A 67 year old man dies after a routine operation for
hernia repair. He was an...
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A 67 year old man dies after a routine operation forhernia repair. He was an ex-coalminer. He post-operativelydeveloped pneumonia. Despite intensive treatment and eventuallyartificial ventilation, he died with major lungproblems.
An autopsy was requested and the family was keen to knowthe results of the procedure.
The pathologist discussed the case with the intensive carespecialists and it was agreed that the crucial question was thepresence or absence of significant lung pathology, and whetherthere was evidence of recent or pre-existing industrial lungdisease.
The pathologist said it would be best to remove thecomplete lungs intact and perfuse them with fixative beforeexamination, as this would be the best way of ensuring nosignificant pathology was missed. He also wanted the examination ofthe lungs to be done by a different specialist. She worked inanother hospital. He estimated that this would take up to threeweeks.
4a) How should this proceed?
4b) Do the lungs really have to be retained? Explain youranswer
4c) If the lungs are retained how would you subsequentlydispose of them?
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a This should be proceeded by the pathologist said it would be best to remove the complete lungs intact and perfuse them with fixative before an examination as this would be the best way of ensuring no significant pathology was missed He also wanted the examination of the lungs to be done by a different specialist The
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