autopsy Flashcards

legal context, definitions, overview of post mortem procedures, types of post mortem, Histology/toxicology at autopsy, resources.

1
Q

Coroners law includes 4 things what are they?

A

post mortem examination
registration
inquests
Disposal

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2
Q

human tissue act includes 3 things what are they?

A

Retention
disposal of human tissue
consent

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3
Q

Specific legislation includes 7 things:
- common law
- births and deaths registration 1953
- registration of births and deaths regulation 1987
- Coroners and justice act 2009
- Coroners rule 1984
- human tissue act 2004 and

A

coroners act 1988

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4
Q

in the process after death, what can happen after the death is discussed with coroner/officer?

A

death certified by doctor after informal advice from coroner or Coroner issues form 100A

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5
Q

what is a death certificate?

A

A certified copy of the entry in the death register

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6
Q

what medical certificate of cause of death states the official cause of death?

A

1 (A), 1 (B) ,1 (C) and 2 format

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7
Q

what is a green form?

A

certificate for burial or cremation:
- proof of next of kin/ who is conducting the funeral
- proof death has been registered

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8
Q

what is needed for cremation?

A

additional forms

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9
Q

what is the role of a coroner?

A

they are an independent judicial officer, can be court based, usually from a legal or medical background.

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10
Q

what does a coroner do?

A

decides whether a post mortem should be performed. resides over inquests, can influence legal changes and concludes manner of death.

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11
Q

what does a coroners officer do?

A
  • attend scenes of deaths, post mortems and inquests. they gather info and can act on behalf of the coroner.
    they also liaise closely with the family
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12
Q

what is a pathologist?

A

they are medically qualified personnel who usually work in a lab, office or mortuary

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13
Q

what does a pathologist do?

A

preform post mortems, dissections and eviscerations. can specialise in forensics, establish cause of death and performs diagnostic histology duties.

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14
Q

what does Apt stand for?

A

anatomical pathologist technologist

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15
Q

what does an APT do?

A

mortuary based, employed by the hospital. they assist pathologist in evisceration and are the custodian of the deceased.

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16
Q

what is a medical examiner?

A

they are the senior doctor in the medical examiner office.

17
Q

what are some of the medical examiner roles?

A

provides greater safeguard for the public and improve the quality of mortality data.

18
Q

when is a post mortem examination needed?

A

-unnatural or unknown cause
- suspicious or death in custody
or in cases of specific interest or concern for the coroner

19
Q

why is a post mortem needed?

A

public interest, cause of death or make legislative changes. can also be needed for insurance or mortality records

20
Q

when is consent required for a post mortem?

A

in a hospital post-mortem

21
Q

what is coroner’s jurisdiction?

A

the coroner has the right to take possession of the body or post mortem examination

22
Q

what are the 3 main types of post mortem?

A

Coroners, forensic, hospital

23
Q

who completes the evisceration in a coroners PM?

24
Q

Why is a forensic post mortem completed?

A

for evidence collection, suspicious death and to establish COD.

25
in a hospital post mortem is the cause of death known or unknown ?
known, and can be limited to not the whole body
26
what are 5 subtypes of post mortem?
- Paediatric - high risk - independent - start stop - toxicology only - non-invasive
27
what comes after weighing organs in the post mortem procedure?
dissection
28
what do you look for in external examination?
identifying markers (tattoos , growths) conditions of the skin or evidence of medical intervention
29
what are the 4 types of evisceration incisions?
- Y - I - modified Y - head- mastoid to mastoid
30
what is EN Masse of Letuille organ removal
when all viscera are removed together
31
what is EN Bloc method of Ghon organ removal
blocks or plucks of system
32
what is Virchow organ removal
organ by organ retrieval
33
what is Rokinasky organ removal
in-situ examination, removal of select organs
34
why is forensic post mortem different?
can happen after hours. with police and crime scene examiners present. a forensic pathologist requires additional training. and documentation is extensive.
35
what happens in post mortem reconstructions?
suturing main incisions and closing up injuries. washing hair etc to make viewings possible.