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Difference between revisions of "Forensic pathology"
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(→Manner of death: fix sp.) |
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| [[Electrocution]] | | [[Electrocution]] | ||
| accident | | accident | ||
| cardiac arrhythmia | | [[cardiac arrhythmia]] | ||
| man struck by lightening | | man struck by lightening | ||
|- | |- | ||
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**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 arrhythmia]]s - 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. | ||
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====General==== | ====General==== | ||
*May be missed - as can be subtle. | *May be missed - as can be subtle. | ||
*Usually causes death by cardiac arrhythmia. | *Usually causes death by [[cardiac arrhythmia]]. | ||
*Typically accidents.<ref>{{Cite journal | last1 = Wick | first1 = R. | last2 = Gilbert | first2 = JD. | last3 = Simpson | first3 = E. | last4 = Byard | first4 = RW. | title = Fatal electrocution in adults--a 30-year study. | journal = Med Sci Law | volume = 46 | issue = 2 | pages = 166-72 | month = Apr | year = 2006 | doi = | PMID = 16683472 }}</ref> | *Typically accidents.<ref>{{Cite journal | last1 = Wick | first1 = R. | last2 = Gilbert | first2 = JD. | last3 = Simpson | first3 = E. | last4 = Byard | first4 = RW. | title = Fatal electrocution in adults--a 30-year study. | journal = Med Sci Law | volume = 46 | issue = 2 | pages = 166-72 | month = Apr | year = 2006 | doi = | PMID = 16683472 }}</ref> | ||
*Occasionally used to suicide.<ref name=pmid19298463>{{Cite journal | last1 = Dokov | first1 = W. | title = Forensic characteristics of suicide by electrocution in Bulgaria. | journal = J Forensic Sci | volume = 54 | issue = 3 | pages = 669-71 | month = May | year = 2009 | doi = 10.1111/j.1556-4029.2009.01002.x | PMID = 19298463 }}</ref> | *Occasionally used to suicide.<ref name=pmid19298463>{{Cite journal | last1 = Dokov | first1 = W. | title = Forensic characteristics of suicide by electrocution in Bulgaria. | journal = J Forensic Sci | volume = 54 | issue = 3 | pages = 669-71 | month = May | year = 2009 | doi = 10.1111/j.1556-4029.2009.01002.x | PMID = 19298463 }}</ref> | ||
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Features:<ref name=pmid11334832>{{cite journal |author=Kohl P, Nesbitt AD, Cooper PJ, Lei M |title=Sudden cardiac death by Commotio cordis: role of mechano-electric feedback |journal=Cardiovasc. Res. |volume=50 |issue=2 |pages=280–9 |year=2001 |month=May |pmid=11334832 |doi= |url=}}</ref><ref>{{cite journal |author=Maron BJ, Estes NA |title=Commotio cordis |journal=N. Engl. J. Med. |volume=362 |issue=10 |pages=917–27 |year=2010 |month=March |pmid=20220186 |doi=10.1056/NEJMra0910111 |url=http://www.nejm.org/doi/full/10.1056/NEJMra0910111}}</ref> | Features:<ref name=pmid11334832>{{cite journal |author=Kohl P, Nesbitt AD, Cooper PJ, Lei M |title=Sudden cardiac death by Commotio cordis: role of mechano-electric feedback |journal=Cardiovasc. Res. |volume=50 |issue=2 |pages=280–9 |year=2001 |month=May |pmid=11334832 |doi= |url=}}</ref><ref>{{cite journal |author=Maron BJ, Estes NA |title=Commotio cordis |journal=N. Engl. J. Med. |volume=362 |issue=10 |pages=917–27 |year=2010 |month=March |pmid=20220186 |doi=10.1056/NEJMra0910111 |url=http://www.nejm.org/doi/full/10.1056/NEJMra0910111}}</ref> | ||
*Often negative autopsy; no cardiac pathology. | *Often negative autopsy; no cardiac pathology. | ||
*Etiology: arrhythmia. | *Etiology: [[cardiac arrhythmia|arrhythmia]. | ||
*History: trauma to chest. | *History: trauma to chest. | ||
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Generally, these things are: | Generally, these things are: | ||
*Cardiovascular: | *Cardiovascular: | ||
**Arrhythmia. | **[[Cardiac arrhythmia|Arrhythmia]]. | ||
**Myocardial infarction. | **Myocardial infarction. | ||
**Haemorrhage. | **Haemorrhage. | ||