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AUTOPSY by Mind Map: AUTOPSY
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AUTOPSY

FORENSICS - investigation of situations after the fact to establish what occured (usually carried out in relation to criminal or civil law, but also in other fields)

ESTABLISH THE FACTS OF A CRIME

Reasons for decline in autopsy rate

Hazardous !!Expensive Litigation Extra work for clinicians !!!New Technology Time consuming

Objection of the family

Significance

discovery of new diseases

medical statistics

value for family members

quality control (20% should be autopsied)

education and research

TYPES

HOSPITAL/CLINICAL

FORENSIC/MEDICOLEGAL

Differences

NATIONAL REGULATIONS

PROCEDURE

1. External examination 2. Taking blood, vitreous, urine samples 3. Internal examination 4. Preliminary report (48 hours) 5. Microscopic examination 6. Special stains and procedures 7. The final report (2 months)

DEATH CERTIFICATE

Death certification

CAUSE OF DEATH CERTIFICATE

FINAL AUTOPSY RAPORT

1. Cause of death 2. List of major findings in order of importance 3. Microscopic findings 4. Summary and discussion with clinical and pathological correlation

THE CONCEPT OF DEATH

MANNER

CAUSE

MECHANISM

Death - cessation of all life functions and vital phenomena

AUTOPSY

CLINICO-PATHOLOGIC DISCREPANCIES

Goldman classification of discrepancies: Class 1: a discrepant diagnosis with a potential impact on survival Class 2: a discrepant major diagnosis but with equivocal or no impact on survival Class 3: a discrepant minor diagnosis that could have been diagnosed before death Class 4: a discrepant minor diagnosis that could not have been made before death

MAJOR DISCREAPNCIES: unsuspected or incorrect directly related to death

MAJOR ADDITIONAL FINDINGS: Iimpact on treatment or hospital course

PATHOLOGY

HISTORY OF AUTOPSY

A MESSAGE FORM A PATHOLOGIST IN TRAINING

1

estimation of the hight of the diaphragm