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Notes in
14-15Autopsy
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Published
07/30/2024
{{c1::Alexandria (Egypt)}}Only exception to the prohibition of human dissection in the ancient world (300 BCE)
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{{c1::Ptolemaic King}} established the world’s largest library and museum (Great Library of Alexandria)
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In 1213, Holy Roman Emperor {{c1::Frederick II}} permitted dissection on executed criminals in Salerno Medical School
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{{c1::Carl von Rokitansky}} performed {{c2::30,000}} cases, supervised another {{c2::60,000}}
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{{c1::Jacob Kolletschka}} was cut during an autopsy of a woman with puerperal sepsis and died of the sepsis as well
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{{c1::Ignaz Semmelweis}} Institutes the first program of handwashing
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{{c1::Harvey Cushing}} assistants bribed the funeral director and harvested the brain with pituitary gland moments before funeral ceremony&nbs…
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Letter of RequestDeath CertificateConsent for Autopsy*Payment
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[Autopsy Technique]Organs are removed ONE BY ONE systematically{{c1::Virchow}}
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[Autopsy Technique]IN SITU dissection{{c1::Rokitansky}}
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[Autopsy Technique]Practical for single examiner and capability of preserving abnormal anatomic relationships{{c1::Rokitansky}}
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[Autopsy Technique]{{c2::Thoracic}} and {{c2::cervical}} organs, {{c2::abdominal}} organs, and {{c2::urogenital}} system are removed as organ blocks; …
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[Autopsy Technique]Thoracic, cervical, abdominal, and pelvic organs are removed as one big organ block (“en MASS” removal) and subsequently dissected{…
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[Autopsy Technique]This is what is done in the hospital{{c1::Letulle}}
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[Autopsy Technique]Fastest{{c1::Letulle}}
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[Autopsy Technique]Complete preservation of relationships among organs{{c1::Letulle}}
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Chemical with the greatest risk to the examiner in an autopsy: {{c1::Formaldehyde/Formalin}}
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Can a doctor relative certify the death of a patient?{{c1::Y::Y/N}}
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Who certifies the Certificate of Death when there is no medical attendant available?{{c1::Local Health Officer}}
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Who certifies the Certificate of Death in medico-legal cases?{{c1::Medico-legal Officer}}
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[Facet of Cause of Death]Written on the top line of the certificate{{c1::Immediate}} cause of death
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[Facet of Cause of Death]MOST RECENT condition that DIRECTLY leads to the death of the patient{{c1::Immediate}} cause of death
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[Facet of Cause of Death]The terminal event the last event that happened to the patient{{c1::Immediate}} cause of death
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[Facet of Cause of Death]The disease/injury that initiated the train of morbid events{{c1::Underlying}} cause of death
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[Facet of Cause of Death]The VERY FIRST event that led to the chain of events that lead to the death of the patient{{c1::Underlying}} cause of death
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[Facet of Cause of Death]The most important entry for mortality statistics{{c1::Underlying}} cause of death
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[Facet of Cause of Death]Intervening cause/s of death occurring BETWEEN the underlying and immediate cause of death{{c1::Antecedent}} cause of death
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Who can request for an Autopsy {{c1::Attending physician and/or household caring for patient prior to death}}{{c1::Decedent affairs or after deat…
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In a death certificate, the pronouncement includes{{c1::Date and time pronounced dead}}{{c1::Actual or presumed date and time of death }}
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Died in hospital{{c1::actual::actual/presumed date and time of death}}
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Died at home{{c1::presumed::actual/presumed date and time of death}}
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Dead on arrival{{c1::presumed::actual/presumed date and time of death}}
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do we usually take whole organs in an autopsy?{{c1:: No but we may if there is consent}}
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To protect the arms during an autopsy, {{c1::arm sleeves}} are worn to prevent injruies
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{{c1::Enterotome::Autopsy Tool}} Special kind of scissors used for cutting up the intestine
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{{c1::Rib cutters (Rib Shears)::Autopsy Tool}} To open chest cavities or bones
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{{c1::Hagedorn Needle::Autopsy Tool}} Used to lift certain structures
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{{c1::Breadknife::Autopsy Tool}} to cut the brain
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Two kinds of autopsies {{c1::Forensic/Medicolegal}}{{c1::Hospital}}
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In a {{c1::Forensic Autopsy::Type of Autopsy}}, you have to ensure a chain of custody.
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{{c1::Liver Mortis::POSTMORTEM CHANGES}} Purple discoloration of dependent tissues due to pooling of blood in small vessels when circulation stops&n…
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{{c1::Rigor Mortis::POSTMORTEM CHANGES}}Tightening of muscles seen postmortem due to depletion of ATP
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{{c1::Algor Mortis::POSTMORTEM CHANGES}}Rate of cooling of a dead body
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{{c1::Decomposition::POSTMORTEM CHANGES}}Describes process of autolysis of the body after death
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{{c1::Purge Fluid::POSTMORTEM CHANGES}} Decomposition of fluid that exudes from nasal and oral cavities
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Livor Mortis develops within {{c1::30 minutes to 2 hours::duration}} and becomes fixed (does not blanch when pressure is applied) at approx…
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In Livor Mortis, {{c1::Tardieu spots}} are small petechiae that develop in areas of dependency
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{{c1::Liver Mortis::POSTMORTEM CHANGES}}helps determine the {{c2::position}} of the patient at death and the {{c2::time of death}}
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Rigor means tightening of the muscles seen postmortem due to the depletion of {{c1::ATP}}
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Rigor Mortis begins {{c1::approximately 2-6 hours::duration}} postmortem and begins in {{c2::face and neck::body parts}}, affected by size of dec…
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Rigor Mortis begins to pass within approximately {{c1::24 hours::duration}}
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Rigor of erector pilae may led to {{c1::postmortem goosebumps }}
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{{c1::Green::color}} discoloration of {{c2::right lower quadrant skin::position in the body}} is an early sign of {{c3::decomposit…
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When examining the fingers, it is important to look under the {{c1::fingernails}}
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The first cut in Internal Examination is known as the {{c1::Y incision}}
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To remove the brain in an autopsy, an incision is made in the {{c1::back of the scalp from one ear to the other}}
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In weighing the organs, the organs are put into the correct order of weight - {{c1::(lightest to heaviest)}} - back in the sink
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Organs that are not weighed in an autopsy:{{c1::intestine}}{{c1::stomach}}
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Draining the intestines in a sink and removing undigested food and feces is done to:{{c1::help determine time and cause of death}}
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In a Y incisionArms: extend from front of each {{c1::shoulder}} to the bottom end of the {{c1::breastbone}} Tail: extends from the {{c2::ste…
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