Path) Autopsy Flashcards
What are some benefits of autopsies
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When is a medical certificate of cause of death Issued
What are some mandatory reasons to refer to the coroner?
Coroner’s autopsy — what is ascertained
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Cause of death — how would it be explained
Mechanism vs cause
1a (thing/event that caused death) due to 1b
2 other significant conditions but not related to direct cause
History taking for post mortem — what do you need to know
Random— what does granular surface on the kidneys imply
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Chronic sclerosis — long standing hypertension
Atherosclerosis on histology specimen — what can you see
Cholesterol, calcification, small louden
Cholesterol clefts
Fatty streaks
What is the physiology of plaque formation in endothelial vessels
Vascula wall —> endothelial damage
Then FOAM cells and other try and repair
Forms plaque
Inflammatory scarring process
Pre clinical then clinical
Fatty streaks in vessels — what are these and what can hapen
Endothelial damage — some improve but some become ulcerated lesion in severe atherosclerosis.
Image — thrombus formation / rupture on histology
Post MI, what would you see on left ventricle histology
What else may you see after
Ischaemia, acute inflammatory process — neutrophils BLUE
And heavy granulation tissue forms over time
What does coagulative necrosis, oedema and neutrophils
Then also inflammation
Then also granulomatous tissue look like
Also when does this happen
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