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Starvtion

  1. PATHO PHYSIOLOGY
    1. WITHIN 2 DAYS : feeling of hunger * followed by pain in the epigastrium lasts for 2 days.
    2. AFTER 4-5 DAYS : absorption of subcutaneous fat begins to occur.
    3. AFTER 7 DAYS : ketone bodies is the source of nutrition to the brain.

Heart uses acetoacetate as energy source.

  1. THE CHANGES ARE:
    1. Hypoglycemia
    2. Hypothermia
    3. Hypertriglycerimia
    4. Ketoacidosis
  2. CAUSE OF DEATH
    1. Death occurs from circulatory failure due to brown atrophy of heart or infection.
    2. The loss of 40 % body weight is fatal.
  3. P.M. APPEARANCE:
    1. Heart is small, with brown atrophy and chambers are empty.
    2. Brain is the only organ which do not show reduction in size and weight.
    3. Stress factures are present.
    4. Gall bladder is distended *.
    5. If both water and food are completely withheld, a person will die in 10-12 days.




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