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Forensic Medicine
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Basicsinttlmm
Forensic Medicine
NatusalDeath._
Natural cause
Death #
of patient eg
:
coronary art disease
\
-
Unnatural cause ←
lumen constricted
eg accidental suicidal
.
:
( autopsy )
Accidental
,
coronary
fall
from height
multiple injuries ifpllsonlandsonfeel
( abrasions / bruise / laceration ) -
1-
inflow outflow techinque
1- -
.
→ awuiarveguations
in ventricular wall
→
thickening
asymmetrical hypertrophy of Ivseptum
torn clothes
→
Around
foramen foramen magnum
( Ring ) fracture vertical slicing method
Autoerotic
' Asphyxia / asphysciophilla ( AA ) Postmortem
diagnosis ofmi
neck compression Kotz warrism )
↳ NS Prone sexual Perversions
sympathetic
t, Pain
Masochism to
self
-
- -
g
-
mi
( neck compression lligatureto
achieve sexual
pleasure) Bright
E.
red areas
'
→ viable
TTC converted to Formosan
by LDH activity
*
During autopsy genitals fist in clenched TTC -É Formosan
lduetocadavericspasm )
Pale
yellow nonviable
→
areas
↳ indicative A- A
of TTC
É ✗ Foemazon
t :
enzyme leakage post infarction)
Suicidal Medical Ethics
set
of moral
principles guiding Breach
•
ethics is
Most common cause Depression of a
• -
}
most common method
Hanging Dr De punishable offence
- - -
.
.
Dr -
Patient relationship
Ideal poison
for suicide Cyanide
-
-
•
most
commonly used
in
poison
India
-
acts
1 Aluminium by
phosphide ) misconduct)
aka
professional
Pala suicide -
attempt to snide
-
Alcohol -
Addiction
NMC )
Advertisement ( to be prescribed by
done as
-
associated
by Borderline Personality Association (
coveting of unqualified person to do
your job
)
-
is not
followed .
wrist
cutting
→
Drug overdose
↳ decriminalized due to
bias but still unelhelical
gender
Tentative cuts ( Hesitation cuts ) → associated with
Dichotomy lfee
Splitting btw doctors by unwanted reference)
-
wrist )
( associated with Borderline suicidal
attempt .
Laka cut
.
practice)
personality disorder
↳
punishable under IPC 197 punish under IPC 193 / upto 7- )
yrs
-
→
•
Ideal homicidal poison = Thallium
Punishment unethical acts
for
.
→
most common homicidal poison = Arsenic ¢ ↳
state medical courts
Napoleon Bonaparte died
of
• =
appeals againstbeSimic
•
f. Imprisonment
council nine
chronic arsenic
poisoning 1 medical Body) → .
decisions
to C- MRB
will made
( constituted
/ \,
Penal Csasure under central Health
back of hand warning
Defence wounds
mainlywith over
=
( Takeaway license
↳ homicidal ministry )
associated attempts .
I ↳
final decision is
•
Temporary Permanent
( aka Professional
.
given by NMC
death sentence )
Professional Secrecy Medical Jurisprudence
Application of law in medicine
•
Deis obligation to keep all info of a
patient secret .
certain laws / alt .
Obs .
of suspicious
•
In case ease
( Previligid communication ) in
.
for → m police
C -
crime
Medical Etiquette es
I
Information about
infectious disease
-
-
laws
of courtesy btw doctors
°
Y -
venereal disease 1ST D)
leg
Breach
of etiquette is non punishable
-
I
self
•
on interest :
patient complain
-
on
Éi de negligence)
' '
c court law
of
-
§ S -
servant and
employee father is dead @ birth ( aka fictitious child /
false child )
" leg : colour blind drivel inform to
child and
employees steal
pretending
§ I -
COV 7- D)
If Professional secrecy is not maintained
by doctor :
-
Civil court -
damages
-
SMC action .
HIV ④ → PIWHA
1 People living with HIV AIDS)
Legal Sections
:÷•¥
Courtroom Procedures .
↳
define and
offence and its punishment .
victim Accused
eg Rape
→
defined in 375 complainant / Plaintiff) (
Defendant )
j¥g g§ .?gÉ¥
.
di di
punishment under 376
Public Prosecutor Defense lawyer
lhieed private
evidence / statement lawyer)
Peyiuylralse in court )
lfwm Govt side to victim) o
I
↳ in / 91 1 I E
defined t .
↳ punishment in 193
Both
lawyers present case to
judge 1 '
on
q .g ? Yg
" "" " " " " " "
"
Cnpc ( Criminal Pwceducal Court ) di
Exceptions
child
to oath
Ei
Kylo
- <
made in 1861
¥
-
atheist
oath is administered to witness cisoiemnyqpim
d
last -1973
major change " ""
§
.
" ""
t,
F
define procedures done
after a
Recording of evidence Examination
of witness by lawyer
• -_
.
3
a
f)
crime has occused Direct £
§
.
cross
inquest (17-4612)
→
Police
→
Redirect
inquest 1176 UPC ) s
;zg.÷zq.g÷g
court )
IEA( Indian Evidence Act ) in
§
}
¥gF
determine selavant and
weightage
↳
Ed
-
summon Csubpeona) →
legal document
"
£8
.
evidence
of Cnpc 61-69 / date / time
-
name
-
Oral Evidence
i. iooss examination
can be done
D)
Documentary
Evidence
common (Eyewitness
witness
zÉÉÉ
"
§g¥§'g§
t' is admissible when a witness turns
1st hand
knowledge of opinion
•
final competency ni ni
decided by judge)
+8
P-owaofcourtlJudges-udicial-magistratecourl.fm imprisonment ☐
Min
judge rank to have death
•
2nd class JM 5000
Iyer sentence and
life imprisonment
t,
rights Additional session Judge
1st class JM 10000 3yh
•
ti
fine rights
Chief Jim Unlimited 7- Chief Judicial
magics
•
ye
.
13A IEA )
Dying Declaration
statement recorded when person is about to die
session 's courts ( District-level)
documentary evidence Death Sentence
•
.
imprisonment .
( capital Punishment)
canbenewadedby Assistant session Judge
• :
toys
•
>>
magistrate doctors> any person
y, By Judicial
hanging
Additional Session Judge Death sentence MIC
Dying declaration not
signed Admissible knot position left angle of mandible
•
•
: -
High Court
Supreme court .
Inquest ( investigation )
Police Inquest
174 UPC
Magisterial Inquest
when inquest is
against police
• minimum rank who = Head
176 UPC
can older inquest constable
✓ \
UPSC
minimum rank 17611A) 17611 )
share workload of judicial magistrate
•
for = sub -
inspector µ
rape case CSI )
obyjucidial magistrate executive <
sub divisional
<
District
Magistrate IDM)
magistrate 1 District Collector)
☐
death due to police firing magistrate
ltehsildar)
.
( SDM)
death in police coustody / prison
•
death
custodial rape dowry
°
•
•
ex -
hee matron
yrs hours
usually done
early morning
-
500
gm soil extracted with
body
'
that
of marriage and
if proved .
176 C APC
death
demand
for dowry just before
.
After 7
years
case
registered under
498 A IPC
Teueltybyhllsbandl
✓ to y y
against order of
nature with
any
male canal
femal intercourse)
child
consensual
animal
Bestiality ← .
sodomy is not
lrefeeanimaltovet doctor . an
offense anymore
Ch①\ ,
a
Pedophilia / Pedasasity)
pocsoact
t →
Active passive
( Pedophile) ( catamite)
Definition under IPC 375
Rape Punishment Under IPC 's
.
the
female if any of
does
4 actions under 7- circumstances .
Anal =
Mal intercoms -
Urethra
aka sodomy -
Anus
Buggery -
Nisbhlya .
fellatio Anus = An
iurigus
urethra 20µF introduced after Katrina rape case
Penetration of objects /
2.
fingers I
vagina
-
-
-
Urethra even
if def of rape
-
isn't fulfilled .
-
Krus
€
( can be male , female ) * gender neutral .
nil
be convicted
female can
foe gang rape charger
'
11 → consent in rape case .
( live in) -
= -
y
→
Person responsible
guardian Examination Examination
.
↳ same
•
Age of victim
for consent -12
years
. clothes as now ?
•
Victim doesn't consent →
psychological counselling SAFE kit → sexual Assault forensic ↳
examination kit
if same ,
{
consent clothes
.
f. still preserve
.
no .
white cloth
large for sample
→
written
informed refusal →
new clothes
taken
• examination →
swabs → combs → slides
•
victim in OPD / Emergency Inform police can be done ↳
to comb pubic hair
on court
local Examination
• with / without consent order
upon
treatment to be consent lithotomy position .
given refusal
•
•
Tests to be done → STD 's
tears due to
finger / foeiegn body penetration
→
Urine
pregnancy test . ( lblwll
'
-
I' oclock position )
228A →
identity of rape victim cannot be disclosed
"
-
q.AM?-ivaginaeoeifice
-
-
-
hymenal orifice
Rape ÑY
'
accused Examination .
53 A GPC 7-
• tears due to penile
penetration
-
position )
' '
noconsent →
minimum reasonable lblw 5 -
7- oclock
force
☐
swabs
from Prepuce oral
-
-
-
prepuce is retracted
show michoinjurils of genitals
vaginae
-
Penile
.
ummm
shaft -
I
↳
High ↳ micro lacerations .
Rhlsenceofsmlgmh
/ →
female vaginal
cells
epithelial
f.
white cheesy
-
perineal
swabs
Ulaistee Keen Rod
→
brown change on
material -
Anat and puianal ""d "" Mh""^
takes
2uhoulstofohmkanmd.be
detected
addition of
" ☐
True
virgin
→ no
history of sensual intercourse
false
virgin history of sexual intercom but hymen intact
→
behaviour
asphyxia
Transvestism ltonism) Cross Obscene stories to
dressing ( Kotz wauism , Nahhatophilia partner
fetishism of objects
sexual
gratification
↳
exclusive to males
Ktismophilia receiving rectal enema
.
common around
puberty
Exhibitionism
Display of private parts in public
Babbit Syndrome Slashing of penis by female foe
↳ punishable under 294 IPC female sexual gratification .
in Rape
Burden
of proof
°
consent is on
regarding
accused .
•
Presumption of no consent
by court
1114 -
A)
in POSCO
•
consent isn't valid in children 218
Burden victim
of proof is on
•
.
Sexual Assault
Touching of private parts of
Penis
child
Anus
vagina Breast .
Aggravated offense
offense done by person in
authority
or relative
assault
nggse rated penetrative several
-
sexual assault
Aggravated
-
.
PC
TP
.
37613) I
376 (2)
\
I bet
-
Be
•
•
A
61 -69 APC → deal with summons .
A loco Parents
1 during school hours , principal and
teachers and guardians) .
Identification
(
Dead body and other objects tnt at
crime scene
↳ aka Essence
of crime .
mp identification parameters
→ Measurements of peripheral
④ limbs are taken
and is used for identification .
or bones are
found .
Race instrument used
to measure
length
mm
of long bones .
Inlermembiatcephabc "asal¥ÑÑrucal
length of radius + humerus
✗ too
lenginoftibiaeemur ←
index index index index index
↳
✗
,
lluneiecallipee .
Caucasoid →
carabellcuponmolael Nasal index
on MD
Widthofnosexloo
Cephalic __
Dolico -
cephalic Caucasoid
Taurudontism
Bulldog jaw)
menmo -
D- CAN
Aryans
Negros .
75-79.9 -
Europeans
O O
Enamel Pearls
Krogman 's
index
→ to determine
of sexing
accuracy
on the basis
Sean Pelvic Bone
recovered
Of bone
←
Best parameter All
All 206 Bones →
1001 -
in Pelvic Bone
parameters large and wide in
Pelvis + Skull →
981
female
Greater exception Obusatoefoeamen
-
sciatic notch .
:
Pelvis only
→
951 -
OSA .
Sacroiliac articulation
90.1
Only skull -3 .
Acetabulum
Only long bones →
80.1 .
Sternum
-
skull
greater sciatic notch
÷
-
brain
large and prominent
→
All parameters in sub pubic
µ
angle
-
in males
pere auricular sulcus
-
Cant sacroiliac
.
ligament )
I
infernales ,
some orbit
skull structures
forehead
:
aeenound chin .
Sacrum
Mandible breadth
of Sl male > female
mefegas
1 I
* more inmates #
angle
if
a
Slarticulation
↳ anatomical angle
anatomical ,
•
angleisusedfoesesl total breath (b)
determination ofsaaum)
)
•
Kimura 1=8×100
all
parameters large and prominent inmates
•
Age
Age
estimation
from changes
in
pubic symphysis
Role of Dentist
men
→
Todd 's
Permanent Teeth
→ mckensheslewavt
Temporary Permanent
suchey.BG?yg+.k's-
→
elltption Total teeth
20¥02 32122123
.
20122102 20+4=24
32122123
Mummy MI
Gyh
'm
Mlp 'd -1
Y§ ɧ¥§
"
Teeth -32
is Cemal I
7N Medico legal
.
24 angle used
Premolar takeout
* ab .
in .
8g • IS
forage
estimation
* teeth 20 PMI 9g 24
:
pain 58s .
.
supperadded
lsttelhtoeuupt :
Iowa central incisor ( in living humans)
Hmong sucessionalteeth replace previous sockets
Tanner's sexual maturity rating
:
molas
-
:
pubic hair
2.5
years all 20
temporary teeth .
•
-
Genital development
Breast /females)
Gustafson Johanson
- .
:
Parameters :P Pasadontal Recession
mnemonic : SCRIPT
T
↳
for dead over enamel by 2nd best . worst parameter Transparency of Root .
Electron microscope
infants
- -
*
Best method
.
Stack's :
widtnofteeth
↳ height to teeth Best Parameter
foedead Mile 's method .
Children
- -
Based on Root
transparency
-
.
Age estimation
of fetus
2 be seen after
Rigor 2mortis
can
3 months .
:
6
1 Birth) 10
Hasse'SR# -
calculation
of age of fetus estimation
for
:
first
for five months
of pregnancy .
5 < 25cm
1in months first months ; CHL
Age of fetus crown hell
length CCHL )
=
( in ems)
Morrison's Rule
next 5 months
for
-
intrauterine
of
life CIUD
☒
• incaetilag - complete mineralisation → bone
gyyyy, 2nd → mandible @ b-1- week -10L
.
.
- →
metopic fortunate LONG BONES CARPALS BONES 3rd -
calcaneum @ smoruntuu
fusion
' .
'
.
coronal suture foist long bonejointtoossify : elbow
Hamate 3. months
4M → Talus @ 1- month -10L
saggital
uppuendtibia-slomonthlB.am#....I-0--.-s1amboid
1- suture
y trapezoid y g-
years
-
'
Tlapeiium
males suture
females
jÉÉÉ
.
Y¥ÉÉ
Post 0-6 month
fontanelle " "" "
wrist 18
yes 19
yes
"" " """
Ant fontanelle 1*5-2
yrs
.
of Radius 2 years
towel end __
HIP Bone 0
wweeendofulna bylaw
}
-
Coeonal suture
-2g loweebuldge
yogas ischiopubicsamus fusion )- yrs
-
-_
saggilalsutuee ( Pisitoem)
.
lamboid Suture
8211K -
foeanyact .
Basi sphenoid
Tri radiate cartilage appear @ Byes
-
suture
-
Base skull @
•
of fusion 15ps
STERNUM
}
iliac crest
pubic symphysis fuses @ 22 yrs .
appearance ischia
fusion tuberosity
÷÷÷÷÷÷÷
:
mntnIU2oyrstfl5-fars-fiampi oioi-u.rs
7-
process
↳ 34
✓
;÷÷¥÷i %
"
go
in
meeuod
esñI¥Fen
used for
sea
.
stature
(
Height)
bones
can be estimated
from length of long
bones
from fragmentary
-
↳
by Karl Pearson .
"
Femur ✗ 36 =
Stature
Tibia or fibula ✗ 4- 4 =
Stature
Humerus ✗ 53 =
Stature
Ulna ✗ 6- 0 =
stature
Radius ✗ 6- 5 =
stature
Dactolygraphy
Fingerprint
Pressure is enacted
convergence of ridges
= Cole __ on
by amniotic
fluid Dermatoglyphics
Galton itself
-
Della - convergence
Discovered
by William Herseheue of ridges from
-
diuetodiff factors
fe⑤
3 sides
.
i.
Systemisedby :
Galton
fingerprint diff .
Plain
/
← ath
months -10L Medicolegal
Epidermal ridges develop 'm
fingerprints : Anatomical
Types Classification ↳
Rolled cmoeemjaiwiegauy
infringers of fetus →
" did lendtoend) significant ,
in most 1001> ↳ loose -11 della
Khasan
fingerprint development people ridges)
-
•
Ulnae
also starts .
What 2 della
•
continue ustiuomonths
② ②
①
.
ahh C
?
Aches absent core ☐
↳
Textured and della
Quetlet 's rule of Biological variations . ☐
☐ ☐
*
fingerprint different in
Yeast .
Composite mixed
identical twins .
chemicals
UAUIO
Fingerprints
nfacial
Plastic →
present over soft pliable
Ideal and minimum
nog matching points
-_ 10-12 Photograph
noirs scans
surfaces leg :wan butteeele) least accurate results little
finger
-
-
Diseases that
Effect Fingerprint Poroscopy study of
: micro size sweat
lbylocasd 's)
sackieisyieus
lip Prints Cheiwscopy
#°× side
effects of capecilabine
Handle foot syndrome
palatopeints Prints from Palate are
(cancel )
drug (
Rugoscopy) ↳ prints
usually
ant "3rd
from of
palate .
Superimposition
Anti mortem Recovered
FF
-
photo skull
matching
21
matching points .
reliable
foe positive identification result
•
non
two
people
Reliable in -0 ve
matching for exclusion of
•
identity
Tattoo
can be made visible on decomposed body by :
UV
light
-
Infrared photography
magnifying lens
-
.
Br
Thanatology
Study ofdeathinauits aspects
-
Somatic Death :
Stopping of vital organ 1- 2h0m
>
Molecular
f.
This phase is called
Supeavilal Phase .
(
difffoediff organs
Ghouls
supsauilalphaseofcoenea → and tissues )
gateways of Death)
Bishop's Tripod Brain coma
Bichat 's Triad
__
Heart
syncope lungs Asphyxia
-_
-_
•
Somatic Death Types Of Death
•
Molecular Death
Brainstem Death
Sudden death Death within 24ms
irreversible
stoppage of brainstem
onset of
•
:
of death .
symptoms /
Harvard
→
Independent Registered Medical Personnel
→ Anemic
Hypoxia -410
poisoning
→
stagnant Hypoxia Heart failure condition Oxygen -
Dissociation curve
(
"^^
"""
"""" ""
" " "" "
→
" $ / CADET)
Causes
causes
of Right shift
of left shift ②
-
← c- 1^9102
Hypoxia
→
Anoxic Asphyxia Anemic
Hypoxia
•
A- Acidosis, Anemia
High altitude pp co -
µ,
D- 1^2,3 diphosphoglycuate
1×1×02 Hb
④
-
→ C- -
Exercise
tionygen carrying T -
Artemis
capacity of blood
- -
Autopsy
-
Types of Autopsies
Medico legal Autopsy : Natural
Autopsy Obscure
Autopsy
use
of imaging techniques for autopsy when minimal
findings were
Procedure I without opening of dead body) present during autopsy
.
Negative Autopsy
µ conducted by Investigating office
• :
No
findings on
postmortem
-
Relatives
findings in histopathology
-
no
Purpose :p
•
now manner
of death no
findings in visual organs
-
causeofdealhlcots)
[
eg death by vagal shock
:
I
1- acromion process
1 > SS notch
fetal deaths
I . .. .
..
www.um.iuaiunotwssed
&
1:
goes
it
around umbilicus
makes se suturing
easy)
one
by one .
1st to open =
head
Lais bubbles in circle citron 's C- n block Technique →
organs removed cavity wise
of
Willis ) Thoracic
Underwater Abdominal
autopsy .
Pelvic
Postmortem
gases
+
Pyrogallol =
no
↳ used in longans not faked out)
124 -
48 hours)
EYE by oplhalmoswpej
Early PM lhanges
within few minutes →
Break in blood column
in Retinal vessels
ALGAR MORTIS =
Cooling of dead
body
( seen till u 30 mins) ( Kla Kevorkian sign)
Rate of cooling
0.5C
/ Hg to 1- 5°C / Hg
2
within 3-4 hours :
yellow ☐ areas on sclera ( summer ) ( winter)
TT ☐ Starts in 1-2 hours
at
.
occurs when
eyes open ideal / most common site Interior surface
somatic death → Rectum >
temp in of liver
-
red
Rectal
prolapse
-
↳
black ( due to dust )
Sodomy
-
( 1st
2 hours : corneal
clouding external
sign of POST MORTEM CALORI CITY
autolysis ( Dead TT death )
Ghouls :
corneal
opacity Body Temp after
in death
4 Kt in vitreous Humor
occurs
by :
days
: rise
of
196-100 his
4
-
septicaemia
amour
of Ke can
help -
Strychnine poisoning
determine time death
since n
Heatstroke (occurs at body temp > 454105°F
Pontine
fall of itntsa ocular
hemorrhage
-
pressure
.
lnoemal to 21
mmHg
-
-
-
↳ 0 at 2 hours
of
death ) MARBLING
Greenish discolouration
of superficial veins
-
starts @ 2h hours
-
due to
sulph Hb
pigment
-
-
Tachie Noise
RIGOR MORTIS → contraction of muscles LIVOR MORTIS
P.M staining Vibices
after death PM
Hypostasis
' -
'
① zgÉÑ
Death
Pm lividity
Suggiuations spots
ÉÑÑ
- • '
. '
with
death & Coagulation gyu
surface
death 1,1-2 hours Darkening of §
-
£0 of
stinging
blood
}
"
85-1 ATP trigon starts @ hour
.
Mortis §
.
Rm 2-
starts ) ( conltactile
gravitational shifting blood dependant
•
of on
Colour
| ( nus hours)
Of Pm Staining Hanging
,
acidity
B. Purple Normal Theory R Reddish __
.
=C0 B. = Nitrate
R=HCN
B. Violet Dark Asphyxia Bright B
Phosphorus
- =
Blue =
Aniline
y,
Opioid
•
Black →
t .
Defalcation
1st 12 hours →
Progressive Phase
next 12 hours → max.am
36 hours → resolution starts
contraction
48 hours →
R 'M
passed off at somatic death
of muscle
.
( due to
vigorous struggle
leading to loss
of ATP )
Nysten 's Rule Rest of the muscle :
Ifor
only) flaccid
•
muscles
voluntary
.
Progression
•
and Resolution occurs in same Kla
Rigor Mortis cadaveric spasm
detection
cataleptic rigidity
Instantaneous RM
1st muscle to show Heart
rigor mortis
•
→
•
1st external / voluntary muscle →
Eyelids
Last to show Toes &
Fingers
→
part rigor mortis
•
late PM Changes Gas
caused
Gangrene
by :
DECOMPOSITION clostridium
novyi
← \ Clostridium
Perfringens
Clostridium Septiceem
Aseptic Septic
Autolysis Putrefaction
•
lysosomal hydrolases
-
Clostridium
perfringens .
④ Nagler 's t,
PUTREFACTION Reaction ← lecithinase
/
' 0h0m
change
1st internal Reddish brown discolouration
sign
in
{
( v12 hours ) ↳ Gaseous ADIPOCERE
change
Putrefactive gases in GIT
Ht → injury margins
-
Hot rats
Humid
Hydrogenation
→
+
of
•
1st external
" " " """
sign →
Greenish discolouration
of formation
of fatty acids remain intact .
C- 18 hours )
Right iliac fossa £
Ammonia odour lveey pungent)
Discolouration : Green → Black -
☐inhibits putrefaction
Ruesence of to Joint cavity
} YIIY.no?g,sweuin9
gases →
@ 72 hours →
Adipocere & Mummification ( at extreme climate )
↳ scalp hair loose & pullable
get
5- 7-
days →
liquefaction of tissues .
doors
first Head
cavity to
open in
poisoning → .
Hydrate Phosphorous
OPC
Acetone
apple like →
ethyl and chloroform Celphos
alcohol
Burnt rope →
cannabis Rotten fish →
Phosphines
( Aluminium phosphide
carrot like odour → cicutonin zinc phosphate)
( from plant cicala )
Rotten Has
Egg
→
shoe polish →
Nitrobenzene
Injuries
sharp
eg
weapon
knife
Injuries Types Based
Of Injuries
type of
:
on
weapon .
wound
•
tissue connections btw
length of wound
no
depth of wound area where only superficial skin
☐
> •
.
•
① tissue connections
blwedges Sharpe Blunt
Tw
clean cut
margins
☐
m
[ Chop Wound Swallowtails
>
shasptredge Heavy Weapon With Sharpe Edge multiple small lacerations attached
to main lacerated wound
clean cut
.
margins
cangieai
.
spindle shaped
fishtailing of
duffel extensive damage
•
fishtailing
•
wound wound .
b1w2
large gap edges
•
.
Gauge wound
gaping )
Abrasions Blunt Injuries
Damage of Epidermis only Bruises Contusions
lacerations .
Reddish 12hr
with intact epidllmls ,
deep
.
tissue
Reddish scab Colour
12-24 hrs .
Age
Red onytib irregular margins
•
Deonytlb
Scab 6
split laceration wound .
Blue Black
incised
looking lacerated wound
Abrasions 1 week
-
healing .
.ae/B1ackeyetosseHachuelRauoneye
Anteioeaam
Pandaeye ) Degloving injury
imprints .
losatuesign)
eg Headlight
: Rim abrasions
Panda
Signor MRI -
Wilson disease
lactated
Radiator
grill abrasions -
gallium scan - sarcoidosis looking
Run over injuries
by tyres . Brownish Black occur at areas with skin folds
sixpenny
.
Bruises
due to sustained
pressure for long dilation 1 Battered Baby Syndrome ] history by parents
eg
:
ligature mark on neck in
hanging cases Caffey 's
syndrome doesnt match with
Teeth bite makes Infantile whiplash synd .
injuries
Shaken Baby Syndrome )
Patterned Abrasions small sized bruises # miceauseof
Impact -1 Pressure Abrasions aim & shoulder in battered death :
child .
Subdural
multiple injuries of .
age .
injury
victim
=
Due to fall of
on ground
"
tertiary impact injury
secondary injury
Bomb -
Blast Injuries
Primary →
due to Shockwave oe
Barotrauma
✓
most . common
injury : -
Tympanic membrane
most common cause of death : -
lung injury
secondary →
Due to
trying objects 4- lying
t, missiles
YY
.ws?lgmIfadhau
most
dangerous 's windshield glass injuries ladder Tears
µ 1 sparrow foot injury Transverse teals
of intima
layer of
can lead to
Dicing injury) descending thoracic aorta in
hackathons ↳
fatal injuries .
due to broken
glass particles .
Position
of victim
Tertiary due to collisions or
:
-
injury /
Right side Driver
steering wheel impact injuries
} nightside
: -
↳ Shoulder abrasions
on chest
asphyxia
whiplash injury
Bruising of spinal cord , intact vertebrae
n
Buen injuries •
Hyperextension of neck D)
hypertension
u
smoke inhalation
dangerous ↳
protected by
strong post .
neck muscles .
fracture
Skull injuries
most common skull
linear fissured facture
casually associated
with road accidents
aibiform
( Ping
Pong reactive
↳ seen in
infants due to
soft Type I → division of skull
(aka motorcyclist base into equal
pliable skull bones
fracture halves
Gutta fracture
type 2- Oblique reactive
due to
tangential gunshot
type 3- unequal halves .
Base of Skull
Diastatic fracture
( sutural reactive)
-
u
abrasion + bruise + laceration
-
nka Cranial Hemorrhage
Ekta dural
Hemorrhage Subarachnoid H .
( Epidural) -
most common cause : trauma >>
Rupture of
mk cause → middle
meningeal Altay Berry aneurysm
rupture worst headache
of life
•
u
100Mt → fatal ( Thunderclap headache)
ldlt defective
-
limited by skull sutures .
embrolygical development of
medial smooth muscle
( idli layer
non contrast CT → biconvex
Shaped )
Intracerebral Hemorrhage
Subdural Cintra
Hemorrhage parenchymal
veins
Rupture of bridging
subdural mk cause
Hypertension
- -
u associated with
chronicity Mlc site -
putamen of basal
ganglia
( patient can survive )
pom
common in acute
boning injury mic art middle cerebral art
- - -
Caffey's syndrome
Charcot Bouchard
Hypertension →
sickle aneurysm
CT →
shaped .
SDH washout
On
washing Brain →
SH remain
Bite mark
analysis
take with
multiple photographs
-
1- shaped scale
t.
- dry
swab
Swabs
localised
systemic
Hot due to loss of inflame Buenos
clamps
-
__
↳
Prolonged heat exposure or
lightening Burns
(40-52)
f.
Hypothalamus
stops functioning
di
sweating absent .
Burn
•
by hot
fluid
> 65°C
or
steam .
Singeing of Hair ⑦ -0 -0
Buening )
(
•
Line of Redness ④ ⑦ ①
above below .
contact .
lsoddened
margins cwet ) )
Flame Burns cause of Death
Immediate Shock
Neurogenic
:
Pale
reddish
margins yellow colour
' •
inµIµdlY
.
in airways
yicy.my/15yr=slund&BrowduchaU-
CIB ) Chart
Head
03£ injury Cushing ulcers
-713 sreont 3- S-Band →
"÷÷÷÷÷:
-
zs
I most site duodenum
part Iof
:
common
classification :
Wilsons's
Dupuytsen 's
Untreated Burn Lesions
i.
lacctodegeess)
) Epidermal
mm
a .
.
convert into
2. →
blisters
J
Domo -
epidermal can
malignant majiolin 's
W(zs)gW carcinoma )
3° -
man pain burns ( squamous cell
cdltenposednuves)
¥} ( ,g→9f ④
pain
}
no
g.
y J
W
Heba 's ( clinical
→ superficial lrsont) ( Back)
classification) ↳
Deep .
Go calculate burns)
fatality of
✓
Baux -_
Age of + Bulnttaeea -1
inhalation
score
patient injury / 17 't )
140 is fatal
If score > Burn case .
When
Body Tempt ,
induces
Hypothalamus shivering
.
at < 303
•
Heatstroke
-11405°C
Hypothalamus
↳ no
swearing .
hypothermia
# ( Body
tempt 35C)
I s
*
shivering becomes absent in * no
shivering
this
phase
Ecg→ Osborn'T
'
wave .
Cold Injuries
With Ice Crystals in Blood vessels without ice
crystal formation
in Blood Vessels
fatal
-
rsemeegency .
water
*
gastric lavage self limiting
.
-
Gangrenous (Immersion
foot]
In elderly
•
Paradoxical Undressing
nceoinonecoeneeofaroom and
hide
himself
Hi
Death .
( Terminal
Hided Die
Syndrome Burrowing
Behaviour)
Electrical Injuries
low
voltage Electrocution 240 V.
High Voltage Electrocution 10k -12K volts .
in
Electric contact point ( Joule Buen )
↳ Point
of entry of current .
arc
of current
I ↳
doing nous .
induces e-
the victim
away lightening
i.
Burns ( million volts)
( person is notable to "
leave the wire ) flame in 30-1 .
cases
ti t,
kuauno
graphic burns
intact
u
muscles litchtenbug flower burns
Zen kens
degeneration of muscle n
due to
rupture of micro capillaries
t ,
fibers & current travels just beneath skein
myogeobinuria -
colour : brownish
pink colour
IBV
current doesn't travel
along
u
nerves
u Bones
in K2
self limiting days
u
melting of minerals
dipping )
EE
wax
n Heart
V -
cause
of death
in electrocution .
319 →
Defines hurt rum
→
Any bodily pain
disease
infirmity 2 not ,
able to
follow
20
for
days normal
bodily
functions
"
I. C-maculation destruction
of penetrative power of male
-
Direct
genital injury
Permanent Privation
2-
of sight of either eye
:
vision loss
of either
eye
-
}
322
defines voluntarily causing grevious hurt
Member / Joint
↳
g. any body part having own
function
↳
Punishment sections :
loss
of power of membrane /joint
man Punishment
Permanent
323 →
6-
disfiguration of head / face
Voluntarily causing that 1
year
-
2nd class
magistrate
-
cause :
incised / lacerated wound over face .
u
heal with scare
324 → Hurt 3 1st class
by dangerous weapon year magistrate
-
7. fracture / dislocation
of Bone or Tooth -
325
voluntarily causing Chief judicial
→
9-serious theist 7-
year
-
8-
Any hurt
-
d)
life
endangersHead
magistrate -
injury
326 →
Gnevious hurt caused 10 Assistant session
by dangerous year severe blood loss
-
.
-
court
weapon til
body pain
} days
severe
person follow
unable to ¥
for cutting /shooting/stabbing
heated substance
Dangerous weapon → • used •
poison • -
ordinary pursuits .
↳
Medical expenses of victim + economical loss due to loss of job
. +
physical &
mental trauma .
[
*
hands .
:{
punishment
¥
muumuu
→ Hien .
299 defines culpable homicide 300 defines murder 304 A - → Death due to
Accident
Traffic
Provocation -10 Planning -01 Negligence by doctor
⑦ -10
Intention
might be absent . Intention punishment :
Zyl fine
knowledge -10
+0
Knowledge
304 -
B
Dowry death .
Investigated under
176 GPC .
impotency starvation
decrease in
body organs
- all
In male
impotency
non
is passive
election
-
due to
food in 417 → CCK → contraction of
gall bladder .
particular female
fr lungs
→ heart
In females impotency is active due to A brain (last
organ to
get
atrophied )
vaginismus
.
of death
Brown
atrophy
→
MIC cause
heart
of
other causes : intercurrent illness
exhaustion .
live.3u.tn .
fetus showed
etat )eat↳
some
signs of
-
cry of fetus
-
Rigor Mortis
Pregnancy -2 months
- →
weight of fetus
.
↳
mummification -
specific gravity of lungs >1
Specific gravity of lungscl
specific gravity of * ""
uputbert
sign →
presence of gas in
liver
putin waxes floats → test not done
112h
after death great vessels ↳
sinks → test with lungs done .
volume )
a-3d) bones
Breslau's second life absent
Ball
present
sign hypumobilityofsign Test
✓ -
Blunt Hanna
At site trauma
of
middle
meningeal Artery
Postmortem fractures
ante mortem
fractures
( pale margins) ¥hHachue margins)
orensic Ballistics
1- Internal Ballistics .
2 → External Ballistics 3 → Terminal Ballistics 4→ wound Ballistics
us Kull
→
Entry wounds
Weapon (Barret )
→ →
Bullets .
>
catridges .
-
Internal Ballistics
Cartridge sholgut
Basics 1- Weapon Rifle
•
Rifle
Shotgun ( smoothbore)
µµpµ&B§
Bpg
•
\,
bullet tightly WAD
0000000 /
-
Breech ←
¥% Projectile muzzle
encloses
cardboard /plastic
%µ
end disc
It out
.
-
comes
is Mth cartridge case
cartridge £ \,
loaded lead bullet lead pellets in ¥-17094b
U
btw
in Rifle shotgun .
bullet & cartridge
case →
detonator
Detonator cap cap .
I
( Percussion cap)
Barrel .
RIFLE WAD
Prime → burns fast
purpose
:
→ raised areas
a
constituents :
µ of gases
Hands) containment
Bu Barium
produced by gunpowder
"
-
grooves
An antimony sulphide
burning
.
L
.
.
lead
styphnate
-
Detonator
cap provides
Distance btw two lands
opposite Gun Powder -
calibre
mechanical to
=
( int diameter
of barrel
of rifle )
Releases tremendous amount energy
projectile
.
of gaseous energy on
SHOTGUN burning
1.
of
§ fined amount
provides kinetic energy to ariations
of shotgun
lead metal
'
¥ )
the
projectile / bullet /pellet smoothbore
ugygm= 1 pound
v.
total bore
smooth
i .
y cylinder @
§
lead balls are § .
of
§
400000
!
prepared \
constriction
distant
"
end
'm
)
→
g§- 3
(muzzle
- ti .
→ a-
6
gauge shotgun lead balls
fitting the
s¥\
1
no
of
give length of shotgun
barrel
length
=
internal diameter of barrel
rifling ( lands &
& internal diameter
( Bae
gauges
.
•
grooves)
at muzzle
end .
Gunpowder Types :
rcternalallistics
Black Gunpowder :
Tange
Smoke
unburnt gunpowder particles
used in flames
shotgun cartridge
::::,#
.
made
up of
:
Pf→
c-
5 →
charcoal
Sulphur
list )
( lot )
.
.
Rifle
Flame
Tattooing Pellet
injury .
denoted as
Fg Ffg> FFG
longest range
-
www.yen.mg
>
leads
I
hairy parts of body
↳
of superficial most
go(
into
deeper layer
-
↳
fineness more
efficient singeing of hair
tattooing of Dermis)
.
.( epidermis)
layer
.
its resolidification)
semi -
1- ✗
a Near snot .
Smokeless tnvsmoke
Target in
close shot Intermediate / Neaeshotl Distant shot
Gunpowder .
contact with
medium
mainly used in
Rifle cartridge muzzle end singeing
+
range
none
of the
effects .
Igm
-
12000C
gas
inside
cartridge
( burning wound ) I
+
Blackening
blackening tattooing .
→
single Base __
nitro -
cellulose
tattooing)
→
Types of weapon singeing Blackening Tattooing
Double Base -
cellulose '_ nitroglycerine
Short barrel 15cm 30cm -15cm
length rifled
•
weapon -_
military rifle
•
NW
(stellate wound Contact > Over scalp
entry
star
shaped shaped
.
• .
{m)⑥) grease
firearm
material
as a
is used
lubricant .
in Intermediate .
°o° !!
round
grease
entry
collar / diet colour
9
/ bullet wipe
.
oooo
☐
abraded area
y,
due to
spinning motion
of bullet wound .
Distant
exit
lciyaoscopic property
÷
bullet )
of > 200cm °
'
t : :: ;
i.
o
lands &
caused by grooves °
o
o . -
.
.
'
'
, .
°
"
•
exception
o . .
. .
Entry Wound
.
exit wound
supported - o
o -
.
-
.
i
-
'
bigger
-
everted edges d
-
Piggyback -
known as
due to
defect in firing mechanism ;2 bullets released .
Bullet
fingertips
( fingerprint for defective
X-ray is done
before starting autopsy .to
Entry
bullets
& Exit same side locate bullet
.
on .
Materials preserved
Ricochet Bullet bullet
get deflected from
-
person
.
•
due accused Retrieval is done with
to
bony framework of firearm crime :
.
☐%fggg%
"
Gloved hands
-
externally i.
gunshot Residue
cotton
Rubble toothed
forceps
.
internally
"
→ head &
-
contents
_µm,gµ
:
chest areas
Unburnt £
,,
.gg
gunpowder particles Handed
Irregular shape entry
to
with
deformed
over
primer unburnt particles
bullet in Police
body
and outer case also
found nitrate ←
in
body Bullet ( aka
.
Bullet
-
heavy metal .
-
any
.
t
copper metal
• Use -2 sided cello
tape to do fwm back '
Crime Bullet
jacket
both hands
Souvenir ( Retained ) Bullet ¢ adhesive
lift of
ucneckedfos primary markings
s
Test
↳ Dum Dum Bullet •
swabs f, files
can lead to lead
poisoning
. .
€
Bullet ( Palaffintestol
Tumbling obsolete
→
now
2nd Best
path
.
wound
irregular entry SEM EDXA Best test
- - -
wound
keyhole entry
Puppets Rule
( Multiple Gunshots scope
.
to Head
Region ) ✓ ,%meno
I 1,
°
sequence of shots
fired
used
for
examination
of hymen
will be limited
upcoming fracture lines
wounds
by previous
i. → ! shot
i
- - - -
'
- -
-
first fired ✓
shot
④
second
fired .
f.
- - '
third
fired shot
-
i
,
,
,
,
✓
Kennedy Phenomena .
Right thigh
in -
#en%n
"
✓
"
entry Bullet
magic
pam "
Pristine Bullet
"
path
nerve
vagus M1 heart
gaga "
" of
siqfoirg.sn tongue lies at C2 level
/ essutew
receptor
"mdmo÷¥;!? (
M b
excess by
detected ¥É C3 level
int eat
!
. .
'
%
.
At
upper border of A 7
Thyroid
-
tmonacariiiage " •
-
.
carotid
- cricoid
cartilage
-
CG
At cricoid level
larynx & end
→
pharynx
V6 level)
y ¢ Thyroid Gland .
rings tube
i.
Mid
Tracheostomy
level
/
2nd & 3rd
lie here .
tracheal
rings
Fracture
of a→
Jefferson fracture
's
fracture
of C2,C3 →
Hangman 's fracture
fracture Cb G- →
Undertaker 's
fracture
-
fracture G- -71 →
Play shoulder 's fracture
.