Cadaver Autopsy Report

Section 1

1. Anterior Abdominal Wall

a. On the body outline below, indicate the presence of scars, or other skin features.

b. Presence of an inguinal hernia? __________ If yes, describe type: _________________
___________________________________________________________________________

If surgically repaired, what procedure was employed? (Simple sutures or use of fibrous net?)
___________________________________________________________________________

c. Presence of a femoral hernia?___________ If yes, describe. ______________________
___________________________________________________________________________

d. Presence of anomalous obturator artery? ___________ If yes, describe. ____________
___________________________________________________________________________
___________________________________________________________________________
(This is best seen from the interior; so wait until the abdominal cavity is exposed.)

e. Locate McBurney's Point on the anterior wall of the abdomen. Refer to this point when the abdominal
cavity is exposed and the appendix is exposed and located. You will measure the difference between this
point and the actual point of origin of the appendix to determine the accuracy of this location.

2. Abdominal Cavity

Liver

a. Describe relative position, shape and color. ____________________________________
__________________________________________________________________________

b. Weight: __________kg. (Weigh after dissection is completed. A normal fixed liver ranges in weight from
0.880 to 1.6 Kgs.)

c. Is the liver enlarged? __________ Describe. ___________________________________
__________________________________________________________________________
__________________________________________________________________________

d. Examine for surface and interior tumors. Cut a section through left anatomical lobe and describe the
texture of the parenchyma. (Parenchyma is the function tissue.) Is it normal or diseased? (Compare with
pathology photos.) __________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

e. Are there any anomalous vessels? (hepatic from left gastric, hepatic from SMA) _____
__________________________________________________________________________
__________________________________________________________________________

f. Examine the interior of the gall bladder for the presence of gall stones. Describe the contents of the gall
bladder in your cadaver. _______________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Pancreas

a. What is the degree of preservation of the pancreas? _____________________________

b. Describe the texture of the pancreas. _________________________________________
___________________________________________________________________________

Spleen

a. Describe the relative position, shape and color. _________________________________
___________________________________________________________________________
___________________________________________________________________________

b. Weight ________gms. (Weigh after dissection is completed. A normal fixed spleen ranges in weight
from 250 to 500 gms.)

c. Size

Vertical dimension at hilum: __________cm.
Horizontal dimension at hilum: __________cm.
Thickness of the spleen: __________cm.
Estimated volume: _________ccm

d. Any pathology? ___________________________________________________________

Stomach

a. Describe relative position and shape (shrunken-empty; dilated,large; gas-filled, etc.):
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

b. Any pathology? (ulcers):____________________________________________________

c. Examine the esophageal hiatus. Is there any evidence of a hernia? ________________
If yes, Describe. ___________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

d. Any surgical procedure performed on the stomach?______ If yes, describe._________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Small and Large Intestine

a. Describe any variations from the normal position of the intestines and give an embryological explanation
of the variation._____________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

b. Has any surgery been performed; i.e. duodeno-jejunectomy?______________If yes, describe.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

c. Describe any abnormal adhesions (peritoneal scaring) between the viscera and the parietal wall.
_________________________________________________________________________
_________________________________________________________________________
What is the cause of these adhesions. Are they related to prior surgery or peritoneal infection?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

d. Describe the relative position of the vermiform appendix. Is it present or absent? Is it free or retrocecal?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Relocate McBurney?s Point on the anterior wall of the abdomen (previously identified), then measure
the distance from this point to the origin of the appendix. _________________cm. Your results will be
tabulated with all others to assess the validity of McBurney?s Point. (Range of values from 0 to 6 cm.)

e. Are there any abnormalities in structure of the small intestine? (Meckel?s diverticulum or pathological
diverticula)? ______________________________________________

f. Open the entire length of the large intestine from ileo-caecal junction to upper rectum.
Is there evidence of a diverticula?___________ or polyps? ______________. If yes to either, describe.
_________________________________________________________________________
_________________________________________________________________________

g. Describe any major variations from the normal vascular pattern. __________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Kidneys

a. Are both kidneys present? ____________ If not, describe and explain. _____________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

b. Weight (right) __________gms. Weight (left) ____________gms..(Normal fixed kidneys weigh from
140 to 280 grams each. Be sure to remove all fat and vessels.)

c. What are the dimensions of the right kidney? Pole to pole: ____________cm.
Hilum to lateral border: ____________cm. Thickness _____________cm.

d. What are the dimensions of the left kidney? Pole to pole: ____________cm.
Hilum to later border: _____________cm. Thickness _____________cm.
[Average pole-to-pole = 10.9+/- 1.6 cm.; Hilum to border = 5.5 +/- 0.9 cm.]

e. Are the kidneys symmetrical? _____________________.

f. Describe the vascular supply of the kidneys, including aberrant vessels. ____________
_________________________________________________________________________
_________________________________________________________________________

g. Open the kidney and examine the interior. Are there any variations from the normal
pattern? _____________ If yes, describe ______________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

h. Describe any pathology, including cysts, tumors or stones and their location (cortical or medullary).
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Posterior Wall

a. Abdominal Aorta & Iliac vessels. Examine and describe the interior of the abdominal aorta and the
common iliac vessels. Is there evidence of atherosclerosis, calcification?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

b. Inferior Vena cava and venous tributaries. Are there any variations from the normal
venous pattern? ___________ If yes, describe. __________________________________
_________________________________________________________________________
_________________________________________________________________________

c. Is a persistent left vena cava present? (It extends between the left common iliac v. and the left
renal vein) ______________. If yes, what is its embryonic origin ? ___________________________
_________________________________________________________________________

PELVIS

Section 2 (To be completed by the appropriate Table)

Male Reproductive System

a. Is the penis circumcised? ______________________

b. Following the dissection instructions, remove the prostate gland.
Dimension - horizontal width __________________cms.
Dimension - vertical (from internal urethral orifice to membraneous urethra
__________________cm. [Note: Approximate dimensions of 3.3 cm. X 3.7 cm.]

Estimated volume (spherical model-average of height and width) ___________cm3 Estimated weight
(Specific Density = 1.1) Vol. * Sp.D. = __________gms.
The weight of a normal prostate is about 15 grams. What is the percentage difference
between this cadaver prostate and a normal prostate? ____________%
Would you consider this to be ?normal? or ?hypertrophied?? ____________________

c. Examine the testis.

1. Are both testes present?____________ If not, describe. _______________________
________________________________________________________________________
________________________________________________________________________

2. Dimensions of the right testis (pole to pole)_____________cm.;left ____________cm.

3. Diameter of the right testis ____________cm.; left _______________cm.

4. Volume (prolate spheroid model): Right ___________cm3; Left ____________cm3

5. Are the two testis symmetrical? ______________

6. If there is an asymmetry, explain.__________________________________________
________________________________________________________________________
________________________________________________________________________
[Note: Normal pole-to-pole dimensions are about 4.5 cm; and a diameter of 3.0 cm or radii of 2.25 cm.
and 1.5 cm. respectively. Do not measure the circumference!]

Section 3. (To be completed by the appropriate Table)

Female Reproductive System

a. Examine the external genitalia for skin lesions. Describe if present ________________
_________________________________________________________________________
_________________________________________________________________________

b. Examine the uterus and uterine tubes. Describe its position and any abnormalities (tumors).
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

c. If the uterus (and uterine tubes) are absent, describe the present existent anatomy.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
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Give a brief description of the surgical procedure for a hysterectomy. _________________
__________________________________________________________________________
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d. Is there any evidence of a prior caesarian section (abdominal scaring) ______________
If yes, describe the scar pattern, and evidence based on the internal anatomy. _________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

e. Examine the ovaries. Describe giving dimensions (cm) and estimated volume (cm3 ) and symmetry
(Use prolate spheroid model). Observe for the presence of cysts._____________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Section 4. (To be completed by all Tables)

1. Observations of any other anatomical variations of pelvic anatomy that deviate from the normal pattern
(for example, you can include variations in the vascular pattern of the iliac arteries)_______
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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