Forensic Friday: The Autopsy Report
Autopsies are conducted when the
cause of death is suspicious or unknown. 
Most of us would never see one, but if you’re a crime author, you should
know what they look like and the basic format they follow.  This is the purpose of this post.
Page one of the report will start
with the summation of the basics and final diagnoses.
It will read similar to this at
the top: 
Lambton County
Medical Examiner’s Office
Autopsy Report
ME No.:
13-1352
CASE
TITLE:  SUSPICIOUS DEATH
DECEASED:  JOHN SMITH                              SEX:  M                 AGE:  25
DATE AND
HOUR OF DEATH:  01-05-13; 05:16 a.m.
DATE AND
HOUSE OF AUTOPSY:  01-05-13;  3:30 p.m.
PATHOLOGIST:  MICHEAL HENRY, M.D.                                  
STAFF:   RENEE BAXTER, M.D.
Following this will be a list of the final
diagnoses, which is basically a breakdown of the autopsy findings.  It is signed off by the pathologist and staff
as noted at the top of the report.
Each page of the report is listed
with the header of the deceased, the ME No., and the page number.
It follows in the natural
progression of the autopsy:
Identification
External Examination
                Clothing
                Medical
Intervention
                Radiographs
                Evidence
of Blunt Force Injury (if applicable)
Internal Examination
                Head
                Neck
                Body
Cavities
                Respiratory
System
                Cardiovascular
System
                Liver
& Biliary System
                Spleen
and Hematopoietic System
                Pancreas
                Adrenals
                Genitourinary
System
                Gastrointestinal
Tract
Additional Procedures
Microsopic Examination
                Heart
                Lungs
                Spleen
                Liver
                Pancreas
                Kidney
                Brain
The breakdown:
Identification
                A
summary as to how identification was confirmed. For example dental records.
External Examination
                This
includes every physical trait on the body from pimples to bruising.  The sizes are noted in detail. It includes
height, weight, observations as to rigor and body temperature, hair color
etc.  Basically an entire overview. 
                Clothing
is noted in depth.  What the deceased is
wearing from brand to color to size. 
Even if the clothing was examined separately as in cases where medical
intervention was required.  
                If
medical intervention was taken, in what condition did they arrive?  If they were in a hospital gown instead of
their street clothes, this is noted.
                Radiographs
reveal if there is any bony injury.
                If
there is evidence of blunt force injury, everything is noted in detail,
including the size of bruising.
Internal Examination
                The
weight of the brain and condition of the head and brain are noted.
                The
neck is examined for hemorrhage or anything that stands out.
                Body
cavities are visibly inspected for anything unusual.
                The
lungs, heart, liver, spleen, and kidneys are weighed and observations made.
                The
pancreas and gastrointestinal tract are examined and observations made.
Additional Procedures
                This
notes photographs taken and whether specimens were retained for toxicologic
testing, etc.
Microscopic Examination
                The
heart, lungs, spleen, liver, pancreas, and kidneys are further inspected and
observations made.
As you can see the ideal autopsy
report lists everything in minor, accurate detail.  The report isn’t tainted to simply make
observations that can tilt the cause of death to foul play but is subjective,
recording everything to obtain a clear picture. 
Even if the lungs or heart, for example, appear healthy this is noted.  It may also consists of diagrams.  
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