Case 27 Part 8

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What's inside?


Lungs
Pulmonary embolism
Heart




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Discussion Questions

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1. Identify the and aorta, pulmonary artery coming out of the heart.
 
 
2. What vessel is being assessed beginning at 00:05? What is the purpose of the assessment?
 
 
3. 00:40. Identify the hilar structures.
 
 
4. Does the video show the cause of death? Why or why not? Make a case for either option based on data in the history and autopsy.
 
 
5. How do you tell the difference between pre- and postmortem clot?
 
 
6. How can you tell how old a clot is (when it first formed, say, in the legs)?
 
 
7. How can you tell how long a clot has been present in the lungs (after embolizing)?
 
 
8. How long after forming can the embolization occur?
 
 
9. Describe how you would distinguish each of these scenarios:
-Clot forms, embolizes the same day it forms, the patient dies at the time of embolization.
-Clot forms a week prior to embolizing, the patient dies at the time of embolization.
-Clot forms a week prior to embolizing, sits in the lungs a week, then the patient dies.
-Clot forms a week prior to embolizing, sits in the lungs for 6 months, then the patient dies.
 
 
10. What pathology is being shown starting at 02:12?
 
 
11. Based on the video and the history, what is the time course for when the clot formed, when the clot embolized and how long the clot sat in the lungs prior to death? What’s your evidence?
 
 
12. Imagine a scenario for where a 100% blockage of a coronary artery is not the cause of death. Is that every possible? Why or why not?
 
 
13. What are examples of chronic conditions (that people live with for a long time)?
 
 
14. For each of those examples, what change would need to happen for the condition to become life-threatening? Or, have you listed a chronic condition that can also be life-threatening from the outset?
 
 
15. For each of those example, how accurate is the autopsy in determining how the long the patient had the condition?





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