Forensic Pathology Flashcards

1
Q

What time period after death offers the best opportunity for timing death?

A

First 18 hours

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2
Q

(In the first 12 hours) what is the main method used for timing death?

A

Measurement of body temperature (usually rectal)

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3
Q

State four factors affecting rate of cooling

A

Body temperature at the time of death (eg elevated in infection)
Clothing
Adipose tissue
Environmental temperature

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4
Q

What is the best possible accuracy of time of death?

A

+/- 2.5 hours (5 hour window)

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5
Q

As a general rule of thumb how much heat is lost per hour post mortem?

A

1°C

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6
Q

What is rigor mortis and why does it occur?

A

Stiffening and shortening of muscle fibres
All ATP used up so myosin heads cannot detach from actin
(All muscles are affected)

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7
Q

When does rigor mortis become apparent?

A

5-7 hours after death

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8
Q

When does rigor mortis become fully established?

A

8-12 hours after death

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9
Q

When does rigor mortis become absent and why?

A

Around 36 hours post mortem due to decomposition

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10
Q

What is putrefaction caused by?

A

The action of bacteria

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11
Q

What variables should be considered when discussing putrefaction?

A

Ambient temperature

Cleanliness of the environment

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12
Q

Describe the progress of putrefaction

A

TWO to THREE days: green discolouration of abdominal skin
ONE week: blister formation, tissue swelling, gas formation in body cavities and vascular marbling due to putrefaction in superficial veins.

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13
Q

What is mummification?

A

‘Dry’ decomposition with a relative lack of bacterial involvement

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14
Q

Which age group are particularly prone to mummification?

A

Infants

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15
Q

Which is an adipocere?

A

A soap like material produced by the decomposition of fatty tissue in wet environments

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16
Q

What is livor mortis?

A

Pooling of stagnant blood under the influence of gravity

17
Q

What is post mortem hypostasis?

A

Pooling of stagnant blood under the influence of gravity

18
Q

When is livor mortis fully established?

A

6-12 hours after death

19
Q

What is pressure pallor?

A

Pallor due to compression of blood vessels where pressure has been applied (eg Body face up would typically have pallor on upper back and buttocks)

20
Q

Discuss colour variations in post mortem hypostasis

A

Normally pink/purple
Cherry red in CO poisoning
Red/brown: methaemoglobin