Pathology in Autopsy: From Ancient to Modern Era | Book Publisher International

 

The prime focus of this book is to make understand the basic pathology in the form of gross and microscopic findings in pathological and medicolegal autopsy cases. How these findings make sense when coupled with sound knowledge of pathogenesis was discussed in depth. A comprehensive review of all the factors that affect the pathological findings has been enumerated in detail. This book depicts the pathological spectrum of four major organ system in the form of various gross and histopathological pictures of diseases with their key points. A significant part of the book is about the ancient forensic practice in India. Book was written for a lucid and crisp understanding of the subject, excellent for the orientation. All the essential points of the book have been given followed by the examination questions. It will be a hand book for the postgraduate students of pathology, forensic medicine and for the students of Agad Tnatra from the Ayurvedic stream.

 

Author(s) Details

Dr. Arvind Kumar
Additional Professor, Department of Pathology and Laboratory Medicine, AIIMS, Rishikesh, Dehradun, Uttarakhand – 249203, India.

 

Dr. Dezy Singh
Govt. Medical Officer, Ayurvedic & Unani Services Govt. of Uttarakhand, India.

 

Dr. R. C. Tiwari
Prof. and HOD, Department of Agad Tantra Evum Vidhi Vaidyak, UAU, Rishikul, Campus, Haridwar, Uttarakhand, PIN-249401, India.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/mono/978-81-991363-3-5

 

Liver Disorders in Autopsy Cases: A Reflective Study in a Tertiary Care Center | Chapter 1 | Achievements and Challenges of Medicine and Medical Science Vol. 9

Background: Diseases in the liver can be – congenital malformations, chronic venous congestion, hepatitis, fatty change, cirrhosis, Steatohepatitis, Pyogenic and amoebic abscess, hydatid cyst, storage disorders, hemosiderosis, tuberculosis, infarcts, actinomycosis, hepatoblastoma, hepatocellular carcinoma, metastatic deposits etc. Even chronic liver diseases in the advanced stage may go undiagnosed because of delayed signs and symptoms. Mostly diagnosed incidentally on routine health check-ups, surgery or at autopsy. The liver is the site of many diseases, many become symptomatic while few are diagnosed only on autopsy. The cause of chronic liver disease varies in different geographic areas and is influenced by socioeconomic status, diet, lifestyle and regional diseases.

Methods: This retrospective study was carried out in a tertiary care hospital in the Department of Pathology over a period of one year. A total of 40 cases of liver specimens, received as part of the liver, constituted the material for the study. All were autopsy cases and the organs were received in 10% formalin. Routine grossing and staining with hematoxylin and eosin stain were performed. Slides were analyzed, the findings were noted and lesions categorized.

Results: A total of 40 specimens were studied. Age ranged from newborn to 70 years, with 92.5 % male cases. About one-third of the total cases showed autolytic changes. 25% were showing chronic venous congestion followed by fatty change (22.5%), hepatitis (12.5%), cirrhosis, steatohepatitis and normal liver histology (2.5% each). So, to prevent autolysis of the specimen, the medical practitioner performing the autopsies should undergo training regarding performing the post-mortem and preservation and transportation of viscera for histopathological examination to conclude the cause of death.

Conclusion: 1. Autopsy has an important role in identifying the cause of death.

2. About one-third of the total cases showed autolytic changes.

3. To overcome the autolysis of the specimen, the medical practitioner performing the autopsies should be trained in how to carry post-mortem and to preserve the viscera for histopathological examination so that the cause of death can be noted.

 

Author (s) Details

Ekta Rani
GGSMC, Faridkot, Punjab, India.

 

Vishal Mehrolia
Specialist Civil Hospital, Kotkapura, Punjab, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/acmms/v9/2161

Incidentally Discovered Malrotation in a Case of Gastric Perforation | Chapter 3 | New Visions in Medicine and Medical Science Vol. 8

Aim: The study is a case report of a 36-year-old male with blunt trauma to the abdomen following a road traffic accident, with an intraoperative finding of gastric perforation alongside an incidentally detected malrotation.

Introduction: The term "intestinal malrotation" refers to abnormalities affecting intestinal fixation and intestinal nonrotation or partial rotation around the superior mesenteric artery. Only 0.2 to 0.5% of people exhibit symptoms, with the remainder exhibiting none at all.

Case Presentation: A 36-year-old man arrived at the hospital two days ago with traumatic abdominal damage. Examination results showed that the patient had a blood pressure of 90/60 mmHg, a pulse of 130 bpm, a respiratory rate of 32 breaths per minute, and a saturation of 78% in room air. X-ray chest showed gas under diaphragm. An anterior gastric rupture with a transverse colon below the stomach and a jejunum with small bowel loops present on the right was discovered during an emergency laparotomy. Gastrojejunostomy was done. The patient's postoperative stay went smoothly, and on POD 10, he was discharged, able to resume his regular oral diet and pass stool.

Conclusion: Intestinal malrotation is a rare developmental anomaly of the embryonic gut. In babies, bilious vomiting is the most prevalent presentation; in older children and adults, chronic and sporadic abdominal pain is evident. Surgery is debatable in asymptomatic patients. However, adults with delayed malrotation presentation manifest with varied symptoms. Hence, to prevent further difficulties, a high index of suspicion together with pertinent investigations (CT and USG) is required.

Author(s) Details:

Abhishek Soham Satpathy,
Department of Surgery, S.C.B. Medical College and Hospital, Cuttack, 753007, India.

Please see the link here: https://doi.org/10.9734/bpi/nvmms/v8/8288E

Early Pregnancy during Autopsy: Clinical Implications and Assessment | Chapter 2 | New Advances in Medicine and Medical Science Vol. 8

 In early gestation, there will not be a important increase in the size of the uterus, and only a narrow gestational sac will be present in the uterus. Therefore, the chances of a misplaced confirmation of gestation lead to bias with decease and the smooth escape of the accused, so a confirmatory test is wanted during an postmortem. The proposed means is an immediate, correct, and easy indirect test of pregnancy during  postmortem. The diagnosis of early gestation is usually established measurement of human chorionic gonadotropin in excretion or blood, but ultrasonography is too an accurate diagnostic method. History and physical examination are not very sensitive patterns for early diagnosis. In dominant practice, size of uterus and corpusluteum are increased before birth, which leads to authoritative diagnosis. However, the uterus and corpusluteum forbiddance grow much in diameter during early gestation, and findings are typically not listed. The suggested approach is plain and includes a secondary test. The process involves utilizing an hCG strip to check the deceased's urine or ancestry serum for the attendance of hCG (Human Chorionic Gonadotropin). Test results are positive if the dead had an abortion inside 15 days of passing away. False beneficial  test results may occur for various reasons, including mistakes of test application, use of drugs holding the hCG molecule, and non-significant production of the hCG particle. Urine tests can be falsely beneficial in those that are taking the drugs like: chlorpromazine, phenothiazines and methadone among possible choice.

Author(s) Details:

N. Shrivastava,
Medico Legal Institute, Gandhi Medical College, Bhopal, India.

D. K. Satpathi,
Laxminayaran Medical College, Bhopal, India.

R. Khare,
Medical Officer, Government of M.P., Bhopal, India.

Please see the link here: https://stm.bookpi.org/NAMMS-V8/article/view/11070

Study on Pattern of Hanging Cases Brought for Autopsy at a Tertiary Care Centre in Central India | Chapter 16 | New Frontiers in Medicine and Medical Research Vol. 6

 This is a retrospective study that took place in a Tertiary Care Centre's Department of Forensic Medicine and Toxicology from June 2016 to June 2017. This research includes all cases having a rumoured history of hangings. The current study's goals and objectives are to assess the age and gender distribution of hanging cases, the type of ligature material used, and the reason for suicide. In this study, the most usually involved age group was 31 to 40 years, followed by 51-60 years and 41-50 years, with males outnumbering females. In 75% of the cases, the victim was completely hanged. The most frequent material for hanging is nylon rope. In 25% of the instances, salivary stains can be found around the angle of the mouth. The ligature mark is seen above the level of thyroid cartilage in 87.5 percent of instances. The most common cause of hanging fatalities is financial difficulties (75.83 percent ). Hanging is more common among married people than among unmarried persons.

Author (S) Details

Avinash H. Waghmode
Department Of Forensic Medicine and Toxicology, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha, Maharashtra India.

Anil J. Anjankar
Department Of Forensic Medicine and Toxicology, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha, Maharashtra India.

View Book :- https://stm.bookpi.org/NFMMR-V6/article/view/2774

A Case Report of a Death Caused by Depression in Custody | Chapter 8 | Highlights on Medicine and Medical Science Vol. 11

Prisoners are made rather than born. Custodial deaths have been a thorn in the side of the mistreated police control for decades. A 32-year-old man was found dead inside a prison due to despair he had developed while incarcerated. A ligature mark above the neck was discovered to be suicidal after further investigation. Suicide prevention may be aided by proper prisoner care, motivation within the institution, surprise visits from higher officials, and close observation via CCTV. The current case serves as an example for police officers who want to motivate and supervise convicts to prevent suicidal behaviour.

Author (s) Details

Dr. Rupesh Kumar Naik
Department of Forensic Medicine, JIPMER Hospital, Pondicherry, India.

Kusa Kumar Shaha
Department of Forensic Medicine, JIPMER Hospital, Pondicherry, India.

Dr. Vinod A. Chaudhari
Department of Forensic Medicine, JIPMER Hospital, Pondicherry, India.


View Book :- https://stm.bookpi.org/HMMS-V11/article/view/2501