Test II: Pathological Discolorations Flashcards
Antemortem discolorations which occur during the course of certain diseases
Pathological discolorations
- Gangrene
- Jaundice
- Addison’s Disease
- Leukemia
- Peritonitis
- Lupus Vulgaris
- Menigococcal Meningitis
- Tumors
- Chronic Renal Failure
Diseases that cause pathological discolorations
Necrosis of tissue cells that undergo bacterial decomposition
Gangrene
- 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
Wet gangrene
- 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
Dry gangrene
-The most common form of dry gangrene and is frequently seen in the extremities of the body
Senile gangrene
- 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
Treatment of gangrenous cases
To preserve, prevent leakage, and the escape of odor
Primary treatment purpose
- 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
Jaundice
-These adversely affect bilirubin and converts the yellow discoloration to green, changing biliruin to biliverdin
Strong formaldehyde arterial solutions
In the embalming of all jaundice bodies this takes precedence over clearing of the discoloration
Preservation
- 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
Ways to treat jaundice cases
If preservation demand in jaundice case is high use….
- Restricted cervical method
- Strong solution for torso (especially with edema)
- Mild solution for head and hands
If preservation demand in jaundice case is low use…
- Femoral artery as injection site
- 2 drainage sites: right internal jugular and right femoral vein
This is common in jaundice cases
Edema and good drainage