AUTOPSY REPORT

Presented by:
Neha yadav(18099)
Nancy singh (18082)
Drishti shrestha(18077)
1.Case registration number: BH 2079/02/08-01
2.Police Office sending for autopsy: District Police Office,
Bharatpur
a. Date:2079-02-08
b. Reference Number:
3. Name of the deceased: Mr. X
4. Address: Bharatpur,chitwan
5. Gender: Male
6. Age ⁄ Date of Birth: 62 yrs
7. Dead body identified by: Mr.Y(Family member)
8. Name of accompanying Police Personnel: Sub Inspector,Mr. Z
9. Date and time of death: 2079.02.07 at 13:20 hours
10.Date and hour of receipt of
a. Dead body
b. Inquest papers
11. Date and hour of starting autopsy: 2079-02-08 at 12:00 hours
12. Date and hour of concluding autopsy: 2079-02-08 at1:00 hours
13. Name of the expert conducting autopsy: Dr. Kaschev Shrestha
14. Name of the Hospital: Bharatpur Government Hospital
Relevant Details
 Requisition letter from District Police Office, Bharatpur
 dated 2079.02.07,
 with reference number
 states that on 2079.02.07 at xx.xx hours,
 the deceased Mr. X

Cause of Death: undetermined pending lab investigation

Signature Of Expert
 Name: Dr. Kaschev Shrestha
 Designation: Lecturer
 N.M.C. Reg. No.: 1234
 Date: 2079.01.25
EXTERNAL EXAMINATION
 General characteristics

Both eyes were closed.

1. Length: not taken
2. Weight: Not taken
3. Physique: thin
4. Hair: Black and grey
5. Clothes and conditions: Not examined
6. Special identifying features (Huliya):- Not examined
7. Post-mortem changes

a. Rigor mortis: not present

b. Livor mortis: not examined
c. Algor mortis: Not examined
d. Signs of decomposition: Not present
 8. Natural orifices

a. Eyes: Brown; Pupils 5 mm.

b. Mouth: No abnormality, discharge or injuries.
c. Nose: No abnormality, discharge or injuries
d. Ears: No abnormality, discharge or injuries
e. Anus: No abnormality, discharge or injuries
f. Urethra: No abnormality, discharge or injuries
g. Penis: No abnormality, discharge or injuries
9. Injuries:

Not examined
INTERNAL EXAMINATION
Head and Neck
1) Scalp and skull:
 Scalp and skull were free from injuries.

2) Brain and vessels:

 The brain had clear, glistening lepto-meninges, and there is no edema or herniation or
hemorrhage.
 Coronal sectioning of cerebrum disclosed no gross anomalies.
 Horizontal sectioning of cerebellum disclosed no gross anomalies.
 Vertical sectioning of brainstem disclosed no gross anomalies.

3) Mouth and tongue

The mouth is free from injuries and abnormal discharge
4) Neck
 The laryngeal cartilages are intact.
 There are no soft tissue hemorrhages.
 The hyoid bone is free from fracture.
 There is no laryngeal edema.
 The tongue bears no signs of injury.
Chest (Thorax)
1) Ribs and chest wall: 4th rib is fractured and hemorrhages in 4th
intercostal space.
2) Esophagus:The esophagus is intact, and the mucosa is unremarkable
3) Trachea and bronchiThe trachea-bronchial tree is free from
extraneous material.
4) Pleural cavities: Pleural cavities are free from abnormal fluid
collection and adhesions
5) Lungs:The lungs appear of normal weight, and the pleural surfaces are
smooth and glistening. Anthracotic pigment is irregularly distributed. On
sectioning, both lungs appear congested. There are no masses or thrombi
or emboli, and no areas of consolidation are observed.
HEART EXAMINATION
Heart dissection methods:
1. Inflow-outflow method
2. Short-axis method Useful for demonstrating cardiac
pathology
3. Long-axis method
4. Four chamber method

5. Base of heart method

Anatomical teaching and museum
6. Window method specimen demonstration /preparation.

7. Unrolling method Considerable mutilation

8. Partition method Of the heart.
1) Inflow-outflow method-
Right:
 Using scissors, initial cut is made from IVC to right atrial appendages sparing SVC
and SA node.
 Right ventricle opened with knife along o1 cm parallel to posterior ventricular
septum.
 Outflow tract: 1cm parallel to anterior venrtricular septum.
Left:
 Left atrium- between R and L pulmonary veins.
 Left atrial apppendice checked for mural thrombus.
 Inflow tract: left ventricle open along its inferolateral border.
 Outflow tract: to avoid damage to mitral valve 1 cm parallel to anterior ventricular
septal groove.
Heart
The heart appeared of normal size, weight, and configuration.
No any thrombus was there.
The thickness of left ventricle is 2-3 times more than right
ventricle.
The valves and chordae tendinae were intact and normally
formed.
On examining the aorta, it was also found to be normal.
 Abdomen
1) Peritoneal and Pelvic cavity:
 The internal organs were in their customary anatomic relationships to each other.
No any abnormal fluid collection and adhesions. Omentum and peritoneum are
free from injuries
2) Stomach and content:The stomach contains an estimated 50 ml of brownish
fluid. The gastric mucosa is intact and normally rugated with no evidence of
ulcer or other lesion
3) Intestines: The duodenal mucosa is intact and free from ulcer or other lesion.
The vermiform appendix is present and unremarkable. The intestines and
contents are not remarkable
4) Liver, gall bladder and pancreas
Liver is intact and appears congested on sectioning. The gallbladder contains
only bile. Pancreas has its usual lobule architecture.
5) Spleen
 The spleen is intact but has few nodules.

6) Kidney and renal pelvis:

 Kidneys had smooth surfaces. On sectioning both kidneys were normal.
 The cortico-medullary junctions were intact and distinct.
 The calyces and pelves were normally formed with no dilatation and were free
from calculi and inflammatory changes.
7) Genital organsThe uterus, tubes, and ovaries and intact and unremarkable. The
prostate is of normal size, shape, and consistency. The testes are in the scrotum and
are free from masses.
8) Urinary bladder and urethra The urinary bladder contains an estimated 50 ml
of clear urine. The mucosa is free from inflammatory changes.
9) Skeletal system:
 There are no fractures.
Special Examinations
 None

Specimens Collected For Analysis

 Kidney
 Liver
 Stomach and its contents
Items Handed Over to:
Family members
Cause of Death: undetermined pending lab investigation
Signature of Expert:
Name: Dr. Kaschev Shrestha
Designation: Lecturer
N.M.C. Reg. No.: 1010
Date: 2079.02.08
Seal of the Hospital: BGH
Thank you 😊