MEDICO LEGAL ASPECTS OF DEATH Flashcards

1
Q

The TERMINATION OF LIFE or the complete cessation of all the vital functions (heart, brain, lungs) without possibility of resuscitation.

A

DEATH

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2
Q

It may also be defined as an IRREVERSIBLE LOSS of the PROPERTIES OF LIVING MATTER.

A

DEATH

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3
Q

Occurs when there is IRREVERSIBLE COMA, ABSENCE OF ELECTRICAL BRAIN ACTIVITY and complete cessation of all the vital functions without possibility of resuscitation.

A

BRAIN DEATH

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4
Q

Occurs when there is a continuous and persistent CESSATION OF HEART ACTION AND RESPIRATION.

A

CARDIO RESPIRATORY DEATH

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5
Q

Categories of Death:

A
  1. BRAIN DEATH
  2. CARDIO RESPIRATORY DEATH
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6
Q

Kinds of Death:

A
  1. SOMATIC DEATH/CLINICAL DEATH
  2. MOLECULAR/CELLULAR DEATH
  3. STATE OF SUSPENDED ANIMATION/APPARENT DEATH
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7
Q

— there is COMPLETE, persistent and continuous CESSATION of the VITAL FUNCTIONS OF THE BRAIN, heart and lungs that maintain life and death.

A

SOMATIC DEATH/CLINICAL DEATH

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8
Q

— DEATH OF INDIVIDUAL CELLS that occurs ABOUT 3-6 HOURS after cessation of life

A

MOLECULAR/CELLULAR DEATH

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9
Q

— it is not really death but merely a TRANSIENT LOSS OF CONSCIOUSNESS or temporary cessation of the vital functions of the body on account of disease, external stimulus or other forms of influence.

A

STATE OF SUSPENDED ANIMATION/APPARENT DEATH

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10
Q

— type of death wherein WITHDRAWAL AND SEPARATION from the patient by others producing a sense of ISOLATION and ABANDONMENT, unvisited and let alone to die.

A

SOCIOLOGICAL DEATH

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11
Q

— condition of death wherein the PATIENT REGRESSES OR SURRENDERS ACCEPTING DEATH PREMATURELY and refuses to continue living.

A

PSYCHIC DEATH

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12
Q

— type of death characterized by the ABSENCE OF COGNITIVE FUNCTION or awareness, although artificial support system may maintain organs functioning.

A

BIOLOGIC DEATH

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13
Q

— Type of death when ALL VITAL ORGANS CEASE TO FUNCTION.

A

PHYSIOLOGIC DEATH

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14
Q

SOMATIC OR CLINICAL TYPES OF DEATH:

A
  1. SOCIOLOGICAL DEATH
  2. PSYCHIC DEATH
  3. BIOLOGIC DEATH
  4. PHYSIOLOGIC DEATH
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15
Q

Examination of the Heart:

A
  1. PALPATION OF THE PULSE
  2. AUSCULTATION FOR HEART SOUNDS
  3. FLUOROSCOPE EXAMINATION
  4. ECG
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16
Q

Place mercury or water on a saucer, and put on the chest - no movement of the reflections

A

WINSLOW’S TEST

17
Q

The RISE OF TEMPERATURE after death due to rapid and early putrefactive changes; observed in the FIRST 2 HOURS AFTER DEATH

A

POST MORTEM CALORICITY

18
Q

Post Mortem Caloricity May occur in the following diseases:

A

1.CHOLERA
2.YELLOW FEVER
3.LIVER ABSCESS
4.PERITONITIS
5.CEREBROSPINAL FEVER (MENINGITIS)
6.RHEUMATIC FEVER
7.TETANUS
8.SMALLPOX
9.STRYCHNINE POISONING

19
Q

DROPPING of body temperature
(15-20 °F/-6 to -9 °C)

A

COOLING OF THE BODY/ALGOR MORTIS

20
Q

DISCOLORATION, loss of elasticity, etc.

A

CHANGES IN THE SKIN

21
Q

LOSS OF CORNEAL REFLEX, clouding of the cornea, flaccidity of the eye ball, etc.

A

CHANGES IN THE EYE

22
Q

in living, blister contains abundant serum, in dead, dry blister and NO REDNESS OF THE SKIN.

A

NON-REACTION OF THE SKIN TO HEAT

23
Q

Common Signs Of Death Cont’d:

A
  1. COOLING OF THE BODY/ALGOR MORTIS
  2. INSENSIBILITY OF BODY AND LOSS OF POWER TO MOVE
  3. CHANGES IN THE SKIN
  4. CHANGES IN THE EYE
  5. NON-REACTION OF THE SKIN TO HEAT
24
Q

Visible Changes In The Body After Death:

A
  1. CHANGES IN BODY TEMPERATURE
  2. CHANGES IN THE MUSCLES
  3. CHANGES IN THE BLOOD
  4. PUTREFACTION
25
Q

The PROGRESSIVE FALL OF THE BODY TEMPERATURE is one of the most prominent signs of death. After death, the metabolic process inside the body ceases.

A

ALGOR MORTIS OR COOLING OF THE BODY

26
Q

— The normal body temperature in a living person is ______________

— The fall of temperature of ____________ is considered as a certain sign of death

A

— 37°C or 98.3°F
— 15 to 20°F

27
Q

After death, there is COMPLETE RELAXATION of the WHOLE MUSCULAR SYSTEM. The entire muscular system is contractile for THREE TO SIX HOURS after death, and later rigidity sets in.

A

CHANGES IN THE MUSCLE

28
Q

It is the stage of muscular change upon death CHARACTERIZED THE RELAXATION OF MUSCLES and loss of their natural tone, so the jaw or head drops down, the thorax collapses and the LIMBS BECOMES FLACCID and the splinters relax.

A

STAGE OF PRIMARY FLACCIDITY

29
Q

It is the STIFFENING OF THE MUSCLE OF THE BODY after death due to CHEMICAL CHANGES within the muscle tissue itself.

A

STAGE OF POST-MORTEM RIGIDITY

30
Q

Conditions Simulating Rigor Mortis:

A
  1. HEAT STIFFENING
  2. COLD STIFFENING
  3. CADAVERIC SPASM OR INSTANTANEOUS RIGOR
31
Q

— If the dead BODY IS EXPOSED to temperature above 75 DEGREES it will coagulate the muscle proteins and cause the muscles to be rigid. The STIFFENING is MORE OR LESS PERMANENT and may not be easily affected by putrefaction.

A

HEAT STIFFENING

32
Q

— The stiffening of the body may be manifested when the BODY IS FROZEN, but exposure to warm conditions will make such stiffening disappear.
— It is due to SOLIDIFICATION OF FAT when the body is exposed to freezing temperature.

A

COLD STIFFENING

33
Q

— This is the INSTANTANEOUS RIGIDITY of the muscles which occurs at the moment of death due to EXTREME NERVOUS TENSION, exhaustion and injury to the nervous system or injury to the chest.
— It is principally due to the fact that the LAST VOLUNTARY CONTRACTION OF MUSCLE DURING LIFE DOES NOT STOP AFTER DEATH but is continuous with the act of cadaveric rigidity.

A

CADAVERIC SPASM OR INSTANTANEOUS RIGOR

34
Q

— A muscular change characterized by the SOFTNESS AND FLACCIDITY of the muscles in which no longer responses to electrical or mechanical stimuli due to dissolution of the muscle protein that have been previously coagulated during the stage of rigor mortis.
— This stage is ONSET OF PUTREFACTION

A

STAGE OF SECONDARY FLACCIDITY OR SECONDARY RELAXATION

35
Q

— ACCUMULATION OF BLOOD in the most dependent portions of the body.
— 12 hours after death, the post-mortem lividity is already fully developed, and APPEARS 3-6 HOURS AFTER DEATH.

A

POST MORTEM LIVIDITY

36
Q

Types of Post Mortem Lividity:

A
  1. HYPOSTATIC LIVIDITY
  2. DIFFUSION LIVIDITY
37
Q

The BLOOD MERELY GRAVITATES into the most dependent portions of the body but still inside the blood vessels and still fluid in form. This occurs during the EARLY STAGE OF ITS FORMATION.

A

HYPOSTATIC LIVIDITY

38
Q

This APPEARS during the LATER STAGE OF ITS FORMATION when the blood has coagulated inside the blood vessels or has DIFFUSED into the tissues of the body.

A

DIFFUSION LIVIDITY

39
Q

The Entire Muscular Tissue Passes Stages After Death, namely;

A
  1. STAGE OF PRIMARY FLACCIDITY
  2. STAGE OF POST MORTEM RIGIDITY
  3. STAGE OF SECONDARY FLACCIDITY