PM changes Flashcards
Autolysis
- self-degradation of cells and tissues by the hydrolytic enzymes normally present in tissues
- occurs after somatic death due to total diffuse hypoxia
- cells degenerate as for hypoxic injury
Putrefaction
- process by which post mortem bacteria break down tissues
- gives color, texture changes, gas production, odors
Tissues with _____ concentration of proteolytic enzymes will autolyze the quickest. ex?
greater
ex. GI tract, pancreas, gall bladder
The rate of decomposition depends on:
- cause of death
- environmental& body temp
- microbial flora (GI, bacterial fermentatioon continues after death –> gas & heat)
Pulp kidneys in sheep
accelerated renal decomposition associated w/ Clostridium perfringens type D septicemia
The presence of ____ is the most likely to be microscopically obscured by decomposition
cell injury (necrosis)
Rigor Mortis
- contraction of the muscles after death
- begins 1-6hrs post death, persists 1-2d
- high heat & high activity before death accelerate the onset of rigor mortis
- due to depletion of ATP & inability of myosin to detach from actin binding site
Livor Mortis
(aka hypostatic congestion)
- gravity will pull blood post death
- variation in color of tissues, skin, lung, kidneys
- in some areas the tissues will be more red and in other areas pale
Post-mortem blood clotting
- occurs several hrs post death in the heart & vessels
- coagulopathies can delay or cause failure of blood to clot
- chicken fat clot appearance: due to separation of RBCs and clotted serum
- differentiate from pre-mortem clotting!!!
Antemortem Clot (thrombus)
(before death)
- attached to vessel walls
- dry & dull
- lamellated
- friable
Postmortem Clot
- unattached
- shiny & wet
- elastic
- perfect cast of vessel lumen
Hemoglobin inbibition
- red staining of tissue, especially the intima of heart, arteries & veins
- Hb is released by lysed RBCs, penetrates the vessel wall, and extends into the adjacent tissues
Bile inbibition
- bile in the gallbladder starts to penetrate the wall & stains the adjacent tissues- yellowish to greenish brown
- tissues stained are those in contact w/ the gall bladder: liver, intestines, diaphragm
Bloat
- results from postmortem bacterial gas formation in the lumen of the GI tract
- herbivores Vs carnivores: herbivores bloat faster
- associated changes: rectal/vaginal prolapse, froth in trachea, ruptured viscera
Common PM eye changes
- corneal opacity due to dehydration of cornea
- “cold cataracts”
Pseudomelanosis
- refers to greenish-black discoloration of tissues post mortem
- decomposition of blood by bacterial action forming hydrogen sulfide w/ iron
- occurs soon after death
- commonly seen in tissues in contact w/ gut: kidney, liver, spleen, even the gut wall itself