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When does a FORENSIC PATHOLOGIST get involved? 1. When the coroner is unable to
satisfactorily answer ANY of the five questions
2. When there is the possibility of involvement of the CRIMINAL JUSTICE system
Two main reasons PATHOLOGIST performs an autopsy: Discovery
Documentation
CAUSE of death: The actual trauma, event, disease or illness that triggers the
physiological processes resulting in death.
IMMEDIATE The disease, injury, or complication that directly precedes death, and which
is the ultimate consequence of the underlying cause of death
UNDERLYING PROXIMATE The disease, or injury which initiates the chain of events
ultimately leading to the cessation of life
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MECHANISM of death Defined as the PHYSIOLOGIC OR FUNCTIONAL
DERANGEMENT resulting in failure of one or more vital organs
MANNER of death: Accident
Suicide
Homicide
Natural
Undetermined
Pending Cause of Death: Toxicology in possible drug or alcohol-related deaths
Pending Cause of Death: Histology microscopic examination
Pending Cause of Death: Medical Charts If there was a complex medical component to
the death
Pending Cause of Death: Police Investigation Scene information, biochemical analysis,
anthropologic examination, etc...
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Medicolegal Autopsy Medical investigation on behalf of greater society to determine how
and why its citizens die
Performed under legislation of the Coroner's Act and NOT family consent
Once a coroner takes jurisdiction over a body, the family essentially has no rights to the remains
until the
body is released
Goals of Medicolegal Autopsy Determine the CAUSE OF DEATH
Determine the MECHANISM OF DEATH
Estimate the TIME OF DEATH and/or TIMING OF INJURIES
Determine the NATURE AND MECHANISM of the injuries
Give OPINIONS as to the nature of instruments or weapons that may have been involved in
creating
the observed injuries
Trace evidence collection, etc.