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Difference between revisions of "Forensic pathology"
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→Forensic triangle: w
(→Forensic triangle: w) |
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*All ''A cases'' are done at regional centers by certified forensic pathologists. | *All ''A cases'' are done at regional centers by certified forensic pathologists. | ||
=Forensic triangle= | =Forensic golden triangle= | ||
*History. | |||
*Scene. | |||
*[[Autopsy]]. | |||
=Forensic diagnostic triangle= | |||
Most general differential diagnosis: | Most general differential diagnosis: | ||
*Natural: | *Natural: | ||
**Haemorrhage (e.g. cerebral bleed, gastrointestinal bleed, aortic aneurysm). | **Haemorrhage (e.g. cerebral bleed, gastrointestinal bleed, aortic aneurysm). | ||
**Infection (e.g. pneumonia). | **Infection (e.g. [[pneumonia]]). | ||
**Coronary [[atherosclerosis]] (cardiac arrhythmias - more common in the forensic context than myocardial infarction (MI); individuals with MIs don't usu. drop dead-- they go to the ER). | **Coronary [[atherosclerosis]] (cardiac arrhythmias - more common in the forensic context than myocardial infarction (MI); individuals with MIs don't usu. drop dead-- they go to the ER). | ||
***Post myocardial infarction (free wall rupture). | ***Post [[myocardial infarction]] (free wall rupture). | ||
***Ruptured (atherosclerotic) plaque. | ***Ruptured (atherosclerotic) plaque. | ||
*Toxic (memory device: ''PAIRO''): | *Toxic (memory device: ''PAIRO''): | ||
**Poisons. | **Poisons. | ||
**Alcohol (EtOH). | **Alcohol (EtOH). | ||
**Illicit (e.g. cocaine, heroin, LSD). | **Illicit (e.g. [[cocaine]], heroin, LSD). | ||
**Rx. | **Rx. | ||
**Over-the-counter (OTC) (e.g. acetaminophen, warfarin). | **Over-the-counter (OTC) (e.g. acetaminophen, warfarin). | ||
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**[[asphyxial deaths|Asphyxial]]. | **[[asphyxial deaths|Asphyxial]]. | ||
**[[Gunshot wounds]] (GSWs). | **[[Gunshot wounds]] (GSWs). | ||
**Environmental (e.g. hypothermia, hyperthermia, drowning, lack of oxygen, [[electrocution]]). | **Environmental (e.g. hypothermia, hyperthermia, [[drowning]], lack of oxygen, [[electrocution]]). | ||
**Blunt force trauma. | **[[Blunt force trauma]]. | ||
**Sharp force trauma. | **[[Sharp force trauma]]. | ||
Difficulties arise when more than one point of the triangle is in play, i.e. the forensic pathologist has to earn their pay when an old man with a heart condition is known to be into erotic asphyxia, and dies after doing some drugs and whilst indulging in erotic asyphxiation with a friend... | Difficulties arise when more than one point of the triangle is in play, i.e. the forensic pathologist has to earn their pay when an old man with a heart condition is known to be into erotic asphyxia, and dies after doing some drugs and whilst indulging in erotic asyphxiation with a friend... | ||