MMSC Quiz 2 – Questions With Verified
Solutions
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Terms in this set (60)
- Looking for cause and manner of death
- It's different in the hospital autopsy
What is an autopsy
actually doing?
-Opportunity to recognize missed diagnosis
- Opportunity for teaching and learning
Discrepancies in major diagnoses. Knowledge of
diagnosis before death would have led to changes
Major Discrepancies in management that could have prolonged survival
(Class I) or cured the patient (e.g., pulmonary infarction
treated as pneumonia, fungal pneumonia treated as
bacteriaL infection).
Discrepancies in major diagnoses whose detection
before death would not have changed survival even
with correct treatment (e.g., biventricular cardiac
insufficiency due to severe aortic stenosis with
Major Discrepancies missed pulmonary emboli, correctly treated
(Class II) bacterial sepsis with multiorgan failure because of
unrecognised postoperative cervical osteomyelitis
in a patient with rheumatoid arthritis). No treatment
available at the time (e.g. cytomegalovirus infection
up to the early eighties).
Discrepancies in minor diagnoses not directly
related to cause of death, but with symptoms that
Minor Discrepancies
should have been treated or would have eventually
(Class III)
affected prognosis (e.g., pulmonary carcinoma in a
patient with ruptured infrarenal aortic aneurysm).
, Discrepancies in minor occult diagnoses (non-
Minor Discrepancies diagnosable) but with possible epidemiological or
(Class IV) genetic importance (e.g., symptom less gallstones,
goitre).
Non Discrepancy (Class Non-discrepant diagnoses.
V)
Patients died immediately after admission with no
diagnostic procedures, or refused any diagnostic
Non-Classifiable Cases procedures or treatment. Necropsy was
(Class VI) unsatisfactory with no clear findings and no
diagnosis could be established after review of
clinical and necropsy data.
- Better medical understanding of many diseases
- More advanced testing leads to better premortem
diagnosis
Why Have Autopsies
Decreased Over Time? - Fewer in-hospital pathologists doing autopsy
- Hospital cost-$$$$$$$
- Public perception (the CSI effect again?)
Solutions
Save
Terms in this set (60)
- Looking for cause and manner of death
- It's different in the hospital autopsy
What is an autopsy
actually doing?
-Opportunity to recognize missed diagnosis
- Opportunity for teaching and learning
Discrepancies in major diagnoses. Knowledge of
diagnosis before death would have led to changes
Major Discrepancies in management that could have prolonged survival
(Class I) or cured the patient (e.g., pulmonary infarction
treated as pneumonia, fungal pneumonia treated as
bacteriaL infection).
Discrepancies in major diagnoses whose detection
before death would not have changed survival even
with correct treatment (e.g., biventricular cardiac
insufficiency due to severe aortic stenosis with
Major Discrepancies missed pulmonary emboli, correctly treated
(Class II) bacterial sepsis with multiorgan failure because of
unrecognised postoperative cervical osteomyelitis
in a patient with rheumatoid arthritis). No treatment
available at the time (e.g. cytomegalovirus infection
up to the early eighties).
Discrepancies in minor diagnoses not directly
related to cause of death, but with symptoms that
Minor Discrepancies
should have been treated or would have eventually
(Class III)
affected prognosis (e.g., pulmonary carcinoma in a
patient with ruptured infrarenal aortic aneurysm).
, Discrepancies in minor occult diagnoses (non-
Minor Discrepancies diagnosable) but with possible epidemiological or
(Class IV) genetic importance (e.g., symptom less gallstones,
goitre).
Non Discrepancy (Class Non-discrepant diagnoses.
V)
Patients died immediately after admission with no
diagnostic procedures, or refused any diagnostic
Non-Classifiable Cases procedures or treatment. Necropsy was
(Class VI) unsatisfactory with no clear findings and no
diagnosis could be established after review of
clinical and necropsy data.
- Better medical understanding of many diseases
- More advanced testing leads to better premortem
diagnosis
Why Have Autopsies
Decreased Over Time? - Fewer in-hospital pathologists doing autopsy
- Hospital cost-$$$$$$$
- Public perception (the CSI effect again?)
