Non Wax Treatments (Part 1) Flashcards Preview

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Flashcards in Non Wax Treatments (Part 1) Deck (81):
1

  • Cavity Fluid
  • Phenol
  • Mortuary Bleaches
  • Sodium Hypochlorite

Chemical Agents - Bleaching

2

Commonly used when time permits. Techniques include:

  • Cotton Compress
  • Hypodermic Injection

Cavity Fluid

3

When bleaching with cavity fluid, this technique is the least effective because of the lack of control on distribution.

Hypodermic Injection

4

Used when speed is important.

  • Apply with a cotton swab or brush.

Phenol

5

These have great bleaching ability, but may burn the skin.

  • Alcohol between applications will halt the corrosive action.

Strong Solutions of Phenol

6

These are to be used carefully.

  • Modify the harsh effect of phenol.

Mortuary Bleaches

7

May be used for a compress to bleach.

  • Disadvantage: Has a lingering odor

Sodium Hypochlorite (Bleach)

8

  • Cavity Fluid
  • Phenol
  • Alcohol
  • Mortuary Bleaches
  • Plaster of Paris
  • Hardening Compound
  • Incision Sealer

Chemical Agents - Dehydrating

9

  • Hypodermically inject a highly astringent mortuary chemical into the distended area.
  • Press the fluid back out of the needle puncture.
  • Repeat as necessary

Constricting

10

Chemically, you can use phenol.

As a Substitute for Constricting Chemicals

11

  • Petroleum Jelly
  • Mortuary Cement
  • Instant Bond Cement

Adhesives

12

Used for posing features.

Petroleum Jelly

13

To make cotton into a firm mass for deep-filling a wound, use:

  • Liquid Sealer
  • Plaster of Paris

Binding

14

Medicinal, occupational, road dirt, or cigarette tar on the fingers.

Visible Stains

15

Wash the skin and apply massage cream to prevent dehydration.

To Remove Visible Stains

16

Remove these stains with massage cream.

Ornamental Cosmetics

17

Remove these stains with acetone.

 

Nail Polish

18

  • Adhesive tape- alcohol, ether
  • Blood- soap and cold water with a little borax
  • Bonded polymer cement- acetone, toluene, benzine
  • Creosote- gasoline
  • Gentian Violet- acid-alcohol
  • Grease or oil- trichloro-ethylene
  • Iodine- alcohol for fresh stains, sodium thiosulfate, sodium hypochlorite
  • Ink (ballpoint)- acetone, ethyl acetate
  • Lacquer- Acetone
  • Mercurochrome- sodium hypochlorite, then rinse with vinegar, acid-alcohol
  • Merthiolate- acid-alcohol
  • Methylene blue- acid-alcohol
  • Nicotine- lemon juice, sodium hypochlorite (5%)
  • Ointments- trichloro-ethylene, ether
  • Paint- turpentine
  • Potassium Permanganate- Oxalic acid, very dilute hypochloric acid
  • Resin- benzine
  • Silver Nitrate- Paint with iodine and wash with soap and water; then apply sodium hypochlorite (5%)
  • Tar- benzine, kerosene
  • Varnish- Turpentine mixed with a small amount of household ammonia.

Other Chemicals For Removing Stains (From Book)

19

These may be employed:

  • Externally
  • Internally
  • In Deep Wounds

Cotton Compress

20

These may be used to:

  • Bleach
  • Preserve
  • Dehydrate
  • Reduce Swelling
  • Maintain Contacts of Parts

Cotton Compresses

21

For a cranial postmortem treatment, at this time, do not permit the scalp to remain everted downward over the face.

During Embalming

22

This can result in:

  • A dark brown line (furrow) being created
  • Distortion of the features

Leaving The Scalp Everted During Embalming (Cranial Postmortem Treatment)

23

For a cranial postmortem treatment, at this time:

  • Ligate the vessels within the skull.

After Embalming

24

After Embalming, if you are unable to ligate the torn vessels within the skull:

 Impact with pellets of cotton and sealer.

25

Wiring is accepted as the most effective way of holding this in position so it does not shift.

Calvarium

26

A ridge may be apparent through the scalp when this happens.

When The Replaced Calvarium Does Not "Seat" Properly.

27

Use a strip of cotton, paper, or wax to bridge the crevice to mask this surface flaw.

Apparent Ridge From The Calvarium Does Not "Seat" Properly

28

This kind of discoloration must be masked with opaque cosmetics.

Generalized Discolorations

29

Require an opaque liquid cosmetic "undercoat" followed by opaque cream cosmetics.

Very Dark Discolorations

30

These discolorations include back eyes and contusions.

Localized Discolorations

31

  • May be bleached using a cotton compress.
  • Bleaching will lighten the skin color enough to be able to mask the area with a minimum amount of cosmetics.

Localized Discolorations

32

An alternate method to treat localized discolorations:

  • Apply with a brush or cotton swab.
  • Followed with an application of alcohol

Phenol

33

This is the least effective method of lightening localized discolorations.

  • Cannot be confined to the area.

Hypodermic Injection

34

This lies in the lower third of the eyesocket.

Line of Closure

35

The posterior edge edge of the upper eyelid touches the _______ edge of the lower.

Anterior

36

Use a thin, flat piece of cotton, rounded to the size of the eyeball.

When Padding Beneath The Eyelids is Needed

37

This is located medially off center.

  • Correct by using a small cotton pad.

Greatest Projection of The Upper Eyelid

38

Make make it difficult to close the eyelids before embalming.

Dehydrated Eyelids

39

  • Stretch the eyelid
  • Eyecaps
  • Petroleum Jelly
  • Incise The Restraining Muscle of The Upper Lid
  • Excision And Rebuilding With Wax
  • Incision to Retain Subject's Eyelashes

Treating Dehydrated Eyelids

40

By moving an aneurysm hook beneath the lids.

Stretch the Eyelid

41

  • Perforated
  • Cement placed on them

Eyecaps

42

Used to hold the eyelids in contact when there is no great tension drawing them apart.

Petroleum Jelly

43

  • Using an aneurysm hook- pull the upper eyelid upward.
  • With a fine scalpel - cut across the entire bony surface of the upper wall of the eyesocket.
  • Insert an eyecap and cement lids in position.

Incise The Restraining Muscle of The Upper Eyelid (Levator Palpebrae Superioris)

44

Done in cases of extreme dehydration when the eyelashes are in poor condition.

Excision And Rebuilding With Wax

45

Restore the area using:

  • False eyelashes
  • Wax to recreate the eyelids

Technique For Excision And Rebuilding With Wax

46

Done in cases of extreme dehydration when the eyelashes and edge of the upper lid are in good condition.

Incision to Retain Subject's Eyelashes

47

  • Make an incision 3/16" above the eyelash.
    • Draw this section downward to the lower lid and cement using an eyecap.
  • Recreate the upper lid using wax.

Technique For Incision to Retain Subject's Eyelashes

48

Fill the opening with a small pellet of colored wax.

Dehydrated Inner Canthus

49

Also known as a black eye.

Ecchymosis

50

May result in swelling and discoloration in the eyelid and adjacent areas.

  • The capillaries within the eyelids rupture and blood escapes into the intercellular spaces.
  • The resulting coagulated blood cannot be removed by aspiration.

A Forceful Impact on or Near The Eye

51

This usually increases the swelling of ecchymosis.

  • Use a strong solution of embalming chemical under lower pressure.

Embalming

52

To control the swelling in cases of ecchymosis, apply external pressure.

During Emblaming

53

If there is a high liquid content of the upper eyelid:

  • Make small incisions on the undersurface of the eyelid.
  • Place dry cotton under the eyelid.
  • Lightly exert pressure on the surface.
  • Change the cotton periodically.
  • Be sure adjacent areas are heavily creamed.
  • An internal compress saturated with a constricting chemical may be applied.
  • Replace with a pad of dry cotton.

After Embalming- Ecchymosis

54

Use a cotton compress with one of the following:

  • Preservative cavity fluid/preservative gels
  • Phenol
  • Mortuary bleaching chemical

For Surface Preservation and Bleaching - Ecchymosis

55

  • The surface of the skin must be kept covered.
  • Avoid burning the skin
  • Move the blade in a darting motion.
  • As the blade cools- withdraw it until the heat builds again.
  • Avoid extensive contact

Reducing The Eyelid Using an Electric Spatula (Tissue Reducer)

56

By using a large amount of:

  • Massage cream
  • Petroleum jelly

The Surface of The Skin Must be Kept Covered (electric spatula)

57

Immediately replace the cream or jelly as it melts.

To Avoid Burning The Skin (electric spatula)

58

Following the convolutions of the surface.

Move the Hot Spatula Blade in a Darting Motion

59

Withdraw it until the heat builds again.

As The Blade Cools

60

With the edges of the eyelids to prevent:

  • The margins from curling outward.
  • Damage to the eyelashes

Avoid Extensive Contact

61

  • Surgical removal of fat from behind the eyeball.
  • Hypodermic injection of a constricting chemical out through the needle puncture.
  • Exicision of a "melon slice" section across the upper eyelid.
  • Surgical removal of the undersurface of the eyelid.
  • Moving the excess skin of the upper eyelid under the upper rim and cementing it there.

Other Possible Treatments- Ecchymosis

62

Surgical removal of ____ from behind the eyeball.

Fat

63

Of a constricting chemical under the eyelids, massaging the excess liquid out through the needle puncture.

Hypodermic Injection

64

  • Dry, seal, and cement margins.
  • No wax is necessary if done on a wrinkle.

Excision of a "Melon Slice" Section Across The Upper Eyelid.

65

Followed by an internal compress of constricting chemical.

Surgical Removal of The Undersurface of The Eyelid

66

Moving the excess skin of the upper eyelid under the _____ ___ and _____ it there.

Upper Rim, Cementing

67

Final Adjustments for this may be made with:

  • Wax
  • Opaque Cosmetics

Correcting Ecchymosis

68

Caused by projection of the eyeball.

Protruding Eyes

69

If protruding eyes was a condition that existed in life and was accepted as a characteristic of that person:

Do Nothing

70

  • The gas may be released by puncture of the cribiform plate.
  • Access is achieved upward through the nostrils.
  • The brain can also be hypodermically injected through this point.

If the distension (protruding eyes) is caused by putrefaction within the cranial cavity:

71

To treat protruding eyes, ___ ____ of fat around and behind the eyeball.

Surgical Removal

72

To treat protruding eyes:

  • Incise the eyeball
  • Aspirate the eyeball

Removal of The Humors of The Eyeball

73

To treat protruding eyes, removal of the ______.

Eyeball

74

  • Cotton support of the eyelids.
  • Raise the eyeball by hypodermically injecting tissue builder behind the eye.

Suken Eyeball And Marginal Concavities

75

Swelling from edema or embalming can be reduced:

  • During embalming- By external pressure or aspiration.
  • After Embalming- Same as Ecchymosis

Swollen Eyelids (Non-Traumatic)

76

By external pressure or aspiration.

During Embalming- Swelling From Edema or Embalming Can be Reduced:

77

External pressure can be used to treat a swollen orbital pouch.

During Embalming

78

Swollen Orbital Pouch:

  • Hypodermically inject a constricting chemical.
  • Removal of injection after several minutes (repeat if necessary).
  • Electric spatula may be used to supplement the treatment.

After Embalming

79

When broken bones do not piece the skin.

Simple Fractures

80

May be realigned by bumping or pressing the bone back into position.

Simple Fractures

81

If bumping or pressing the bone back into position fails, an incision may be necessary for corrective treatment.

Simple Fractures