
+*Glucose - drops quickly; useless unless sky high.
+*Urea, creatinine and urate - stable for ~48 hours post-mortem.<ref name=Ref_HospAuto222>{{Ref HospAuto|222}}</ref>
+===Vitreous===
+*Creatinine and urea - approximate those at time of death.<ref name=Ref_HospAuto222>{{Ref HospAuto|222}}</ref>
 ===Toxicology===

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