Wednesday, 1 February 2012

Emedinews:Insights on Medicolegal issues: What is a negative postmortem examination?


What is a negative postmortem examination?

  • Negative or obscure autopsy is when no significant finding are discovered in autopsy i.e. when in a postmortem examination all efforts i.e. gross, microscopic, chemical and toxicological results are not concluding enough about the cause, manner or other required medicolegal aspects of death
  • Negative autopsy is very useful in cases where there is no adequate history of death
  • Death from fear/fright or shock/cases of post fracture air embolism
  • Death due to lesion in neck as diphtheria, laryngeal bronchitis/swelling of glottis or choking on food
  • Cases like brown atrophy of heart associated with starvation, asthma or cancer
  • Sickle cell disease/lesion of adrenal gland/hemorrhage or destruction by tumor
  • Negative autopsy is also very informative; I have seen such a case in death due to distal coronary artery occlusion or coronary arteries spasm

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