• (2015.10.1 • • [ • ) ] ] • [ ( ) CPC( • ) Hans Holbein • Ø • • Ø Ø ( • • ) Ø 1. 1 2 2. 3. 4. Ø Ø 1 Ø Ø • Rokitansky (en block • Virchow Rokitansky Rokitansky • • • • • 2 in situ 3 • • • • ○ ○ 4 IVC SVC rt. atrium AT Apex Apex P.conus Apex Aorta 5 6 : a. b. • 7 → → → Ø Ø Ø Ø Ø Ø Ø 8 Autopsy report ( Name: OOOOOOO Age: OO Sex: male ID: OOOOOOO Sourse: OOOOOO ) Autopsy No.: OOOOOOO Date: OOOO/OO/OO Prosector: Hirokazu Kotani Assistant: OOOOOOO Final anatomical diagnosis Primary( ) Secondary( ) Immedate cause of death ( Intermediate cause of death ( Underlying cause of death ( ) ) ) Final anatomical diagnosis (cont.) Secondary 1. Hypertensive and atherosclerotic cardiovascular disease A. Hypertension, clinical (since ) B. Atherosclerosis, aorta, severe C. Atherosclerosis, coronary atrteries, moderate D. Arteriosclerosis, generalized E. Myocardial infarction, healed i) clinical ( ) ii) scar; transmural, patchy F. Arterio- and arteriolonephrosclerosis secondary to 1, bilateral, kidney T Final anatomical diagnosis Primary I. Adult T cell leukemia/lymphoma, acute type, positive for anti HTLV-1 Ab. A. Status post chemotherapy with CHOP B. Involvement 1. Esophagus, 2. Colon, 3. Liver, 4. Kidneys, bilateral 5. Spleen, 6. Heart, 7. Lung, 8. Bone marrow C. Anemia, clinical, due to B-8 1. Status post blood transfusion 2. Hemosiderosis due to C-1 2-1 Involvement a. Liver, b. Kidneys, c. Adrenal gland d. Spleen, f. Pancreas, g. Heart, h. Bone marrow D. Cholestasis due to B-3 and C-2-1-a. E. Invasive aspergillosis, moderate, lung, left lobe. 1. Pulomonary infarction, left lower lobe. F. Pyelonephritis, right kidney Final anatomical diagnosis (cont.) Immediate cause of death: Cachectic state Intermediate cause of death: Tumor spreading Underlying cause of death: Adult T cell leukemia/lymphoma Immediate cause of death: Cachectic state due to tumor spreading of adult T cell leukemia/lymphoma / Herpes zoster Ca 9
© Copyright 2024 ExpyDoc