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WOUNDS
In Forensic Pathology
By
Dr C A Okolo MBBS, FMCPath.
Asphyxia
Suffocation
Entrapment/Environmental suffocation
Smothering
Choking
Mechanical Asphyxia
Suffocating Gases
Strangulation
Ligature Strangulation
Manual Strangulation
Chemical Aspyxiants
Sexual Asphyxia (Autoerotic Asphyxia/Death)
Wounds
Blunt wounds
Abrasions
Dating of Abrasions
Contusions
Dating of Contusions
Post-mortem Bruising
The Eyes and Eyelids
Decomposed Bodies
Lacerations
Defense wounds due
to Blunt force
Determination of whether a wound is Ante- or Post-mortem
Fractures
Wounds caused
by pointed or sharps
Stab wounds
Incised stab wounds
Incise neck wounds
Chop wounds
Therapeutic or Diagnostic wounds
Asphyxial
Petechiae
In
Postmortem
Environmental
Strangulation:
This
Smothering:
Asphyxia
Chemical Asphyxiants
Crucifixion:
The
Wounds:
Blunt
Abrasions
Contusion
Lacerations
Fractures
Abrasion
This
There
Contusions or Bruises
This
Dating of Contusion
The
Lacerations
Fractures
Commonly
Stab Wounds
Stab
Appearance
PleuraPericardiumLiverSpleenKidneyThoracic
aortaAbd aortaFemoral artery
Minimum101591219316513Maximum48453639799
310225
Handle or Hilt
Back
Point
Ricasso
Spine
Grip
Guard
Edge
Stab
Identifying
the weapon
The doctor is often asked to give an opinion
as to the characteristics of the weapon used
in a killing, was it a knife, was it single or
double edged. What was the length of the
blade, the width, etc. One should be
extremely cautious in giving answer to such
questions
Incised
stab wounds:
An incised-stab wound is a stab wound that is
converted to an incised (slashing) wound.
The wounds starts out as a stab wound with
the knife plunged into the body. The knife
instead of being immediately withdrawn is
pulled toward the assailant, slicing through
the tissue, extending the length of the wound
in the skin such that the wound is now longer
than deep.
Incised
Neck Wounds
Most commonly homicidal but occasionally
accidental and rarely suicidal. The wounds
may be of varying depths and severity.
Death from incised wounds of the neck may
be due not only to exsanguinations but to
massive air embolism.
The length of time it takes to die following an
incised wound of the neck depends on
whether the venous or arterial systems are
severed and whether there is air embolism.
Physical
Wound
The question of whether an individual is
capable of physical activity i.e able to walk or
run away from the assailant after receiving a
fatal stab wound depends on the organs
injured, the extent of injury, the amount of
blood lost and the rapidity with which the
blood is lost. With profuse bleeding, physical
activity is limited or lost rapidly with slow
bleeding, the victim is capable of walking
away from the assailant.
Chop
Wounds
Chop wounds are produced by heavy
instruments with a cutting edge e.g axes,
machetes and meat cleavers. The
presence of an incised wound of the skin with
an underlying communited fracture or deep
groove in the bone indicates that one is
dealing with a chopping weapon.
Therapeutic
or Diagnostic Wounds
These are wounds produced by medical
personnel during the treatment of a patient.
Common examples are thoracotomy
incisions, surgical stab wounds of the chest
or abd for insertion of tubes and drains,
laparotomy incision, cut down of the wrists
etc. These must be sufficiently differentiated
from homicidal and suicidal wounds.