Sudden Death

Question 1

When may the procurator fiscal request an autopsy?

Answer 1

To reduce any criminality
Sudden and unexpected death
Clinician unable to certify death
Death due to negligence
Suspected suicide
Suspected homicide
Death from drugs
Death in custody
Death at work
Death due to medical or dental care

Question 2

What is classified as a sudden or unexpected death?

Answer 2

Death within 24hrs from onset of symptoms according to who

Question 3

What type of inheritance is romano ward syndrome?

Answer 3

Autosomal dominant

Its a type of long QT syndrome

Question 4

What is the inheritance of jervell lange nielson syndrome

Answer 4

Autosomal recessive

Question 5

After what gestation is a termination of pregnancy considered a still birth?

Answer 5

> 24wks

Question 6

What are some of the causes of still birth?

Answer 6

Placental issues, pre-clampsia leading to Intrauterine growth restriction
Infections (cytomegaly virus, parvo, herpes, malaria, syphilis)
Smoking (50% increased risk so 1/100, if >10 aday)
Over 40yrs age

Question 7

What test can be used to see if fetal and maternal blood have mixed in the context of anti-D administration?

Answer 7

Kleihower test

Question 8

What are some of the causes for sudden unexpected death in infancy?

Answer 8

Co-sleeping
Infection
Head covering
Overheating
Prone position to sleep (tummy)

Question 9

What are some of the risk factors for sudden unexpected death in infancy?

Answer 9

Multiple births
Family history
Small for gestational age
Acute illness (URTI, otitis media)
Males
Mom with depression alcohol use drug use or smoking