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Medical Devices
Critical Care
Trauma
Surgery
General Medicine
Forensics and Postmortem Change
Ethics
Abscess after spinal surgery
Inferior vena cava filter scarred onto inferior vena cava
Intraoperative hypotension during TIPS procedure
Peritonitis after colonoscopy
Pulmonary embolism after gastric bypass surgery
Compartment syndrome after peripheral vascular surgery
Femoral artery bleeding after cardiac catheterization
New onset renal failure with metallic taste misdiagnosed as “corroded pacemaker”
Pulmonary resection without tissue diagnosis
Lung mass needle biopsy complicated by massive hemorrhage
Subacute perforation of pacemaker ventricular lead
Near-total obstruction of superior vena cava orifice by (nonfunctioning) HeRO graft with adhesions.
Uremic pericarditis
Subacute perforation of pacemaker ventricular lead
Obesity
Gastric bypass (Roux-en-Y) procedure
Obesity
Cirrhosis
Patellar tendon tear (fall)
Cirrhosis
Diabetes
Diabetic foot ulcer
Livor mortis – external
Livor mortis – internal
Livor mortis
Rigor mortis
Livor mortis
Livor mortis
Skin slip
Livor mortis
Pressure blanching of livor mortis
Postmortem gas formation
Desiccation of CPR-related abrasions
Purge
Livor mortis
Pressure blanching of livor mortis
Marbling
Green discoloration of abdomen in right lower quadrant (putrefaction)
Skin slip
Desiccation
Moderate decomposition
Facial swelling
Conjunctival hemorrhage and swelling
Corneal clouding
Brain with moderate decomposition
Livor mortis
Pressure blanching of livor mortis
Skin slip
Desiccation
Bleb formation
Skin slip
Long bone donation
(Note visible wooden block replacing bone)
Long bone donation
Skin and soft tissue donation
Long bone donation
Skin donation
Tip: Start with the History. Find guiding questions after each history.
How to talk to the family when they may have caused or contributed to the death.
Consequences of not communicating intraoperative hypotension to the post-operative care team.
What to do if the patient needs emergency care but refuses.
Balancing listening to the patient vs. following diagnostic studies.
Team communication in a patient with absent distal pulse and mental status change after a cardiac catheterization.
Provider boundaries — who decides when a surgery is performed? What if the family insists it’s necessary?
Evidence-based care — consequences of operating on a mass without a tissue diagnosis.
Whose role is it to ensure the patient receives discharge medications?