This week’s module consists of a case study and is an opportunity for you to bring together knowledge and understanding which you will have accumulated over the course of the semester and to apply it to a case. You are provided with the following information (you can download these as .PDF files): Police Report Supplementary Autopsy Report Toxicology Read the documents and submit your answer to the following questions. Please answer each question separately and indicate which question you are answering by writing the number next to it. DO NOT REPEAT THE QUESTIONS BEFORE YOUR ANSWER. The maximum word count for the whole of your assignment (excluding references) is 500 words The Autopsy This patient died under medical care after being extubated. Why was a forensic autopsy, rather than a clinical autopsy, carried out? 2 points (10%) GW claimed that he had started CPR when he found TA lying unresponsive. What autopsy findings were in keeping with this? 1 point (5%) What additional findings would have further supported this claim? 1 point (5%) The stomach was found to be empty at autopsy – why do you think this was? 1 point (5%) With particular reference to liver histology, what autopsy changes would you expect to see in a patient who has died from a paracetamol overdose? 2 points (10%) a. What abnormal histology findings were present? 2 points (10%) b. Do any of these relate to the care of the patient in her last two days? 1 point (5%) The Manner of death What aspects of this police report might lead you to believe that this could have been a case of suicide? 2 points (10%) What was the manner of death in this case – give reasoning for your answer? 2 points (10%) The Cause of death What was the cause of death in this case – explain your answer? 2 points (10%) Additional tests a. Were there any other tests that you think should have been carried out? 1 point (5%) b. When should these have been done? 1 point (5%) Epidemiology In the Module two assignment you were asked to consult data on the causes of death in different age groups. Is this case consistent with the data, to which links were provided in Assignment 2, for someone of this age and sex? Give reasoning for you answer. 2 points (10%)
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