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DESCRIPTIONWounds “jars” . By Dr / Marwa Magdy Demonstrator of forensic medicine & toxicology. Objectives:. How to comment on jars? Description of different types of wounds. Examples : spleen, heart, liver, kidney,…. How to comment?. Specimen: jar Presenting part: spleen, liver, heart, …. - PowerPoint PPT Presentation
Dr / Marwa MagdyDemonstrator of forensic medicine & toxicologyObjectives:How to comment on jars?
Description of different types of wounds.
Examples : spleen, heart, liver, kidney,How to comment?Specimen: jarPresenting part: spleen, liver, heart, .Diagnosis: lacerated wound, stab wound, cut wound,4. Description of injury: Number SiteDetails of each type of wound( angles, edges, tissue bridging) How to comment cont.?5. Causative instrument: Blunt instrument ( Sharp instrument )
6. Complications & possible cause of death, e.g:Internal haemorrhageShockInjury to vital organsLoss of a functioning organDescription of different types of wounds Cut wound: Two acute anglesRegular edgesNo tissue bridgingCaused by a sharp instrument
2. Lacerated (contused) wound: Multiple anglesIrregular edgesTissue bridging Caused by a blunt instrument 3. Stab wound: Has two angles1 acute & 1 roundedsingle sharp bladed.2 acute anglesdouble sharp bladedRegular edges.It is deeper than longer.No tissue bridging.
Examples Lacerated spleen
Lacerated spleenSpecimen: jarPresenting part: spleenDiagnosis: lacerated spleenDescription of injury:Multiple contused wounds on the visceral & diaphragmatic surfaces with multiple angles, irregular edges and tissue bridging.There is capsular tear.There is a subcapsular haematoma.Causative instrument: blunt trauma.
Complications & possible cause of death:Massive internal haemorrhage.Shock.Surgical interference.Loss of a functioning organ.Stab wound in the spleen
Stab wound in the spleenSpecimen: jarPresenting part: spleenDiagnosis: stab wound Description of injury:Penetrating stab wounds in the spleenWounds are 2 in numberWounds have regular edges, one acute angle & the other rounded, gapping and no tissue bridging.
Causative instrument: single sharp bladed instrument
Complications & possible cause of death:Internal haemorrhageShockInjury to vital organsLoss of a functioning organStab heart
Stab heartSpecimen: jarPresenting part: heartDiagnosis: stab wound in the heartDescription of injury:Penetrating stab wound in the left ventricle with regular edges, 2 acute angles, gapping & no tissue bridging.The stab wound is deeper than longer.Causative instrument: double sharp bladed instrument.Complications & possible cause of death:Massive internal haemorrhageShockHaemopericardium & cardiac tamponadeInjury to other vital organs
Perforated uterusSpecimen: jarPresenting part: uterus & fallopian tubesDiagnosis: perforated uterusDescription of injury: The uterus shows 3 perforations, 2 in the fundus and 1 in the anterior wall.Causative instrument: pointed instrumentComplications & possible cause of death:Massive internal & external haemorrhageHaemorrhagic shockMedicolegal importance MLI: this case is a suit of malpractice.
Lacerated wound in lung
Lacerated wound in lungSpecimen: jarPresenting part: left lungDiagnosis: lacerated wound in the left lungDescription of injury:The wound has irregular edges, multiple angles, tissue bridging & surrounded by contusions.Causative instrument: blunt traumaComplications & possible cause of death:Internal haemorrhage,shock,pneumothorax or haemothorax.
Lacerated liverSpecimen: jarPresenting part: left lobe of the liverDiagnosis: lacerated liverDescription of injury:Avulsed left lobe of the liver showing multiple lacerated wounds with irregular edges, multiple angles, tissue bridging & surrounded by contusions. Causative instrument: blunt traumaComplications & possible cause of death:Internal haemorrhage, shock
Lacerated kidneySpecimen: jarPresenting part: left kidneyDiagnosis: lacerated kidneyDescription of injury:The kidney shows a laceration dividing it into two parts united at the hilum by a pedicle.It has multiple angles, irregular edges & tissue bridging.Causative instrument: blunt traumaComplications: internal haemorrhage, shock, loss of a functioning organ.
Ante mortem cut wound
Antemortem cut woundSpecimen: jarPresenting part: part of lateral aspect of soft tissue of leg.Diagnosis: antemortem cut woundDescription of injury: The wound has regular edges, acute angles, no tissue bridging.Swollen edges, gapping , blood infiltration.Causative instrument: sharp instrumentComplications: haemorrhage, sepsisPostmortem cut wound
Postmortem cut woundSpecimen: jarPresenting part: part of lateral aspect of soft tissue of leg.Diagnosis: postmortem cut wound
Description of injury: The wound has regular edges, acute angles,no tissue bridging.Less gapping, no swollen edges, no bleeding & no vital reaction.
Causative instrument: sharp instrument
Tentative marksSpecimen: jarPresenting part: skin of neckDiagnosis: tentative marks(hesitation marks) in a case of cut throat.Description: Multiple parallel superficial cut wounds.With regular edges, 2 acute angles, gapping & no tissue bridging.Complications: massive haemorrhage, shockMLI: tentative marks indicate suicidal manner of injury.Thank you..