THE MEDICAL THE MEDICAL CERTIFICATECERTIFICATE

or the MEDICOLEGAL REPORTor the MEDICOLEGAL REPORT

Atty. Antonio D. Atty. Antonio D. Rebosa,MD,BSCrim Rebosa,MD,BSCrim

Medical certificates/medicolegal Medical certificates/medicolegal report/insurance forms/birth report/insurance forms/birth certificates/death certificates/SSS or certificates/death certificates/SSS or GSIS forms, etc.GSIS forms, etc.

The Medical CertificateThe Medical Certificate Personal circumstancesPersonal circumstances DateDate

I hereby certify that _____ was personally I hereby certify that _____ was personally seen and examined by the undersigned last (…seen and examined by the undersigned last (…from)______ because of ____________. Clinical from)______ because of ____________. Clinical Impression is ____________.I have prescribed ______ Impression is ____________.I have prescribed ______ and advised patient to rest for and advised patient to rest for _________days/weeks._________days/weeks.

This medical certicate is issued for _______ This medical certicate is issued for _______ purpose only and not intended for purpose only and not intended for medicolegal/court use.medicolegal/court use.

(sgd)(sgd)

THE MEDICOLEGAL REPORTTHE MEDICOLEGAL REPORT

“… “… the patient is not your friend and the patient is not your friend and the accused is not your enemy…”the accused is not your enemy…”

DOCUMENTATIONDOCUMENTATION

MEDICAL CERIFICATE/MEDICO-LEGAL MEDICAL CERIFICATE/MEDICO-LEGAL REPORTREPORT

Personal circumstances…Personal circumstances… name, age, civil status, sex, name, age, civil status, sex,

address, address, occupationoccupation Inpatient/outpatient/ER/clinicInpatient/outpatient/ER/clinic

ALLEGED place, date, time of ALLEGED place, date, time of inflictioninfliction

Nature(?)Nature(?)

Date and time of examinationDate and time of examination ( important in the determination ( important in the determination

whether injuries are whether injuries are compatible/consistent with the date and compatible/consistent with the date and time of infliction)time of infliction)

GENERAL SURVEYGENERAL SURVEY

Vital signsVital signs Level of consciousness and Level of consciousness and

coherencecoherence Degree of ambulationDegree of ambulation General appearanceGeneral appearance

INJURIESINJURIES

NATURENATURE SHAPESHAPE MEASUREMENTMEASUREMENT ANATOMICAL LOCATIONANATOMICAL LOCATION

NATURE OF INJURIESNATURE OF INJURIES

LACERATED/AVULSED WOUNDLACERATED/AVULSED WOUND … … caused by contact with BLUNT objectcaused by contact with BLUNT object e.g. fist blows, vehicle bumpers, e.g. fist blows, vehicle bumpers,

baseball baseball bat, lead pipes,etc.bat, lead pipes,etc.

Lacerated woundLacerated wound

Sutured lacerated woundsSutured lacerated wounds

Self inflicted incised woundsSelf inflicted incised wounds

PUNCTURED WOUNDPUNCTURED WOUND … …caused by sharp-pointed caused by sharp-pointed

instrument/object (e.g. needle, ice-instrument/object (e.g. needle, ice-pick, nail, pin etc.)pick, nail, pin etc.)

STAB WOUNDSTAB WOUND … …caused by object/instrument caused by object/instrument

with sharp point and sharp edgewith sharp point and sharp edge - single/double bladed- single/double bladed

Stab woundStab wound

INCISED (SLICED/CUT) WOUND INCISED (SLICED/CUT) WOUND … …caused by sharp edged caused by sharp edged

instrument or object (e.g. blade, instrument or object (e.g. blade, knife, scalpel, etc.) knife, scalpel, etc.)

HACKING WOUNDHACKING WOUND … …a large incised wound ( e.g. ax, a large incised wound ( e.g. ax,

bolo, samurai, etc) bolo, samurai, etc)

CONTUSION/BRUISE (pasa)CONTUSION/BRUISE (pasa) extravasation of blood into the extravasation of blood into the

surrounding tissues because of surrounding tissues because of damage to blood vesselsdamage to blood vessels

shape, color ( blue-brown-green-shape, color ( blue-brown-green-yellow) yellow)

Ecchymosis, petechiaeEcchymosis, petechiae

HEMATOMA (Blood Cyst/tumor/ HEMATOMA (Blood Cyst/tumor/ bukol)bukol)

… …extravasation of blood in a newly extravasation of blood in a newly formed cavityformed cavity

Contusion hematoma, periorbital Contusion hematoma, periorbital hematomahematoma

ABRASIONSABRASIONS … …contact with rough surface, contact with rough surface,

friction, graze, scratchfriction, graze, scratch

-linear-linear -multi linear-multi linear -confluent-confluent

GUNSHOT WOUNDSGUNSHOT WOUNDS

Point of entry vs. point of exitPoint of entry vs. point of exit Products of combustionProducts of combustion tattooing/smudging/singeeingtattooing/smudging/singeeing Contusion collar Contusion collar

CONCLUSIONCONCLUSION

Barring any complications or injuries Barring any complications or injuries not clinically apparent at the time of not clinically apparent at the time of examination, patient’s injuries shall examination, patient’s injuries shall require medical attendance or shall require medical attendance or shall incapacitate the patient from incapacitate the patient from performing his habitual work for a performing his habitual work for a period of not less than _______ days period of not less than _______ days but not more than ________ days.but not more than ________ days.

REMARKSREMARKS

Pertinent and relevant findings and Pertinent and relevant findings and results of the diagnostic tests doneresults of the diagnostic tests done

Therapeutic/ surgical procedures Therapeutic/ surgical procedures performedperformed

KNOWINGLY ISSUING A FALSE KNOWINGLY ISSUING A FALSE MEDICAL CERTIFICATE IS A CRIME!!!MEDICAL CERTIFICATE IS A CRIME!!!

Falsification of public/private Falsification of public/private documentsdocuments

FraudFraud PerjuryPerjury Simulation of BirthSimulation of Birth

MARAMING SALAMAT PO!!!MARAMING SALAMAT PO!!!

Atty. Antonio D. Atty. Antonio D. Rebosa,MD,BSCrimRebosa,MD,BSCrim

Castro Rebosa Castro Rebosa Rebosa Law OfficeRebosa Law Office