Difference between revisions of "Fetal autopsy"
Jump to navigation
Jump to search
(→Routinue sections: wikify) |
(more, wikify a bit, +image) |
||
| Line 1: | Line 1: | ||
The '''fetal autopsy''' is done to determine the cause of death in a fetus. | The '''fetal [[autopsy]]''' is done to determine the cause of death in a fetus. An introduction to the autopsy is in the ''[[autopsy]]'' article. | ||
==External exam== | |||
Post-mortem changes with intrauterine death (sequence):<ref>{{Ref HospAuto|191}}</ref> | |||
*Normal ~0-12 h. | |||
*Skin blistering - usu. prominent on head ~12-48 hours. | |||
*Moderate skin separation (sloughing) - usu. hands & feet. | |||
*Massive skin separation and loosing of symphysis menti (midline mandible), symphysis pubis. | |||
==Routinue sections== | ==Routinue sections== | ||
| Line 18: | Line 25: | ||
# [[Pituitary]]. | # [[Pituitary]]. | ||
==Adrenal gland== | ==Histology== | ||
===Adrenal gland=== | |||
*Centre regresses. | *Centre regresses. | ||
==Kidney== | ===Kidney=== | ||
*Cortex regresses. | *Cortex regresses. | ||
==Lung== | ===Lung=== | ||
*PMNs may be seen in [[chorioamnionitis]]. | *PMNs may be seen in [[chorioamnionitis]]. | ||
==Thymus== | ===Thymus=== | ||
* | *Hassall's corpuscles (thymic corpuscle). | ||
Image: [http://commons.wikimedia.org/wiki/File:Thymic_corpuscle.jpg Thymic corpuscle (WC)]. | |||
==See also== | ==See also== | ||
| Line 36: | Line 46: | ||
==References== | ==References== | ||
{{reflist| | {{reflist|1}} | ||
[[Category:Autopsy]] | [[Category:Autopsy]] | ||
Revision as of 16:00, 23 October 2010
The fetal autopsy is done to determine the cause of death in a fetus. An introduction to the autopsy is in the autopsy article.
External exam
Post-mortem changes with intrauterine death (sequence):[1]
- Normal ~0-12 h.
- Skin blistering - usu. prominent on head ~12-48 hours.
- Moderate skin separation (sloughing) - usu. hands & feet.
- Massive skin separation and loosing of symphysis menti (midline mandible), symphysis pubis.
Routinue sections
- Rib.
- Thymus, skin, diaphragm, psoas muscle.
- Rectum, duodenum, ileocecal region, mesentery.
- Adrenal gland.
- Kidney.
- Bladder.
- Internal genitalia.
- Spleen.
- Stomach, GE junction, GD junction, pancreas.
- Liver.
- Right lung.
- Left lung.
- Heart.
- Upper airway with thyroid.
- Pituitary.
Histology
Adrenal gland
- Centre regresses.
Kidney
- Cortex regresses.
Lung
- PMNs may be seen in chorioamnionitis.
Thymus
- Hassall's corpuscles (thymic corpuscle).
Image: Thymic corpuscle (WC).
See also
References
- ↑ Burton, Julian L.; Rutty, Guy N. (2010). The Hospital Autopsy A Manual of Fundamental Autopsy Practice (3rd ed.). Oxford University Press. pp. 191. ISBN 978-0340965146.