color atlas of autopsy.pdf

AUTOPSYTH

ECOLOR ATLAS OF

CRC PR ESSBoca Raton London New York Washington, D.C.

AUTOPSYScott A. Wagner

TH

ECOLOR ATLAS OF

This edition published in the Taylor & Francis e-Library, 2005.

“To purchase your own copy of this or any of Taylor & Francis or Routledge’scollection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.”

ISBN 0-203-49438-5 Master e-book ISBN

ISBN 0-203-58667-0 (Adobe eReader Format)

Preface

Acknowledgments

About the Author

Introduction

Contents

1

1 Approach to the Autopsy: Purpose and Philosophy

WHAT IS AN AUTOPSY?

TYPES OF AUTOPSIES: HOSPITAL AND MEDICAL–LEGAL

2 Color Atlas of the Autopsy

WHAT IS THE PURPOSE OF THE AUTOPSY?

CASES THAT USUALLY REQUIRE AN AUTOPSY

Approach to the Autopsy: Purpose and Philosophy 3

NATURAL DEATHSUNNATURAL DEATHS

Homicides


Suicides

Accidents

THE AUTOPSY: ASSEMBLING A PUZZLE

Approach to the Autopsy: Purpose and Philosophy 5

WHAT IS A FORENSIC PATHOLOGIST?

7

2 Circumstantial and Medical History

IDENTIFY THE PROBLEM AND “CHIEF COMPLAINT”

IDENTIFICATION OF THE BODY

DIRECT IDENTIFICATION BY FAMILY MEMBERS

PERSONAL FEATURES


OBJECTS IN THE BODY

HIGHER-ORDER IDENTIFICATION

Fingerprints

Dental Identification

Deoxyribonucleic Acid

INVESTIGATIVE QUESTIONS

BASIC DEMOGRAPHIC QUESTIONS

QUESTION OF OCCUPATION

QUESTION OF MEDICAL HISTORY

Circumstantial and Medical History 9

QUESTION OF MEDICATIONS

QUESTION OF MENTAL HEALTH HISTORY

QUESTION OF ILLICIT DRUG USE

QUESTION OF ETHANOL USE

QUESTION OF HISTORY WITH LAW ENFORCEMENT OR INCARCERATION

OTHER INVESTIGATIVE QUESTIONS


FIGURE 2.1

FIGURE 2.2

FIGURE 2.3

FIGURE 2.4


FIGURE 2.5

FIGURE 2.6

FIGURE 2.7


FIGURE 2.8

FIGURE 2.9FIGURE 2.10


FIGURE 2.11

FIGURE 2.12

FIGURE 2.13

15

3 External Examination:The Preliminary Examination

SUITING UP: UNIVERSAL PRECAUTIONS

OPENING THE BODY BAG

CLOTHING AND VALUABLES


BODY STORAGE

TRACE EVIDENCE

FOUR SIGNS OF DEATH

RIGOR MORTIS

ALGOR MORTIS

LIVOR MORTIS

External Examination: The Preliminary Examination 17

DECOMPOSITION

FOCUS ON WHAT IS NOT OBVIOUS

DOCUMENTING TRAUMATIC INJURIES: DIAGRAMS AND DESCRIPTIONS


RADIOLOGY AND IMAGING

PHOTOGRAPHY AND VIDEO AS DOCUMENTATION TOOLS

SCARS, TATTOOS, AND OTHER UNIQUE MARKS


ARTIFACTS OF MEDICAL INTERVENTION


FIGURE 3.1

FIGURE 3.2

FIGURE 3.3


FIGURE 3.4

FIGURE 3.5

FIGURE 3.6


FIGURE 3.7

FIGURE 3.8

FIGURE 3.9


FIGURE 3.10

FIGURE 3.11

FIGURE 3.12


FIGURE 3.13


FIGURE 3.14

A

FIGURE 3.15

BB



FIGURE 3.18

FIGURE 3.19


FIGURE 3.20

FIGURE 3.21

FIGURE 3.22

FIGURE 3.23


FIGURE 3.26

FIGURE 3.25

FIGURE 3.24

FIGURE 3.27


FIGURE 3.28

FIGURE 3.29

FIGURE 3.30

FIGURE 3.31


FIGURE 3.32 FIGURE 3.33

FIGURE 3.34

FIGURE 3.35


FIGURE 3.36

FIGURE 3.37


FIGURE 3.38

FIGURE 3.39

FIGURE 3.40



FIGURE 3.43


FIGURE 3.44

FIGURE 3.45

FIGURE 3.46


FIGURE 3.47

A

FIGURE 3.48

B

37

4 External Examination: Specific Injuries

FORENSIC INJURIES AND DEFINITIONS

BLUNT FORCE INJURIES

Laceration

Abrasion

Contusion

Avulsion


SHARP FORCE INJURIES

Stab Wounds

Incised Wounds

Defense Wounds

Puncture Wounds

Chopping Wounds

Gunshot Wounds

External Examination: Specific Injuries 39


AFIGURE 4.1

B

FIGURE 4.2


FIGURE 4.3

FIGURE 4.4


FIGURE 4.5

FIGURE 4.6


FIGURE 4.7

FIGURE 4.8


FIGURE 4.9



FIGURE 4.12

FIGURE 4.13

FIGURE 4.14


FIGURE 4.15


FIGURE 4.17

FIGURE 4.16


FIGURE 4.19

FIGURE 4.18


FIGURE 4.21

FIGURE 4.20

51

5 External Examination: Specific Body Areas

OVERALL “GESTALT”

SKIN

HAIR

SCALP

FACE

EYES


NOSE

MOUTH

NECK

CHEST

BREASTS

ABDOMEN

EXTREMITIES, HANDS, FINGERS, NAILS

BACK

External Examination: Specific Body Areas 53

GENITALIA

RECTUM/ANUS


FIGURE 5.1


FIGURE 5.2



FIGURE 5.5

FIGURE 5.6


FIGURE 5.7

FIGURE 5.8

FIGURE 5.9


FIGURE 5.10


FIGURE 5.11


FIGURE 5.12


FIGURE 5.13


FIGURE 5.14


A B

FIGURE 5.15


A

B

FIGURE 5.16


A

FIGURE 5.17

FIGURE 5.18

67

6 Internal Examination: Opening of Body Cavities and Initial Assessment


DISSECTION OF THE SKIN AND OPENING OF THE CHEST AND ABDOMEN

FIGURE 6.1

FIGURE 6.2

Internal Examination: Opening of Body Cavities and Initial Assessment 69

B

C

FIGURE 6.2 (CONTINUED)


A

FIGURE 6.4

FIGURE 6.3


B

C



FIGURE 6.5

A

FIGURE 6.6


C

B



FIGURE 6.7

FIGURE 6.8


FIGURE 6.9

FIGURE 6.10


C



FIGURE 6.11


SURVEY OF CHEST TISSUES AND ORGANS

FIGURE 6.12

FIGURE 6.13


FIGURE 6.14

FIGURE 6.15


FIGURE 6.16


FIGURE 6.17

FIGURE 6.18


FIGURE 6.19

FIGURE 6.20


FIGURE 6.21



FIGURE 6.24


FIGURE 6.25


SURVEY OF ABDOMINAL ORGANS

FIGURE 6.26


FIGURE 6.27

FIGURE 6.28


FIGURE 6.29

FIGURE 6.30


FIGURE 6.31


FIGURE 6.32

FIGURE 6.33


FIGURE 6.34


FIGURE 6.35


FIGURE 6.36


COLLECTING BLOOD, URINE, BILE, AND VITREOUS SPECIMENS FOR TOXICOLOGY

FIGURE 6.37


FIGURE 6.38

FIGURE 6.39


FIGURE 6.40

99

7 Organ and Tissue Removal


HEART EXCISION

FIGURE 7.1

Organ and Tissue Removal 101

FIGURE 7.2

FIGURE 7.3


FIGURE 7.4


LUNG EXCISION

FIGURE 7.5


FIGURE 7.6


FIGURE 7.7

FIGURE 7.8


LIVER EXCISION

FIGURE 7.9

FIGURE 7.10


FIGURE 7.11


FIGURE 7.12


FIGURE 7.13


SPLEEN EXCISION

FIGURE 7.14


FIGURE 7.15


SMALL AND LARGE BOWEL EXCISION

FIGURE 7.16


FIGURE 7.17


FIGURE 7.18


FIGURE 7.19


FIGURE 7.20


FIGURE 7.21


FIGURE 7.22


FIGURE 7.23


FIGURE 7.24


FIGURE 7.25

FIGURE 7.26


ADRENAL GLAND AND KIDNEY REMOVAL

FIGURE 7.27


FIGURE 7.28

FIGURE 7.30

FIGURE 7.29


FIGURE 7.31


FIGURE 7.32

FIGURE 7.33


FIGURE 7.34


FIGURE 7.35


FIGURE 7.36


FIGURE 7.37

FIGURE 7.38


AORTA EXAMINATION

FIGURE 7.39


FIGURE 7.40


FIGURE 7.41

FIGURE 7.42


FIGURE 7.43

FIGURE 7.44


FIGURE 7.45


UTERUS REMOVAL

FIGURE 7.46


BLADDER REMOVAL

FIGURE 7.47


NECK DISSECTION

FIGURE 7.48


FIGURE 7.49

FIGURE 7.50


FIGURE 7.51


FIGURE 7.52

FIGURE 7.53


FIGURE 7.54


FIGURE 7.55

FIGURE 7.56

147

8 Individual Organ Examination


HEART

FIGURE 8.1

FIGURE 8.2

Individual Organ Examination 149

FIGURE 8.3

FIGURE 8.4


FIGURE 8.5


FIGURE 8.6

FIGURE 8.7


FIGURE 8.8

FIGURE 8.10

FIGURE 8.9


FIGURE 8.11

FIGURE 8.12


A

FIGURE 8.13


FIGURE 8.14

FIGURE 8.15


FIGURE 8.16


FIGURE 8.17

FIGURE 8.18


FIGURE 8.19

FIGURE 8.20


FIGURE 8.21


FIGURE 8.22

FIGURE 8.23


FIGURE 8.24



FIGURE 8.27


LUNG

FIGURE 8.28


FIGURE 8.29


FIGURE 8.30


FIGURE 8.31


FIGURE 8.33

FIGURE 8.32


FIGURE 8.34

FIGURE 8.36

FIGURE 8.35


FIGURE 8.37

FIGURE 8.38


FIGURE 8.39


FIGURE 8.40

FIGURE 8.41


FIGURE 8.43

FIGURE 8.42


NECK ORGANS: EPIGLOTTIS, VOCAL CORDS, TRACHEA, THYROID, CARTILAGE, STRAP MUSCLES, HYOID BONE

FIGURE 8.44


FIGURE 8.45


FIGURE 8.46


FIGURE 8.47

FIGURE 8.48


FIGURE 8.49

FIGURE 8.50


FIGURE 8.51

FIGURE 8.52


FIGURE 8.53

FIGURE 8.54


FIGURE 8.55


FIGURE 8.56


FIGURE 8.57


LIVER

FIGURE 8.58

FIGURE 8.59

FIGURE 8.60


FIGURE 8.61

FIGURE 8.62


FIGURE 8.63


FIGURE 8.64


FIGURE 8.65


SPLEEN

FIGURE 8.66

FIGURE 8.67


FIGURE 8.68


URINARY TRACT: KIDNEYS, BLADDER, URETER, PROSTATE

FIGURE 8.69

FIGURE 8.70


FIGURE 8.71

FIGURE 8.72


FIGURE 8.73

FIGURE 8.74


FIGURE 8.75


FIGURE 8.77

FIGURE 8.76


FIGURE 8.78


FIGURE 8.79

FIGURE 8.80


ESOPHAGUS AND STOMACH

FIGURE 8.81

FIGURE 8.82


FIGURE 8.83


FIGURE 8.84

FIGURE 8.85


UTERUS AND OVARIES

FIGURE 8.86

FIGURE 8.87

FIGURE 8.88


FIGURE 8.89


FIGURE 8.90

203

9 Examination of the Head, Skull, Brain, and Spinal Cord


SCALP EXAMINATION AND EXCISION OF THE BRAIN

FIGURE 9.1

Examination of the Head, Skull, Brain, and Spinal Cord 205

FIGURE 9.2


FIGURE 9.3


FIGURE 9.4

FIGURE 9.5


FIGURE 9.6


FIGURE 9.7


FIGURE 9.8

FIGURE 9.9


FIGURE 9.10

FIGURE 9.11


FIGURE 9.12

FIGURE 9.13


FIGURE 9.14

FIGURE 9.16

FIGURE 9.15


FIGURE 9.17

FIGURE 9.18


FIGURE 9.19

FIGURE 9.20


FIGURE 9.21

FIGURE 9.22


FIGURE 9.23


FIGURE 9.24

FIGURE 9.25


FIGURE 9.26

221

10 Microscopic Examination


FIGURE 10.1

FIGURE 10.2

Microscopic Examination 223

FIGURE 10.3

A

FIGURE 10.4

B

B


FIGURE 10.5


FIGURE 10.6


FIGURE 10.9

FIGURE 10.11

BB

FIGURE 10.10


FIGURE 10.12


FIGURE 10.13


FIGURE 10.16

FIGURE 10.18

FIGURE 10.19

FIGURE 10.17


FIGURE 10.20


FIGURE 10.21

229

11 Postmortem Laboratory Analysis of Drugs, Chemicals, and Microorganisms

THE SCENE AND THE BODY


SPECIMENS TO OBTAIN AT AUTOPSY

BLOOD

URINE

VITREOUS HUMOR

GASTRIC CONTENTS

BILE

TISSUES AND OTHER SPECIMENS

Postmortem Laboratory Analysis of Drugs, Chemicals, and Microorganisms 231

FIGURE 11.1

FIGURE 11.3

FIGURE 11.2


FIGURE 11.4

FIGURE 11.5

Postmortem Laboratory Analysis of Drugs, Chemicals, and Microorganisms 233

FIGURE 11.6

235

12 Review Questions:Putting It All Together

ANSWER THE FOLLOWING QUESTIONS. CHOOSE:


CHOOSE THE BEST ANSWER.

Review Questions: Putting It All Together 237

ANSWERS

239

References and Suggested Reading

241

Index

A

B

C


D

E

F

G

H

Index 243

I

J

K

L

M

N


O

P

R

S

T

Index 245

U

V

W

Y

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