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histopath > Autopsy > Flashcards

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
Q

Virchow

A

Removed one by one
Dissected immediately
Cstca

26
Q

Rokitansky

A

In situ dissection plus en bloc removal

Organs dissected while inside

27
Q

A. Ghon

A 
Thora
Cervi
Abd
Urogen
Removed in fxnal related block to preserve
Compromise bet virchow and letulle
28
Q

M. Letulle

A 
Thora
Cervi
Abd
Pelvic
Dissected into organ blocks
By SAPHIR
Needs assistant
29
Q

Secondary changes

A

Algor
Rigor
Livor

30
Q

Algor mortis

A

Coolness
1-7F per hour
Until ambient

31
Q

Formula for tod

A

Glaister’s eq

32
Q

Algor

Accelerated

A

Cold weather
Malnourished
Hemorrhage

33
Q

Algor

Delayed

A

Infectious dse

34
Q

Rigor mortis

A

2-3 start
6-8 complete
12-36 lasts
Severe rigidity or spasms

35
Q

Rigor accelerate

A

Heat
Strenuous exercise
Infant
Convulsion

36
Q

Rigor delayed

A

Cold

Obese

37
Q

Livor mortis

A

settling of blood in lower portion
Sink rbc in serum
If position is changed

38
Q

Congealed in capilaries

Livor

A

2-4

39
Q

Max lividity

A

8-12 hrs

40
Q

Rupture of capillaries

Petikya

A

Tardeau’s spots

41
Q

Livor in sclera

A

Asphyxia

42
Q

Stomach

Delayed by

A

2-3 after meal

Trauma and physio factors

43
Q

Putrefaction

A

Rotting or decomposition
Air > water > bury
Delayed in newborn

44
Q

Greenish blue putre

A

Belly dt iron sulfide

45
Q

Soft muscles putrefaction

A

Auto digestion

46
Q

Retraction of cornea putrefaction

A

Absorption of aqueous humor

47
Q

Loss of rigor

A

Liquefaction of coagulated myosin

48
Q

Autolysis

A

Cell death
Hydrolytic enzymes from lysosomes
Activated by increase acid ph
Arise from dec oxidative metabolism

49
Q

Autolysis time

A

Rapid- pancreas and gastric mucosa
Intermediate - heart liver kidney
Slow - fibroblasts

50
Q

Dessication

A

Drying and wrinkling of cornea and anterior chamber of eye

51
Q

Necroscopy means

A

Necros death

Opis view

histopath (1 decks)

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