Autopsy Flashcards

1
Q

After death examination of the body and dissection of its internal organs to confirm or determine the cause of ______.

A

Autopsy

death

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2
Q

Autopsy can uncover the existence of ______ not detected during life, determine the extent of _____ may have contributed to a person’s death.

A

diseases
injuries

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3
Q

Once an internal autopsy is complete the body is > reconstituted by _____ it back together

A

sewing

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4
Q

PRELIMINARIES of Autopsy: [4]

A
  1. Written consent from the next of kin-abide by the extent or restrictions allowed
  2. Death certificate [blue form]
  3. Medical abstract/Clinical data
  4. Medicolegal clearance
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5
Q

PME IS PERMITTED W/O CONSENT IN THE FOLLOWING CIRCUMSTANCES [4]

A
  1. When it is ordered by the police or coroner
  2. When it is necessary to complete the death certificate [inconclusive]
  3. When the deceased himself has given consent before he died [advanced directive]
  4. Deceased military personnel who dies in active/training duty or military service
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6
Q

DEMONSTRATABLE CHANGES AFTER DEATH [6]

A
  1. Algor mortis
  2. Rigor Mortis
  3. Liver Mortis/Post-Mortem Hypostasis
  4. Post-mortem clotting of blood
  5. Tissue discoloration
  6. Putrefaction
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7
Q

_________
cooling of the body; not reliable indicator of the time of death ← factors [2]

A

Algor mortis

environmental
temp

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8
Q

1st demonstrable change after death

A

algor mortis

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9
Q

Algor mortis:

@____ temp- decreases to [#]F per [hr frequency] at ____ hr of death

A

room
2-2.5
per 1hr
1hr

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10
Q

___________
rigidity/hardening of the body (w/in [#] hrs after death) due to the hardening of________ ← lack of __________.

A

Rigor mortis

2hrs

skeletal muscle

ATP degeneration

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11
Q

After ___ hrs- complete hardening

A

12

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12
Q

___________
blood supply decreases due to gravity > gravitates to the _______.

A

Liver Mortis/Post-Mortem Hypostasis

skin vessels

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13
Q

Liver mortis time occurrence:

evident as early as ______ after death; ____hrs: fully evident; (+) _______: [color spots]

A

20 mins

4-8hrs

tardien spots [purple to black spots]

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14
Q

no blood supply= PALE after death

A

Tissue discoloration

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15
Q

cellular death = FOOD ODOR after death

A

Putrefaction

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16
Q

seek/find the cause and manner of death

A

Medicolegal/Forensic [Coroner’s] Autopsy

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17
Q

Coroner’s autopsy:

Female:
Male:

A

Jane Doe

John Doe

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18
Q

generally performed, as prescribed by applicable law

A

Coroner’s autopsy

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19
Q

diagnose a particular disease; explanation/relevance of the factors that caused the disease-death; clarifies the medical diagnosis; gain more insight into ______ processes.

➔ Autopsies are also performed to ensure the standard of ___ at hospitals.
➔ Autopsies can yield insight into how patient deaths can be [action] in the future.

A

Clinical autopsy

pathological

care

prevented

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20
Q

performed by studys (Anatomy) for study purposes.

A

Anatomical/Academic Autopsy

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21
Q

__________
imaging technology autopsy. [2 Examples]

A

Virtual autopsy

Magnetic resonance imaging
Computed tornography scan

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22
Q

5 Classifications of Death

A

Natural
Accident
Homicide
Suicide
Undetermined

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23
Q
  1. External Examination
    ➔ ________
    ➔ Note the _____, ______.
    ➔ Evidence-residues (______)
    ➔ Samples of ____, ______
    ➔ After external evidence is collected- body is _______, ______ and examine the ______.
    ➔ _____ the body, ______ , _______.
    ➔ General description of the body as regards [5] and other distinguishing features (birthmarks, old scar tissue, moles, etc)
A

Photography

clothing, position

UV light

hair, nails

removed from the bag, undressed, wounds

age, sex, ethnicity, hair color/length, eye color

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24
Q

Internal Examination- incision [3]

A

Toxicology
Biochemical Test
Genetic Testing

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25
Q

In Y-shaped incision, we use what cadavers?

A

male cadavers

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26
Q

starting from the tips of both shoulders > running down the front of the chest> meet @lower point of the sternum in the middle

A

Y- shaped incision

27
Q

MOST COMMON incision

A

Y-shaped incision

28
Q

maximum exposure of the neck structure for later detailed examination.

A

Y-shaped incision

29
Q

incision essential in cases of strangulation.

A

Y-shaped incision

30
Q

from the tips of both shoulders (in a horizontal line)> across the region of the collar bones to meet at the sternum in the middle

A

T-shaped incision

31
Q

incision w/ aesthetic finish

A

T-shaped incision

32
Q

starts at the adam’s apple of the male (middle neck region)

A

I-shaped/Single Vertical Cut

33
Q

Techniques in autopsy

A

Autopsy of Virchow
Autopsy of Letulle
Autopsy of Rokitansky
Autopsy of Ghon

34
Q

each organ is taken out one by one

A

Autopsy of Virchow

35
Q

Good for demonstrating pathologic change in individual organs

A

Virchow

36
Q

Good for high risk autopsies
and limited autopsies

A

Virchow

37
Q

Has the advantages of:
–Simple to perform
–Systematic examination of organs

A

Autopsy of Virchow

38
Q

DISADVANTAGE:
► Destroys anatomic relationships

A

Autopsy of Virchow

39
Q

organs are taken out en-bloc.

A

Autopsy of Letulle

40
Q

Best for preserving vascular supply

A

Autopsy of Letulle

41
Q

Best for preserving relationship of different organs

A

Autopsy of Letulle

42
Q

Autopsy that is fast and easy

A

Autopsy of Letulle

43
Q

Advantages:
—- Organs can be removed and stored for later dissection
—- Body can be released

A

Autopsy of Letulle

44
Q

Advantages:
—- Complete preservation of relationships among organs is possible
—- All organs examined thoroughly

A

Autopsy of Letulle

45
Q

DISADVANTAGE:
— Bulky and difficult to handle for a single prosector

A

Autopsy of Letulle

46
Q

DISADVANTAGE:
—- Organs dissected rarely returned to their respective sites

A

Autopsy of Letulle

47
Q

DISADVANTAGE:
—- Artifactual postmortem injuries may occur

A

Autopsy of Letulle

48
Q

DISADVANTAGE:
—- Subsequent autopsies not possible

A

Autopsy of Letulle

49
Q

where organs are examine in-situ. (It means “locally”, “on site”, “on the premises” or “in place“)

A

Autopsy of Rokitansky

50
Q

ADVANTAGE:

v Good preservation of anatomic structures
v Good preservation of pathologic anatomic relationships

A

Autopsy of Rokitansky

51
Q

ADVANTAGE:
v Practical for single examiner

A

Autopsy of Rokitansky

52
Q

ADVANTAGE:
v Subsequent autopsies can be easily performed on the same body

A

Autopsy of Rokitansky

53
Q

DISADVANTAGES:
v Requires a certain degree of expertise and skill

A

Autopsy of Rokitansky

54
Q

DISADVANTAGES:
v Thorough examination may not be possible

A

Autopsy of Rokitansky

55
Q

DISADVANTAGES:

v IF CAUSE OF DEATH IS DETERMINED, less attention is paid to other pathologies

A

Autopsy of Rokitansky

56
Q

__________
where organs are taken out in 3 separate blocks [Enumerate]

A

Autopsy of Ghon

Abdominal region
Cervical region
Urogenital region

57
Q

Maintains all connections between physiologically related organs (organ systems)

A

Autopsy of Ghon

58
Q

Preserves anatomical relationships and simpler to execute

A

Autopsy of Ghon

59
Q

ADVANTAGE:
v Anatomic relationships are preserved without a bulky mass of organs

A

Autopsy of Ghon

60
Q

ADVANTAGE:
v Systems examined within their structural integrity

A

Autopsy of Ghon

61
Q

ADVANTAGE:

v Good observation of pathologic lesions

A

Autopsy of Ghon

62
Q

DISADVANTAGE:
v Not ideal for X multiple organ involvement

A

Autopsy of Ghon

63
Q

DISADVANTAGE:
Requires skill and time

A

Autopsy of Ghon