Lung autopsy - Revision history

Mikael Häggström:

2022-12-04T14:55:00Z

← Older revision		Revision as of 10:55, 4 December 2022
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	{{Top		<noinclude>{{Top
	\|author1=[[User:Mikael Häggström\|Mikael Häggström]]		\|author1=[[User:Mikael Häggström\|Mikael Häggström]]
	\|author2=		\|author2=
	}}		}}</noinclude>
	'''[[Autopsy]]''' of the '''[[lungs]]''', not including larger pulmonary vessels (instead summarized at [[Autopsy#Other_thorax\|Autopsy - Other thorax]]).		'''[[Autopsy]]''' of the '''[[lungs]]''', not including larger pulmonary vessels (instead summarized at [[Autopsy#Other_thorax\|Autopsy - Other thorax]]).

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	\|}		\|}
	{{Further\|Autopsy}}		{{Further\|Autopsy}}
	{{Bottom}}		<noinclude>{{Bottom}}</noinclude>

Mikael Häggström: /* Gross evaluation */ Templated

2022-06-20T01:54:05Z

Gross evaluation: Templated

← Older revision		Revision as of 21:54, 19 June 2022
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	! !! Left !! Right		! !! Left !! Right
	\|-		\|-
	! Men<ref name="MolinaDiMaio2012">{{cite journal\|last1=Molina\|first1=D. Kimberley\|last2=DiMaio\|first2=Vincent J.M.\|title=Normal Organ Weights in Men\|journal=The American Journal of Forensic Medicine and Pathology\|volume=33\|issue=4\|year=2012\|pages=368–372\|issn=0195-7910\|doi=10.1097/PAF.0b013e31823d29ad}}</ref>		! Men<ref name="MolinaDiMaio2012">{{MolinaDiMaio2012}}</ref>
	\| 112-675g \|\| 155-720g		\| 112-675g \|\| 155-720g
	\|-		\|-

Mikael Häggström: /* Gross evaluation */ Templated

2022-06-19T20:01:21Z

Gross evaluation: Templated

← Older revision		Revision as of 16:01, 19 June 2022
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	\| 112-675g \|\| 155-720g		\| 112-675g \|\| 155-720g
	\|-		\|-
	! Women<ref name="MolinaDiMaio2015">{{cite journal\|last1=Molina\|first1=D. Kimberley\|last2=DiMaio\|first2=Vincent J. M.\|title=Normal Organ Weights in Women\|journal=The American Journal of Forensic Medicine and Pathology\|volume=36\|issue=3\|year=2015\|pages=182–187\|issn=0195-7910\|doi=10.1097/PAF.0000000000000175}}</ref>		! Women<ref name="MolinaDiMaio2015">{{MolinaDiMaio2015}}</ref>
	\| 105-515g \|\| 101-589g		\| 105-515g \|\| 101-589g
	\|}		\|}

Mikael Häggström: /* Microscopic evaluation */ +Embolism

2022-02-03T15:48:20Z

Microscopic evaluation: +Embolism

← Older revision		Revision as of 11:48, 3 February 2022
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	*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}		*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}
	*'''Aspiration''': Other foreign contents in airways. {{Further\|Aspiration in autopsy}}		*'''Aspiration''': Other foreign contents in airways. {{Further\|Aspiration in autopsy}}
			*'''Embolism''' of pulmonary arteries.
	<gallery mode=packed heights=190>		<gallery mode=packed heights=190>
	File:Histopathology of pulmonary edema.jpg\|'''Edema'''		File:Histopathology of pulmonary edema.jpg\|'''Edema'''
	File:Histopathology of bronchopneumonia.jpg\|'''Bronchopneumonia''', with neutrophils filling a bronchiole.		File:Histopathology of bronchopneumonia.jpg\|'''Bronchopneumonia''', with neutrophils filling a bronchiole.
	File:Bronchioloalveolar Cell Adenocarcinoma of the Lung (4669552489).jpg\|'''Carcinoma''' (in this case bronchioloalveolar cell adenocarcinoma) {{further\|Lung tumor\|linebreak=no}}		File:Bronchioloalveolar Cell Adenocarcinoma of the Lung (4669552489).jpg\|'''Carcinoma''' (in this case bronchioloalveolar cell adenocarcinoma) {{further\|Lung tumor\|linebreak=no}}
	File:Histopathology of diffuse alveolar damage.jpg\|'''hyaline membranes''', suggesting '''diffuse alveolar damage'''.]]		File:Histopathology of diffuse alveolar damage.jpg\|'''hyaline membranes''', suggesting '''diffuse alveolar damage'''.
			File:Histopathology of a pulmonary artery with fat embolism and a bone marrow fragment.jpg\|A pulmonary artery with fat embolism (seen as multiple empty globular spaces on this H&E stain since its processing dissolves fat). There is a bone marrow fragment in the middle, and multiple single hematopoietic cells in the blood, being evidence of fracture as the source of the embolism.
	</gallery>		</gallery>

Mikael Häggström: /* Microscopic evaluation */ DAD

2021-12-08T18:31:59Z

Microscopic evaluation: DAD

← Older revision		Revision as of 14:31, 8 December 2021
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	File:Histopathology of bronchopneumonia.jpg\|'''Bronchopneumonia''', with neutrophils filling a bronchiole.		File:Histopathology of bronchopneumonia.jpg\|'''Bronchopneumonia''', with neutrophils filling a bronchiole.
	File:Bronchioloalveolar Cell Adenocarcinoma of the Lung (4669552489).jpg\|'''Carcinoma''' (in this case bronchioloalveolar cell adenocarcinoma) {{further\|Lung tumor\|linebreak=no}}		File:Bronchioloalveolar Cell Adenocarcinoma of the Lung (4669552489).jpg\|'''Carcinoma''' (in this case bronchioloalveolar cell adenocarcinoma) {{further\|Lung tumor\|linebreak=no}}
			File:Histopathology of diffuse alveolar damage.jpg\|'''hyaline membranes''', suggesting '''diffuse alveolar damage'''.]]
	</gallery>		</gallery>

Mikael Häggström: /* Microscopic evaluation */ Linked

2021-02-18T19:31:49Z

Microscopic evaluation: Linked

← Older revision		Revision as of 15:31, 18 February 2021
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	Look for the most common pathologic lung findings:<ref name="TiwanaNibhoria2014">'''India''': {{cite journal\|last1=Tiwana\|first1=Kanwardeep Kaur\|last2=Nibhoria\|first2=Sarita\|last3=Gupta\|first3=Manvi\|last4=Yadav\|first4=Ashish\|title=Histopathological Spectrum in Lung Autopsies- A 50 Case Study\|journal=Indian Journal of Forensic Medicine & Toxicology\|volume=8\|issue=2\|year=2014\|pages=172\|issn=0973-9122\|doi=10.5958/0973-9130.2014.00709.9}}</ref><ref>'''United States''': {{cite web\|url=https://washingtonforensicsservices.com/pulmonary-lung-conditions-found-at-autopsy/\|title=Pulmonary Lung Conditions Found at Autopsy\|author=Dr. Stanley Adams\|website=Washington Forensic Services\|accessdate=2019-12-20}}</ref>		Look for the most common pathologic lung findings:<ref name="TiwanaNibhoria2014">'''India''': {{cite journal\|last1=Tiwana\|first1=Kanwardeep Kaur\|last2=Nibhoria\|first2=Sarita\|last3=Gupta\|first3=Manvi\|last4=Yadav\|first4=Ashish\|title=Histopathological Spectrum in Lung Autopsies- A 50 Case Study\|journal=Indian Journal of Forensic Medicine & Toxicology\|volume=8\|issue=2\|year=2014\|pages=172\|issn=0973-9122\|doi=10.5958/0973-9130.2014.00709.9}}</ref><ref>'''United States''': {{cite web\|url=https://washingtonforensicsservices.com/pulmonary-lung-conditions-found-at-autopsy/\|title=Pulmonary Lung Conditions Found at Autopsy\|author=Dr. Stanley Adams\|website=Washington Forensic Services\|accessdate=2019-12-20}}</ref>
	*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}		*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}
	*'''Vascular congestion''', which can usually be seen easiest in the alveolar walls. It indicates left sided heart failure, especially when seen together with [[alveolar fluid]].		*'''Vascular congestion''', which can usually be seen easiest in the alveolar walls. It indicates left sided heart failure, especially when seen together with [[alveolar fluid]]. {{further\|Chronic pulmonary congestion\|linebreak=no}}
	*'''Inflammatory''' cells, where a mild to moderate lymphocytic infiltrate is consistent with with heart failure, while neutrophils indicate pneumonia. '''[[pigmented macrophages of the lung]]''' may indicate chronic heart failure.		*'''Inflammatory''' cells, where a mild to moderate lymphocytic infiltrate is consistent with with heart failure, while neutrophils indicate pneumonia. '''[[pigmented macrophages of the lung]]''' may indicate chronic heart failure.
	*'''Mycobacteria''' in regions of the world with substantial prevalence		*'''Mycobacteria''' in regions of the world with substantial prevalence
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	*'''Left sided heart failure''':		*'''Left sided heart failure''':
	:*'''Acute''' congestion manifests as alveolar capillaries being engorged with blood, as well as associated alveolar septal edema and/or focal intra-alveolar hemorrhage.<ref name=humpath>{{cite web\|url=http://humpath.com/spip.php?article7894\|title=Congestion\|website=Humpath\|date=2005-12-19}}</ref>		:*'''Acute''' congestion manifests as alveolar capillaries being engorged with blood, as well as associated alveolar septal edema and/or focal intra-alveolar hemorrhage.<ref name=humpath>{{cite web\|url=http://humpath.com/spip.php?article7894\|title=Congestion\|website=Humpath\|date=2005-12-19}}</ref>
	:*'''Chronic''' congestion manifests as thickened and fibrotic septa, and alveolar spaces containing numerous '''[[pigmented lung macrophages]]'''.<ref name=humpath/>		:*[[Chronic pulmonary congestion\|'''Chronic''' pulmonary congestion]] manifests as thickened and fibrotic septa, and alveolar spaces containing numerous '''[[pigmented lung macrophages]]'''.<ref name=humpath/>

	[[File:Histopathology of respiratory epithelial shedding.jpg\|thumb\|center\|290px\|If respiratory '''epithelial shedding''' is seen, look for vascular leakage, mucus hypersecretion and/or widespread airway narrowing, together indicating asthma death.<ref>{{cite book \| last=Madea \| first=B \| title=Handbook of forensic medicine \| publisher=Wiley-Blackwell \| publication-place=Hoboken, N.J \| year=2014 \| isbn=978-1-118-57062-3 \| oclc=872114659 \| ref=harv}}</ref> Otherwise, it is a frequent postmortem change.]]		[[File:Histopathology of respiratory epithelial shedding.jpg\|thumb\|center\|290px\|If respiratory '''epithelial shedding''' is seen, look for vascular leakage, mucus hypersecretion and/or widespread airway narrowing, together indicating asthma death.<ref>{{cite book \| last=Madea \| first=B \| title=Handbook of forensic medicine \| publisher=Wiley-Blackwell \| publication-place=Hoboken, N.J \| year=2014 \| isbn=978-1-118-57062-3 \| oclc=872114659 \| ref=harv}}</ref> Otherwise, it is a frequent postmortem change.]]

Mikael Häggström: Linked

2020-12-18T23:50:04Z

Linked

← Older revision		Revision as of 19:50, 18 December 2020
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	*'''Left sided heart failure''':		*'''Left sided heart failure''':
	:*'''Acute''' congestion manifests as alveolar capillaries being engorged with blood, as well as associated alveolar septal edema and/or focal intra-alveolar hemorrhage.<ref name=humpath>{{cite web\|url=http://humpath.com/spip.php?article7894\|title=Congestion\|website=Humpath\|date=2005-12-19}}</ref>		:*'''Acute''' congestion manifests as alveolar capillaries being engorged with blood, as well as associated alveolar septal edema and/or focal intra-alveolar hemorrhage.<ref name=humpath>{{cite web\|url=http://humpath.com/spip.php?article7894\|title=Congestion\|website=Humpath\|date=2005-12-19}}</ref>
	:*'''Chronic''' congestion manifests as thickened and fibrotic septa, and alveolar spaces containing numerous ~~siderophages{{Siderophage note 2}}~~.<ref name=humpath/>		:*'''Chronic''' congestion manifests as thickened and fibrotic septa, and alveolar spaces containing numerous '''[[pigmented lung macrophages]]'''.<ref name=humpath/>

	[[File:Histopathology of respiratory epithelial shedding.jpg\|thumb\|center\|290px\|If respiratory '''epithelial shedding''' is seen, look for vascular leakage, mucus hypersecretion and/or widespread airway narrowing, together indicating asthma death.<ref>{{cite book \| last=Madea \| first=B \| title=Handbook of forensic medicine \| publisher=Wiley-Blackwell \| publication-place=Hoboken, N.J \| year=2014 \| isbn=978-1-118-57062-3 \| oclc=872114659 \| ref=harv}}</ref> Otherwise, it is a frequent postmortem change.]]		[[File:Histopathology of respiratory epithelial shedding.jpg\|thumb\|center\|290px\|If respiratory '''epithelial shedding''' is seen, look for vascular leakage, mucus hypersecretion and/or widespread airway narrowing, together indicating asthma death.<ref>{{cite book \| last=Madea \| first=B \| title=Handbook of forensic medicine \| publisher=Wiley-Blackwell \| publication-place=Hoboken, N.J \| year=2014 \| isbn=978-1-118-57062-3 \| oclc=872114659 \| ref=harv}}</ref> Otherwise, it is a frequent postmortem change.]]
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	Example:		Example:
	{\|class="wikitable"		{\|class="wikitable"
	\| [[File:Histopathology of pulmonary congestion and siderophages.jpg\|190px\|left]] Presence of ~~sideophages~~ indicating chronic heart failure. Prominent vessels, including alveolar capillaries, and a moderate lymphocytic infiltrate, consistent with chronic heart failure or acute decompensation.		\| [[File:Histopathology of pulmonary congestion and siderophages.jpg\|190px\|left]] Presence of [[sideophage]]s indicating chronic heart failure. Prominent vessels, including alveolar capillaries, and a moderate lymphocytic infiltrate, consistent with chronic heart failure or acute decompensation.
	\|}		\|}
	{{Further\|Autopsy}}		{{Further\|Autopsy}}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopic evaluation */ Linked

2020-12-18T23:42:22Z

Microscopic evaluation: Linked

← Older revision		Revision as of 19:42, 18 December 2020
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	*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}		*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}
	*'''Vascular congestion''', which can usually be seen easiest in the alveolar walls. It indicates left sided heart failure, especially when seen together with [[alveolar fluid]].		*'''Vascular congestion''', which can usually be seen easiest in the alveolar walls. It indicates left sided heart failure, especially when seen together with [[alveolar fluid]].
	*'''Inflammatory''' cells, where a mild to moderate lymphocytic infiltrate is consistent with with heart failure, while neutrophils indicate pneumonia. '''[[pigmented macrophages]]''' ~~of the lung~~ may indicate chronic heart failure.		*'''Inflammatory''' cells, where a mild to moderate lymphocytic infiltrate is consistent with with heart failure, while neutrophils indicate pneumonia. '''[[pigmented macrophages of the lung]]''' may indicate chronic heart failure.
	*'''Mycobacteria''' in regions of the world with substantial prevalence		*'''Mycobacteria''' in regions of the world with substantial prevalence
	*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}		*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}

Mikael Häggström: /* Microscopic evaluation */ Linked away

2020-12-18T23:41:46Z

Microscopic evaluation: Linked away

← Older revision		Revision as of 19:41, 18 December 2020
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	==Microscopic evaluation==		==Microscopic evaluation==
	[[File:Histopathology of pulmonary congestion and siderophages.jpg\|thumb\|220px\|'''Siderophages'''{{Siderophage note 1}} (one indicated by white arrow), indicating chronic left heart failure. Also pulmonary '''congestion''' and '''lymphocytes''', consistent with acute or chronic heart failure.]]
	Look for the most common pathologic lung findings:<ref name="TiwanaNibhoria2014">'''India''': {{cite journal\|last1=Tiwana\|first1=Kanwardeep Kaur\|last2=Nibhoria\|first2=Sarita\|last3=Gupta\|first3=Manvi\|last4=Yadav\|first4=Ashish\|title=Histopathological Spectrum in Lung Autopsies- A 50 Case Study\|journal=Indian Journal of Forensic Medicine & Toxicology\|volume=8\|issue=2\|year=2014\|pages=172\|issn=0973-9122\|doi=10.5958/0973-9130.2014.00709.9}}</ref><ref>'''United States''': {{cite web\|url=https://washingtonforensicsservices.com/pulmonary-lung-conditions-found-at-autopsy/\|title=Pulmonary Lung Conditions Found at Autopsy\|author=Dr. Stanley Adams\|website=Washington Forensic Services\|accessdate=2019-12-20}}</ref>		Look for the most common pathologic lung findings:<ref name="TiwanaNibhoria2014">'''India''': {{cite journal\|last1=Tiwana\|first1=Kanwardeep Kaur\|last2=Nibhoria\|first2=Sarita\|last3=Gupta\|first3=Manvi\|last4=Yadav\|first4=Ashish\|title=Histopathological Spectrum in Lung Autopsies- A 50 Case Study\|journal=Indian Journal of Forensic Medicine & Toxicology\|volume=8\|issue=2\|year=2014\|pages=172\|issn=0973-9122\|doi=10.5958/0973-9130.2014.00709.9}}</ref><ref>'''United States''': {{cite web\|url=https://washingtonforensicsservices.com/pulmonary-lung-conditions-found-at-autopsy/\|title=Pulmonary Lung Conditions Found at Autopsy\|author=Dr. Stanley Adams\|website=Washington Forensic Services\|accessdate=2019-12-20}}</ref>
	*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}		*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}
	*'''Vascular congestion''', which can usually be seen easiest in the alveolar walls. It indicates left sided heart failure, especially when seen together with [[alveolar fluid]].		*'''Vascular congestion''', which can usually be seen easiest in the alveolar walls. It indicates left sided heart failure, especially when seen together with [[alveolar fluid]].
	*'''Inflammatory''' cells, where a mild to moderate lymphocytic infiltrate is consistent with with heart failure, while neutrophils indicate pneumonia.		*'''Inflammatory''' cells, where a mild to moderate lymphocytic infiltrate is consistent with with heart failure, while neutrophils indicate pneumonia. '''[[pigmented macrophages]]''' of the lung may indicate chronic heart failure.
	*'''Mycobacteria''' in regions of the world with substantial prevalence		*'''Mycobacteria''' in regions of the world with substantial prevalence
	*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}		*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}

Mikael Häggström: Undo revision 3005 by Mikael Häggström (talk)

2020-12-18T23:31:18Z

Undo revision 3005 by Mikael Häggström (talk)

← Older revision		Revision as of 19:31, 18 December 2020
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	==Microscopic evaluation==		==Microscopic evaluation==
	[[File:Histopathology of ~~lung~~ siderophages~~, annotated~~.jpg\|thumb\|220px\|'''Siderophages'''{{Siderophage note 1}} (one indicated by white ~~arrows~~), indicating chronic left heart failure ~~(but may also be seen after pulmonary hemorrhage)~~. Also pulmonary '''congestion''' and '''lymphocytes''', consistent with acute or chronic heart failure.]]		[[File:Histopathology of pulmonary congestion and siderophages.jpg\|thumb\|220px\|'''Siderophages'''{{Siderophage note 1}} (one indicated by white arrow), indicating chronic left heart failure. Also pulmonary '''congestion''' and '''lymphocytes''', consistent with acute or chronic heart failure.]]
	Look for the most common pathologic lung findings:<ref name="TiwanaNibhoria2014">'''India''': {{cite journal\|last1=Tiwana\|first1=Kanwardeep Kaur\|last2=Nibhoria\|first2=Sarita\|last3=Gupta\|first3=Manvi\|last4=Yadav\|first4=Ashish\|title=Histopathological Spectrum in Lung Autopsies- A 50 Case Study\|journal=Indian Journal of Forensic Medicine & Toxicology\|volume=8\|issue=2\|year=2014\|pages=172\|issn=0973-9122\|doi=10.5958/0973-9130.2014.00709.9}}</ref><ref>'''United States''': {{cite web\|url=https://washingtonforensicsservices.com/pulmonary-lung-conditions-found-at-autopsy/\|title=Pulmonary Lung Conditions Found at Autopsy\|author=Dr. Stanley Adams\|website=Washington Forensic Services\|accessdate=2019-12-20}}</ref>		Look for the most common pathologic lung findings:<ref name="TiwanaNibhoria2014">'''India''': {{cite journal\|last1=Tiwana\|first1=Kanwardeep Kaur\|last2=Nibhoria\|first2=Sarita\|last3=Gupta\|first3=Manvi\|last4=Yadav\|first4=Ashish\|title=Histopathological Spectrum in Lung Autopsies- A 50 Case Study\|journal=Indian Journal of Forensic Medicine & Toxicology\|volume=8\|issue=2\|year=2014\|pages=172\|issn=0973-9122\|doi=10.5958/0973-9130.2014.00709.9}}</ref><ref>'''United States''': {{cite web\|url=https://washingtonforensicsservices.com/pulmonary-lung-conditions-found-at-autopsy/\|title=Pulmonary Lung Conditions Found at Autopsy\|author=Dr. Stanley Adams\|website=Washington Forensic Services\|accessdate=2019-12-20}}</ref>
	*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}		*'''[[Alveolar fluid]]'''. {{further\|Alveolar fluid\|linebreak=no}}

← Older revision		Revision as of 11:48, 3 February 2022
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	*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}		*'''Carcinoma''' {{further\|Lung tumor\|linebreak=no}}
	*'''Aspiration''': Other foreign contents in airways. {{Further\|Aspiration in autopsy}}		*'''Aspiration''': Other foreign contents in airways. {{Further\|Aspiration in autopsy}}
			*'''Embolism''' of pulmonary arteries.
	<gallery mode=packed heights=190>		<gallery mode=packed heights=190>
	File:Histopathology of pulmonary edema.jpg\|'''Edema'''		File:Histopathology of pulmonary edema.jpg\|'''Edema'''
	File:Histopathology of bronchopneumonia.jpg\|'''Bronchopneumonia''', with neutrophils filling a bronchiole.		File:Histopathology of bronchopneumonia.jpg\|'''Bronchopneumonia''', with neutrophils filling a bronchiole.
	File:Bronchioloalveolar Cell Adenocarcinoma of the Lung (4669552489).jpg\|'''Carcinoma''' (in this case bronchioloalveolar cell adenocarcinoma) {{further\|Lung tumor\|linebreak=no}}		File:Bronchioloalveolar Cell Adenocarcinoma of the Lung (4669552489).jpg\|'''Carcinoma''' (in this case bronchioloalveolar cell adenocarcinoma) {{further\|Lung tumor\|linebreak=no}}
	File:Histopathology of diffuse alveolar damage.jpg\|'''hyaline membranes''', suggesting '''diffuse alveolar damage'''.]]		File:Histopathology of diffuse alveolar damage.jpg\|'''hyaline membranes''', suggesting '''diffuse alveolar damage'''.
			File:Histopathology of a pulmonary artery with fat embolism and a bone marrow fragment.jpg\|A pulmonary artery with fat embolism (seen as multiple empty globular spaces on this H&E stain since its processing dissolves fat). There is a bone marrow fragment in the middle, and multiple single hematopoietic cells in the blood, being evidence of fracture as the source of the embolism.
	</gallery>		</gallery>