(精选)Postmortem changes after death教学课件.pptVIP

POST MORTEM CHANGES;Immediate changes Permanent Cessation of Brain function Complete Cessation of Circulatory function Entire and permanent cessation of Respiratory function;Permanent Cessation of Brain function: Loss of Sensations; viz, touch, pain and temperature Loss of reflexes Total loss of E.E.G. Rhythem Confirmation of Brain- stem death;BRAIN DEATH;Brain –stem death: The patient must be comatose state at least six hours. No Abnormal Decorticate or decerebrate postures should be present All brain-stem reflexes must be absent.;Pupils should be fixed No Corneal reflex Absent of the oculo-cephalic reflex Absent vestibulo-ocular reflexes No Motor responses No Gag reflex No Respiratory movements after test withdrawal of ventilator for 30 sec.;Complete Cessation of Circulatory Function Magnus test Finger nail test Diaphanous test Icard’s Fluorescein test Heat test Artery incision test A flat E.C.G. for a continuous period of five minutes; Entire and permanent cessation of respiratory function Mirror test Feather test Winslow’s glass water test.;Optic disc looks pale and slowely become hazy. Pupils fully dilated in the early stage and constrict later due rigor mortis. Discoloration of the sclera which is initially yellow and later turn brownish due to drying and desiccation of the exposed conjunctiva and the sclera underneath. k/a Taches Noires Scleroitiques;CHANGES IN THE SKIN;COOLING OF THE BODY(ALGOR MORTIS);Temperature is recorded by Chemical thermometer- Thanotometer 25 cms. Recording of temperature : Normal temp. – Rectal temp 4 inch above anus. Rate of temp. fall/hour Variation of body temperature There are some Conditions in which heat may be retained or increased.;Sun stroke and pontine haemorrhage, disturbed heat regulating mechanism. Tetanus and strychnine poisoning, due to increase in heat production in the muscle. Acute bacterial or viral infection, lobar pneumonia, typhoid fever, encephalitis, etc. Intense asphyxial conditions- ri