Autopsy Flashcards

1
Q

3 types of autopsy

A

Forensic
Clinical or acedemic
Coroner’s

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2
Q

Forensic autopsy

A

Medicolegal
Extensive
Complete and compre

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3
Q

Clinical autopsy

A

Consent
Research purposes
Cod established

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4
Q

Coroner’s autopsy

A

No cod established
Questionable cod
No consent

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5
Q

Autopsy importance

A

Medical records
Cod
Dse present

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6
Q

Who can perform

A

Medical staff of acc hosp
Medical officer
Medical officer of law enforcement agency

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7
Q

In charge of dissection

A

Prosecutor

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8
Q

When medicolegal done

A
Required by LAW
ORDERED by competent court
WRITTEN REQUEST by police authorities
REQUEST of nearest kin
Prosecutor take possession of the body to determine cod
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9
Q

Refered to nbi or pnp

A
Accident
Suicide
Homicide
Poisoning
Burns
Criminal violence
Trauma
Unusual circumstances
Abortion
DOA
Death wo medical attendance
Death under anesthesia, surgery, alcohol
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10
Q

Accredited hosp

A

Director requests to next of kin

No next of kin- local health authority

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11
Q

Authorized by

A

Next of kin (spouse, kids, parents, nearest relative)

2 witnesses

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12
Q

Procedure

A
Gross exam
Autopsy
Spec col
Microscopy
Release report
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13
Q

Signature

A

3 witness not close relatives to px

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14
Q

External exam

A
Picture
Kind of clothes
Uv light
Spec col
Rediographic image
Remove from bag
Undress
Examine
Clean
Weigh
Measure
Gen description
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15
Q

Internal exam

A

T shaped
Single vertical
Y shaped

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16
Q

T shaped

A

Tips of shoulders

Meet at sternum

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17
Q

Single vertical

A

More aesthetic finish
Reconstructed as sulching marks
Adam’s apple region

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18
Q

Y shaped incision

A

Top of shoulders running down to chest
Meet at lower sternum
Medicolegal- exam of neck

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19
Q

Atherosclerotic plaques in coronary vessel

A
Decalcify
Severe atheroma (75%)
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20
Q

Heaviest organ

A

Liver and brain

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21
Q

Lung sink in water

A

Drowned or edema

22
Q

Muscle tissue

A

Stretched in cardboard before fix

23
Q

Blood

A

Femoral or axillary

24
Q

Evisceration technique

A

El masse - letulle
El bloc - ghon
Individual organs- r. Virchow
In situ - c. Rokitansky

25
Virchow
Removed one by one Dissected immediately Cstca
26
Rokitansky
In situ dissection plus en bloc removal | Organs dissected while inside
27
A. Ghon
``` Thora Cervi Abd Urogen Removed in fxnal related block to preserve Compromise bet virchow and letulle ```
28
M. Letulle
``` Thora Cervi Abd Pelvic Dissected into organ blocks By SAPHIR Needs assistant ```
29
Secondary changes
Algor Rigor Livor
30
Algor mortis
Coolness 1-7F per hour Until ambient
31
Formula for tod
Glaister's eq
32
Algor | Accelerated
Cold weather Malnourished Hemorrhage
33
Algor | Delayed
Infectious dse
34
Rigor mortis
2-3 start 6-8 complete 12-36 lasts Severe rigidity or spasms
35
Rigor accelerate
Heat Strenuous exercise Infant Convulsion
36
Rigor delayed
Cold | Obese
37
Livor mortis
settling of blood in lower portion Sink rbc in serum If position is changed
38
Congealed in capilaries | Livor
2-4
39
Max lividity
8-12 hrs
40
Rupture of capillaries | Petikya
Tardeau's spots
41
Livor in sclera
Asphyxia
42
Stomach | Delayed by
2-3 after meal | Trauma and physio factors
43
Putrefaction
Rotting or decomposition Air > water > bury Delayed in newborn
44
Greenish blue putre
Belly dt iron sulfide
45
Soft muscles putrefaction
Auto digestion
46
Retraction of cornea putrefaction
Absorption of aqueous humor
47
Loss of rigor
Liquefaction of coagulated myosin
48
Autolysis
Cell death Hydrolytic enzymes from lysosomes Activated by increase acid ph Arise from dec oxidative metabolism
49
Autolysis time
Rapid- pancreas and gastric mucosa Intermediate - heart liver kidney Slow - fibroblasts
50
Dessication
Drying and wrinkling of cornea and anterior chamber of eye
51
Necroscopy means
Necros death | Opis view