Abrasion Flashcards
What is abrasion
S.I on SL of epithelium or on mucous membrane
Caused by?
Hard blunt and rough object
In which way?
1.By fall
2.By blow
3 being dragged during vehicular accident
4.teeth bite
5.by ropes & strings
Objects example?
- Bamboo stick
- fist
- cricket ball
- rough surface
- cycle chain
Characteristics
- S.I involving discontinuity of ED or MM
2.due to friction of HBR object
Scratches by sharp object
3.S&S of A = S&S of Obj
Exp in scratches
- Site of A = Site of impact
- large A painful and bleed profusely
- they heal rapidly in 1-2 weeks
- No scar
Types
SGPP
- Scratches (L.A)
- Grazes (Sliding or scrapping A)
- Pressure A (Crushing A)
- Patterned A (Contact/impact/imprint A)
- Scratches
Scratching with a sharp tip
Ex- Pin; needle; thron
Initial part of I- raw surface
Terminal part heaping of epithelium
This helps know the direction of I
2.Grazes
Results when the body is dragged on the rough surface
Vehicular accident
A violent lateral graze due to rubbing of skin
Eg in dragging is known as brush burn.
3.Pressure A
From pressure of object on the body with no or little friction
Eg- Ligature marks in hanging / strangulation
Teeth bites and nail marks in rapes
- patterned A
Impacting object after contact with the body part injuries the epithelium and at the same time reproduce it’s print or pattern on the body
Eg- pattern of two parallel lines in stick blow
Cycle chain
Whip
Age of A
Heals periphery to central
By new growth of epithelial cells
Initially bright red
Than covered by scab composed of blood and lymph
Gross examination
Fresh bright red
12-24hr B&L dries up bright red scab forms
2-3 days scab begins reddish brown
4-7 days Dark brown scab epithelium grows under scab and covers the defect
7+ S dries shrinks and falls off gradually
D.D
Excoriation of skin around genitals caused by excreta in children napies rashes
Bed sores or pressure sores - history - elderly -back side -elbow -site of lesion point of contact
PM injuries caused by Ants(moist parts lips skin fold ) and marine animal projecting part eg nose ears penis scrotum
Difference in Am pm
- Bleeding
- position
- color
- inflammation
- vital rxn
- margins
- merges
- enzyme
- healing
MoL
Very common help us know
Nature Of I
Type of weapon /obj of assault
Age of injury hence time
Direction
I AM or PM
Whether injury is Suicidal; Homi or accidental
Considering the site,no,size and shape of injury
Usually accidental
Sometimes homi
Rarely suicidal
Around mouth and nose smothering
Around private parts nail marks sexual offences
Ligature marks hanging strangulation
Neck throttling
Forged
Cornea - Blindness