AUTOPSY REPORT GROSS EXAMINATION The body is that of a…
AUTOPSY REPORT
GROSS EXAMINATION The body is that of a 64-year-old male. The body was opened by means of a midline incision showing the pleural and peritoneal cavities. The organs were removed en toto by the Rokitansky method.
CARDIOVASCULAR SYSTEM: The pericardial cavity contains minimal amount of clear fluid. The heart appears enlarged and measures 13.0 x 10.0 x 8.0 cms and weighs 480.0 grams. Cut sections show a thickened left ventricular wall measuring 2.5cm, with a focus of reddish area in the anterior ventricular wall, surrounded by white, firm tissues and cardiac muscles. Coronary arteries show evidence of calcification. Microsections show edema, hemorrhage, infiltrates of neutrophils and mottling of the cardiac myocytes. Other areas of show bands of fibrotic tissues traversing the cardiac myocytes. Coronary arteries are atherosclerotic.
RESPIRATORY SYSTEM: The lungs are reddish black and spongy. The right lung measures 22.0 x 11.0 x 8.5 and and weighing 300.0 grams while the left lung measures 23.0 x 12.5 x 7.5 and weighing 275 grams. Cut sections show moderate amount of mucoid material within the airway lumen. There are no gross masses noted. Microscopic sections of both lungs show carbon dusts and hemosiderin-laden macrophages noted amidst pools of edema fluid, blood and congested vascular channels. Dilated alveoli with damage alveolar walls are also seen. No evidence of malignancy noted.
Give the anatomic diagnosis/es of the various organ systems
CVS
Respiratory System
Classify the various anatomic diagnoses according to the ff.:
Disease causing death directly
Disease/s contributing or related to death by cause or effect
Significant disease/s not related to death but significant enough to contribute to the death of the patient.
Incidental disease/s (did not contribute to patient’s admission; patient could have lived longer/”normal life span” with this/these disease/s was/were present.
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