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Difference between revisions of "Autopsy"
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Body should be examined for ''defensive-type wounds'': | Body should be examined for ''defensive-type wounds'': | ||
*Between the | *Between the fingers - especially thumb and pointing finger. | ||
*Dorsal aspect of the hand. | *Dorsal aspect of the hand. | ||
*Forearm. | *Forearm. | ||
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===Before the first incision=== | ===Before the first incision=== | ||
If there is suspicion of pneumothorax - one the the three following can be done:<ref name=Ref_HospAuto120-1>{{Ref HospAuto|120-1}}</ref> | If there is suspicion of [[pneumothorax]] - one the the three following can be done:<ref name=Ref_HospAuto120-1>{{Ref HospAuto|120-1}}</ref> | ||
#Create a "pleural window" (between ribs by removing soft tissue... without entering the pleural cavity). | #Create a "pleural window" (between ribs by removing soft tissue... without entering the pleural cavity). | ||
#Open chest underwater and watch for air bubbles. | #Open chest underwater and watch for air bubbles. | ||
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===Respiratory system=== | ===Respiratory system=== | ||
#Open trachea + bronchus (see ''Note''). | #Open [[trachea]] + bronchus (see ''Note''). | ||
#Examine proximal airway. | #Examine proximal airway. | ||
#Examine proximal pulmonary arteries. | #Examine proximal pulmonary arteries. | ||
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*[[Acute tubular necrosis]] (ATN). | *[[Acute tubular necrosis]] (ATN). | ||
**ATN is difficult to prove on autopsy material. | **ATN is difficult to prove on autopsy material. | ||
** | **On microscopy, look for:<ref name=pmid19207286>{{Cite journal | last1 = Kocovski | first1 = L. | last2 = Duflou | first2 = J. | title = Can renal acute tubular necrosis be differentiated from autolysis at autopsy? | journal = J Forensic Sci | volume = 54 | issue = 2 | pages = 439-42 | month = Mar | year = 2009 | doi = 10.1111/j.1556-4029.2008.00956.x | PMID = 19207286 }}</ref> | ||
***Tubular epithelial whorls. | ***Tubular epithelial whorls. | ||
***Tubulorrhexis. | ***Tubulorrhexis. | ||
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====Cardiovascular system==== | ====Cardiovascular system==== | ||
[[Coronary arteries]]: | [[Coronary arteries]]: | ||
*[[Atherosclerosis]] | *[[Atherosclerosis]] in the: | ||
**Left main coronary artery | **Left main coronary artery. | ||
**Left anterior descending coronary artery | **Left anterior descending coronary artery. | ||
**Left circumflex coronary artery | **Left circumflex coronary artery. | ||
**Right coronary artery | **Right coronary artery. | ||
*No identified atherosclerotic plaque rupture. | *No identified atherosclerotic plaque rupture. | ||
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===Sample clinical history=== | ===Sample clinical history=== | ||
<pre> | <pre> | ||
A 63 year old male with a history of alcohol abuse was admitted on December 13, | A 63 year old male with a history of alcohol abuse was admitted on December 13, 2022 for | ||
recurrent alcohol related pancreatitis. On December 21, he was found unresponsive at 0:15. | recurrent alcohol related pancreatitis. On December 21, he was found unresponsive at 0:15. | ||
Approximately fifteen minutes earlier, he was on oxygen and in no apparent distress. A code | Approximately fifteen minutes earlier, he was on oxygen and in no apparent distress. A code | ||
blue was called; however, the attempted resuscitation was unsuccessful. Death was declared | blue was called; however, the attempted resuscitation was unsuccessful. Death was declared | ||
at 1:00 on December 21, | at 1:00 on December 21, 2022. | ||
</pre> | </pre> | ||