Quid Refert, Dummodo non Desinas, Tardius Ire

PHYSICAL INJURY
LEG MED DR. TONY REBOSA

PHYSICAL INJURIES Single bladed –One is acute and one side is

obtuse.
-since your med student you cant excape handling Double bladed - if edge of wound is both acutely
patient, but most of the px you will be handling is live angled.
cases, trauma, violence, falling, stabbing, vehicular
accident. Victims of domestic violence, Child abuse, even HACKING WOUND
sexual abuse.
Taga
NATURE OF INJURY By samurai

Important to know classification so you know ABRASION

what to put on your medicolegal report
Gasgas
LACERATE WOUND Contact with rough surface or friction
Linear multilinear
contact with the blunt object or instrument. Don’t take it for granted. In legal med it is very
Either hit by baseball bat or lead pipe on head important.
that creates open wound and lacerated Maybe there is struggle between victim and
Ex. Fist blown to the face, bumper of car is blunt. suspect
vehicular accident is a lacerated wound Multiple abrasion on both knees – probably the
Tear or putok. Avulse victim trying to run away from assailant. Then
Heal by second intention nadapa. Then caught by assailant tapos nadapa.
Yung mga ganun.
PUNCTURED WOUND
For rape victim, if my gasgas baka lumaban if wala
cause by object with sharp point baka consensual.
by syringe, icepick, tip of knife, scissor CONTUSION
INCISED WOUND
Pasa/ bruise
incise, hiwa Contact with blunt with rupture of small blood
cause by scalpel, knife, blade vessel
sharp edged instrument Col0r progression is important . ex. ngkapasa ng
May be: impact cut or slice 1:50, ngulpi ng 12:00, punta ER maybe wala p, pro
Heal by first intention pg tinouch can be a little reddish and warm and
Clean wound by scalpel that’s it. Tomorrow na magkkulay talong
Purplish  buish brownish  greenish 
STABBED WOUND
yellowish  then disappear (period of 2 weeks)
Saksak, caused by sharp point followed by Color is impt like on doc’s case. Where father
sharped end. came said his daughter was raped a week ago,
and want to file case of rape. Doc saw purplish
that alarm him. when he talked to the victim, the

Kung pagod ka na sa pagaaral, 1 of 4

Pano pa kaya ang nagpapaaral sayo? CHESKA
 Quid Refert, Dummodo non Desinas, Tardius Ire

PUBERTY
GYNE COO

victim said that the father discovered that shes
pregnant then binugbog sya. So kung 1 week pa
yung sugat dapat greenish or brownish na. so
montik ng malagot ang boyfriend at makulong at
baka punished by death penalty (1990)
HEMATOMA
Bukol, blood cyst or tumor
By blunt ocject
Extravasation of blood to a newly form cavity
Contusion hematoma – bukol on head dahil
pinukpok sya. If shaved, Bluish then my bukol. On
zygomatic area(bony area) so contusion
hematoma.
4 SPECIAL TYPE OF WOUND
PATTERNED WOUND
just by looking on wound you would know what
causes it.
DEFENSE WOUND
if wound is defense wound, the case is homicide
and no murder.
Must be on posterior aspect not on anterior.
Hindi k daw si wonder woman ksiii.
SELF INFLICTED AND SUICIDAL WOUND
Self inflicted- you don’t want to kill your self, you
just want sympathy, attention hahahhaha 
common in girls
Suicide – common in boys, fatal, paglalake dw
magpapakamatay ,, totoo, pg babae pacute lang
nyahahhah 
Aggravated injury – konting sugat lalagyan ng dumi, pra
attending / working physician will give px more time to
rest.
MEDICOLEGAL CLASSIFICATION OF PHYSICAL INJURY
MUTILATION
Intentional removing or cutting of an organ
Cutting genital area (reproductive) is 1 degree
higher penalty
Tend is to cut not to kill.
PHYSICAL INJURIES (PI)
WBA – wound beat assault
No intend to kill
2 factors
o Lend of Time that medical attendant is
required
o Lend of time that victim will be
incapacitated to perform habitual work
<9 day – slight PI
10-29 – less serious PI
>30 days – serious PI
But if <30 days but cause inpotency, blindness,
loss of function for senses, permanent
deformities like scar on face  serious PI
Ex. babae ngkasugat s pwet, work is stripper 
serious PI !
o ksi tatanggalin sa trabaho yan dahil my
sugat s pwet. Alangan ssyaw k s bar my
sugat s pwet.
Ex. lalake sugat s pwet , trabaho dancer s bar 
less serious!
o Kasi hindi tatanggalin s trabaho, dahl para
dw babae pg mas madami peklat mas
macho. So di maapektuhan ang work
ADMINISTRATION OF INJURIOUS SUBSTANCES AND
BEVERAGES

This trans is all about BALLS  2 of 4

CHESKA
 Quid Refert, Dummodo non Desinas, Tardius Ire
GYNE
EX. docs wife discovered n may kabit sya.. so nagalit. Pro
mas nagalit nung nalaman n lalake ang kabet. So to
humiliate doc, nilagyan ng wife ng dulcolax and coffee.
Theres no intention to kill. Physical injury, my sugat p
pwet ko? Walaaa. So case is administration of injurious
subs and beverages.
HOMICIDE
1) reckless imprudence resulting to homicide.
Punishable by 4 yr and 2 mos.
Reckless imprudence means no intend to kill. Bec
if meron  either homicide or murder.
Pro dapat makulong ka ksi you are reckless and
careless. Walang doctor n gusting makasakit or
makapatay ng patient. But accidents do happen?
Tamaaa?
Vehicular accident – walang my gusting pumatay
pero accident ee.
30k ang bail. If my 10% n cash. Mga 3k laya k n.
hahahha
You can apply for probation so d k muna
mkkulong. Kahit 200 n tao npatay mo, 30k p din ts
3k lay aka.. d k mkkulong ksi unintentional.
Ex. bus driver nkasagasa. but instruction from
management eh balikan at make sure n patay bec
it cheaper to have a dead victim than a live victim.
Life insurance is 15k lng dw? Compared pg buhay
ang patient. Lahat ng gastos babayaran mo. . in
this case dpt dw murder not homicide. Cause
intentional.
HOMICIDE – talagang pinatay mo. 6-12 yrs
imprisonment
MURDER – life imprisonment
What would classify homicide to murder?
o Evident ????tion - pnagplanuhan.
 Ex ngllec doc, ts binato nya un 1
student sapatos, eh wala nmng
This trans is all about BALLS 
PUBERTY
COO
kasalanan yung binato nya ts
sinaktan p nya. D alam n doc my
baril pla. Bigla nlng piñatay
kunyare s doc.  homicide!
 Or nag walk out un student ts
hinitay sya s bahay nila, pra
hagisan sya Granada at patayin
sya.  murder .
GUNSHOT WOUND
Vey important.
Know and distinguish the entry and exit point.
Ex you determine that entry point is at the
anterior chest and exit point is at the back . it
means that im facing my assailant. I saw her. I had
a chance to defend my self  homicide
If anterio chest is point of exit and posterior is the
point of entry. the assailant is at the back. No
chance to defend against assailant  murder
Pakamatay k s harap ng chief executive(president)
s malacanang  khit homicide lng yan. Murder!
ksi bastos ka ee.. hahaha papakamatay s harap ng
pres at loob malacanang.eh sacred ground daw
un.
More ex:
Nagsuntukan, d alam n napatay ang isa 
homicide
Eh pinatay mo na tpos pinutol mo pa penis ts
nilagay mo s bibig nya.. hahaha;  adding insult
to injury,
Nagsuntukan kmi. D ko sinasadja nasipa ko balls
that result to cause a surgical removal of it. 
serious physical injury
Nagsuntukan uli, and want to kick his balls bec I
want it to be remove, then aun n nga ts dinala sya
s hosp tpos inalis balls.  mutilation ( ksi surgeon
ngtanggal ng balls
3 of 4
CHESKA
 Quid Refert, Dummodo non Desinas, Tardius Ire

PUBERTY
GYNE COO

Sipain ko ang testicle para d makahinga at

mamatay na.. then natanggalan testicles pro d
namatay.  frustrated homicide or murder.
(depend on the type of murder.)
Nglalakad ako my dala kong scissors. Accidentally
nadulas tapos ncut ung testicles with penis. 
reckless imprudence resulting to physical injury.

END

This trans is all about BALLS  4 of 4

CHESKA