forensic medicin

8/6/2019 Forensic Medicin

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COMMAN APPLICATION OF MEDICAL REPORTING?1- Consent form

2- Medical examination for assessment of age in male

3- Medical examination for assessment of age in female

4- Medical examination for certification of age pregnancy

5- Medical examination for certification of delivery

6- Medical examination of accused person for injuries

7- Report of Medico – legal Post mortem examination

8- Injury Certificate

9- Medical examination for Drunkenness

10- Medical certificate for assessment of age of fetus

11- Medical certificate of cause of death

12- Birth report and birth certificate

13- Death report and death certificate

14- Still birth report

15- Certificate of Fitness for employment16- Medical certificate of Sickness

17- Medical Certificate of Fitness

DEFINITION AND FEATURE OF LACERATED WOUND?

DEFINITION:- Is rapture or tear or split in the skin, mucus membrane, muscle or any internal organ

involving depth more than covering epithelium of the skin or that of an organ and are

produced by application of blunt force.

FEATURE:-MARGINS Ragged, Irregular, Uneven

EDGES Indication of direction

DEPTH Present bridge of irregular torn fibrosis tissues, blood vessels and

nerves

SOLING

DON’T BLEED MATCH

CLASSIFICATION OF INCISED WOUND AND DESCRIBE

ONE OF THEM?1. Sharp object weapon

2. Cutting or Stabbing

• Incision wound

• Stab wound

• Chop wound

ح ئس الجمعه المصرية العمة فر دن و لجنه التع التمريضى



INCISI ON WOUND STABBING / PUNCTURED

WOUND

• Clean cut through the tissue caused by

sharp edged instrument , which is

longer than it’s deep• Forced is delivered over a very narrow

area, corresponding with the cutting

edge of the blade

• Character of incision wound

MARGINE CLEAN CUT & WELL

DEFINE

WIDTH GREATER THAN THE

WIDE OF WEAPON

LONGTH GREATER THAN THEWIDE & DEPTH, NO

RELATING TO

CUTTING EDGE

SHAPE SPINDLE, ZIGZAG

&CRESENTRIC

HEMORRHAGE VESSELS CLEAN

CUT& BLOOB MORE

DIRECTION DEPPER,HEAD,

SHALLOWER &

TAILING

BEVELLING WEAPON ENTER

OBLIQUE &

UNDERMINING

• Stabbing is a wound or pierce

with a weapon point

• Puncture also means pierce withpoint object, weapon and

instrument.

• Since the wound is produced by

a thrusting or stabbing motion,

the depth of the wound is

greater than the dimension of

the surface’ wound

• Depending upon severity, they

may be grouped as (Penetrationwound & Perforating wound).

INCISION

PUNCTURE

/PENETRATING

PERFORATING

LACERATING

PUNCTURE/

PENETRATING

PERFORATING

E.g. wound

produced by:-

knife, dragging…

etc

E.g. wound

produced by:-ice

back, screw

driver, pointed

end of cricketwicket

CLASSIFICATION OF INJURIES DEPENDING UPON THE

MANNER OF INFLICTION? Suicidal

Accidental

Homicidal

Defense Wounds

Self- Inflicted

Fabricated / Fictitious Injuries




DEFINE ABRATION AND CONTUSIONS (BRUISES)?

Abrasions: - are the injuries involving superficial layers of the skin, the

epidermis or mucus membrane due to impact against some hard, blunt, &

rough object/ weapon. Contusions (bruises):- Are characterized by infiltration of extravasated blood in

to subcutaneous and /or sub epithelial tissue resulting from the rapture of small blood

vessels duo to application of blunt force.

CLASSIFICATION OF INJURIES DEPENDING UPON

THE MANNER OF INFLICTION?

I . Mechanical or Physical injuries .• Those caused by blunt force (Abrasion – Lacerations - Contusions (Bruises)

• Those caused by sharp force (Incisions - Punctures)

• Caused by Fire Arms (Rifled Firearms)

II- Thermal injuries Due to heat

Due to Cold

III . CAUSED BY CHEMICAL AGENTS Corrosions ( Due to strong Acids or Alkalies)

Irritation ( Due to weak acids, Alkalies)

DESCRIBE (PENETRATING.W, PERFORATING.W,CONCEACTED PUNCTURE.W, DEFINE.W & SELFLICTED

.W):-PENETRATING THE WOUND TERMINATE NTO THE BODY CAVITY OR

VISCUS, MAY BE JOINT CAVITY OR SCROTAL SAC.

PERFORATING THE WEAPON PIERCES THROUGH THEWHOLE

THICKNESS OF ANYPART OF THE BODY THUS

PRODUCT TWO SURFACE’WOUND ( EXIT &

EXTERNAL),

CONCEALED

PUNCTURE

THERE ARE PUNCTURE WOUND COUSED ON

COCEALING PART OF THE BODY SUCH AS NUSTRILS,

FRONTNELLA, and FORNIX OF THE UPPER EYELID,

AXILLLA, VAGINA, and RECTUM & NOPE OF THE

NECK.




DEFINE RESULTING DUE TO IMMEDIATE & INSTINCTIVE

REACTION TO THE VICTUM TO SAVE HIM SELF,

EITHER BY RAISING THE ARM TO PREVENT THE

ATTACK, OR BY GRASPING THE WEAPON

SELF INFLICATED (FABRICATED / FICTITIOUS) ARE CAUSED BY

APERSON ON HIS OWN BODY ALSO CAUSED BY

ACCOMPLICE (TO CHENGE THERE ENEMY,GRIEVIOUS FOR GAIN & TO PRETEND SELF DEFENSE

TO ESCOPE CHARGE OF ASSAULT.

GIVE A SHORT ACCOUNT ON HUNGING (DEFINITION. TYPES

& CAUSES OF DEATH)?

FEATURE OF MANUAL STRANGULATION?




DIFFERENT PATERN OF ASPHYXIA?

FINDINGS IN A VICTUM OF DRAWNING?




GIVE A SHORT ACCOUNT ON LIVOR MORTIS?

ENEMENT OF NORMAL POST MORTAM CHANGE,

DISCUSS SHORTLY?




WHAT IS THE ROLE OF FORENSIC PATHOLOGIST IN

AN OUTOPSY?

GIVES A SHORT ACCOUNT OF DIFFERENT TYPE OF

POISIONS?

CHRONIC LEAD POISENING, TOXIC DOSE &

SYMPTOMS?




THE DEFINITION &THE ROAT OF ANTIDOTE AND

MENTION AN EXAMPLE?




MENTION THE ANTIDOTE OF (CARBON MONOXIDE- CYANIDE

POISONING- HEPARIN- TRON- OPIOID- WARFARIN-HEAVY

METAL-PARACETAMOLE)?

DEFINE (CHELATINGAGENT-MECHANICAL,

CHEMICAL& UNIVERSAL ANTIDATE)?

WHAT IS THE INDICATION AND METHODES OFوالى د أبته فق

ELIMINATION OF POISON BY EXCERATION?

Indication:-




The execration of poison


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