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"Most misfortunes are the results of misused time." – Napoleon Hill. Forensic Pathology Post Mortem Examination. Dr. Venkatesh M. Shashidhar Associate Professor of Pathology. Fiji School of Medicine – Commitment to Excellence…. STRANGULATION. Homicidal, suicidal, or accidental.
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"Most misfortunes are the results of misused time." – Napoleon Hill
Forensic PathologyPost Mortem Examination Dr. Venkatesh M. Shashidhar Associate Professor of Pathology Fiji School of Medicine – Commitment to Excellence…
STRANGULATION • Homicidal, suicidal, or accidental. • PM Features: • Intensive heart congestion (enlarged heart; right side ventricle) • venous engorgement (enlarged veins above point of injury) • cyanosis (blue discoloration of lips and fingertips).
DROWNING • Rapid formation of mucus block - Bronchi. • "foam cone" covering the mouth and nostrils. • "dry drowning" - edema of Larynx - no fluid • Stages in drowning: • Surprise - Inhales water. • Holding breath - while struggling • Pink foam – exhalation of fluid. • Respiratory arrest - Pupils dilate. • Final struggle - 3-4 quick attempts to breath.
SMOTHERING • Obstruction of airway. If soft object e.g. pillow or blanket. No trauma. • Injury on the inner lips. • Cyanosis may or may not. • Petechial hemorrhage on the face, typically around the area of the eyes.
BULLET WOUNDS • Entry and exit wounds • Bullet is spinning as it hits the body the entry area is usually smaller than the exit wound. • Bullet may ricochet inside the tissue & travels a path which is not a straight line. • Powder burns - near range hits. • contusion ring (abrasion collar) around the bullet wound usually indicates the angle and close range.
star-shaped laceration Bullet Entry wound – contact range
BURN wounds • may be caused by heat, a chemical, or electricity. • Fire victims often are found in a "pugilistic" position with clenched fists, resembling the pose of a boxer. • Heat generally causes the protein in the body to contract. • Blood and lung samples are often taken for various reasons.
STAB WOUNDS • Slash wounds: cuts are as wide and they are long. look like superficial bullet wounds. Other types of slash wounds are called "hesitation marks" commonly found in suicide cases. • Incision wounds: lengths greater than their depth, greater amount of subsurface tissue is exposed in an almost oval fashion. • Puncture wound: Stab or shive wound. distinguishable by its clean-cut edges.
BLUNT trauma: • The blow produces a crushing effect • Resulting in contusions, abrasions, lacerations, fractures, or rupture of vital organs. • Red-blue contusions are always present, but this varies by the weight of the individual (obese people bruise easier than lean people).
"Shoot for the moon. Even if you miss it, you will land among the stars." - Les Brown