Test II: Pathological Discolorations Flashcards

1
Q

Antemortem discolorations which occur during the course of certain diseases

A

Pathological discolorations

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2
Q
  1. Gangrene
  2. Jaundice
  3. Addison’s Disease
  4. Leukemia
  5. Peritonitis
  6. Lupus Vulgaris
  7. Menigococcal Meningitis
  8. Tumors
  9. Chronic Renal Failure
A

Diseases that cause pathological discolorations

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3
Q

Necrosis of tissue cells that undergo bacterial decomposition

A

Gangrene

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4
Q
  • Caused by venous congestion where the affected part becomes moist, dark, and putrid and has the odor of rotting flesh
  • This type of gangrene spreads rapidly
A

Wet gangrene

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5
Q
  • Caused by the interference of the arterial supply of the blood
  • Can result in a bluish black discoloration with little odor as the bacterial activity is limited by dryness of the tissues
A

Dry gangrene

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6
Q

-The most common form of dry gangrene and is frequently seen in the extremities of the body

A

Senile gangrene

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7
Q
  • If odor is present: use spray disinfectant
  • Undamaged or unaffected tissue: requires regular strength injection and regular venous drainage procedures
  • Injection of high index arterial fluid or injectable cavity fluid directly in the affected area through multipoint injection or hypodermic injection
  • Cavity pack or topical preservative jelly should be applied to entire area
  • Protective garments containing preservative powder or hardening comound
A

Treatment of gangrenous cases

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8
Q

To preserve, prevent leakage, and the escape of odor

A

Primary treatment purpose

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9
Q
  • Results in a yellowish discoloration of the body
  • First detected in the sclera of the eye
  • Yellow stain is due to the presence of bilirubin pigmentations which adversely colors the bile
A

Jaundice

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10
Q

-These adversely affect bilirubin and converts the yellow discoloration to green, changing biliruin to biliverdin

A

Strong formaldehyde arterial solutions

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11
Q

In the embalming of all jaundice bodies this takes precedence over clearing of the discoloration

A

Preservation

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12
Q
  • Jaundice chemicals: low index
  • Injection: restricted cervical method
  • Injection: minimum of 2 drainage sites
  • Pack applications: bleaching chemicals
  • Opaque cosmetics
  • Casket lamp: to counter act the discoloration of the body
A

Ways to treat jaundice cases

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13
Q

If preservation demand in jaundice case is high use….

A
  • Restricted cervical method
  • Strong solution for torso (especially with edema)
  • Mild solution for head and hands
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14
Q

If preservation demand in jaundice case is low use…

A
  • Femoral artery as injection site

- 2 drainage sites: right internal jugular and right femoral vein

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15
Q

This is common in jaundice cases

A

Edema and good drainage

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16
Q

A bronze discoloration resulting from loss of function of the adrenal glands

A

Addison’s disease

17
Q
  • Same as jaundice
  • Low index or specialized arterial fluid
  • Danger: high index may cause surface tissue to turn dark*
A

Treatment of Addison’s disease

18
Q

-A chronic or acute disease of unknown etiology characterized by unrestrained growth of leukocytes

A

Leukemia

19
Q

-Start with right common carotid artery and right internal jugular vein followed y multiple injection and drainage sites where necessary to solve injection and drainage problems

A

Treatment of Leukemia cases

20
Q
  • Inflammation of the peritoneum due to the invasion of infectious organisms
  • A bright red color is characteristic of the infected peritoneum lining the abdominal cavity
A

Peritonitis

21
Q
  • Hypostasis to hemolysis will occur rapidly because the blood in its antemortem state was unable to coagulate because of bacterial invasion
  • The blood will have an odor and will be dark in color
A

Embalming problems of peritonitis

22
Q
  • Restricted cervical method
  • Multipoint injection and drainage sites
  • Immediate aspiration and injection of undiluted cavity fluid (at least 2 bottles; 32%; after arterial injection
  • Reaspiration and injection of additional undiluted cavity fluid prior to dressing and casketing
  • Hypodermic injection of strong solutions to areas not receiving arterial solution
  • Opaque cosmetic to cover and surface discoloration
A

Treatment of peritonitis cases

23
Q
  • Avoid preinjection and use strong solutions and coinjections instead
  • Reaspirate adding fresh cavity fluid each time
A

Chemistry of peritonitis cases

24
Q
  • Tuberculosis of the skin characterized by patches which break down and ulcerate, leaving scars
  • In some cases, a red butterfly rash may appear across the nose and cheeks
  • ulcers may be contagious to the embalmer*
A

Lupus vulgaris

25
Q
  • Routine arterial injection will have little affect on ulcers
  • Pack application undiluted cavity fluid
  • Topical jelly; phenol based
  • Hypodermic injection of arterial fluid directly into problem areas
A

Treatment of lupus vulgaris cases

26
Q
  • An infectious and contagious disease which causes and inflammation of the membranes of the spinal cord and/or the brain
  • a clear danger to the embalmer who should follow proper procedures for contagious and infectious diseases*
  • Pathological discoloration may be in the form of a rash
A

Meningococcal meningitis

27
Q

Opaque cosmetics

A

Treatment of meningococcal meningitis cases

28
Q
  • Pathological discoloration will vary in both benign as well as in malignant tumors
  • Odors may also be a problem because the tumor may be necrotic
A

Tumors

29
Q
  • The tumor will seldom be preserved by arterial injection
  • It must be excised completely and the area preserved with topical jelly, cavity pack, and/or treated hypodermically
  • Restorative art will also be required
A

Treatment of tumors

30
Q
  • A sallow yellow color to the skin resulting from the presence of urochrome in the tissues
  • Often accompanies diabetes mellitus, which adversely affects distribution and diffusion of arterial fluid solution
A

Chronic renal failure

31
Q

Poor peripheral circulation leading to gangrene of the lower limbs and the conversion of urea in the blood stream to ammonia that neutralizes formaldehyde

A

Major problems to the embalmer in cases with chronic renal failure

32
Q
  • Avoid preinjection completely
  • Use strong solutions with coinjection of drainage chemicals
  • Multiple injection and drainage sites will be necessary
  • Hypodermic injection of areas that did not receive arterial fluid solution
  • Use active dye to offset the sallow yellow color (coinject dye with solution)
A

Treatment of cases with chronic renal failure