The
body is that of a well-developed, well-nourished, adult _______, who weighs
approximately _____ pounds, is __ inches in length, and appears compatible
with the stated age of ____ years.
1.
The body is identified by: (the coroner).
Identification
bands / tags are around:
2.
The body is clad in ________.
3.
The body is cool to the touch.
4.
Rigor is fully fixed in all extremities and jaw.
5.
Diffuse, _______ unfixed / fixed, purple livor extends over the posterior
surfaces of the body, except in areas exposed to pressure.
6.
The scalp hair is _______ and ____ inch in length over the crown.
7.
The irides are _______; the pupils are bilaterally equal at 0.2 inch.
8.
The corneae are _______ clouded / transparent.
9.
The sclerae and conjunctivae are unremarkable.
10.
The nose and ears are not unusual.
11.
The lips and gums are _______ congested / pale.
12.
The teeth are in _____ condition.
13.
The deceased is clean shaven.
14.
The neck is without masses, and the larynx is in the midline.
15.
The thorax is symmetrical with an anteroposterior/lateral ratio of about
1:2.
16.
The abdomen is________ scaphoid / flat / protuberant.
17.
The penis is unremarkable; the testes are bilaterally descended within the
scrotum.
18.
The anus and back are unremarkable.
19.The upper and lower extremities are well-developed and symmetrical,
without absence of digits.
20.
Identifying marks and scars consist of________.
21.
Evidence of emergency resuscitation and / or medical therapy
includes___________.
BODY CAVITIES:
1.
No adhesions or abnormal collections of fluid are in any of the body
cavities.
2.
All body organs are present in normal anatomical positions.
HEAD (CENTRAL NERVOUS SYSTEM):
1.
The brain weighs _______ grams.
2.
The dura mater and falx cerebri are intact.
3.
The leptomeninges are thin and delicate.
4.
The cerebral hemispheres are symmetrical.
5.
The structures at the base of the brain, including cranial nerves and blood
vessels, are intact and free of abnormality.
6.
Sections through the cerebral hemispheres reveal no lesions within the
cortex, subcortical white matter, or deep parenchyma of either hemisphere.
7.
The basal ganglia, thalami, and hippocampi are unremarkable.
8.
The cerebral ventricles are normal caliber.
9.
Sections through the brainstem and cerebellum are unremarkable (state if
brain was fixed in formalin and examined with neuropathologist).
NECK:
1.
Examination of the soft tissues of the neck, including strap muscles,
thyroid gland, and large vessels, reveals no abnormalities.
2.
The hyoid bone and larynx are intact.
3.
The lingual mucosa is intact; the underlying firm red-brown musculature is
devoid of hemorrhage.
CARDIOVASCULAR SYSTEM:
1.
The heart weighs_______grams.
2.
The pericardial and epicardial surfaces are smooth, glistening and
unremarkable; the pericardial sac is free of significant fluid or adhesions.
3.
The coronary arteries arise normally, follow the usual distribution and are
patent, without evidence of significant atherosclerosis or thrombosis.
4.
The chambers and valves bear the usual size-position relationships and are
unremarkable. The valves have the following circumferences: tricuspid valve
= ____ cm, pulmonic valve = cm, mitral valve = cm, and aortic valve =
cm.
5.
The myocardium is dark red-brown, firm, and unremarkable; the atrial and
ventricular septa are intact. The left ventricular thickness = cm, right
ventricular thickness = cm, and the interventricular septum = cm.
6.
The aorta and its major branches arise normally, follow the usual course and
are patent, free of significant atherosclerosis and other abnormality.
7.
The venae cavae and their major tributaries return to the heart in the usual
distribution and are free of thrombi.
RESPIRATORY SYSTEM:
1.
The right and left lungs weigh ____ and ___ grams, respectively.
2.
The upper airway is clear of debris and foreign material; the mucosal
surfaces are smooth, yellow-tan and unremarkable.
3.
The pleural surfaces are smooth, glistening and unremarkable. Lobar
divisions are of the usual configuration.
4.
The pulmonary parenchyma is dark red-purple, exuding slight to moderate
amounts of blood and frothy fluid; no focal lesions are noted.
5.
The pulmonary arteries are normally developed, patent, and without thrombus
or embolus.
LIVER AND BILIARY SYSTEM:
1.
The liver weighs _____ grams.
2.
The hepatic capsule is smooth, glistening and intact, covering red-brown
parenchyma, with no focal lesions noted.
3.
The gallbladder contains_____ml of yellow-green-brown, slightly mucoid bile;
the mucosa is velvety and unremarkable.
4.
The extrahepatic biliary tree is patent, without evidence of calculi.
5.
The portal vein and its tributaries are unremarkable.
ALIMENTARY TRACT:
1.
The esophagus is lined by gray-white, smooth mucosa.
2.
The gastric mucosa is arranged in the usual rugal folds, and the lumen
contains__________.
3.
The small and large bowel are unremarkable.
4.
The appendix is_______ present / surgically absent.
5.
The pancreas has a normal gray-white, lobulated appearance, and the ducts
appear clear.
GENITOURINARY TRACT:
1.
The right and left kidneys weigh ______ and____grams, respectively.
2.
The renal capsules are smooth and thin, semi-transparent, and strip with
ease from the underlying, smooth, red-brown, firm, cortical surfaces.
3.
The cortices are sharply delineated from the medullary pyramids, which are
red-purple to tan and unremarkable.
4.
The calyces, pelves, and ureters are unremarkable. The relationships at the
trigone are unremarkable.
5.
The urinary bladder contains_____ml of______urine; the mucosa is gray-tan
and smooth
6.
The testes, prostate and seminal vesicles are unremarkable.
RETICULOENDOTHELIAL SYSTEM:
1.
The spleen weighs______grams and has a smooth, intact capsule covering
red-purple, moderately firm parenchyma; the lymphoid follicles are
unremarkable.
2.
The regional lymph nodes appear normal.
3.
The bone marrow is red-purple and homogeneous, without evidence of focal
abnormality.
ENDOCRINE
SYSTEM: The pituitary, thyroid, and adrenal glands are unremarkable.
MUSCULOSKELETAL
SYSTEM: The bony framework, supporting musculature, and soft tissues are
not unusual.
