FMT- Medico-legal Autopsy

Question 1

purpose/obj of autopsy

Answer 1

SIMP WilL Cry

skeletal remains
identity
manner of death
position of body
wounding case
livebirths
cause of death

Question 2

evisceration methods

Answer 2

en masse
virchow’s method
en bloc removal
in situ dissectn

Question 3

en masse

Answer 3

removing most of int organs in one full swoop

Question 4

adv of en masse

Answer 4

leaves all attachments inside

Question 5

virchow’s method

Answer 5

removal of individual organs one by one

Question 6

virchows method use

Answer 6

useful in assessing individual organ pathology

Question 7

en bloc removal

Answer 7

compromise b/w en masse and virchow method, used in UK, it is relatively quick

Question 8

en bloc removal disadv

Answer 8

preserves most of the imp inter organ relationships

Question 9

in situ dissectn

Answer 9

rarely performed
involves dissecting organs in situ

Question 10

in situ dissectn used in which pts

Answer 10

patients with highly transmissible ds

Question 11

collectn of samples in autopsy

Answer 11

BC No LUV BHMS
Blood
CSF
Nails
Lungs
Urine
Vitreous humor
Bone
Hair
Maggots
Skin

Question 12

blood sample collectn

Answer 12

before autopsy
10 to 20 ml
femoral v (best), jugular v, subclavian v

Question 13

csf SC

Answer 13

lumbar puncture or from cisterna magna

Question 14

vitreous humor SC

Answer 14

fine hypodermic needle
post chamber of eye aspiratn

Question 15

lungs SC

Answer 15

done if case if of solvent abuse (glue) or death from gaseous or volatile substance

main bronchus tied with ligature
put into nylon bag
sealed

Question 16

urine SC

Answer 16

suprapubic aspiratn
or when bladder is dissected
before dissectn, via catheter

Question 17

bone SC

Answer 17

200g collected
10-15 cm of shaft of femur

Question 18

hair SC

Answer 18

adequate sample of head and pubic hair by plucking along with roots

Question 19

maggots SC

Answer 19

dropped alive into boiling absolute alcohol or 10% hot formalin
if time of death is an issue, preserve the maggots and show to entomologist

Question 20

nails SC

Answer 20

all nails removed entirely

Question 21

skin SC

Answer 21

if needle puncture, whole needle track and surrounding tissue is excised
if firearm case, portion of skin from entry and exit wound is used