Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1Witthaus, R. A. (Rudolph August)
Science
Medical Jurisprudence, Forensic medicine and Toxicology. Vol. 1
Witthaus, R. A. (Rudolph August)
Medical jurisprudence; Poisons; Toxicology
In opening the various organs an incision should be made which will
expose the greatest amount of surface at one cut. Never make a number
of small and always unsatisfactory incisions in an organ. In opening
certain organs like the brain and heart, the incisions are so planned
that the parts of the organ may be folded together, and, if necessary,
their relations to one another and the whole organ studied. Such organs
are opened as one would open a book to examine its pages.
It is important to remember that after death the blood leaves the
arteries and left side of the heart, and collects in the veins and the
right cavities of the heart. Especially does it collect in the vessels
of the most dependent portions of the body and of the various organs,
so that local congestions may often disappear after death; and again,
they may be found at an autopsy where they were not present during
life. Especially is this true of the mucous membranes such as those of
the trachea and bronchi, and also of the blood in the sinuses of the
dura mater.
In making autopsies it is a cardinal rule that _all_ the cavities
of the body should be examined, and not alone the one where one
might expect to find a lesion. At medico-legal autopsies, the great
cavities—the head, the thorax, and the abdomen—should be examined in
their successive order from above downward. The reason for beginning
with the head is that the amount of blood in the brain and its
membranes may be determined accurately; for, if the heart and great
vessels of the neck are opened first, the blood will drain away from
the brain and local congestions disappear. In pathological autopsies,
the opening of the head first is not so important, and often the
vertebral column need not be opened at all, for it is a complicated
process and takes time; but in medico-legal cases, especially where a
question as to the cause of death may arise, and has not satisfactorily
been determined, after all the other cavities are examined the
vertebral column should always be opened and the cord removed.
THE HEAD.
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