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Forensic pathology question #9 Answer
#FPQuestion #Forensics
#tweetorial
My colleagues & I feel that COD/MOD basics are important for residents to know for their in-service.
&, also great for med. students, since it is often not specifically taught.
Hope this helps.
1/14
#FPQuestion #Forensics
#tweetorial
My colleagues & I feel that COD/MOD basics are important for residents to know for their in-service.
&, also great for med. students, since it is often not specifically taught.
Hope this helps.
1/14
Forensic pathology question #9 B Answer
2/14
2/14
Coronary artery atherosclerosis as COD
Just to add-while "Coronary artery atherosclerosis" can be used, it doesn't convey the severity-I found the term "Critical coronary artery atherosclerosis" (i.e., >70-75% stenosis) and I use that. Attached is example
3/14
Just to add-while "Coronary artery atherosclerosis" can be used, it doesn't convey the severity-I found the term "Critical coronary artery atherosclerosis" (i.e., >70-75% stenosis) and I use that. Attached is example
3/14
You can use a mechanism on one line, but, there always has to be a cause of death associated with it. If I used a mechanism with coronary artery atherosclerosis, it would look like this...
4/14
4/14
As I said, risk factors can be listed as contributory conditions-but not as a direct cause. The attached illustrates how they could be listed as a contributory condition...
5/14
5/14
The attached death certificate illustrates why they shouldn't be listed as a direct cause--tell me, does the attached DC make sense pathophysiologically (I hope you say, "No")...
6/14
6/14
Finally, for coronary artery atherosclerosis, sometimes the only risk factors are that the deceased is an older male. I hope the attached DC illustrates why coronary artery atherosclerosis can be a one line COD-I assume no one would sign out a DC like...
7/14
7/14
As far as manner of death for coronary artery atherosclerosis-I meant this question mostly to highlight the need to understand the underlying cause of death for a PE.
@ConnorZuraski I hope this addresses your interesting comment
8/14
@ConnorZuraski I hope this addresses your interesting comment
8/14
Now, on to pulmonary thromboemboli...
9/14
9/14
Attached is an example of when a pulmonary thromboembolus is associated with a natural manner of death.
10/14
10/14
Attached is an example of when a pulmonary thromboembolus is associated with an accidental manner of death.
This is demonstrative and to make a point (I don't normally include "fall" in the COD lines--that goes under "How injury occurred".)
11/14
This is demonstrative and to make a point (I don't normally include "fall" in the COD lines--that goes under "How injury occurred".)
11/14
Attached is an example of when a pulmonary thromboembolus is associated with a suicide manner of death.
This is demonstrative and to make a point (I don't normally include "self-inflicted" in the COD lines--that goes under "How injury occurred".)
12/14
This is demonstrative and to make a point (I don't normally include "self-inflicted" in the COD lines--that goes under "How injury occurred".)
12/14
Attached is an example of when a pulmonary thromboembolus is associated with a homicide manner of death.
This is demonstrative and to make a point (I don't normally include "assault" in the COD lines--that goes under "How injury occurred".)
13/14
This is demonstrative and to make a point (I don't normally include "assault" in the COD lines--that goes under "How injury occurred".)
13/14
Final point: when certifying cause of death make sure you trace back to initial initiating condition--that condition most often determines manner. If lethal results of injury don't manifest for years, it does not matter--that an injury initiated them is vital in MOD.
14/14
14/14
