FMT- Medico-legal Autopsy Flashcards
purpose/obj of autopsy
SIMP WilL Cry
skeletal remains
identity
manner of death
position of body
wounding case
livebirths
cause of death
evisceration methods
en masse
virchow’s method
en bloc removal
in situ dissectn
en masse
removing most of int organs in one full swoop
adv of en masse
leaves all attachments inside
virchow’s method
removal of individual organs one by one
virchows method use
useful in assessing individual organ pathology
en bloc removal
compromise b/w en masse and virchow method, used in UK, it is relatively quick
en bloc removal disadv
preserves most of the imp inter organ relationships
in situ dissectn
rarely performed
involves dissecting organs in situ
in situ dissectn used in which pts
patients with highly transmissible ds
collectn of samples in autopsy
BC No LUV BHMS
Blood
CSF
Nails
Lungs
Urine
Vitreous humor
Bone
Hair
Maggots
Skin
blood sample collectn
before autopsy
10 to 20 ml
femoral v (best), jugular v, subclavian v
csf SC
lumbar puncture or from cisterna magna
vitreous humor SC
fine hypodermic needle
post chamber of eye aspiratn
lungs SC
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
urine SC
suprapubic aspiratn
or when bladder is dissected
before dissectn, via catheter
bone SC
200g collected
10-15 cm of shaft of femur
hair SC
adequate sample of head and pubic hair by plucking along with roots
maggots SC
dropped alive into boiling absolute alcohol or 10% hot formalin
if time of death is an issue, preserve the maggots and show to entomologist
nails SC
all nails removed entirely
skin SC
if needle puncture, whole needle track and surrounding tissue is excised
if firearm case, portion of skin from entry and exit wound is used
