Autopsy: Difference between revisions

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→Other thorax: +Thrombus
Line 14: Line 14:
===Other thorax===
===Other thorax===
*Esophagus: Distinguish from trachea and dissect
*Esophagus: Distinguish from trachea and dissect
{|class="wikitable" align="right" width="40%"
|+Blood clots<ref>{{cite web|url=https://librepathology.org/wiki/Autopsy|title=Autopsy|author=Michael Bonert}} Page was last modified: 6 September 2016</ref>
!  !! Pre-mortem !! Post-mortem
|-
|  || [[File:Tumor embolus in the main pulmonary artery.jpg|100px]] ||
|-
| Texture || Dull || Shiny
|-
| Wall adherence || Yes || No
|-
| Color
| Grey. Possibly zebraic appearance by lines of Zahn, with mixed red and grey/yellow
| Dark purple or bilayered yellow/red (by gravity sedimentation)
|-
|Pressurized
| Yes, can eject from lumen
| No, needs to be pulled-out
|-
|Consistency || Firm and brittle || Elastic, jellylike
|}
*Pulmonary arteries and veins
*Pulmonary arteries and veins
*Trachea: Dissect
*Trachea: Dissect

Revision as of 07:52, 19 September 2019

Author: Mikael Häggström [note 1]

Basic checklist

Heart

  • Dissection of pulmonary trunk, checking for thrombosis
  • Ears
  • Atrial appendages
  • Coronary vessels
  • Follow the direction of the blood flow: Superior vena cava > right atrium > tricuspid valve > Right ventricle > Pulmonary vein > Left atrium > Mitral valve > Apex of the heart > Left lateral wall and interventricular septum > Papillary muscles

Other thorax

  • Esophagus: Distinguish from trachea and dissect
Blood clots[1]
Pre-mortem Post-mortem
Texture Dull Shiny
Wall adherence Yes No
Color Grey. Possibly zebraic appearance by lines of Zahn, with mixed red and grey/yellow Dark purple or bilayered yellow/red (by gravity sedimentation)
Pressurized Yes, can eject from lumen No, needs to be pulled-out
Consistency Firm and brittle Elastic, jellylike


  • Pulmonary arteries and veins
  • Trachea: Dissect
  • Thyroid: Dissect
  • Bronchi: Dissect
  • Hilar lymph nodes
  • Lung parenchyma

Retroperitoneal

  • Descending aorta: Cut dorsally in order to avoid risk of cutting ureters
  • Renal arteries until entry into kidneys
  • Adrenal glands
  • Kidneys: Cut sagittally
  • Clear the renal pelvis and follow the ureters to the bladder
  • Prostate
  • Urinary bladder

Peritoneal

  • Remove excess omentum
  • Duodenum and esophageal entry into ventricle
  • Ventricle: Dissect along greater curvature until duodenum
  • Ampulla of Vater until cystic duct
  • Gallbladder: Dissect
  • Liver: Dissect
  • Spleen: Dissect
  • Pancreas: Dissect

Brain

  • Inspect: Signs of herniation? Hemorrhages?
  • Basilar artery and circle of Willis: Dissect
  • Midbrain, pons and cerebellum: Separate

Notes

  1. ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

Main page

References

  1. ↑ Michael Bonert. Autopsy. Page was last modified: 6 September 2016

Image sources


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