A Pathologist’s Point of View: Establishing Cause of Death Susan E. Crawford, MD Northwestern Univ. Medical School.

Slides:



Advertisements
Similar presentations
INTRODUCTION TO FORENSIC MEDICINE
Advertisements

Introduction to Pathology By Dr. Gehan Mohamed Dr. Abdelaty Shawky.
Death: Meaning, Manner, Mechanism, Cause, and Time
Manner: Natural Marnie Wood MD FRCPC March 10, 2015.
By Alexandra Chia-Cumberlidge 9C.  a part of forensic science used to determine the cause of death by the examination of a corpse.  Forensic pathologists.
Manner: Natural – Natural disease presenting as unexpected death Marnie Wood MD FRCPC (Anatomic and Forensic Pathology) ABP March 20, 2012.
Transition and Stabilization of the Newborn Letha Nix RNC.
Coding of Fetal Deaths October A desire for further guidance in the coding of Fetal Death records was expressed at the NAPHSIS conference this past.
Cause and Manner of Death
Medical Aspects of Death. Death Cessation of life Is it event or process When does death actually occur? “Cellular Death” “Somatic Death”
Notes on page 69.  Simply put, the end of life ◦ The irreversible cessation of circulation of blood  Heart stops beating and cannot be restarted  When.
Pathology & Parasitology for Veterinary Technicians Leland S. Shapiro Thomson* Delmar Learning.
CONGENITAL DISEASES Dr. Meg-angela Christi Amores.
Amniotic Fluid Problems. Amniotic fluid is an important part of pregnancy and fetal development. This watery fluid is inside a casing called the amniotic.
IDENTIFICATION AND MANAGEMENT ABORTION Prepared by: Loveness Mwase Kaweche Mwase Ackson Chandula Warwick-Etatmba.
Centers for Disease Control and Prevention National Center for Health Statistics Robert N. Anderson, PhD Arialdi M. Miniño, MPH Mortality Statistics Branch.
FORENSIC PATHOLOGIST What is a forensic pathologist? What training is required to become a forensic pathologist?
Growth & Development of the Respiratory & Cardiovascular Systems.
Introduction to Pathology and Manner Of Death. Autolysis Autolysis – when a cell starts to breakdown (cell membrane dissolves, enzymes and other cell.
Medical Examiner v. Coroner Systems. Coroner System Brought to the United States from Great Britain where it had enjoyed some 500 years of relative success.
PATHOLOGY. -is a bridging discipline involving both basic science and clinical practice and is devoted to the study of the structural and functional changes.
Introduction to Pathology And its rule in the diagnostic process Dr: Wael H.Mansy, MD Assistant Professor College of Pharmacy King Saud University.
Rafat Mosalli MD Abnormal Gestation. Objectives What is Normal gestation? What is Normal gestation? Newborn classification according to age and Weight.
Preterm labor.
The contents of pathology The contents of pathology   Aetiology (the causes )   Pathogenesis (mechanisms)   pathologic changes: structural & functional.
By Prof. Abdelmoty Kabbash Head of Forensic Medicine & Toxicology Unit Faculty of Medicine Faculty of Medicine King Saud University PRINCIPLES OF DEATH.
Preterm Labor 早 产 林建华. epidemiology Labor and delivery between 28 – weeks Labor and delivery between 28 – weeks 5%-10% 5%-10% be the leading.
Fetal Circulation Mike Clark, M.D.. Figure (a) Day 20: Endothelial tubes begin to fuse. (b) Day 22: Heart starts pumping. (c) Day 24: Heart continues.
Theeb alkahtani THE IMPORTANCE OF PME. Consent Except forensic Autopsy. In all other cases, permission is required, cannot be performed without consent.
AUTOPSY What Can They Tell Us?. Definition and Purpose Postmortem examination Purpose -help determine why (cause of death) and how (manner of death) the.
Preterm Labor & Preterm Birth Family Medicine Specialist CME Vientiane, Lao PDR December 10 – 12, 2008.
Case Study 28 Julia Kofler, M.D.. The brain in this case is from a male infant who was delivered prematurely at 30.5 weeks gestation due to intrauterine.
Forensic Pathology. Main Job Responsibilities  Performs autopsies to determine the cause and manner of death that falls under the jurisdiction of a medical.
Objective: SWBAT distinguish between the four manners of death. SWBAT distinguish between cause, manner, and mechanism Do Now: SCENARIO: a new student.
Growth & Development of the Respiratory & Cardiovascular Systems.
CHAPTER ONE CHAPTER ONE INTRODUCTION TO PATHOPHYSIOLOGY. BY: BY: Dr. Uche Amaefuna-Obasi (MD).
Introduction to Pathology And its rule in the diagnostic process Dr: Wael H.Mansy, MD Assistant Professor College of Pharmacy King Saud University.
The Child with a Cardiovascular Disorder
Medical Certification on Cause of Death Session IV: B. Guidelines for Reporting Causes of Death in Specific Groups or Conditions 1.
Disorders of cardiovascular function. R Pulmonary Artery.
BY.DR HINA ADNAN EPIDEMIOLOGY DNT 362. Epidemiology is the study of the distribution and determinants of health-related states or events (including disease),
Dennis J. Wickham, MD Clark County Medical Examiner April 21, 2016 Role of the Medical Examiner and Death Certification.
Death Investigation in Wisconsin and The United States Michael A. Stier, MD Assoc. Prof. of Forensic Pathology UW School of Medicine & Public Health.
Consistent Investigation and Reporting of Sudden Unexplained Infant Death SOUTH CAROLINA INITIATIVE David Belk, Lieutenant, SLED Cynthia Schandl, MD,
Introduction to Pathology And its rule in the diagnostic process Dr. Atif Ali Bashir, MD Pathology Assistant Professor College of Medicine Majma’ah University.
Forensic Science Unit 1: Introduction to Forensics & Law.
Medical Aspects of Death
Allegheny County Child Death Review Allegheny County Health Department Office of Epidemiology and Biostatistics Presenter: Erin Austin Faculty Advisor:
Sudden Unexpected Postnatal Collapse
Lab 1 Practical Pathophysiology Stage 3 Collage of Pharmacy / AL Mustansiriyah University.
Dear Student, Welcome to the exciting & fascinating world of
Maternal & Perinatal Mortality
Etiology of Acute Kidney Injury in Neonates
Case Study 30 Julia Kofler, M.D..
The USC Stillbirth Experience
Autopsy Chapter 8.
Autopsy Forensic Pathology.
Maternal Mortality.
Certifying perinatal deaths
Unit 1.3 Review.
Unit 1.3 Review.
1.3 Review Abby Mortellaro.
Radiological evolution of acute respiratory distress syndrome over the first week in a 57-year-old male with non-Hodgkin’s lymphoma and H1N1 infection.
Unit 1.3 Review.
Death Investigation SFS2 Students will use various scientific techniques to analyze physical and trace evidence. c. Evaluate how post mortem changes are.
Forensic Pathology Lecture 1.
Autopsy MHD
Warm Up Objective: Scientists will describe forensic pathology by performing an autopsy. What is the topic? What will you be doing? Why is this important?
Presentation transcript:

A Pathologist’s Point of View: Establishing Cause of Death Susan E. Crawford, MD Northwestern Univ. Medical School

Terminology n Primary or Underlying Cause of Death u The disease or condition that initiated the chain of events leading directly to the death of the patient n Contributing Conditions/Complications u Most important events that contributed to death but not considered the immediate cause of death; “intermediate causes” n Other Significant Conditions u Other conditions that contributed to death; not as important as those listed above; did not result in death

Primary or Underlying Cause of Death n Disease or injury that initiated the events leading directly to death n Antecedent to all other causes and without this underlying cause, death would not have occurred n Information used for epidemiological purposes and public health planning

Primary or Underlying Cause of Death Examples: Acute Vascular Thrombosis Placental Abruption Metabolic Diseases Congenital Heart Disease

Primary or Underlying Cause of Death n Intrauterine Fetal Demise u Thrombosis (Primary) and Maternal Disease (Contributing Factor) u Importance of fetal circulation and congenital heart disease n Postnatal Death u Transitional circulation and closure of ductus arteriosus and foramen ovale u Pulmonary Hypoplasia, Infection, NEC, Prematurity

Primary or Underlying Cause of Death n Mechanistic terminal events lack etiologic specificity and should not be used as causes of death u Examples: F Asystole F Respiratory Arrest F Cardiopulmonary Arrest

Contributing Conditions/Complications n Important events that contributed to the primary cause of death u Maternal Diseases – Cervical Incompetence, Thrombophilia, Oligohydramnios u Prematurity u Respiratory Insufficiency u Congestive Heart Failure

Manner of Death n Forensic Pathology u Natural u Accidental u Homicide u Suicide u Undetermined

Determining the Cause of Death Discuss case with clinical services prior to starting the autopsy examination; keep them informed of preliminary findings & results of final report u Most important information is in the gross examination u Placental examination should be included in the autopsy examination u Microscopic examination; genetics; cultures u Clinico-pathological correlation