By Enid Gilbert-Barness, Diane E. Debich-Spicer
A finished reference consultant to the winning functionality of pediatric autopsies and to the optimum attractiveness and interpretation in their pathologic findings. The authors disguise such significant developmental problems as hydrops, chromosomal defects, and congenital abnormalities, metabolic problems, and assessment the key organ structures. extra chapters tackle surprising boy or girl loss of life, cytogenetics, the scientific and forensic post-mortem, detailed tactics, cultures and an infection keep an eye on, and organic risks on the post-mortem. a variety of average reference tables, copious illustrations and drawings, and an appendix on the finish of every bankruptcy offer a wealth of functional details and bibliographic citations.
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A cardiothoracic ratio is taken. The thoracic situs is determined, noting the lobation of the lungs and the position of the heart and cardiac apex along with the atrial morphology. Descriptions of atrial and ventricular morphology will be discussed further in Chapter 8. The great vessels are inspected, including the vessels branching from the aortic arch and from the ductus arteriosus. A better view of the ductus arteriosus, aortic arch, and descending aorta distal to the ductus can be achieved by retracting the left lung from the pleural cavity (Fig.
Markedly macerated or hydrocephalic brains can be removed under water by the same method described above. The brain will float in the water, eliminating tearing of the parenchyma that is caused by gravity and the weight of the brain itself. Fetuses and infants can easily be placed into a large container of water or in the large sinks usually found in autopsy rooms. In older infants where the calvarium has become thicker, scissors can no longer be used. A saw is required, and a nearly circular cut is made to remove the skullcap.
51. Illustration of the removal of the external genitalia. is carefully removed, and the soft tissue over the rami of the upper cervical vertebrae are dissected away. The atlas is cut away along with the second and third cervical vertebrae, if necessary. The exposed dura is carefully incised without cutting the arachnoid. This prevents the cerebrospinal fluid from escaping. A culture can be drawn at this time, using a sterile needle and syringe. The dural incision is enlarged to expose the cervical cord and foramen magnum.