Forensic Pathology of Adults Flashcards
frictional force applied to epidermis (scraping causes hemorrhage in exposed dermal vessels, brush burn, collar of abrasion in GSW, often indicates type of weapon)
abrasion
mechanical injury that produces focal hemorrhage (rupture of capillaries and venules, skin and internal organs, hematoma within tissue, macrophages engulf RBCs, blue to yellow to green b/c biliverdin)
contusion
irregular tear or disruption of skin or organ due to stretching, tissue bridges remain in wound, indicates direction of force, tearing may produce avulsion
laceration
wound produced by a sharpened weapon (knife, ice pick, razor), surface > depth, stab wounds depth > surface
incised wound
- ring of dirt on clothing (bullet wipe)
- round perforation with abrasion collar
- GSR: stippling, soot, gunpowder, CO
entrance GSW
- stellate shape without abrasion
- no GSR
- large cavitating wound in high velocity (rifles)
exit GSW
- mostly self inflicted
- impression of muzzle
contact GSW
mechanical force transmitted to tissue, with the degree of damage proportional to rate of transfer of force, surface area, area of body injured
blunt force trauma
epidermis only (sunburn or flash burn)
1st and 2nd degree burns
epidermis, dermis, skin grafting
third degree burns
tissue damage from hot liquids
scald
full thickness with charring
4th degree
ARDS, fluid loss, infection, contractures
complications of burns
causes cutaneous burn b/c of high resistance, punched out burn with black margins, high voltage may cause charring, disrupts cardiac conduction system if across heart
electrical burns
lightning produces _____ pattern
fern like