Abstract
Forensic pathology is a branch of medicine that deals with the determination of the cause and manner of death in cases in which death occurred under suspicious or unknown circumstances. Identification of the decedent and interpretation of postmortem changes are duties of the forensic pathologist. Sudden death from natural disease frequently involves vascular disease, obstructive or reactive lung disease, diabetes and alcoholism. Sudden unexpected infant death requires careful investigation. Physical injuries include blunt force trauma, sharp force injury, firearm injuries, asphyxias, thermal injuries, and electrical injury. Toxicology studies confirm death from intoxications by volatiles, cocaine, opiates, and psychiatric drugs. Occupational lung disease and industrial poisons cause progressive symptoms resulting in death.
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Ackerman MJ, Tester DJ, et al. Molecular diagnosis of the inherited long QT syndrome in a woman who died after near-drowning. N Engl J Med 1999;341:1121–1125.
Ackerman MJ, Siu BL, Sturner WQ, et al. Postmortem molecular analysis of SCN5A defects in sudden infant death syndrome. JAMA 2001;286:2264–2269.
Adelson L. Pathology of Homicide. Springfield, IL: Charles C. Thomas; 1974.
Berastein T. Effects of electricity and lightning on man and animals. J Forensic Sci 1973;18:3–11.
Carson JL, Kelley MA, Duff A, et al. The clinical course of pulmonary embolism. N Engl J Med 1992;326:1240–1244.
Case ME, Graham MA, Handy TC, et al. Position paper on fatal abusive head injuries in infants and young children. Am J Forensic Med Pathol 2001;22:112–122.
Cebelin MS, Hirsch CS. Human stress cardiomyopathy-myocardial lesions in victims of homicidal assaults without internal injuries. Hum Pathol 1980;11:123–132.
Coe JI. Postmortem chemistry update: emphasis on forensic application. Am J Forensic Med Pathol 1993;14:91–117.
Committee on Child Abuse and Neglect. American Academy of Pediatrics. Shaken baby syndrome: inflicted cerebral trauma. Pediatrics 1993;92: 872–875.
Corey TS, Hanzlick R, Howard J, et al. A functional approach to sudden unexplained infant deaths. Am J Forensic Med Pathol 2007;28:271–277.
Croft PR, Reichard RR. Microscopic examination of grossly unremarkable pediatric dura mater. Am J Forensic Med Pathol 2009;30:10–13.
Davis GG. Mind your manners. Part I: history of death certification and manner of death classification. Am J Forensic Med Pathol 1997;18:219–223.
Davis JH, Wright RK. The very sudden cardiac death syndrome – a conceptual model for pathologists. Hum Pathol 1980;11:117–121.
Dec GW, Fuster V. Idiopathic dilated cardiomyopathy. N EngI J Med 1994;33l:1564–1575.
DeSanctis RW, Doroghazi RK, Austen WG, et al. Aortic dissection. N Engl J Med 1987;317:1060–1065.
Dolinak D. Review of the significance of various low force fractures in the elderly. Am J Forensic Med Pathol 2008;29:99–105.
Dolinak D, Matshes E, Lew E. Forensic Pathology, Principles and Practice. Burlington, MA: Elsevier Academic Press; 2005.
Donoghue ER, Graham MA, Jentzen JM, et al. Criteria for the diagnosis of heat related deaths: National Association of Medical Examiners. Position paper. Am J Forensic Med Pathol 1997;18:11–14.
Duncanson E, Richards V, Luce KM, Gill JR. Medical homicide and extreme negligence. Am J Forensic Med Pathol 2009;30:18–22.
Ely SF, Hirsch CS. Asphyxial deaths and petechiae: a review. J Forensic Sci 2000;45:1274–1277.
Frohlich ED, Apstein C, Chobanian AV, et al. The heart and hypertension. N Engl J Med 1992;327:998–1007.
Geddes JF. What’s new in the diagnosis of head injury. Clin Pathol 1997;50:271–274.
Gill JR, Goldfeder LB, Armbrustmacher V, et al. Fatal head injury in children younger than 2 years in New York City and an overview of the shaken baby syndrome. Arch Pathol Lab Med 2009;133:619–627.
Gill JR, Goldfeder LB, Hirsch CS. Use of “therapeutic complication” as a manner of death. J Forensic Sci 2006;51:1127–1133.
Gilman S. Advances in neurology. N Engl J Med 1992;326:1671–1676.
Goodin J, Hanzlick R. Mind your manners. Part II: general results from the National Association of Medical Examiners manner of death questionnaire. Am J Forensic Med Pathol 1997;18:224–227.
Gulino SP. Examination of the cardiac conduction system-forensic application in cases of sudden cardiac death. Am J Forensic Med Pathol 2003;24:227–238.
Guze BH, Baxter LR Jr. Neuroleptic malignant syndrome. N Engl J Med 1985;313:163–166.
Hanzlick R, Goodin J. Mind your manners. Part III: individual scenario results and discussion of the National Association of Medical Examiners manner of death questionnaire, 1995. Am J Forensic Med Pathol 1997;18:228–245.
High KA. Antithrombin III, Protein C, and Protein S. Arch Pathol Lab Med 1988;112:28–36.
Hirsch CS, Adelson L. Absence of carboxyhemoglobin in flash fire victims. JAMA 1969;210:2279–2280.
Hirsch CS, Flomenbaum M. Problem-solving in death certification. ASCP Check Sample. FP95-1 1995;37.
Hirsch CS, Zumwalt RE. Forensic pathology. In: Damjanov I, Linder J (eds) Anderson’s Pathology, 10th edn. St Louis, MS: CV Mosby; 1996:80–109.
Iafolla AK, Browning IB, Roe CR. Familial infantile apnea and immature beta-oxidation. Pediatr Pulmonol 1995;20:167–171.
Kemp PM, Little BB, Bost RO, et al. Whole blood levels of dodecanoic acid – a routinely detectable forensic marker for a genetic disease often misdiagnosed as Sudden Infant Death Syndrome (SIDS): MCAD deficiency. Am J Forensic Med Pathol 1996;17:79–82.
Knudson MM, Collins JA, Goodman SB, et al. Thromboembolism following multiple trauma. J Trauma 1992;32:2–10.
Koiwai EK. Deaths allegedly caused by the use of choke holds (Shime-Waza). J Forensic Sci 1987;32:419–432.
Kushwaha SS, Fallon JT, Fuster V. Restrictive cardiomyopathy. N Engl J Med 1997;336:267–276.
Levy V, Rao VJ. Survival times in gunshot and stab wound victims. Am J Forensic Med Pathol 1988;9:215–217.
Ludemose JB, Kolvraa S, Gregersen N, et al. Fatty acid oxidation disorders as primary cause of sudden unexpected death in infants and young children. Mol Pathol 1997;50:212–217.
Moritz AR. Classical mistakes in forensic pathology. Am J Forensic Med Pathol 1981;2:299–308.
Moritz AR, Henriques FC Jr, Dutra FF, et al. Studies of thermal injuries. Arch Pathol 1947;43:466–488.
Moritz AR, Weisiger JR. Effects of cold air on air passages in lungs. Arch Intern Med 1945;75:233.
Nimura H, Bachinski LL, Sangnatanaroj S, et al. Mutations in the gene for cardiac myosin-binding protein and late onset familial hypertrophic cardiomyopathy. N Engl J Med 1998;338:1248–1257.
Patten BM. Lightning and electrical injury. Neurol Clin 1992;10:1047–1057.
Pearl GJ. Traumatic neuropathology. Clin Lab Med 1998;18:39–64.
Prahlow JA, Barnard JJ. Vitreous chemistry: ASCP. Check Sample. 1997; 39:137–148.
Priori SG, Schwartz PJ, et al. Risk Stratification in the long QT syndrome. N Engl J Med 2003;348:1866–1874.
Randall BB, Fierro MF, Froede RC, et al. Practice guideline for forensic pathology. Arch Pathol Lab Med 1998;122:1056–1064.
Roden DM, Lazzara R, Rosen M, et al. Multiple mechanisms in the long-QT syndrome. Circulation 1996;94:1996–2012.
Schievink WI. Intracranial aneurysms. N Engl J Med 1997;336:28–40.
Schwartz AJ, Ricci LR. How accurately can bruises be aged in abused children? Pediatrics 1996;97:254–257.
Spirito P, Seidman CE, McKenna WJ, et al. The management of hypertrophic cardiomyopathy. N Engl J Med 1997;336:775–785.
Spitz WU, ed. Spitz and Fisher’s Medicolegal Investigation of Death, 4th ed. Springfield, IL: Charles C. Thomas; 2006.
Splawski I, Timothy KW, Vincent GM, et al. Molecular basis of the long QT syndrome associated with deaf. N Engl J Med 1997;336:1562–1567.
Stone IC. Determination of metals in gunshot residues. Forensic Sci Gazette 1980;2:1–5.
Strauss RH, Prockopld LD. Decompression sickness among scuba divers. JAMA 1973;223:637.
Sutton JR. Mountain sickness. Neurol Clin 1992;10:1015–1029.
Tester DJ, Ackerman MJ. The role of molecular autopsy in unexplained sudden cardiac death. Curr Opin Cardiol 2006;21:166–172.
Tomashefski JF, Hirsch CS. The pulmonary vascular lesions of intravenous drug abuse. Hum Pathol 1980;11:133–145.
Wetli CV. Keraunopathology – an analysis of 45 fatalities. Am J Forensic Med Pathol 1996;17:89–98.
Whitcraft DD III, Keras S. Air embolism and decompression sickness in scuba divers. JACEP 1976;5:355.
Wright RK, Davis JH. The investigation of electrical deaths: a report of 220 fatalities. J Forensic Sci 1980;25:514.
Zumwalt RE, Hirsch CS. Medicolegal interpretation of gunshot wounds. Am J Emerg Med 1987;5:133–139.
Zumwalt RE, Hirsch CS. Subtle fatal child abuse. Hum Pathol 1980;11:167–174.
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Miller, F.P., Barnard, J.J. (2011). Forensic Pathology. In: Cheng, L., Bostwick, D. (eds) Essentials of Anatomic Pathology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6043-6_7
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DOI: https://doi.org/10.1007/978-1-4419-6043-6_7
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