Definitions + Terminology Flashcards
Define cellular death
Tissues and their constituent cells are dead. Cessation of respiration and normal metabolic activities. Staggered and differing rates
Define somatic death
Irreversibly lose innate personality, unconscious, not aware of and can’t communicate with environment, can’t appreciate sensory stimuli or initiate voluntary movement. Due to insult eg hypoxia
Define brain death
Somatic death with spontaneous circulatory and respiratory function. Vegetative state..
Define brainstem death
Critical centres dead then therefore need ventilator support
Define death
The process of cessation of life - blood circulation and respiration ceased to function with associated loss CNS function. Followed by death of tissues and cells of body.
Define unnatural death (4)
- Sudden, unexpected, unattended, unexplained death
- Death by application of force or any other physical/chemical factors which directly/indirectly lead to death
- by act of commission or omission
- procedure or anaesthetic related death (section 56 of Health professions act 1974 or Health professions amendment act 2007 section 48 )
Define primary medical cause of death
Disease/injury which INITIATED process/sequence of physiological events/complications which lead to death eg DM , stab to chest. Also called underlying COD
Define mechanism of death
The pathophysiological derangement which sets in as a result of the primary medical cause of death which is ultimately responsible for death
Define natural death
Death primarily attributed to an illness or internal malfunction, NOT influenced directly by external forces
Define immediate /terminal COD
A term used to describe the final disease that led to death. Usually the complication which occurs eg head injury (primary medical cause) pt develops bronchopneumonia
Name 5 manners of death
- Natural
- Accident
- Suicide
- Homicide
- Undetermined
What is livor mortis?
Also called hypostasis, lividity. Gravitational pooling of blood within vessels. Posture related. Pink/blue discolouration. Absent on areas exposed to pressure. Becomes fixed (clots) about 12 h after death.
What is rigor Mortis?
PM stiffening of muscles due to chem changes in myoplasm. Temperature dependant test following cessation of oxygen. ATP ceases, lactic acid increases causing actin and myosin to irreversibly bind.
Timeline of rigor mortis? (4)
Begin 3-4h after death . Between 1-4 h in face, 3-6h in limbs.
Fully established 8-12h
Unchanged for 36h
Disappear 2-3 days
What is algor mortis?
Body cools as metabolic activity ceases PM until it reaches that of the environment. 8-12 hours skin
What is putrefaction?
Consequence of death caused by uncontrolled growth of innate (gut commensals) and pathogenic micro-organisms
Define throttling
Strangling, usually by hand
What is histotoxic asphyxia?
Diminished capability to utilize oxygen ey cyanide poisoning
What is anemic hypoxia?
Decreased oxygen carrying capacity eg excessive haemorrhage
What is stagnant hypoxia?
Collapse/reduction blood circulation eg cardiac failure
What is hypoxic hypoxia?
Diminished oxygen intake eg high altitude