1. A 67-year old man is found dead after being involved in an unwitnessed automobile accident. His family reports that he had a history of heart disease and diabetes mellitus. An autopsy is ordered to determine the cause of death. Describe the procedures used in an autopsy and what the coroner would examine in this specific case to make a determination. The autopsy would involve opening the cranial, thoracic, and abdominopelvic cavities. Organs in these cavities would be checked for injuries caused by the wreck as well as for any underlying problems. Based on the patients history, the brain and heart would be carefully studied to see the extent of the heart disease and its possible effect on the brain since a stroke might have caused the wreck. Blood chemistry would also be studied to see if the diabetes might have played a part in causing the wreck possibly due to ketoacidosis. 2. A 37-year old woman is admitted to the hospital after complaining of chest pains. She admits to having had severe headaches for several days prior to seeking medical help. She is also taking medications for high blood pressure and is four months pregnant. Which medical imaging procedures would be the best choice of a physician attempting to determine her condition? (Assume all equipment is available and there are unlimited funds to cover costs incurred.) Ultrasound scanning (Doppler ultrasound) would be the best choice to protect the fetus and to visualize blood flow through the blood vessels; however, ultrasound is of limited use in looking at structures surrounded by bone, such as the brain. But it could be used to check out the heart. CT scans, with appropriate abdominal shielding, could be used to study the brain to try and determine the causes of the headaches if the ultrasound does not give a definitive answer. 3. Jamie, a student working in the radiology department of a hospital, was diagnosed with pleurisy. Based on your knowledge of anatomy and physiology terminology, what is pleurisy? What general body cavity is affected by this disorder? What specific body cavity and serous membrane is affected by this disorder? Could pleurisy spread to the gastrointestinal tract or the kidneys? Pleurisy is inflammation of the pleural membrane around the lungs. The pleural membrane consists of a parietal layer lining the chest wall and a visceral layer covering the lung surface. The body cavity affected is the thoracic cavity. Pleurisy could not spread to either the GI tract of the kidneys because, except for the esophagus of the GI tract, these organs are in the abdominopelvic cavity. Pleurisy could not affect the esophagus since it lies outside of the lungs in the mediastinum and is not covered by the pleural membrane. 4. Using directional terms, describe the body position of a patient sitting in a chair in the doctors office, and a patient that is laying on a hospital bed on his back with his knees bent. Patient sitting in a chair: Patient is positioned with the head and torso superior to the chair seat and anterior to the chair back. The patients gluteal area is superior and horizontal to the chair seat. The patients thighs extend anteriorly and superiorly to the chair seat. The legs hang anteriorly and inferiorly to the chair seat. The feet are anterior and inferior to the chair seat and positioned horizonally and superiorly to the floor. Patient laying on a hospital bed on his back with knees bent: Patient is in a supine position with the head and torso superior to the bed surface. The thighs rise superiorly to the torso and bed and intermediate between the torso and feet. The knees are superior to the bed and body. The lower legs are inferior to the knees and superior to the bed. The feet are horizontal to and superior to the bed surface. 5. Using as many directional terms as possible, describe the location of the liver in relation to the stomach, the lungs, the skin, the knee, the vertebral column, kidneys, and the nose. The liver is superior to the stomach, inferior to the lungs, deep to the skin, proximal to the knee, anterior to the vertebral column, anterior to the right kidney and anterior and slightly superior to the left kidney.