In my judgment it is extremely bad practice to examine first
that part of the body which the clinician believes to be chiefly
affected. Still worse is it to limit the autopsy to such a regional
examination. Imperfect and subjective conclusions will be avoided if
the regular order is followed and each organ examined objectively.
In all cases a complete autopsy should be made if permission can be
obtained, and the permit for an autopsy should be regarded as one for
a complete examination unless definite exceptions have been made.
The examination of any organ or part should never be neglected. Many
prosectors habitually omit the section of the neck-organs, intestines
and genital tract when there is nothing to attract especially their
attention to these parts. The examination of the spinal cord, orbits,
nasal tract, ears, joints and bones may be omitted in the ordinary
autopsy in the absence of especial considerations directing attention
thereto; all other parts should be systematically examined. The
pathologist must always maintain an unprejudiced state of mind toward
the clinical diagnosis—rather a doubting mind than a disposition to
accept the suggestions of the clinical opinions. The best cure for
subjectivity is the complete performance of the autopsy in regular
routine order, and the dictation of the protocol at the autopsy table
during the operation.
CHAPTER III.
THE PROTOCOL.
=THE PROTOCOL.= Autopsy findings should be recorded in the form of
complete, concise notes, following the order of the autopsy. Such a
protocol should consist of _descriptive_ statements of the pathologic
changes found, as well as of all negative conditions. It must be a
guarantee that all organs have been examined and that nothing has
been overlooked. Herein lies the great value of the use of a protocol
blank book with printed autopsy forms. When such are used and both
positive and negative pathologic findings are recorded during the
progress of the autopsy the chances of omission are reduced to a
minimum.
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