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Cause of Death - - The disease, injury, or combination of conditions that leads to the
death of the individual
Manner of Death - - A classification of death based on how the cause of death was
brought into play, with the typical options being natural, accident, suicide, homicide, or
undetermined
Cause of Death Statement (Part I) - - Immediate cause of death
Intermediary cause of death
Underlying cause of death
Immediate Cause of Death - - The condition that was last to occur, immediately
resulted in the death, and was the result of the underlying cause of death
Intermediary Cause of Death - - A condition that was caused by the underlying cause
of death and resulted in the immediate cause of death or another intermediary cause of
death
Underlying Cause of Death - - The condition (disease or injury) that started the
downhill course of events leading to death
Cause of Death Statement (Part II) - - Other significant conditions
Other Significant Conditions - - Usually consist of co-existing co-morbid conditions
or additional complications of the underlying cause of death, which were less important
than those listed in Part I
Terminal Events - - Final common pathways of death and include such things as
cardiopulmonary arrest, asystole, ventricular fibrillation, respiratory arrest, and
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electromechanical dissociation (typically, these should not be listed on a death certificate
because they are so common and non-specific)
Nonspecific Anatomic Processes (NAP's) - - Consist of anatomic findings and
include such things as pneumonia and cirrhosis, each of which has multiple underlying
causes, and which may be reported on the death certificate using specific guidelines
Nonspecific Physiologic Derangements (NPD's) - - Nonanatomical findings and
include such things as hyperkalemia and hypoglycemia, each of which has multiple
possible underlying causes, and which may be reported on the death certificate using
specific guidelines
An individual had insulin dependent diabetes mellitus. He recently obtained cerebral artery
arteriosclerosis which caused him to be in a bedridden state from a previous stroke.
Because he was bedridden, he obtained infected decubitus ulcers that caused him to
obtain systemic sepsis and died. How should the death certificate be written? - - Part
I:
a. Systemic sepsis
b. Due to: Infected decubitus ulcers
c. Due to: Bedridden state from previous stroke
d. Due to: Cerebral artery arteriosclerosis
Part II:
OSC: Insulin dependent diabetes mellitus
An individual was a chronic alcoholic who obtained cirrhosis of the liver. He then had
ruptured esophageal varices and died. How should the death certificate be written? -
- Part I:
a. Ruptured esophageal varices
b. Due to: Cirrhosis of the liver
c. Due to: Chronic alcoholism
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d. Due to:
Part II:
OSC:
An individual obtained metastatic carcinoma of the prostate and died. How should the
death certificate be written? - - Part I:
a. Metastatic carcinoma of prostate
b. Due to:
c. Due to:
d: Due to:
Part II:
OSC:
An individual had a past medical history of cryptococcal myocarditis. He recently acquired
immune deficiency syndrome and obtained pneumocystis carinii pneumonia and died.
How should the death certificate be written? - - Part I:
a. Pneumocystis carinii pneumonia
b. Due to: Acquired immune deficiency syndrome
c. Due to:
d. Due to:
Part II:
OSC: Cryptococcal myocarditis
(The myocarditis contributed to the death but did not result in the conditions shown in Part
I)
An individual was involved in a traffic accident. He was the driver of the vehicle, lost
control, went left of the center and was struck head on by a sports utility vehicle. He