Case Report

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●Crimea Federal

University
(Forensic Department)

• Case Report of Autopsy

• Submitted to:
• Professor Ulyanov V.S.
• Submitted by:
• Nidhi Kumari Singh
• Batch: La1-203(2)

• Time of Examination:
• Date: [5 March 2024, Tuesday]
• Hour: 11:35 AM
• Arrived: 1st of march 2024

• Conditions for Examination:


• Normal and Ventilated

• Reason for Autopsy:


• Government Officials Authority

• Place of Examination:
• Morgue (Morchary)

• Expert Information:
• Name: [Ulyanov V.S.]
• Position: Professor
• Deceased Information:
• Name: [Unknown]
• Age: 82 (Year of Birth: [1942]

• Persons Present:
• [1 professor, 2 experts and 2 batch of students]

• Position (Pose) of the Corpse: Supine

• External examination
• Description of Clothes:
• Red T-shirt, Floral Scarf, Adult Diaper with Red Faecal Stain
• Condition: Worn, Stained, No Significant Damages

• Identification:
• Sex: Female
• Age: 82
• Length of the Body: [Approx 180cm]
• Constitution: [Russian]
• Degree of Fat: [Obese]

• Skin Examination:
• Common Color: Deathly Pale
• Elasticity: [Rigid]
• Dirtying: Red Fecal Stain,

• Palpation: [Slightly elastic]


• Temperature on Body Sites: Same as the room temperature

• Post-mortem Lividity:
• Location: On the back, Bluish-Violet Colour
• Prevalence: Poured
• Change at Pressing: No Change, Indicates Imbibition Stage

• Rigor Mortis:
• Presence: Little Expression in Upper Jaw, Neck, Lower Extremity

• Putrefactive Changes:
• Description: [Not Found]

• Hair Examination:
• Length: Grey, 11cm
• Colour: Grey

• Facial Examination:
• Puffiness: Right Oedematous Cheek
• Skin Color: [Pale yellow]

• Eye Examination:
• Closed
• Color: [Grey]
• Pupil: 0.4cm
• Haemorrhages: Blue-Violet Oedematous Changes around the eye of Diameter 7
cm L and 7 cm B

• Oral Examination:
• Partially Opened
• Tongue is inside mouth
• Teeth examination:
• Metallic teeth – lower jaw – right – 3,4,5 Yellow gold/metal, Left- 3,4 yellow
gold/metal.
• Upper jaw- right yellow metal – 3,5
• Cavities – clear

• Ear Examination:
• Auricles: Right Ear Swollen, No Discharge

• Neck Examination
• Oedematous and swollen

• Thorax Examination:
• Abdomen oval shape at same level of chest
• Cylindrical

• Mammary Glands Examination:


• Scar on left breast of 2cm also tropical changes below breast 8 cm L and 10 cm
B covered with whitish pink epidermis partially absent

• Abdominal Examination:
• Form: Oval, Palpable
• External Genitals Examination:
• Discharges: Tropical Changes with Hyperaemia (25cm Length, 21cm B)
• Anus Examination:
• Hemorrhoids: Bloody Discharge
• Condition of Integument: Tropic Changes, Livor Mortis Bluish-Violet Color
• Integrity of Bones at Palpation: Rigid and no sign of fracture
• Upper and Lower Extremities Examination:
• Lower extremity – Bandage white color with iodine solution both legs
• On cutting bandage-Bluish purple circular tropical changes
• Right side lower limb epidermis partially dislocated
• Right side limb changes – 27cm l and 18cm b
• Left side limb changes – 21cm l and 23 cm b
• Upper extremity:
• Right upper limb – circular bandage in wrist joint on removal tropic changes 3cm
l and 2cm B greenish color fibrin present and epidermis removed

Right forearm bluish purple color epidermis partially removed L – 32cm and B- 32 cm

• Back examination:
• Tropic changes present livor mortis bluish violet color on pressing with finger -
color didn't change indicates imbibition stage so death occur more than 24 hr,
• Right iliac area - external jugular area 4cm,2cm with removing of epidermis
covered with yellow substances
• INTERNAL EXAMINATION:
• Skull – After removal of brain
• Dura mater remove and no fracture and no damage of dura mater
• Some whitish area can be seen indicate cerebrovascular disease
• Stomach – 2cm and sign of gastritis
• 21 and a half cup fluid are filled in Abdomen
• Pancreas – 17 cm x 6cm
• Spleen – 11cm x 8 cm
• Liver – 26cm x 18cm x 9 cm
• Nutmeg liver changes
• After removal of Organo complex
• Artificial Cardio stimulator found i.e. pacemaker present
• Heart:
• Size - 15cm x 17cm x 8cm –620g indicate Bovine heart
• Left side heart – 11 cm
• 2cm left ventricle

• CONCLUSION - Acute heart insufficiency

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