Obesity: The Post Mortem Page #2
- Year:
- 2016
- 203 Views
But what will her body go on to reveal
about the way that she died?
[Michael] This lady has died
of heart disease,
which is one of the things that is
associated with obesity.
And interestingly already in this lady,
weve got signs of heart failure,
because if I press here,
particularly on this side,
you can see this dimpling there
and thats because theres youve
got too much fluid,
and thats the side effect
of heart failure.
[Vinette] The other obvious external
damage to our donor
are the blisters on her skin.
They are one of the earliest signs of her
body decomposing after death
and they're particularly noticeable
on larger bodies.
But they're not what Mike and Carla
are focusing on.
The most important thing about this lady
is that the obesity
that shes got is centred on her abdomen.
So this lady is carrying a lot of weight
around her tummy,
that's associated with more
of the complications
than if somebody weighs the same,
around the bottom and around the thighs.
So thats less associated
with complications,
thats more associated with complications.
So we can see the distribution of the fats
from the external exam,
but once we actually get inside,
well see more of how that has affected
the inside of her body,
and her internal organs as well.
[Michael] When we open this lady,
there may be other findings
that are less easy to diagnose
before somebody has died,
that wont have killed her,
but are examples of problems
that can get worse and lead to illness
So we may find some of those, we may not.
[Vinette] To uncover if there are deadly
medical truths
lying beneath the skin,
Carla must first cut open the body.
The incision is a large and deep
single vertical cut,
beginning at the super sternal notch
at the base of the neck
and ending at the top of the pubis.
Its a skill that requires both great
precision and intense concentration
especially performed on someone
with so much fat.
[Carla] So what I can feel
at the moment is an
awful lot of yellow, very sort of greasy,
fatty tissue,
in a body this size.
I'm reflecting the skin back
from the rib cage here,
and what that means is I am just kind of
loosening it away with the muscle
to give me a bit of room to
manoeuvre within the body.
What we seem to have here
is a breast implant.
This is an incidental find.
Sometimes when we do post-mortems,
its not just about
what were expecting to find,
it's incidental.
There is a very large amount of fat here.
And the reason it makes it so difficult
is it actually is greasy,
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"Obesity: The Post Mortem" Scripts.com. STANDS4 LLC, 2024. Web. 28 Mar. 2024. <https://www.scripts.com/script/obesity:_the_post_mortem_15058>.
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