Info

Organs and Tissues

Procedures

Possible or Expected Findings

Heart For coronary angiography, see p. 118. Ectopic origin of coronary arteries or single coronary artery.

If infective endarteritis is suspected, submit Sudden death. For a detailed description of blood sample for microbiologic study (p. 102). possible additional findings, see above under

"Note."

Anomaly, Ebstein's (See "Malformation, Ebstein's") Anorexia Nervosa

NOTE: Sudden death from tachyarrhythmias may occur in advanced cases and thus, autopsy findings may not reveal the immediate cause of death.

Organs and Tissues

Procedures

Possible or Expected Findings

External examination

All organs

Record height and weight, and prepare photographs to show cachectic features. Record abnormalities as listed in right-hand column.

Follow procedures described under "Starvation." Record weight of endocrine organs and submit samples for histologic study.

Cachexia, often with preserved breast tissue; hirsutism; dry, scaly, and yellow skin (carotenemia). Mild edema may be present. Parotid glands may be enlarged. Manifestations of starvation.* Ovaries tend to be atrophic; other endocrine organs should not show abnormalities.

Anthrax

Synonyms: Cutaneous anthrax; gastrointestinal anthrax; pulmonary (inhalational) anthrax.

NOTE: (1) Collect all tissues that appear to be infected. (2) Request aerobic cultures. (3) Request Gram stain (p. 172). For the study of archival tissue samples, polymerase chain reaction (PCR) analysis can be attempted (1). (4) Special precautions are indicated because the infection can be transmitted by aerosolization (see Part I, Chapter 16). (5) Serologic studies are available at the Center for Disease Control and Prevention, Atlanta, GA. (6) This is a reportable disease. Bioterrorism must be considered in current cases.

Organs and Tissues

Procedures

Possible or Expected Findings

External examination

Photograph cutaneous papules, vesicles, and

Disseminated anthrax infection may occur

and skin

pustules. Prepare smears and histologic sections.

without skin lesions.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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