Autopsy: Difference between revisions
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{{Top | <noinclude>{{Top | ||
|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
|author2= | |author2= | ||
}} | }}</noinclude> | ||
The extremely minimal autopsy checklist: | The extremely minimal autopsy checklist: | ||
*Check the autopsy '''referral''' | *Check the autopsy '''referral''' | ||
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:*Current diseases | :*Current diseases | ||
:*Latest hospital and/or primary care notes | :*Latest hospital and/or primary care notes | ||
:*Presence of any implantable cardioverter-defibrillator (ICD). If present, make sure it is deactivated before cutting open the chest. Generally remove it during autopsy as they may explode if the body is cremated.{{Moderate-end}} | :*Presence of any pacemaker or implantable cardioverter-defibrillator (ICD). If present, make sure it is deactivated before cutting open the chest. Generally remove it during autopsy as they may explode if the body is cremated.{{Moderate-end}} | ||
:*{{Comprehensive-begin}}History of smoking | :*{{Comprehensive-begin}}History of smoking | ||
:*Medications, especially anticoagulant ones. | :*Medications, especially anticoagulant ones. | ||
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{{Moderate-begin}}On the '''torso''' there are no puncture marks or healed surgical scars.{{Moderate-end}} | {{Moderate-begin}}On the '''torso''' there are no puncture marks or healed surgical scars.{{Moderate-end}} | ||
{{Comprehensive-begin}}The '''skin''' is <<pale / icteric / cyanotic>>. The body '''hair''' shows a normal <<male / female>> distribution. There is no peripheral '''edema'''. The '''head''' is not deformed. It is covered by <<scanty / moderate / abundant>> amount of {{Comment-begin}}color:{{Comment-end}} ____ '''hair'''. The irides are {{Comment-begin}}color:{{Comment-end}} ___. The '''pupils''' are round, regular and equal, measuring _cm in diameter. The '''corneae''' and '''lenses''' are transparent. The '''sclerae''' are clear. The '''conjunctivae''' are <<pink / pale>>. The '''nose''' and external '''ears''' are unremarkable and their passages are clear. The '''lips''' and '''gums''' show no lesions. {{Finding-begin}}The lips are pale/cyanotic.{{Finding-end}} The '''mouth''' is not remarkable {{Finding-begin}}/edentulous /contains a frothy fluid{{Finding-end}}. The '''neck''' structures are symmetrical, and there are no unusual masses. {{Finding-begin}}There is jugular venous distention{{Finding-end}}. The '''thorax''' has normal contour and symmetry. {{Comment-begin}}In females:{{Comment-end}} breasts and nipples are unremarkable. The abdomen is flat {{Finding-begin}}/protuberant{{Finding-end}}. External abdominal palpation detects no abnormal masses or fluid waves. The '''extremities''' show no scars or deformities. The '''nails''' are normal {{Finding-begin}}/cyanotic/clubbed{{Finding-end}}. No palpable '''inguinal''' masses.{{Comprehensive-end}} | {{Comprehensive-begin}}The '''skin''' is <<pale / icteric / cyanotic>>. The body '''hair''' shows a normal <<male / female>> distribution. There is no peripheral '''edema'''. The '''head''' is not deformed. It is covered by <<scanty / moderate / abundant>> amount of {{Comment-begin}}color:{{Comment-end}} ____ '''hair'''. The irides are {{Comment-begin}}color:{{Comment-end}} ___. The '''pupils''' are round, regular and equal, measuring _cm in diameter. The '''corneae''' and '''lenses''' are transparent. The '''sclerae''' are clear. The '''conjunctivae''' are <<pink / pale>>. The '''nose''' and external '''ears''' are unremarkable and their passages are clear. The '''lips''' and '''gums''' show no lesions. {{Finding-begin}}The lips are pale/cyanotic.{{Finding-end}} The '''mouth''' is not remarkable {{Finding-begin}}/edentulous /contains a frothy fluid{{Finding-end}}. The '''neck''' structures are symmetrical, and there are no unusual masses. {{Finding-begin}}There is jugular venous distention{{Finding-end}}. The '''thorax''' has normal contour and symmetry. {{Comment-begin}}In females:{{Comment-end}} breasts and nipples are unremarkable. {{Moderate-begin}}The '''back''' has lividity.{{Moderate-end}} The abdomen is flat {{Finding-begin}}/protuberant{{Finding-end}}. External abdominal palpation detects no abnormal masses or fluid waves. The '''extremities''' show no scars or deformities. The '''nails''' are normal {{Finding-begin}}/cyanotic/clubbed{{Finding-end}}. No palpable '''inguinal''' masses.{{Comprehensive-end}} | ||
===Internal examination=== | ===Internal examination=== | ||
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*'''Uterus''': {{Sections show}} no focal changes. | *'''Uterus''': {{Sections show}} no focal changes. | ||
*'''Ovary''': {{Sections show}} no focal changes bilaterally. | *'''Ovary''': {{Sections show}} no focal changes bilaterally. | ||
<gallery mode=packed heights=170> | |||
File:Histopathology of a blood clot with postmortem bacterial growth.jpg|'''Postmortem bacterial growth''' is often seen in autopsy, generally as basophilic and equally sized tiny granules. The absence of inflammation indicates that it is a postmortem change (such as leukocytes being commensurate with red blood cells as in this image of bacteria within the fibrin of a postmortem blood clot). | |||
File:Histopathology of liver with cocci and granulomatous inflammation.jpg|A true '''bacterial infection''', on the other hand, is expected to have a presence of leukocytes, or as in this case, a monocytic and histiocytic granuloma surrounding the bacteria. | |||
</gallery> | |||
{{Reporting}} | {{Reporting}} | ||
<noinclude> | <noinclude> | ||
==Licensing== | ==Licensing== | ||
:The report examples in this article are [https://creativecommons.org/publicdomain/zero/1.0/ Public Domain], and can be copied without any need for author attribution. Rest of content is available under the [https://creativecommons.org/licenses/by/4.0/deed.en Attribution 4.0 International license]. See [[Patholines:Copyright]] for details. | :The report examples in this article are [https://creativecommons.org/publicdomain/zero/1.0/ Public Domain], and can be copied without any need for author attribution. Rest of content is available under the [https://creativecommons.org/licenses/by/4.0/deed.en Attribution 4.0 International license]. See [[Patholines:Copyright]] for details. | ||
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==External applications== | ==External applications== | ||
*[http://mdhero.com/adult-autopsy-standards.php MD Hero reference range generator for autopsy measurements by age and height etc.] | *[http://mdhero.com/adult-autopsy-standards.php MD Hero reference range generator for autopsy measurements by age and height etc.] | ||
{{Bottom}} | <noinclude>{{Bottom}}</noinclude> | ||
The standard reference range reference is duplicated because of technical reasons by being included in [[Patholines:Templates]]. | The standard reference range reference is duplicated because of technical reasons by being included in [[Patholines:Templates]]. | ||