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Wounds Presented By DR Said Said Elshama

Wounds Presented By DR Said Said Elshama. ● Definition :- Application of violence on tissue of the body → interference of continuity of tissue → wound ●Types and shape of wounds depends on :- 1- Nature of the force Blunt Sharp 2- Amount of the force Mild Moderate

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Wounds Presented By DR Said Said Elshama

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  1. WoundsPresented ByDR Said Said Elshama

  2. ● Definition :- Application of violence on tissue of the body → interference of continuity of tissue → wound ●Types and shape of wounds depends on :- 1- Nature of the force Blunt Sharp 2- Amount of the force Mild Moderate Heavy

  3. Classification of wounds :- A – Legal Classification B – Medico legal Classification A – Legal → 1-Slight 2- Dangerous 3- Mortal

  4. B – Medico legal Classification :- 1-Abrasion 2- Contusion ( bruises ) 3- Cut ( incised ) 4- Contused ( lacerated ) 5- Stab 6- Firearm 7- Fabricated

  5. Abrasion :- 1-Defintion 2-Types 3-Age 4-Ante – Mortem 5-Post - Mortem

  6. Abrasions

  7. Contusions (Bruises):- 1-Defintion 2-Factors Affecting ( size , site , shape ) 3-Age 4-Ante – Mortem 5-Post - Mortem

  8. Bruises

  9. Cut (incised) Wounds :- Characters :- 1- Causative instrument 2- Edge 3- Length 4- Bridging of tissues 5- Hair 6- Bleeding 7- Sepsis

  10. Cut Wound

  11. Cut Wound

  12. Contused(lacerated) Wounds :- Characters :- 1- Causative instrument 2- Edge 3- Bridging of tissues 4- Hair 5- Bleeding 6- Sepsis

  13. Lacerated wound (contused)

  14. Stab Wounds :- Characters :- 1- Causative instrument 2- Edge 3- Depth 4- Angle 5- Types → 1- Penetrated 2- Non Penetrated

  15. Stab wound

  16. Firearm wounds :- Characters:- 1- Loss of substance 2- Presence of two wounds ( inlet and exit ) 3- Powder marks 4- Beveling

  17. Firearm wound

  18. Entry and exit points of firearm wound

  19. Self inflicted Wounds :- 1- Cut wrist 2- Cut throat 3- Firearm 3- Fabricated

  20. Self inflicted woundsFabricated Cut throat Cut wrist

  21. Age of Wounds:- After 24 hr → red and swollen After 48 hr → new vessels grow After 5 days → obliterated vessels After 10 days → healing by primary intention After 3 weeks → red scar After 3 months → coppery scar After 6 months → pale scar is undetectable

  22. Examination of wound • Nature of wound (suicidal, homicidal, accidental ) • Site of wound (neck, wrist, heart, temple, back) • Direction of wound (oblique, transverse, downwards, backwards, inwards) • Number of wounds (multiple or single) • Hesitation mark ( suicide)

  23. Hesitation marks

  24. Complications of wounds :- 1- Traumatic shock :- A- Primary B- Secondary 2- Hemorrhage 3- Embolism:- ( venous , arterial ) A - Air B - Fat 4- Infection 5- Surgical interference

  25. Thank you

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