Full PM

1
Sudden Unexplained Death in Infancy
REFERENCES See RCPath SUDI Multiagency
Protocol http//www.rcpath.org/resources/pdf/SUDI
20report20for20web.pdf See also RCPath Autopsy
Scenarios http//www.rcpath.org/resources/pdf/Aut
opsyScenario8Jan05.pdf (SUDI) http//www.rcpath.or
g/resources/pdf/G002Autopsy-NeonatalDeath-Jun06.pd
f (neonatal) http//www.rcpath.org/resources/pdf/G
001Autopsy-Stillbirths-Jun06.pdf (singleton
stillborn). AND Olpin SE, The Metabolic
Investigation of Sudden Infant Death, Ann Clin,
Bioch, 2004 41282-293 Essentials of Autopsy
Practice, Springer Verlag, 2004 17-44 The
investigation of Metabolic Disease after death
Weight Measurement Centiles
Photography
External exam
Skeletal Survey
Blocks for histology
See RCPath guidelines, Multiagency Protocol, p68
(when pdf formatted)
Full PM
Organ Weights
Internal Exam
? Retain Brain Neuropathology Consult
Microbiology Virology
Toxicology Biochemistry
Special Tests
Oil Red O Liver/Kidney/Heart Formalin fixed,
unprocessed tissue
No/Minimal Fat Unlikely Metabolic
Metabolic
Urine
Consider
Full Forensic PM
Vitreous Humor
Diffuse fatty change Possible Metabolic
Skin Fibroblast
See RCPath Multiagency Protocol, p69 (when pdf
formatted), and others
Frozen Liver - Muscle
Death scene evaluation To include co-sleeping
etc.
Blood/Bile - Guthrie Card
Seek specialist advice