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Dementias and Movement Disorders

Dementias and Movement Bicuspid Valve and Sudden death

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2 days ago

Autopsy Ins and Outs

A family requests an autopsy. The mother just died from lung cancer (small cell carcinoma). They explain she had lung cancer surgery 10 years ago. They’re concerned the surgeon didn’t get it all out the first time.

True or False
There’s no possibility the recent cancer was there ten years ago. It’s most likely a new lung cancer. Patients with one lung cancer are at risk of a second lung cancer down the line.
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Monica Vernette Gray likes this

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Kelly Thompson PujoFalse

2 days ago

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Leslie MessagieTrue!

2 days ago   ·  1

Leslie Messagie

Autopsy Center of ChicagoTrue

2 days ago   ·  1

Autopsy Center of Chicago

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3 days ago

Autopsy Psychology

A son calls to request an autopsy on his father. The father has a long history of cardiovascular disease: two heart attacks, a coronary artery bypass, and a stent. He started to have chest pain again, had another stent put in, then died after the procedure.

Which of these is a realistic motivation for the son’s call?
A. The son was distant from his father and feels guilty the father went through this experience alone. Asking for an autopsy is a way to make up for a "lost relationship."
B. The son was close to his father, pushed for the procedure, and feels guilty the father died. He blames himself that the procedure was done at all.
C. The son is looking for money and views the autopsy as a step towards a litigation settlement.
D. The father was a health educator and organ donor and the son wants to honor his father’s spirit. The autopsy will "add to science."
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Shan De JosephD?

3 days ago

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Leslie MessagieThis one is hard! They all seem possible. I say D.

3 days ago

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Robin StumreiterC?

3 days ago

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Joan CostelloB

3 days ago

Joan Costello

Autopsy Center of ChicagoA, B and D are all possible reasons why the son might call to request an autopsy. A and B might turn into law suits if the son needs the blame on the provider (rightly or wrongly) to relieve his sense of guilt. Usually there is something emotional driving a law suit. We consider it a "subcategory" of bereavement. We will post more on this topic.

3 days ago   ·  2

Autopsy Center of Chicago

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6 days ago

Sleuth It with Autopsy Center

You receive a call from a family requesting an autopsy. Their loved one died one month after being hit by a car. There had been severe abdominal injuries including a lacerated pancreas and ruptured spleen.

"They took out half his pancreas and his spleen," they explain, detailing his operation. After the operation, the patient got sicker and sicker and continued to drain pancreatic juice into his abdomen. Ultimately, he got an abdominal infection and died.

During the autopsy, you see that the spleen was removed. You begin evaluating the pancreas.

Suddenly, you turn to your assistant.

"We better look at the pathology report from the operation," you say.

Which of these could you have seen?

A. Staples closing the the remaining half of the pancreas were not secure. The repair of the lacerated pancreas had not held and the pancreas was leaking.
B. Drains placed by the surgeon were surrounded with pus.
C. The damaged pancreatic tissue was never taken out.
D. A sponge.
E. A lacerated liver.
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Joan Costello, Nauj Maldicion and 1 other like this

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Keri LynnA

6 days ago

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Monica Vernette GrayC

6 days ago

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Sinister BassoonA

6 days ago

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Surej Veleeparambilc

6 days ago

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Michele TantilloA

6 days ago

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Kelly Thompson PujoC

6 days ago

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Joan CostelloA

6 days ago

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Leslie MessagieC

6 days ago

Leslie Messagie

Autopsy Center of ChicagoC. It’s the only option that would be documented in the pathology report. ("No pancreatic tissue received.")

The key here is knowing the difference between a "pathology report" (which describes what tissue came out of the body) and an "operative report" (which describes what the surgeon saw and did).

All the other options are possible but are better sleuthed by looking in the operative report instead (condition of liver, sponge count, etc.) or other parts of the chart.

6 days ago   ·  4

Autopsy Center of Chicago

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