A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
10. _Of the Body itself_, the parts deserving of particular examination
are the natural openings of the ears, nose, mouth, anus and female
genitals; the neck and the hands.
In the _internal_ examination or dissection, the three great
cavities—the head, thorax and abdomen—should all be opened. In some
cases, it may be important to open also the spinal canal.
The first thing to be observed on opening each of these cavities, is the
position of the organs they contain; next, whether there be any fluid
effusions present; and lastly, the external and internal appearance of
each separate organ. In every case, that cavity should be opened first,
in which there is the greatest probability of finding the cause of
death. In the case of new-born children, however, the abdomen must be
first opened in order that the natural position of the diaphragm may be
observed undisturbed.
In examining the base of the skull for injuries, we must not omit to
remove the periosteum, which might otherwise conceal small fissures.
In examining the thoracic organs, if it be particularly desired to
observe the amount of blood contained in them, and we do not wish to
apply ligatures, we examine the heart first, leaving it in its natural
horizontal position, and opening it by a lateral longitudinal incision
on both sides. This gives us a distinct idea of the actual amount of
blood in all the cardiac cavities. The lungs are next cut into, and last
of all the large blood-vessels. This procedure is to be followed, _e.
g._, in cases of suffocation, where it is of particular importance to
determine the amount of blood in these organs, and where the blood is
peculiarly fluid.
In determining the amount of blood in the venous trunks, it will be
sufficient to examine the _vena cava ascendens_.
In penetrating wounds, the wound is of course to be examined as far as
possible before disturbing any of the organs.
The result of the external and internal examinations, thus thoroughly
conducted, are to be noted down at the time, and are not to be trusted
to memory. It is of the utmost importance that this rule be observed.
In presenting a written or verbal report before court, the physician
should be careful to furnish merely a description of the post-mortem
appearances, and not to give an opinion as to their probable or possible
cause or causes, unless called upon to do so. He should also avoid
prolixity and, as much as possible, the use of technical terms,
unintelligible to nonprofessionals.
His answers to direct questions should be concise and decided if
possible, but where this is not possible, he should not hesitate to
state that the dissection has not afforded him any facts which could
enable him to give a positive answer.
2. Questions relating to New-Born Children.
Public-domain text, read in full here on John Shaqi.
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