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1. How decomposed is the body? What evidence of decomposition is there?
2. Based on the physical exam, how many surgeries did the patient have?
3. Based on the physical exam, where on the body were the surgeries performed?
4. Which of these surgeries is recent? How can you tell?
5. Which of these surgeries is older? How can you tell?
6. Which surgical sites on the body correlate with surgeries mentioned in the history?
7. What procedures might correlate with the other surgical sites?
8. Identify any areas of bruising. What might be likely causes of the bruising and why do you think so?
9. Did the patient likely die faceup or facedown, or in some other position? What’s your evidence?
10. Why is there a large pale area in the center of the back?
11. Grade the sacral decubitus. Is there possibly a decubitus ulcer anywhere else? Where?
12. What kinds of skin pathology can you identify?
13. Does the patient have skin cancer?
14. Do you think the patient was mobile? Why or why not? What’s your evidence?
15. If you had to choose, would you say the patient was a room-bound nursing home patient? Cared for at a home and frequently wheeled out to sit on a back porch? Or, independently functioning in their own living space? Why? What’s your evidence?
Build on your observations skills.
Now add meaning to your observations.
“Milestones” simplify the process by breaking down the video into short segments for analysis.