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Forensic Final Exam Note
Forensic Final Exam Note
1. Cooling
The human body cools down after death ( Algor
Cooling
Cooling is accelarated
by:
A cold atmosphere
Immersion of the body
in cold water
Nakedness
A thin body
A high surface-tovolume ratio
(e.g.children)
Cooling
Points:
2. Hypostasis
(Postmortem Lividity)
This is a purplish staining of the skin resulting from the
settling of blood within the blood vessels after death
under the influence of gravity.
3.Rigor Mortis
A chemical change in the muscles of the body
Rigor Mortis
Cadaveric Spasm ( Instantaneous Rigor ) :
Very rare. It tends to happen in moments of high
emotion- It cannot be imitated and is therefore of
important evidential value. It is essential to record
this photographically before breaking the grip.
4. Decomposition
(Putrefaction.)
MUMIFICATION
ADIPOCERE
ADIPOCERE
Adipocere ( literally, "fatty soap" ) is a rancid, foul-smelling,
greasy substance formed by stiffening and swelling of the soft tissues of the
body when it is buried in wet soil of the right alkalinity or immersed in water
for long periods at the right temperature
The result is a body which may show remarkably fine detail of
distinguishing marks and injuries many years after death.
(II) SUDDEN
NATURAL DEATH
(SND
Definition:
WHO defines SND as: death within 24 hours of the
onset of symptoms.
CNS
RS
GIS
Gynae
1. CAD
1. Epilepsy
1. Pulmonary TE
1. Massive
Hemorrhage
1. Ruptured Tubal
Ectopic Pregnancy
2. Atheroma
2. SAH
2. Asthma
2. Peritonitis
2. Ruptured Uterus
3. Bridging
3. ICH
3. Pneumonia
3. Air Embolism
4.Hypertensive
heart disease
4. Meningitis
4. Hemoptysis
4. Amniotic Fluid
Embolism
5.
Cardiomyopath
y
5. Tumors
6. Myocarditis
A. Cardiovascular System:
The vast majority of sudden natural and
Atheroma:
Approximately half the individuals with coronary
Bridging:
Sudden death due to a coronary artery abnormality
has been described in a condition called
Bridging.
Hypertensive heart
disease:
Sudden death in individuals with hypertension is
Cardiomyopathy:
The cardiomyopathies constitute a diverse group of
Hypertrophic.
Restrictive / Obliterative which is usually associated
with amyloidosis, sarcoidosis and
hematochromatosis.
Myocarditis:
The most common cause is viral infection. The
Epilepsy.
Subarachnoid haemorrhage.
Intracerebral haemorrhage.
Meningitis.
Tumors.
C- Respiratory System:
Sudden death due to diseases of the respiratory
Pulmonary thromboemboli.
Asthma.
Penumonia.
Hemoptysis.
D- Gastrointestinal System:
The two most common modes of sudden death
involving the gastrointestinal system are
1) Massive haemorrhage
2) Peritonitis
E- Gynaecological System:
Most deaths are associated with e.g.:
Special Problems
Special problems arise in certain cases and situations
because they have the most potential for serious errors:
1- No identification.
2- No cause of death.
3- Environmental exposure.
4- Decomposed bodies.
5- Skeletal remains.
6- Deaths in police custody and police shootings.
7- Mass disasters.
III) WOUNDS
DEFINITON
Wound may be defined as a disruption of continuity
of tissues produced by external mechanical force.
TYPES
1. Bruises
2. Abrasions
3. Lacerations
4. Incised Wounds
5.Stab Wounds (Puncture/
Penetrating)
Bruises:
These very familiar injuries are an everyday
Bruises
The only factor which holds constant is the order of the
colour changes.Therefore lt is not possible to precisely
determine age of constusion. The full exent of bruising
and even the presence of a bruise may not be readily
apparent on external examination.
Bruises
Bruises may reproduce the outline of the
Abrasions:
These are familiar in everyday life as Grazes: they
Abrasions
Abrasions are mostly due to:
Direct Impact
Tangential Impact
Lacerations:
A laceration is a tear in the tissues, inflicted when
the applied force exceeds the elastic limit of the
tissue concerned. They are not related to object
shape. They are distinguished from other wounds
by the presence of tissue bridges in-depth.
Lacerations
For example:
Incised Wounds:
A surgical incision is a good example of an incised wound.
As a general rule, incised wounds are longer than they are
deep, and they give no idea at all of the shape or size of the
weapon which inflicted them. The only exception might be a
series of regularly spaced incisions caused by an instrument
with multiple fixed blades, which would produce parallel
injuries.They are deeper at the start.
paralled incised wounds that are seen in cases of selfinflicted sharp force injuries.
Medical Complications of
Injuries:
-Infection.
-Disseminated intravascular coagulation.
-Acute respiratory distress syndrome/diffuse alveolar damage.
-Deep venous thromboses.
-Acute tubular necrosis.
-Compartment syndrome.
-Fat embolism.
-Necrotizing fasciitis.
-Physiologic stress ulcers/Cushing's ulcer(Curling's ulcer)
-Neurogenic pulmonary edema.
-Multiple system organ failure (MSOF).
FIREARM / GUNSHOT
WOUNDS
A consideration of kinetic energy (KE) is of
FIREARM / GUNSHOT
WOUNDS
- The shape of the bullet and its tendency to fragment -
3. Intermediate Range
Wounds
The hallmark of these is powder tattooing, in which
grains of unburnt propellant stipple the skin
around the entry site.
( IV )
ASPHYXIA
Definition:
Asphyxia (which literally derives from a Greek word
Hanging.
Compression of the neck.
Stimulation of the glottis.
Drowning.
Sexual asphyxia.
Walking into an atmosphere of irrespirable gas.
Choking:
Chocking implies blockage of the glottis or trachea by
foreign matter. It is almost invariably the result of an
accident and the groups most at risk are:
- Young children.
- Old people.
- Greedy eaters.
- The drunk.
- The drugged.
Manual Strangulation:
Obviously, this is almost always homicidal. There
Ligature Strangulation:
A ligature in this context is anything that encircles and
Hanging:
Almost always suicidal. Occasionally accidental.
Crush Asphyxia:
This is also described sometimes as Traumatic
Sexual Asphyxia:
This category of curious and uncommon deaths is
an example of a syndrome, a group of findings
which go together to make up a distinct clinical or
pathlogical entity. It consists of a pattern of
paraphilia in which the subject has experimented
with partial asphyxia to enhance orgasm and the
mechanism has gone wrong with fatal results.
Sexual Asphyxia:
The diagnostic features of this syndrome, some at least must be present for
the case to qualify, are these:
(V)
ALCOHOL
DEFINITION
For the purpose of this lecture alcohol refers to
ethanol (CH3CH2OH).
Alcoholic Beverages:
Alcoholic beverages , can broadly be divided into three groups:-
a. Beers :
Beers are fermented beverages made from malt which comprises
cereal grains such as barley, rice or wheat which had been allowed to
germinate.The average beer contains approximately 45% alcohol
b. Wines :
Wines are fermented beverages which can be made from fruit
c. Spirits :
these are distilled beverages which are originally almost 100%
alcohol but are watered down to 40 60 % for consumption
Absorption , Metabolism
and Elimination:
Alcohol can be absorbed by any part of the
Food:
The presence of food in the stomach delays the
Concentration:
Alcohol is absorbed optimally at a concentration of
Effects of Alcohol:
There is no well defined fatal levels but levels over
INDIRECTLY
2. other violence.
3. falls with head injuries or
falls with head
down :postural/positional
asphyxia.
Alcohol Consumption in
Units of Alcohol.
One Unit is equivalent to:
8 grams of alcohol.
15 - 20 mg of alcohol per 100 ml of blood.
6 - 8 micrograms of alcohol per 100 ml of
breath.
(VI) CHILD ABUSE
TYPES
TYPES
1. Physical
2. Sexual
3. Emotional
4. Neglect
Age:
Abuse can begin in infancy and may continue through
adolescence to adult life.
CAUSES
SOCIOECONOMICS*
1. Poverty.
PARENTS
1. low self-esteem .
2. Unemployment.
2. Abused as children
themselves .
3. Isolation.
3. Immature parents or
single parents .
4. Domestic violence.
4. Alcoholics.
5. Psychiatric illness.
6. Marital problems .
Sexual abuse
Characteristics of families in which abuse may be more
likely :
Sexual abuse
Examples of some features of sexual abuse :
( VII )
ABORTION, CHILD
MURDER &
INFANTICIDE
ABORTIONS
TYPES
1. Spontaneous abortion
2. Therapeutic abortion
3. Criminal abortion
A. Spontaneous abortion:
It is due to pathological causes:
B- Therapeutic abortion:
The unborn child is protected under the law by the laws relating
to the medical termination of pregnancy if certain conditions
are satisfied:
C- Criminal abortion:
Attempts made to dislodge and thus terminate a
pregnancy in its first months can take the following
forms:
1) Physical violence to the abdomen that is meant to
be transmitted to the uterus in general:
causing it to contract, and to the site of placentation
causing it to dislodge itself
such trauma often results in serious damage to the
mother and even death, without dislodgement of the
pregnancy.
Criminal abortion:
2) drugs given to induce the uterus to contract vigorously .
3) forceful opening of the cervix of the uterus
mechanically.
4) application of irritants to the vagina and cervix ( such
as potassium permanganate crystal).
5) insertion of objects into the cavity of the uterus to
remove the placenta from its uterine bed and /or to
puncture the fluid sac (amnion).
6) the pumping of fluid ( disinfectant or soap solution)
and/or of air in between the amnion and the uterus.
7) curettage of the uterus.
Complications of these
methods
1.local infection.
2. haemorrhage.
3. septicaemia.
4. perforations of the uterus.
5. vagal inhibition and sudden death.
6. air embolism.
7. renal shut-down and acute failure due to one or
other of these complications
CHILD MURDER
Most such deaths take place within the first few hours of
life . It has to be ascertained in such cases:
3. that the death was not the direct result of a willful act
of commission or omission and neglect by the
mother,It is often difficult in such cases to be certain or
not, whether the child has lived a separate existence
from its mother, as the baby's body is often concealed
and not found till putrefaction with gas formation has
set in.
Features of separate
existence are:
1.healing and separation, partial or total, at the site
of the umbilical cord which can only take place
outside the uterus.
Infanticide:
It is a form of intentional child murder BUT with a lesser
1.
2.
3.
4.