8. =Blood-Content.= The blood-content of the organs should be
estimated both before and after they are sectioned. This estimation
should be based upon the color of the organ, condition of the
blood-vessels, amount of blood exuded from the cut surface, number
of bleeding-points (anæmia, hyperæmia, stasis). Capillary, arterial
and venous hyperæmia should be differentiated when possible. Only
rarely are evidences of arterial congestion seen in the cadaver. It
is also necessary to observe the occurrence, location and extent
of hypostasis and to differentiate antemortem and postmortem
(lungs, brain, intestines, etc.). The association with œdema and
inflammation, particularly in the lungs (hypostatic pneumonia)
speaks for antemortem hypostasis. A red color in parts possessing
no blood-vessels (heart-valves, endocardium, intima of aorta,
cartilage, etc.) indicates an imbibition of diffused hæmoglobin
(hæmatin-imbibition). Changes in the color of the blood (carbon
monoxide, hydrocyanic acid, and hydrogen sulphide poisoning, all
poisons producing methæmoglobinæmia, icterus, leukæmia, etc.) should
be described and recorded; likewise all hemorrhages, extravasations,
etc.
9. =Histologic Features.= After the general points given above have
been considered the histologic features of the organ should be taken
up in routine. For example, in the case of the spleen, the capsule,
trabeculæ, pulp, stroma, follicles and vessels should be examined;
in the liver, the capsule, trabeculæ, liver-acini, blood-vessels
and bile-ducts; in the kidneys, capsules, cortical surface, cortex,
labyrinths and medullary rays, glomeruli, columns of Bertini,
medullary pyramids, vessels, pelvis and beginning of ureter. When the
organs are thus systematically examined there is but little chance
that anything visible to the naked eye has been overlooked.
10. =Pathologic Lesions.= Anomalies, defects, erosions, ulcers,
evidences of trauma, inflammations, abscesses, tubercles, gummata,
neoplasms, parasites, and all forms of pathologic changes, local
or general, must be accurately located and described. The changes
peculiar to certain diseases and infections must always be borne in
mind during the examination of any organ in which such conditions are
likely to be found. The relationship of lesions in different parts
of the body must be recognized. Localized lesions must be described
according to position, size, form, color, consistence, etc. Their
nature must be recognized, their relation to other or to pre-existing
conditions determined, the stage of the process estimated, and the
part played in the causation of death ascertained.
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