Autopsy
Jump to navigation
Jump to search
Autopsy is a part of pathology.
External exam
Is very important in the forensic context.
External exam findings are found in the forensic pathology article.
Internal exam
Is usually where the money is in non-forensic autopsies, i.e. hospital autopsies.
Spleen
Main article: Spleen
Sugar-coated spleen
- Properly referred to as hyaloserositis of the spleen.
- Capsule of the spleen is white - resembles sugar-coating.
- Importance: none - benign.
Liver
- Portal vein patency.
Kidney
Size of the kidney - small kidneys are seen in chronic renal failure.
Nephrosclerosis
- Flea-bitten appearance - seen in hypertension.[1]
ATN
- ATN is difficult to prove on autopsy material.
- Look for:
- Heme-granular casts in the lumen.
- Regenerative activity (mitoses).
Brain
- One should saw through the skull completely, i.e. one should not "crack" the skull open with a chisel.
- Cracking open the skull may result in artefactual fractures that are impossible to differentiate from antemortem fractures.
- Cuts into the brain (from opening the skull) are not difficult to distinguish from antemortem injuries.
Weird stuff
- Leukostasis in acute myelogenous leukemia can lead to congestion of organs and fatal haemorrhages.
- Hyperviscosity syndrome - in leukemia.[4]
Normal organ mass
Caucasoid population of 684 adults:[5]
| Men | Women | |
| Heart | 365 +/- 71 g | 312 +/- 78 g |
| Right lung | 663 +/- 239 g | 546 +/- 207 g |
| Left lung | 583 +/- 216 g | 467 +/- 174 g |
| Liver | 1677 +/- 396 g | 1475 +/- 362 g |
| Spleen | 156 +/- 87 g | 140 +/- 78 g |
| Right kidney | 162 +/- 39 g | 135 +/- 39 g |
| Left kidney | 160 +/- 41 g | 136 +/- 37 g |
See also
References
- ↑ Ono, H.; Ono, Y. (Nov 1997). "Nephrosclerosis and hypertension.". Med Clin North Am 81 (6): 1273-88. PMID 9356598.
- ↑ Heemskerk, S.; van Haren, FM.; Foudraine, NA.; Peters, WH.; van der Hoeven, JG.; Russel, FG.; Masereeuw, R.; Pickkers, P. (Feb 2008). "Short-term beneficial effects of methylene blue on kidney damage in septic shock patients.". Intensive Care Med 34 (2): 350-4. doi:10.1007/s00134-007-0867-9. PMID 17926021.
- ↑ Tan, CD.; Rodriguez, ER.. "Blue dye, green heart.". Cardiovasc Pathol 19 (2): 125-6. doi:10.1016/j.carpath.2008.06.012. PMID 18703358.
- ↑ http://cat.inist.fr/?aModele=afficheN&cpsidt=18942659
- ↑ de la Grandmaison GL, Clairand I, Durigon M (June 2001). "Organ weight in 684 adult autopsies: new tables for a Caucasoid population". Forensic Sci. Int. 119 (2): 149–54. PMID 11376980.