forensic Flashcards
most superficial injury/mildest
abrasion
injury usually restricted to epidermis
abrasion
blood vessel injury restricted to skin
bruise
blood vessel injury/ bleed in organ
contusion
cut/break in continuity of skin /skin splitting due to blunt object
laceration
cut/break in continuity of skin /skin splitting due to sharp object
incision/stab
gaping of skin seen in
incision/laceratin
diff b/w incision and laceration
regular margins inincisions
bruising around laceration
clean cut in incision/ tissue bridges in laceration
hair crushed in laceration
diff b/w/ incision and stab
max. dimension in incision is length/ max. dimension in incision is depth
what causes chopped wound
axe
direction in abrasion by
epithelial heaping up
direction in incision by
deepest in start=tailing
direction in laceration by
SWALLOW tail
direction in stab by
FISH tail
gravel burn aka
brush burn/ graze abrasion
rope on neck which abrasion
pressure abrasion/ imprint abrasion
bruising behind ear due to trauma where?
k/s?
middle cranial fossa(not in post auricular area)
Ectopic bruise / battle sign
six penny sign + injuries/ # of diff ages
Non accidental injury / child abuse
what can be seen in Non accidental injury/ child abuse(4)
1 six penny sign
2 multiple # of diff age
3 retinal hemorrhage
4 SDH
what type of intracranial hemorrhage in child abuse
SDH
Multiple # of diff ages seen in?(2)
1 OI
2 NAI
type of # specific to NAI
metaphyseal corner # / bucket handle
type of # specific to OI (osteogenesis imperfecta)
diaphyseal #
what shape is tram track bruise?
seen in?
2 linear lines
seen in lathi /stick injury
what can induce artificial bruise
semicarpus or bilvanol
diff between artificial and actual bruise
artificial bruise will have=
1 Vesicles
2 pruritis/itching
3 Absent color change/evolve
4 Absent vital
not vesicle not pruritic?
secondary syphillis
R R RB B B for
age of abrasion
raw
red
reddish brown
brown
black
negative zone in vital reaction is where?
area injured
positive zone in vital reaction is where?
area surrounding injury
shows enzymatic reaction
R VIBGYO for?
age on contusion /bruise
red
VI= blue
brown
green
yellow
original
original color after bruise when?
after 2 weeks
yellow color when after bruise?
due to ?
7 - 12 days
bilirubin
green color when after bruise?
due to?
5 - 6 days
toidin / biliverdin
brown color when after bruise?
due to?
4 days
siderin
blue color when after bruise?
due to ?
hrs - 3 days
deoxyhemoglobin
bruise due to which hemorrhage does not show color change
subconjunctival hemorrhage
(stays red then disappear)
diff b/w liver mortis and contusion(injury when alive)
liver mortis= dependent part
=well defined
= blanch
contusion= extravasation seen
=color change seen
diff b/w antemortem and postmortem clot
antemortem clot=firm/dark
=striae of zahn seen
= coralline platelet thrombus
post mortem clot= chicken fat clot
coralline platelet thrombus seen in
antemortem clot
striae of zahn seen in?
antemortem clot
chicken fat clot seen in
postmortem clot
seppuku aka
harakiri
mechanism of harakiri/ seppukku
fatal wound on stomach=bowels out= VASOVAGAL SHOCK
jigai
go for jugular( suicide by injury to internal jugular vein)
incised looking laceration seen in
blunt force on bony prominences( eg forehead)
laceration looking incised wound seen in
incision in area with lot of soft tissue/ without bone( eg axilla / scrotum)
defense cut seen in ?
fingers
hesitation cut?
suicidal/ multiple
arborization flower aka
filigree burns
Lichtenberg flower
filigree/arborization/ litchenberg seen in
lightning burn
crocodile burn in?
high voltage electrical injury
flash burn seen in
high voltage electrical injury
joule burn
low voltage burn
which is more dangerous AC or DC
AC more dangerous
most important factor for death in electrical injury
amperage
high voltage electrical burn are
crocodile burn
flash burn
what type of skin is barrier to electrical current
dry skin
mcc of death in electrical injury
arrhythmias
effect of electrical injury on muscles?
relation to surgery?
crushed muscle injury
rhabdomyolysis is complication in surgery due to use of electrical ligation devices etc
more fluid after surgery due to?
how much
rhabdomyolysis due to electrical injury
4ml/kg/% bsa
rigor mortis sets early or late in muscle injury
early
boxer’s attitude seen in?
aka?
what kind of attitude
burn
pugilistic attitude/ heat stiffening
flexion
pugilistic attitude after burn is due to
coagulation of proteins
coagulation of proteins at what temp
65 degree Celsius
what is heat rupture
splitting of skin due to heat
diff b/w laceration and heat rupture
laceration=bleeding
= nerve/ vessels damage
heat rupture=no bleeding
= nerves/ vessels intact
heat# v/s other #
mechanism
in heat burst due to ‘evaporation’ outward margins of #
inwards / depressed in other #
EDH with honeycomb appearance due to
heat hematoma
hematoma that is bilateral and diffuse
Heat hematoma
heat damage due to loss of electrolyte due to sweating
heat cramp
heat injury due to loss of electrolyte + fluid
heat exhaustion
Anterior Hypothalamus is acting normal in which heat injuries
Heat Cramp heat exhaustion
Anterior hypothalamus does not act normally in which heat injury
Heat stroke
Core temperature rises in which heat injury
Heat stroke
hallmark of heat stroke
Neurological dysfunction example confusion
core temperature rises to What degree in heat stroke
More than 45 degree
Triad of heat stroke
Core temperature more than 45 degree
heat stress
neurological dysfunction
In Which type of heat stroke sweating is absent
Classical heat stroke
In which type of heat stroke is sweating present
Exertional heat stroke
Ulcer for hyperthermia
Wishnewsky ulcer
Hide and die is seen in
Hypothermia
Paradoxical undressing is seen in
Hypothermia
Curling ulcers are seen in
Burns
Cushings ulcer due to
Head injury
Cameron ulcer due to
Sliding hernia- hiatal
Dry heat causes (3)
Charring
Singeing
Blackening
Scalding is due to
Moist heat
Moist heat at what temperature causes scalding
> 65 degree
Features seen in moist heat injury/ scald (3)
Blistering
Splashing
Line of redness
Line of redness seen in moist or dry heat
Moist heat
Difference between Chemical burn and moist burn
Chemical=ulcer / moist= Blistering
Chemical= distict discoloration/ moist=line of redness
Injuries in RTA
1 spine injury= whiplash=hyperflexion-hyperextension
2 steering wheel= patterne bruise
3 pelvic# = post• dislocation of hip(m/c)
4 braced leg# = PCL tear
= patella #
5 face injury= sparrow foot marks
Death attributed to accidental injury in how many days
30 days
Transverse aortic tear in RTA k/S
Lander rung tear
Primary blast injury due to
Blast wave
TLC in primary blast injury?
Tympanic membrane>
Lungs>
Colon
Secondary blast ( Marshall’s triad) injuries due to
Missiles of blast
MRSHALL’S Triad in
secondary blast injuries
(ACL)
Abrasion
Contusion
Laceration
Tertiary injuries due to blast are?
Head
C-Spine
Fractures
Most common skull #
Fissure/Linear
Diff b/w skull suture and skull #
Suture has
1 serrations
2 well corticated surface
Skull fracture
1 No serration
2 No cortical surface=clean cut
High chance of brain injury in which #
Signature/depressed #
Ping Pong# also k/s?
Seen in?
Pond#
Children
Skull # with multiple pieces
Comminuted#
Skull # around foramen magnum k/s
Ring #
Lucid interval is seen in which brain injury
EDH
Will and evidense in Lucifer interval is valine or not
Valid
Is person Criminally liable in Lucid interval
Yes
Calvin goddard
Father of ballistics
Proximal/internal ballistics is of gun or human
Of gun
Ballistics when bullet is in air
Intermediate / external ballistics
External ballistics is
Shot/bullet in air before reaching human
Intermediate ballistics is
Shot/bullet in air before reaching human
Terminal ballistics
Shot/bullet reached patient/ causing wound
Types of gun
Shot gun
Rifle
Which gun gives gyroscopic ability to bullet
Rifle
Gyroscopy of bullet caused by
Grooves and lands in rifle
Caliber or Bore diameter
Distance between lands
Choking is done in?
Shot gun
Choking is done for
Reducing dispersion
Reduction is dispersion is required to
To increase damage by pellets
12 gauge Rifle means?
1 pound/ 454 gm of lead makes 12 bullets in that Rifle bore
Primary markings in bullet fingerprinting gives information for
Class information
Manufacturer
Secondary marking of bullet gives information for
Indivisual gun
Primary or Secondary markings for bullet fingerprinting?
Secondary >primary
Derma nitrate test for
Gun shot residue
Test for gun shot residue
Dermalnitrate test
Best= sem-Edxa
Best test for gun shot residue
Scanning electron microscopy with energy dispersive x ray spectroscopy
Fun shot residue collected using
Parrafin wax
Iatrogenic manipularion of gun shot wound is known as
Kennedy phenomenon
Manually putting a bullet in a stab wound to make it seen like gun shot is known as
Rayalasima phenomenon
What does cartridge contain
Bullet gun Powder primer
Primer in cartridge is made up of
(BLAST)Barium nitrate
lead peroxide
lead styphnate
Antimony sulphide
tetracene
Which barium compound is present in primer of cartridge
Barium nitrate
Which Antimony compound is present in primer of cartridge
Antimony sulphide
Which lead compound is present in primer of cartridge
Lead peroxide and lead styphnate
Types of gunpowder
Black smokeless semi smokeless
Black gunpowder is made up of
(K C S)
KNo3
Charcoal
Sulphur
K C S present in which part of gun
Cartridge
black gunpowder
Types of smokeless gunpowder
Single Base
double base
triple base
Nitro Guanidine is present in which gunpowder
Only triple base
Composition of double base gunpowder
Nitrocellulose and nitroglycerin
Composition of triple based gunpowder
Nitrocellulose nitroglycerin and nitroguaidine
Composition of single base gunpowder
Only nitrocellulose
80% black gunpowder and 20% smokeless gunpowder is what
Semi smokeless gunpowder
What percentage of black gunpowder is present in semi smokeless gunpowder
80%
What percent of smokeless gunpowder is present in semi smokeless gunpowder
20%
Components that come out of gun on firing
Flame smoke unburnt powder bullet
Tattooing is caused by what in Gunshot
Unburned powder
Blackening is caused by what in gunshot
smoke
Singeing is caused by what in gunshot
Flame
Burning is caused by what in Gun shot
Flame
B B T are caused by what respectively
Burning by flame
Blackening By smoke
tattooing by unburnt powder
Unburnt powder deposits where to cause tattooing
dermis