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Wounds Presented By DR Said Said Elshama

Learn about types, characteristics of wounds like abrasions, cuts, stab wounds, and more. Explore the healing process, examination methods, and complications to understand wound management thoroughly.

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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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