Post on 09-Feb-2016
description
SUDDEN DEATH
PROF DR ABDUL KARIM TAJUDIN
SUDDEN DEATHDEFINITION:
WHO : Death within 24 hours fron the onset of symptoms
Usually due to illness.
Death may appear sudden and unexpected – the deceased may have been symptomless and unaware of his chronic disease.
SUDDEN DEATHThe deceased didn’t mention his condition to others
due to fear and lack of human contact.
In many jurisdiction , deaths may be certified by the attending physician
Most common cause of death is the Ischaemic Heart Disease.
Sudden, Unexpected Natural DeathThe largest category of deaths handled by most
medical examiner’s offices is natural deaths Most of these are sudden and unexpected deaths.
Ishaemic Heart DiseaseComprises of:
other coronary artery disease, such as poliarteritis
cardiomypathic enlargement
some congenital heart disease.
SUDDEN DEATH ON PHYSIOLOGICAL BASISCOMPRISES OF:
coronary atherosclerosis
hypertensive heart disease
aortic valve disease
anomallies of the coronary circulations
DISEASE CAUSING SUDDEN DEATHCardiovascular disease
Coronary atherosclerosis
Bridging
Dissecting coronary Aneurysms
Coronary Artery Spasm
MECHANISM OF SUDDEN DEATHSudden death: Exercise and climate
Hypertensive cardiovascular Disease
Cardiomyopathy
MECHANISM OF SUDDEN DEATHValvular Disease
Coronary Artery Anomalies
Myocarditis
Aortic Dissection
SUDDEN DEATH ON PHYSIOLOGICAL BASISDeaths Due to Intracranial Lesions
Epilepsy
Nontraumatic Subarachnoid Hemorrhage
Berry Aneurysms
SUDDEN DEATH ON PHYSIOLOGICAL BASISIntracerebral Hemorrhage
Primary Brain Tumors
Meningitis
Reyes Syndrome
MECHANISM OF SUDDEN DEATH
Hydrocephalus
Psychiatric Patients
Respiratory System
Epiglittitis
MECHANISM OF SUDDEN DEATHPulmonary Thromboemboli
Asthma
Pneumonia
Hymoptysis
Spontaneous Pneumothorax of Newborn
Diseases od The Following OrgansUrogenital and Gastrointertinal Tracts
Spleen
Pancreas
Liver
Adrenals
MiscellaneousSudden, unexpected death could be caused by rupture
of a tubal pregnancy. The woman may have only vague symptoms of abdominal pain, often ascribed to gastroenteritis
MiscellaneousRupture of the tubal pregnancy can result in massive
hemoperitoneum with 2–3 L of blood present
Other causes of sudden, unexpected death due to natural disease seen by the authors include idiopathic pulmonary hemosiderosis, central pontine myelinosis, cysticercosis, a stasis ulcer of the ankle with erosion into a vessel, an aneurysm of the femoral artery with erosion through the vessel wall and skin with massive exsanguination and undiagnosed malignant tumors.
Tumor and TraumaThere is no medical proof that a single traumatic event
can give rise to a malignant tumor. However, a causal relation between head trauma, such as a fracture of the skull, and the subsequent development of a meningioma
Tumors and TraumaTrauma has also been linked to the metastatic spread
of a preexisting malignant tumor. Multiple episodes of trauma in conjunction with other factors may cause cancer, for example, chronic irritation of the skin and squamous cell carcinoma.