Primarily, the aim of the autopsy is to ascertain the cause of death
and to acquire knowledge of the changes produced in the tissues and
organs by the disease-process. If for no other purpose than that of
extending our knowledge of disease, the autopsy becomes the most
valuable factor in furthering the development of medical science.
We have but entered into the broad, rich fields of pathology; at
any time new facts may be discovered or observations of the most
far-reaching nature made. From year to year the statistics of the
most common diseases must be revised in the light of new conceptions
of disease. Through the autopsy there lies within the reach of every
practitioner the opportunity of contributing something worth while
to the general sum of medical knowledge. There is not a pathologic
condition in the medical category that does not call out for
illumination upon some point or other. The phenomena of malignant
tumors, the earliest stages of the so-called chronic affections, as
well as the majority of the infectious diseases, require further
autopsy observations for their elucidation. The autopsy establishment
of the diagnosis is also of the greatest importance in giving value
to vital statistics. Until we have a more universal confirmation of
the clinical diagnosis by the pathologic our vital statistics must of
necessity be imperfect.
To the practitioner the autopsy offers further a most valuable
control of subjectivity and a guide to methods of diagnosis and
treatment. Without such a control no one is so likely to get into
a dangerous rut as the practicing physician. The disclosures of
the autopsy will enable him to correct faulty methods, and should
effectually check any tendency to superficial diagnosis. Particularly
is this the case with regard to such diagnostic methods as palpation,
percussion and auscultation. Postmortem percussion offers a most
valuable means of acquiring precision in this important branch of
physical diagnosis. The percussion boundaries may be marked upon the
body by pencil, or long pins may be inserted, so that when the body
is opened the exact relation of the percussion area to the organ in
question may be noted. In the case of palpable tumors the results of
palpation before the body is opened should be carefully controlled by
the findings when the actual conditions are exposed. Even when the
cause of death seems obvious it is worth while to perform an autopsy
at every opportunity offered, both for the sake of controlling
technical methods and for the pictures of disease revealed. More
accurate knowledge of the nature of the processes of disease can
be obtained through one autopsy than through months of textbook
reading. To the surgeon the opportunity of examining cases dying
after surgical operation should be a source of great satisfaction.
The review of anatomic relationships offered by the autopsy is in
itself worth while, and in the case of healthy individuals killed
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account