Case 18 Part 1



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What's inside?


 

External exam
Decomposition
Skin slip
Marbling
Desiccation
Obesity
Conjunctiva
Postmortem corneal clouding



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Discussion Questions


 

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1. Summarize the history and make a differential diagnosis for the cause of death.
 
 
2. What is the differential diagnosis for headache?
 
 
3. How are cerebral aneurysms diagnosed?
 
 
4. How commonly are cerebral aneurysms multiple?
 
 
5. If the patient’s cerebral aneurysm surgery was five years prior, how likely is his recent headache related to the surgical site?
 
 
6. Inventory each of the decomposition findings in this case.
 
 
7. What does desiccation tell you about how long ago the person died.
 
 
8. To reach this level of decomposition, would you guess the body spent a shorter time in a warm place? Or a longer time in a cool place?
 
 
9. Could you still obtain vitreous fluid in a case like this?
 
 
10. How would toxicology results change, if at all, with this level of decomposition.
 
 
11. What is post-mortem redistribution?
 
 
12. How would you interpret the presence of alcohol in the urine? Does it matter if it is a low alcohol level or high alcohol level? Why?
 
 
13. Which toxicology results would be more reliable in this patient – vitreous, blood or urine?
 
 
14. Do you think the person was found quickly after death and then there was a wait before the autopsy? Or do you think there was a wait until the body was found and then the autopsy happened quickly? What evidence supports your answer?




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