Autopsy Pathology: A Manual and Atlas E-Book , livre ebook

Autopsy Pathology: A Manual and Atlas
THIRD EDITION
Andrew J. Connolly, MD, PhD
Associate Professor
Department of Pathology
Stanford University
Stanford, California
Walter E. Finkbeiner, MD, PhD
Professor and Vice Chair
Department of Pathology
University of California, San Francisco
Chief of Pathology
Department of Anatomic Pathology
San Francisco General Hospital
Chief of Pathology at the SFGH Endowed Chair
San Francisco, California
Philip C. Ursell, MD
Professor
Department of Pathology
University of California, San Francisco
Director, Autopsy Service
Moffitt-Long Hospital
San Francisco, California
Richard L. Davis, MD
Professor Emeritus
Department of Pathology
University of California, San Francisco
San Francisco, California
Table of Contents
Cover image
Title page
Copyright
Dedication
Preface
Chapter 1 The Autopsy-Past and Present
The Autopsy in Antiquity
The Autopsy Post-Renaissance
The Autopsy in the Twentieth Century
The Autopsy Today
The Objectives of the Autopsy
References
Chapter 2 Legal, Social, and Ethical Issues
Autopsy Authorization
Identification and Disposition of the Deceased
Medical Examiner/Coroner Cases
Public Health, Public Records, and Patients' Confidentiality
Organ and Tissue Donation
Request for Human Tissue for Research
Religious and Cultural Issues
Mortician and Funeral Issues
Obligations of the Autopsy Pathologist
References
Chapter 3 Autopsy Biosafety
Autopsy Infection Control Precautions
Exposure to Other Biohazards at Autopsy
Conclusion
References
Chapter 4 Basic Postmortem Examination
External Inspection
Initial Dissection and Internal Examination
Letulle Method
Virchow Method of Organ Removal
Removing the Brain and Spinal Cord
Brain Cutting-General and Specific
Examination of the Vertebral Column and Bone Marrow
A Final Word about Examining Organs
References
Chapter 5 Postmortem Examination of Fetuses and Infants
Facilities and Equipment
Postmortem Examination
External Examination
Internal Examination and Evisceration
Separation of the Organ Blocks
Dissection of Organs after Evisceration
Brain and Spinal Cord Removal and Examination
Examination of the Placenta
Examination of the Fragmented Fetus
Conclusion
References
Chapter 6 Special Dissection Procedures
Special Examinations of the Heart
Special Examinations of the Neuromuscular System
Examination of the Middle and Inner Ear
Examination of the Eyes
Examination of the Paranasal Sinuses and Skull Base
Examination of Nasopharynx, Mandible, Maxilla, and Teeth
Examination of the Neck and Cervical Spine
Examination of the Thoracic Duct and Cisterna Chyli
Examination of Bones and Joints
The Maternal Autopsy
Conclusion
References
Chapter 7 Autopsy Photography and Radiology
Autopsy Photography
Autopsy Radiology
References
Chapter 8 Microscopic Examination
Brightfield Microscopy
Immunofluorescence Microscopy
Electron Microscopy
References
Chapter 9 Microscopic Findings
Cardiovascular System
Respiratory System
Gastrointestinal System
Hepatobiliary System and Pancreas
Urinary Tract System
Reproductive Systems
Endocrine System
Hematopoietic System
Other Findings
Chapter 10 Supplemental Laboratory Studies
Collection of Samples
Postmortem Microbiology
Postmortem Cytogenetic and Molecular Studies
Genetic/Metabolic Disease Autopsy
Postmortem Chemistry
Postmortem Toxicology
References
Chapter 11 The Autopsy Report
Overview of the Autopsy Report
Final Anatomic Diagnosis
Clinical Summary
Gross Findings
Microscopic Findings
Additional Findings
Case Discussion
Conclusion
References
Chapter 12 Sudden Death Due to Natural Causes
Preparing for the Autopsy
The Approach to Autopsy in Cases of Sudden Death Due to Natural Causes
Conclusion
References
Chapter 13 Multiple Organ Dysfunction and Sepsis
Sepsis
Multiple Organ Dysfunction
References
Chapter 14 Death Certification
The Death Certificate
Completing a Death Certificate
Medicolegal Issues
Therapeutic Complications and the Death Certificate
Fetal Death Certificates
Conclusion
References
Chapter 15 Quality Management
The Autopsy in Quality Management of Clinical Care
Quality Assurance of the Autopsy
Quality Improvement of the Autopsy
Conclusion
References
Chapter 16 Atlas of Gross Autopsy Pathology
External Findings
Pericardial, Pleural, and Peritoneal Cavities
Cardiovascular System
Respiratory System
Gastrointestinal System
Hepatobiliary System
Pancreas
Urinary Tract
Reproductive System (Male)
Reproductive System (Female)
Endocrine System
Lymphoreticular System
Musculoskeletal System
Central Nervous System
Pediatric Pathology
Placenta and Umbilical Cord
Forensic Pathology
Appendix A Description of Gross Autopsy Findings
Appendix B Measures, Weights, and Assessment of Growth and Development
Adults
Fetal
Children
Percentile Curves for Children, Birth to Teens
References
Index
Copyright

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AUTOPSY PATHOLOGY: A MANUAL AND ATLAS, THIRD EDITION ISBN: 978-0-323-28780-7
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
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Previous editions copyrighted 2009 and 2003.
ISBN: 978-0-323-28780-7
Executive Content Strategist: Bill Schmitt
Managing Editor: Kathryn DeFrancesco
Publishing Services Manager: Catherine Albright-Jackson
Senior Project Manager: Doug Turner
Book Designer: Margaret Reid
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
To our students, residents, colleagues, and families
Preface
The authors are gratified that the first two editions of Autopsy Pathology were well received. Our objective in publishing the third edition remains the same as before-namely, to provide a resource for those learning the art and science of postmortem examinations, with a particular emphasis on hospital-based autopsies. Though the book is designed with the pathologist-in-training in mind, we hope that practicing pathologists, pathology assistants, and others involved in the various fields of death investigation will also find it useful. The format used in previous edition remains; however, we have strived to improve each chapter. We have added a new chapter ( Chapter 9 ) that discusses common and important microscopic findings. Many new photographs were added to the Atlas of Gross Autopsy Pathology ( Chapter 16 ). Appendix B , which covers measures and weights, was revised to make it a user-friendly consensus of normal values. Extensive updates were made to chapters that cover areas with numerous recent developments, including autopsy