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Difference between revisions of "Autopsy"
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'''Autopsy''' was once a mainstay of pathology. It is now in decline and uncommonly done. Fetal autopsy is dealt with in a separate article called ''[[fetal autopsy]]''. | '''Autopsy''' was once a mainstay of [[pathology]]. It is now in decline and uncommonly done. Fetal autopsy is dealt with in a separate article called ''[[fetal autopsy]]''. | ||
==Value of autopsy== | ==Value of autopsy== | ||
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*There are religious objections to autopsy among Jews and Muslims.<ref name=Ref_HospAuto43>{{Ref HospAuto|43}}</ref><ref name=Ref_HospAuto47>{{Ref HospAuto|47}}</ref> | *There are religious objections to autopsy among Jews and Muslims.<ref name=Ref_HospAuto43>{{Ref HospAuto|43}}</ref><ref name=Ref_HospAuto47>{{Ref HospAuto|47}}</ref> | ||
*It is ''not'' considered good practise to agree to restrictions that will impair a complete assessment, e.g. "stop as soon as one has the cause of death", especially in the medicolegal context (when the extent of the autopsy is at the pathologist's discretion). It is often said that... ''incomplete autopsies give incomplete answers''. | *It is ''not'' considered good practise to agree to restrictions that will impair a complete assessment, e.g. "stop as soon as one has the cause of death", especially in the medicolegal context (when the extent of the autopsy is at the pathologist's discretion). It is often said that... ''incomplete autopsies give incomplete answers''. | ||
==Timeliness== | |||
There are turnaround time standards from the ''College of American Pathologists'':<ref name=pmid19961247>{{Cite journal | last1 = Siebert | first1 = JR. | title = Increasing the efficiency of autopsy reporting. | journal = Arch Pathol Lab Med | volume = 133 | issue = 12 | pages = 1932-7 | month = Dec | year = 2009 | doi = 10.1043/1543-2165-133.12.1932 | PMID = 19961247 }}</ref> | |||
{| class="wikitable sortable" | |||
! Deliverable | |||
! Time | |||
! Comment | |||
|- | |||
| Provisional report | |||
| 2 working days | |||
| gross findings & history | |||
|- | |||
| "Most" final reports | |||
| 30 days | |||
| | |||
|- | |||
| All final reports | |||
| 60 days | |||
| | |||
|- | |||
|} | |||
==External exam== | ==External exam== | ||
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===Hospital autopsies=== | ===Hospital autopsies=== | ||
====Non- | ====Non-neuropathology==== | ||
A standard based on a Toronto teaching hospital: | |||
*[[Thyroid gland]] (1). | *[[Thyroid gland]] (1). | ||
*[[Lung]] - each lobe (5). | *[[Lung]] - each lobe (5). | ||
| Line 478: | Line 501: | ||
***Male: | ***Male: | ||
****[[Prostate gland]] (1). | ****[[Prostate gland]] (1). | ||
****Testis (1). | ****[[Testis]] (1). | ||
***Female: | ***Female: | ||
****Uterus +/- cervix (1). | ****[[Uterus]] +/- cervix (1). | ||
****Ovary + tube (1). | ****[[Ovary]] + tube (1). | ||
*Bone marrow (1). | *[[Bone marrow]] (1). | ||
====Neuro==== | ====Neuro==== | ||