Post-Mortem Clots

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  • Post-mortem clots arise when blood clots within the vessels after death.
  • Must be distinguished from thrombosis.
    • Unlike thrombi, post-mortem clots are not attached to the vessel wall,
    • They have a slimy suface.
    • There is separation of the red cell content by gravitation.
      • Upper portion is cell free and is a pale cloudy colour - "chicken fat clot".
      • Lower portion is rich in red blood cells - "redcurrant jelly clot".
  • The development of post mortem clots is a highly variable phenomenon.
    • Activation of the fibrinolytic system prior to, or immediately after death may prevent clotting.