By Jean W. Keeling (auth.), Jean W. Keeling MB, BS, FRCPath (eds.)

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Inner epicanthal folds. small nose. (bright pink in the very preterm baby. wrinkled and peeling in postmaturity). Extreme pallor might alert one to the possibility of haemorrhage. and the presence of jaundice. bruising or petechial haemorrages which are not explained clinically require further investigation. Examination of Body Cavities Before the body cavities are opened. it is appropriate to look for pneumothorax. if a radiograph has not been done. in alilivebirths who die in the neonatal period.

Slice through the cervical vertebral block after fixation and decalcification. Appropriate slices for histological examination can be selected with a hand lens. Post-mortem Examination Skeleton 25 In babies with osteochondrodystrophies or osteogenesisimperfecta(seeChap. 26,pp. 530, 541)itmay Radiography is a more efficient technique than dis- be desirable to remove several long bones. In the section for the recognition and documentation of interests of reconstruction and aesthetics, the folskeletal malformation or injury.

It is a large organ weighing 12-18 g at term but is relatively smaller in preterm infants. When of normal size, it overlies the aorta and pulmonary arteries. Petechial haemorrhages within it suggest an episode of hypoxia. Its size is much reduced following long-standing stress of any sort. It is convenient to dissect the thymus off the pericardium, taking care not to damage the innominate vein which runs behind it at the thoracic inlet. The thymus is usually absent in Di George syndrome, although a nodule of thymic tissue may be found on the lateral border of the pericardial sac in that condition.

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