Especial attention should be given to the =identification= of the
body (measurements, weight, build, shape of head, deformities
or defects, color of hair and eyes, teeth, dental work,
thumb-markings, tattoo marks, birth-marks, scars, evidences of
previous diseases, occupation, clothing, etc.). In doubtful cases
the body should be photographed. Roentgen-ray pictures may also
be made. When only portions of a body are found the microscopic
examination alone may be able to throw light upon the case and
give positive evidence as to the sex, age, existence of certain
physical characteristics, birth-marks, scars, disease, etc. When
no conclusions can be reached a minute description of the remains
should be placed in the protocol. The approximate =time of death=
is to be determined with greater care in the medicolegal case
(temperature of body, rigor mortis, putrefaction, dissolution,
mummification, character of stomach-contents, changes in eye-balls,
etc.).
In the performance of the autopsy the greatest care should be taken
to avoid the production of artefacts. Hammer, chisel or wedge
should not be used; bones should be sawed through completely,
particularly in the case of the skull and spine. Especial care
should be exercised in the removal of brain and cord. Examine
vertebræ in all cases when cause of death is unknown. The
main-incision may begin at the chin. The mouth and pharynx should
be examined for foreign-bodies before the mouth- and neck-organs
are removed. These should be taken out _en masse_. Particularly in
young infants is the examination of the larynx of great importance.
Examine thoracic organs _in situ_ before removing them; then
remove in connection with neck-organs and examine on table. Ligate
cardiac end of œsophagus to prevent escape of stomach-contents.
Cut œsophagus above ligature. Open pulmonary artery before lungs
are sectioned. Examine abdominal organs _in situ_ before removing
them. Bullet- and stab-wounds should be accurately located,
traced, measured and course described. Recover missiles for use as
evidence. The origin and cause of hæmorrhage must be accurately
determined. Remove genital organs _en masse_ after examination
_in situ_. Examine particularly contents of vagina and anus; make
microscopic examination of same (semen, blood, foreign-bodies,
etc.). Do not put probe, knife or shears into cavity of uterus, but
open with a clean cut in the median posterior line. Examine ovaries
for presence of corpus luteum.
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