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- Abstracting a Cancer Case
- Abstracting the Medical Records
- Composition of a Medical Record
- Abstracting Diagnostic Procedures
- Clinical Examinations
- Manipulative Procedures
- Operative Procedures
- Pathological Examinations
- Additional Information
Autopsy Example 2 (Page 4)
Department Of Pathology - Autopsy Report
Abdomen
- [x] Indicates no significant abnormality
- [x] Peritoneum [x] Mesentery [x] Omentum
- [ ] Liver 2500 gm
- [ ] Gallbladder
- [ ] Common bile duct
- [ ] Portal vein
- [ ] Spleen 100 gm
- [x] Pancreas 100 gm
- The hepatic flexure of the (R) colon is matted into the liver--carcinoma in this flexure--yellow, tough fibrous on cut surface. The liver is sectioned and opened. The tumor appears to originate from gallbladder and extends to liver and down.
- (The gallbladder is flesh-colored and filled with 4 large mixed stones. The tumor appears to originate from gallbladder)
- [x] Esophagus
- [x] Ilium



