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VICCERA
NEGATIVE AUTOPSY
OBSCURE AUTOPSY
PRESERVATION OF VICCERA
WHEN SHOULD THE VICCERA BE
PRESERVED?
If death is suspected to be due to poisoning either by
police or doctor
Deceased was intoxicated or used to drugs
Cause of death not found after autopsy
In cases where an unusual smell,colour,
unidentifiable material is detected in stomach
contents
Anaphylactic death
Death due to burns
Advanced decomposition
Accidental death involving driver of a vehicle or
machine operator.
PRESERVED VICCERA IN SUSPECTED
POISONING
STOMACH and its contents. If stomach is
empty the wall should be preserved
The upper part of SMALL INTESTINE(about
30cms in length) and its contents
LIVER 200 to 300gm
KIDNEY-Half of each.as one kidney may be
dysfunctional
BLOOD-30 ml.Minimun 10ml
URINE-30ml
IMPORTANT POINTS
I. NATURAL DISEASES-
a. With obscure or few macroscopic findings
b. Death precipitated by emotion, work stress
c. With functional failure such as epilepsy,
paroxysmal fibrillation
II. BIOCHEMICAL DISTURBANCES:
a. Uraemia, diabetes, potrassium deficiency
b. Respiratory pigment disorders such as anaemic
anoxia,porphyria
III. ENDOCRINE DYSFUNCTON: Adrenal insufficiecy
and Thyrotoxicosis or myxoedema
IV. CONCEALED TRAUMA:
a. Cerebral concussion
b. Self reduced neck injury
c. Blunt injury to heart
d. Reflex vagal inhibition
V. POISONING:
a. Delayed suboxic or narcotic poisoning
b. Anaesthetic overdosage
c. Neurotoxic or cytotoxic poisons
d. Plant poisoning
VI. Miscellaneous:
a. Allergy
b. Drug idiosyncrasy
THINGS TO DO IN CASE OF OBSCURE
AUTPOSY
Interview with the persons who observed the
deceased before he died to know the signs and
symptoms shown by deceased before death
Laboratory investigations may be
bacteriological, histological, biochemical and
toxicological
In absence of any positive findings a careful
assessment of possible functional cause of death
must be made
Negative morbid anatomical and chemical
examination is important to exclude injuries or
poisons