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Difference between revisions of "Autopsy"
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→Abdominal organ pluck
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===Liver=== | ===Liver=== | ||
* | #Remove diaphragm (with scissors). | ||
#Separated liver from abdominal pluck at ''porta hepatis''. | |||
#Open [[Gallbladder]]. | |||
#Get mass. | |||
#Slice axially - as seen on CT imaging. | |||
Notes: | |||
*If there is a suspected biliary tract obstruction: | |||
*#Open the duodenum and identify the ''duodenal papilla'' - this is usually obvious as everything distal to the duodenal papilla is usually light brown (bile-stained). | |||
*#Compress the gallbladder and bile should emerge from the duodenal papilla. | |||
====Common pathologic findings==== | |||
=====Liver===== | |||
{{Main|Liver}} | |||
*Firm - suggests cirrhosis. | |||
*Micronodularity (with uniformity of the nodules) - suggestive of alcoholic cirrhosis. | |||
*Macronodularity (with heterogeneity of the nodules) - suggestive of viral hepatitis. | |||
*Yellow ''or'' pale liver: | |||
**DDx: | |||
**#Shock liver. | |||
**#Steatosis ''or'' steatohepatitis. | |||
*Congested (blood red/yellow) "nutmeg liver". | |||
**Image: [http://www.pathology-india.com/nutmegliv1.JPG Nutmeg liver (pathology-india.com)]. | |||
=====Gallbladder===== | |||
{{Main|Gallbladder}} | |||
*Gall stones. | |||
*Mucosa with strawberry-like appearance (cholesterolosis). | |||
==Genitourinary-rectal ''or'' pelvic pluck== | ==Genitourinary-rectal ''or'' pelvic pluck== | ||