Difference between revisions of "Lung autopsy"
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==Basic autopsy cutting== | ==Basic autopsy cutting== | ||
In non-forensic '''[[Autopsy]]''': | In non-forensic '''[[Autopsy]]''': | ||
+ | :The lungs may be cut after removing the heart through cutting through the major vessels close to it, or by removing each lung by cuts by each lung hilum. | ||
+ | |||
*Dissect the '''pulmonary arterial system''', from the pulmonary trunk and including at least segmental arteries. | *Dissect the '''pulmonary arterial system''', from the pulmonary trunk and including at least segmental arteries. | ||
*Dissect the '''bronchial tree''', at least to segmental bronchi. Check for obstructions. | *Dissect the '''bronchial tree''', at least to segmental bronchi. Check for obstructions. | ||
*Make some additional sections through the '''lung parenchyma'''. Squeeze at each side to detect any pus and edema.<ref>{{cite book |author=Burton, Julian L.; Rutty, Guy N. |title=The Hospital Autopsy A Manual of Fundamental Autopsy Practice |publisher=Oxford University Press |location= |year=2010 |pages= {{{1|}}} |edition=3rd |isbn=978-0340965146 |oclc= |doi= |accessdate=}}</ref> | *Make some additional sections through the '''lung parenchyma'''. Squeeze at each side to detect any pus and edema.<ref>{{cite book |author=Burton, Julian L.; Rutty, Guy N. |title=The Hospital Autopsy A Manual of Fundamental Autopsy Practice |publisher=Oxford University Press |location= |year=2010 |pages= {{{1|}}} |edition=3rd |isbn=978-0340965146 |oclc= |doi= |accessdate=}}</ref> | ||
− | + | :''For context, see '''[[Autopsy]]''''' | |
===Gross evaluation=== | ===Gross evaluation=== | ||
[[File:Gross pathology of miliary tuberculosis of the lung.jpg|thumb|200px|Gross pathology of miliary "millet seed-like" tuberculosis.]] | [[File:Gross pathology of miliary tuberculosis of the lung.jpg|thumb|200px|Gross pathology of miliary "millet seed-like" tuberculosis.]] |
Revision as of 08:01, 15 July 2020
Author:
Mikael Häggström [note 1]
Autopsy of the lungs, not including larger pulmonary vessels (instead summarized at Autopsy - Other thorax).
Contents
Basic autopsy cutting
In non-forensic Autopsy:
- The lungs may be cut after removing the heart through cutting through the major vessels close to it, or by removing each lung by cuts by each lung hilum.
- Dissect the pulmonary arterial system, from the pulmonary trunk and including at least segmental arteries.
- Dissect the bronchial tree, at least to segmental bronchi. Check for obstructions.
- Make some additional sections through the lung parenchyma. Squeeze at each side to detect any pus and edema.[1]
- For context, see Autopsy
Gross evaluation
- A spongy consistency, and watery and frothy liquid being pressed from the parenchyma, indicates simple edema.[2]
- A spongy consistency and reddish (blood-stained) fluid being pressed from the parenchyma, indicates acute congestion.[2]
- A brownish or dark reddish color of the fluid pressed from the parenchyma indicates chronic congestion, and may not have a spongy consistency.[2]
Fixation
Generally 10% neutral buffered formalin.
See also: General notes on fixation
Microscopic evaluation
Template:Main lung microscopic evaluation
Additional potential findings are mentioned in the general Lungs article.
Reporting
Report findings and if they are consistent with already known diagnoses.
Example:
Presence of sideophages indicating chronic heart failure. Prominent vessels, including alveolar capillaries, and a moderate lymphocytic infiltrate, consistent with chronic heart failure or acute decompensation. |
Further information: Autopsy
Notes
- ↑ 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
- ↑ Burton, Julian L.; Rutty, Guy N. (2010). The Hospital Autopsy A Manual of Fundamental Autopsy Practice (3rd ed.). Oxford University Press. ISBN 978-0340965146.
- ↑ 2.0 2.1 2.2 page 62 in: J. Martin Beattie (2014). Post-Mortem Methods . Cambridge University Press. ISBN 9781107418004.
- ↑ Madea, B (2014). Handbook of forensic medicine . Hoboken, N.J: Wiley-Blackwell. ISBN 978-1-118-57062-3. OCLC 872114659.
Image sources