AUTOPSY & Neoplasm - 1 AUTOPSY - external examination...

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1 AUTOPSY - external examination after death - 2 main types: A. CLINICAL AUTOPSY Where the cause of death is known (or often incorrectly thought to be known) The examination is held to confirm the diagnosis (dx) & to discover the B. MEDICO-LEGAL AUTOPSY Whose function (fx) is to discover some/all of the ff facts: 1) The identity of the body 2) Cause of death 3) 4) Time of death 5) Presence of poison 6) The expectation of duration of life for insurance purposes 7) The interpretation of any other unnatural conditions, including those associated w/ surgical/medical procedures - The performance of an autopsy should ideally be only carried out by a pathologist - Poorly performed autopsy may be worse than no autopsy @ all - Most common faults: to read conclusions into some supposed findings that are unjustified/inaccurate - Most important points in autopsy: Dead body must be definitely identified before autopsy In suspicious death: the body should be photographed, examine the body w/ clothing in place, examine any injury/stab wounds/gunshot wounds For specimen collection: blood should be taken from the cut end of large vein, such as axillary/iliac, or from the distal end of the jugular Heart/visceral blood should not be used for toxicology (maybe contaminated post mortem from the stomach/intestine) Urine-preferably by syringe from the exposed fundus of the bladder For toxicology: stomach contents, intestinal contents, liver kidney/ brain For alcohol analysis: collected into a tube containing NaF (sodium fluoride), to inhibit microorganisms w/c can either destroy/produce alcohol in vitro after the blood is taken Internal examination must be complete & always include the brain. It is very bad practice only to examine the organs w/c the history suggests might contain the fatal lesion The materials needed for autopsy: o Scalpel w/ blade - Different knives: cartilage knife, rib knife, long knives - Hand saw/electric oscillating (orthopedic) saw - Mayo type scissors - Forceps (toothed/untoothed) - Probes (blunt ended) - Wooden board - Different sizes of specimen bottle (plastic/glass) - Weighing scales AUTOPSY DECORUM U Morgue should be kept clean & tidy, w/ instruments neatly put away - Respect the human dead body - Any specimen/s that are taken/borrowed from the morgue should have permission from the pathologist & should be return after - Wear the proper attire (lab gown, mask, gloves, etc) NEOPLASM
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2 Origin: literally means “new growth” “Tumors”, refers to the swelling noted in neoplasm Cancer is the common term for all malignant tumors. Latin word is “crab”. Definition:
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This note was uploaded on 08/28/2011 for the course ACCOUNTING 112 taught by Professor Dale during the Summer '11 term at Accreditation Commission for Acupuncture and Oriental Medicine.

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AUTOPSY & Neoplasm - 1 AUTOPSY - external examination...

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