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Case 16

Part 1

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Discussion Questions

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1. Why is the body red?
 
 
2. How does this fit for the history?
 
 
3. What do you anticipate the subcutaneous tissue will look like under the red areas?
 
 
4. Why are there EKG leads on the body?
 
 
5. Do you think the patient received CPR?
 
 
6. What could account for the bruise in the right lower abdomen?
 
 
7. Is it likely that the bruise occurred after death?
 
 
8. How decomposed is the body?


Part 2

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Discussion Questions

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1. What is the yellow tissue under the skin?
 
 
2. What is making that tissue red close to the skin?
 
 
3. If you were to look under the microscope at the red area under the skin, what would you see?
 
 
4. What is a partial autopsy or a limited autopsy?
 
 
5. How would the incision differ in a “chest-only” autopsy? (Draw it out on a body sketch.)
 
 
6. As the video goes along, identify these structures: ribs, costochondral junction, pectoralis major muscle, pectoralis minor muscle, sternocleidomastoid muscle.
 
 
7. What anatomic layers are being cut (from internal to external) from 2:55 to 3:10 in the video?
 
 
8. Do you see a cause of death yet?


Part 3

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Discussion Questions

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1. What is the name of the scissors with the rounded end?
 
 
2. Why is the physician using this tool?
 
 
3. What is the ileocolic or ileocecal junction?
 
 
4. What is the taenia coli?
 
 
5. What is wider, the small intestine or the large intestine?
 
 
6. What is longer, the small intestine or the large intestine?
 
 
7. Has the patient had an appendectomy?
 
 
8. Identify the liver and the spleen.
 
 
9. What does “retroperitoneal” mean. What organs are retroperitoneal?
 
 
10. What are adhesions?
 
 
11. Where are this patient’s adhesions?
 
 
12. What specific anatomy is connected by adhesions here?
 
 
13. What causes adhesions?
 
 
14. Why did this patient have adhesions?
 
 
15. What problems can adhesions cause?
 
 
16. Did the adhesions cause this patient any problems?
 
 
17. Does the patient have her uterus?
 
 
18. Identify the bladder.
 
 
19. Add to the physician’s discussion: What are some differences to between an autopsy of a man and a woman?
 
 
20. Which organs appear decomposed?
 
 
21. What is the greater omentum? Identify it in the video.
 
 
22. Why did the physician look at the skin after assessing the pelvis? What was he looking for?