Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 18

Jabatan Perubatan Forensik

Hospital Gua Musang


Under Five Mortality Audit
28/2/2022
PM(50)HOGUM/WMZWN/2021
SPECIALIST: DR WAN MOHAMAD ZAMRI BIN WAN
NAWAWI
MEDICAL OFFICER: DR SALMAN
Audit Kematian Perinatal & Kanak-kanak Bawah 5 Tahun
28/2/2023
Daerah Gua Musang 2023
INTRODUCTION

Audit Kematian Perinatal & Kanak-kanak


Bawah 5 Tahun
Daerah Gua Musang
• Name : Rieswan bin Abdullah
• Age : 2years 7month old
• IC(M) : 200606030893
• D.O.B. : 06/06/2020
• Antenatal: born term, history of admission after
birth for transient tachypnea of the newborn
• Hospital admission - admit during 52days of life
for rsv/rhinovirus/enterovirus pneumonia,
admitted for 7days
CHRONOLOGICAL
EVENT

Audit Kematian Perinatal & Kanak-kanak


Bawah 5 Tahun
Daerah Gua Musang 2022
History
• The deceased from Pos Brooke
• Distance from home ~ 5-10minutes
• P/w
- Rapid breathing, cough, running nose, fever
and poor oral intake for past 5days, worsening
condition
- On day 3 of illness , parent seek traditional
treatment “bomoh”
DATE TIME EVENT
30/1/23 0200 Home (Kg Jedip, Pos Brooke)
0830 Brought to KK Pos Brooke and confirm death by MO KK

1300 Body was brought to Forensic HOGUM by police


1600 Postmortem was done

Audit Kematian Perinatal & Kanak-kanak Bawah 5 Tahun


Daerah Gua Musnag 2023
Pol. 61 Order from Police

Berkaitan GM RPT :
00709/23 sahkan sebab
kematian Rieswan mykid
200606030893, orang asli,
2tahun 7 bulan
POSTMORTEM
FINDINGS
CLOTHING REMOVED
1. Baby was wearing in T shirt cartoon and white and grey in colour
2. T90 track pant
3. Pair of sock
External examination
• Length: 90 cm
• Weight: 13kg
• Hygiene: good

Circumferences
• Head: 48cm
• Abdomen: 48cm
• Chest: 50cm
• Ear: No injuries
• Hair: black, short
• Eyes: pupil fixed dilated,
• Conjunctiva: pallor
• Nose: No injuries
• Mouth: Bluish lips

Audit Kematian Perinatal & Kanak-kanak Bawah 5 Tahun


28/02/2021 Daerah Gua Musnag 2021
• Sex: male, descended testis
• No physical deformity
• Lividity: back, lower extremities
• BCG scar present

Audit Kematian Perinatal & Kanak-kanak Bawah 5 Tahun


28/02/2021
Daerah Gua Musang 2021
External injuries

• No bruise/hematoma over body, extremities


and head
• No fracture over skull, ribs or long bones

Audit Kematian Perinatal & Kanak-kanak Bawah 5 Tahun


Daerah Gua Musang
Chest X Ray

2/20/2019
INVESTIGATIONS

Audit Kematian Perinatal & Kanak-kanak


Bawah 5 Tahun
Daerah Gua Musang
Cause of Death
case discussed with
Dr Wan Zamri (specialist forensic
HRPZ)

Pneumonia

Audit Kematian Perinatal & Kanak-kanak


Bawah 5 Tahun 1
Daerah Gua Musang
THANK YOU

You might also like