Flashcards in The Autopsy Deck (13)
Name the four tyoes of deaths that must be reported to a coroner?
1-The cause of death is unknown
2-The deceased has not been seen by the certifying doctor either after death or within the 14 days before death
3-The death was violent, unnatural or suspicious
4-The death may be due to an accident (whenever it occurred)
5-The death may be due to neglect by self or others
6-The death may be due to an industrial disease or due to the deceased persons employment
7-The death may be due to an abortion
8-The death occurred during an operation or before recovery from the effects of an anaesthetic
9-The death may be a suicide
10-The death occurred during or shortly after detention in police or prison custody
11-The death may be related to poisoning
What are the reasons for a hospital Audit?
Allows a very thorough examination of the deceased, the extent of their disease, their treatment and its effects
Audit – Major discrepancies between stated cause of death and actual cause of death
Monitoring effectiveness of new treatments
Eg complex congenital heart disease
Eg unrivalled clinic pathological correlation
Eg knowledge of variant CJD relies heavily on study of post mortem brain tissue
Name the two types of autopsy?
Explain how the need for consent from the deceased relatives differ between a coroners and a hospital autopsy?
Hospital- Consent must be obtained from next of kin
With consent any material can be taken
Coroners-No consent of next of kin needed (but their wishes should be considered)
Material can only be taken if it bears upon the cause of death (with Coroners permission)
List causes of sudden unexpected death in the community?
-Cardiovascular Disease- coronary artery disease
-Hypertensive Heart Disease-
-Vascular system-ruptured aortic aneurysm
-Central nervous system- intercerebral haemorrhage
-Respiratory system-pulmonary embolus and astma
-GI tract- pancreatitis
Defina a bruise?
An extraversated collection of blood which has leaked from damaged small arteries, venules and veins but not capillaries
Give example of an mechanism of an injury that would lead to a bruise?
A blunt trauma injury
Occurs alone (skin intact)
is associated with other injuries
A graze or scratch
The most superficial of blunt trauma injuries
Confined to the epidermis (strict definition) but may actually extend into the superficial dermis due to skin anatomy)
Can occur before and after death
Give example of an mechanism of an injury that would lead to a abrasion?
A split to the skin
The result of blunt force overstretching the skin
Usually pass through the full thickness of the skin
Give example of an mechanism of an injury that would lead to a laceration?
wheel of car (flaying)
Differentiate between a cut and a stab?
Cut-The length of the injury is longer than its depth
Stab-The depth of the wound is greater than the width