The _ear-test_ (the demonstration of the opening-up of the Eustachian
tube and middle ear by the establishment of respiration) may be shown
by the examination of the middle-ear from the cranium. The ear-drum
must be examined to see if it is intact.
The _Béclard center of ossification_ in the lower epiphysis of the
femur is examined by opening the knee-joint, flexing the leg, and
then making parallel transverse cuts perpendicularly to the long
axis of the bone, until the greatest diameter of the center of
ossification is cut.
The eye-ball may be removed and examined for the pupillary membrane.
The eye is cut through a few millimetres back of the cornea, the
anterior segment is fixed in dilute chromic acid or alcohol and then
examined microscopically; or it can be examined in the fresh state,
the membrane being visible even to the naked eye.
Bacteriologic examinations should be made in the usual way, the
material being secured by sterile pipette, sterilized knife or
platinum loop, smears, etc. In the examination of a very fresh
cadaver the possibility of danger from infection with syphilis must
always be borne in mind.
II. POINTS TO BE NOTED IN THE SECTION OF THE NEW-BORN.
Aside from establishing the cause of death, the autopsy of the
new-born has for its aim the determination of the age of the infant,
its viability and whether it was born living or dead. Special
attention must therefore be paid to all points that may be of value
in settling these questions.
The _average length_ of a full-term new-born child is 50 cm. (42-58
cm.), boys being somewhat longer than girls; 58 cm. may be taken
as the maximal length, 48 cm. the minimal. Both length and weight
vary within wide limits. The length of the fetus in the first five
months of intra-uterine life corresponds approximately to the square
of the month. In the last five months the age of the fetus equals
approximately the length in centimetres divided by five. Viability
is usually regarded as beginning in the eighth month and with a
body-length of over 32 cm. The _average weight_ of the full-term
new-born is 3,200 grms., for boys 3,310 grms., girls 3,230 grms.;
maximum weight 5,500 grms., minimal 2,500. The weights for the
different months are: second month, 4 grms., third month 5-20 grms.,
fourth 120 grms., fifth 284 grms., sixth 434 grms., seventh 1,218
grms., eighth 1,549 grms., ninth 1,971 grms., tenth 2,334 grms.
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