L8: Violent Asphyxia Flashcards
Def of Asphyxia
- Any condition that interferes with the air flow in respiratory passage and exchange of gases in lungs, leading to hypoxia, hypercapnia and respiratory acidosis.
Causes of Asphyxia
- Pathological
- Poisonous
- Environmental
- Violent
Pathological causes of Asphyxia
- As diphtheria, edema of epiglottis and tumor in air passage.
Poisonous Causes of Asphyxia
Environmental causes of Asphyxia
- Breathing in vitiated atmosphere, As in high altitude, climbing, flying, inhalation of CO or pure helium.
Def of Violent asphyxia
- It means mechanical interference with respiratory function of body resulting in depriving the vital organs from 02 supply necessary for their survival
Examples of violent asphyxia
- Drowning.
- Strangulation.
- Suffocation.
- Hanging.
- Throttling.
- Sexual Asphyxia
Def of Sexual Asphyxia
- It means abnormal sexual behavior to feel pleasure through induction of hypoxia which may result in accidental asphyxia.
External post-mortem signs of asphyxia
- Swollen Face
- Prominent Eye
- Bluish Discoloration
- Bloody Froth
- Protruded Tongue
- Dark Blue Hypostasis
Swollen Face
External post-mortem signs of asphyxia
- The face is swollen, bluish and marked with peticheal hemorrhages.
Prominent Eye
External post-mortem signs of asphyxia
- The eye balls appear prominent, Due to retro-orbital oedema and congestion.
- Conjunctivae are injected and show sub conjunctival hemorrhage (Tardieu spots) and pupils are dilated.
Bluish Discoloration
External post-mortem signs of asphyxia
The lips, ears, finger nails show deep bluish discoloration.
Bloody Froth
External post-mortem signs of asphyxia
- From nose and mouth, due to increased transudation and rupture of fragile anoxaemic capillaries in the air passage.
Protruded Tongue
External post-mortem signs of asphyxia
- The tongue is protruded, swollen and sometimes bruised and bitten.
Dark Blue Hypostasis
External post-mortem signs of asphyxia
Postmortem lividity is well developed and is dark blue in colour.
Def of Drowning asphyxia
Asphyxia caused by submersion of mouth and nostrils under water
- leading to obstruction of the air passages by water.
- It is the commonest cause of mechanical asphyxia.
Time needed for death in Drowning Asphyxia
Death takes 2-5 minutes to occur due to complete obstruction of the air passages
Cause of Death in Drowning
External PM Picture of drowning
Probable Signs:
- External signs of asphyxia
- Postmortem cooling
- Postmortem rigidity
- Putrefaction
- Hypostasis
- Adipocere formation
- Appearance “Floatation” of the body
- Glove & stocking skin
- Goose skin “Cutis Anserina”
- Postmortem wound
- Washer Woman Hand
Sure Signs:
- Froth
- Cadaveric Spasm
PM cooling in drowning
Rapid takes ½ the time which taken in air.
PM rigidity in Drowning
Early disappear, Due to muscle exhaustion.
Putrefaction in Drowning
Delayed but start immediately after extraction of body from water.
Hypostasis in Drowning
- Presents in upper ½ of the body
- “Most dependent part of body” “Head, neck & shoulder”.
Adipocere formation in Drowning
starts to appear if prolonged submersion under water.
Appearence “Flotation” of the body in Drowning
Occurs after 5-8 days in summer, double this period in winter.
what does Flotation of the body depend on?
- Rate of putrefaction.
- Specific gravity of body: fatty bodies float earlier.
- Nature of the water: it occurs earlier in salty water than in fresh water.
Characters of Glove & Stocking skin in Drowning
Occurs after 2 weeks
Etiology of Glove & Stocking skin in Drowning
Due to separation of epidermis from dermis in hands & feet.
Characters of Goose skin:
“Cutis Anserina” in Drowning
Granular & puckered skin with erection of hair
Etiology of Goose skin:
“Cutis Anserina” in Drowning
Due to spasm in erector pillae muscle
PM wounds in Drowning
It may be found, due to fishes or propellers of ships.
Characters of Washer woman hands in Drowning
Wrinkled, bleached & sodden skin of the hand
“Like washer woman’s hand”
what are sure signs of Drowning?
- Froth
- Cadaveric spasm