Professional Documents
Culture Documents
FORENSIC MEDICINE
By
MELCON S. LAPINA,
MSCrim
Q1
The scope of forensic
medicine can be summed
in two words.
Absolute
and
complicated
Broad
and
encompassing
Definite
and
wideranging
Specific and delimiting
Q2
It is the inner framework
of the body. It gives form
and rigidity to the body,
and serves to protect
many vital organs.
Digestive system
Integumentary system
Muscular system
Skeletal system
Q3
An effect of injury that
takes place when the
stimulus
applied
is
insufficient
to
cause
injury
and
the
body
resistance is great.
Apparent
Real
Immediate
Delayed
Q4
Under the physics of
wound production, this
factor explains why an M16 will do more damage
than .38 caliber bullet.
Area of Transfer
Elasticity and plasticity
of tissue
Kinetic energy
Time
Q5
Sensation of heat or
increase in temperature.
Rubor
Calor
Dolor
Loss of function
Q6
Wound brought about by
blunt instrument could
be any of the following,
EXCEPT
Contusion
Hematoma
Laceration
Incision
Q7
Q8
Q9
Q1
Nature of Study
Knowledge in
Pathology
Surgery
Gynecology
Toxicology
Other
branches
medicine
of
Q2
It is the inner framework
of the body. It gives form
and rigidity to the body,
and serves to protect
many vital organs.
Digestive system
Integumentary system
Muscular system
Skeletal system
Systems of Human Body
Integumentary
System
- Outer covering of body
- Function:
protection,
regulation
of
temperature, sensation
& excretion
Skeletal System
- Inner framework of body
- Gives form & rigidity to
body
- Protects vital organs
Digestive System
- Changes food to soluble
form: absorbed by blood
& utilized by body
Respiratory System
Reproductive System:
Male & Female
- Ensures perpetuation of
species
harmoniously
efficiently
&
Q3
An effect of injury that
takes place when the
stimulus
applied
is
insufficient
to
cause
injury
and
the
body
resistance is great.
Apparent
Real
Immediate
Delayed
Concept of Physical
Injury
Causes of Physical
Injuries
Physical violence
Heat or cold
Electrical energy
Chemical energy
Radiation
by
radioactive substances
Change of atmospheric
pressure (barotrauma)
Infection
Q4
Under the physics of
wound production, this
factor explains why an M16 will do more damage
than .38 caliber bullet.
Area of Transfer
Elasticity and plasticity
of tissue
Kinetic energy
Time
Effect of Physical
Violence
Production of wound
Wound:
Solution
of
natural
continuity of any tissue
of living body
Disruption of anatomic
integrity of tissue of body
Interchangeably used w/
wound
NOTE: physical violence
not always resulting to
wound but wound always
result
of
physical
violence
Physics of Wound
Production
Wound = kinetic energy
X time X area X other
factors
Kinetic Energy = MV2/2
Kinetic Energy:
Explains why M-16 bullet
(speed: 3,200 ft/sec) will
do more damage than .38
caliber bullet (heavier
but has much slower
velocity)
Time:
Shorter time of transfer
of
energy,
greater
production of damage
Physics of Wound
Production
Area of transfer
Larger area of contact,
lesser damage to body
Instrument for stabbing
greater
than
blunt
instrument
Other factors
Less elastic & plastic
tissue, greater laceration
Movement of parts of
body resulting from force
applied & local stretching
of tissue cause internal
injuries
Q5
Sensation of heat or
increase in temperature.
Rubor
Calor
Dolor
Loss of function
Vital Reaction
Sum
total
of
all
reactions of tissue or
organ to trauma
Reaction
observable
macroscopically
&
microscopically
Reactions of living to
tissue to trauma:
Rubor:
redness
or
congestion of area due to
increase of blood supply
as part of reparative
mechanism
Vital Reaction
Reactions of living to
tissue to trauma:
Calor: sensation of heat
or
increase
in
temperature
Dolor: pain on account of
involvement of sensory
nerve
Loss of function: tissue
losing ability to function
normally
Vital Reaction
Importance:
differentiates
antemortem injury vs postmortem injury
Vital
reactions
not
observable:
Physical injuries inflicted
during agonal state
Sudden death, ex: sudden
coronary occlusion
Q6
Wound brought about by
blunt instrument could
be any of the following,
EXCEPT
Contusion
Hematoma
Laceration
Incision
Classification of Wounds
As to Severity
Mortal wound: capable of
causing death
Heart & big blood vessels
Brain & upper portion of
spinal cord
Lungs
Stomach, liver, spleen &
intestine
Classification of Wounds
Instrument Used
Blunt
instrument:
contusion,
hematoma,
lacerated wound
Sharp
instrument:
(1)
incised wound sharpedged instrument; (2)
punctured wound sharppointed instrument; (3)
stab wound: sharp-edged
&
sharp
pointed
instrument
Tearing force: lacerated
wound
Change of atmospheric
pressure: barotrauma
Classification of Wounds
Instrument Used
Heat/Cold:
burns or scald
frostbite,
Chemical
explosion:
gunshot/shrapnel wound
Infection
Classification of Wounds
Manner of Infliction
Hit:
bolo,
blunt
instrument, axe
Thrust/Stab:
bayonet
dagger
Gunpowder
explosion:
projectile/shrapnel
wound
Sliding/rubbing
or
abrasion
Classification of Wounds
Depth of Wound
Superficial:
only
layers of skin
no
exit: punctured, stab
& gunshot wounds
Perforating w/ exit
Classification of Wounds
Relation
of
Site
of
Application of Force &
Location of Injury
Coup Injury: injury @ site
of application of force
Contre-Coup
Injury:
injury opposite site of
application of force
Coup Contre-Coup Injury:
injury @ site & opposite
site of
force
application
of
Classification of Wounds
Relation
of
Site
of
Application of Force &
Location of Injury
Locus
Minoris
Resistencia: injury not @
site & opposite but areas
offering least resistance.
Ex: blow on forehead,
contusion @ eyeball
Extensive injury: injury
on greater area more
than site of application of
force.
Ex:
fall
from
height, run-over victim of
vehicular accident
Classification of Wounds
Special Types of Wounds
Defense wound: result
of instinct of selfprotection
Patterned wound: w/
nature & shape of
object/instrument
Self-inflicted
wound:
produced on oneself
but no intention to
end life
Classification of Wounds
Self-Inflicted
Wounds:
Motive
Pension/workmans
compensation
Escape
obligations/punishment
New
identity/destroy
existing one
Attention/sympathy
Psychotic behavior
Q7
Legal Classification
of Physical Injuries
Mutilation (Art. 262)
Elements
Penalty
Important Points to
Remembers
Serious Physical
Injuries (Art. 263)
Element & Penalty
Important Points to
Remember
Legal Classification
of Physical Injuries
Administering Injurious
Substances/Beverages
(Art. 264)
Elements
Penalty
Important
Remembers
Points
to
Points
to
Integumentary System
Animation
Skin: true integument
covering surface of body
Largest
organ
of
vertebrate body
15-16% of total body
weight of adult human
17.5 sq ft for ave.
woman; 20 sq ft for ave.
man
1-2 mm thick
Integumentary System
Layers
Epidermis (thinner;
30 cells thick)
Dermis (thicker)
Melanocytes
10-
Scattered
at
juncture
between deep layers of
epidermis & dermis
Cells
producing
dark
pigment melanin
Integumentary System
Melanin
Absorbs UV rays
Tanning:
increase
in
melanin production by
much exposure of UVR
Light vs Dark: Production
of melanin
Dermis
Contains:
Muscle fibers
Glands
Pigment cells
Blood vessels
Sensory nerves
15-40
times
thicker
than epidermis
Subcutaneous layer
Beneath dermis
fat-rich cells of adipose
tissue: acts as (1) shock
absorbers
&
(2)
insulation to conserve
body heat
Combination of both
2 Parts
Axial Skeleton
Appendicular
Axial Skeleton
Skull
Vertebral Column
Ribs
Sternum
Appendicular Skeleton
Upper
pectoral
appendages (arms)
&
girdle
(scapula:
shoulder
blade&
clavicle: collarbone)
Lower
pelvic
appendages (legs)
&
several
myofibrils:
myofilaments of 2 types,
thick & thin.
Thick
myofilament:
several
hundred
molecules of protein
myosin
Thin
myofilament:
2
strands of protein actin
Muscular System
Animation
Human body has 3 types
of muscles:
Skeletal muscles
Smooth muscles &
Cardiac muscles
Digestive System
Chain of organs:
Mouth
Oral cavity
Pharynx
Esophagus
Stomach
Small intestine
Large intestine
Anus
Digestive System
Animation
Circulatory System
Animation
After
process
of
digestion, digested food
delivered to all parts of
body by blood stream
Blood
picks
up
nutrients
@
small
intestine, & transports
to approx. 17 billion
cells; transports oxygen
to cells; collects waste
materials
for
elimination
Heart: pumping station
of blood system; cone,
muscular organ size of
fist; middle of chest
cavity;
lower
end
pointed to left
Circulatory System
Animation
Heart: 4 chambers
Atria (upper 2)
Ventricles (lower 2)
Heart Beat:
Systole:
alternate
contraction
Diastole: relaxation
Circulatory System
Blood
Vessels:
circulates thru body by
means of tubes that
varyin size & function
Arteries
Veins
Capillaries
Respiratory System
Breathing
mechanism
operates
throughout
lifetime:
taking
in
oxygen & giving off
carbon dioxide
Comparative absence &
survival
W/out food for 40 days:
survives
W/out water for 5 days:
survives
W/out oxygen for only a
few minutes: death
Respiratory System
Animation
Respiratory Tract:
Nostrils
Pharynx (throat)
Glottis
Larynx (voice box)
Trachea (windpipe)
Bronchi
lungs
Respiratory System
Animation
Skull
Framework of head
Most complex of all
parts of endoskeleton
Cartilaginous
during
embryonic stage
Includes:
Cranium (primary brain
case)
Skull
Skull Animation
Vertebral Column
Backbone
Main axial support of
vertebrates
Composition:
segmentally
arranged
cavity
&
uniting
ventrally w/ sternum
Forms thoracic cage
12 pairs of ribs 1st-7th
pairs: true ribs, directly
attached to sternum;
8th-10th pairs: false ribs,
ends unite w/ cartilages
of true ribs; 11th-12th
pairs: floating ribs, ends
terminate freely
Ribs
Sternum
Breatbone
Elongated
structure
lying in central portion
of chest
Involved in automatic
process w/out conscious
actions: disgestion &
blood pressure
Cardiac Muscles
3 Types of Muscles
Arteries
Veins
Capillaries
Heart: 4 Chambers
Heart Beat
Melanocytes
7 Cervical Vertebrae
12 Thoracic Vertebrae
5 Lumbar Vertebrae
Sacrum & Coccyx
Elasticity & Plasticity
Ability
of
tissue
to
return to its normal
size & shape after being
deformed by pressue
Agonal
pertaining to death or
extreme suffering.
SOURCE: agonal. (2012). Retrieved August 18, 2012, from The Free
Dictionary
by
Farlex:
http://medicaldictionary.thefreedictionary.com/agonal
Sudden Coronary
Occlusion
Coronary
refers
to
arteries carry blood
containing oxygen and
other
nutrients
essential to the normal
functioning of the heart
muscle.
Occlusion
blockage
refers
to
Contusion
Hematoma
Lacerated Wound
Incised Wound
Punctured Wound
Stab Wound
Barotrauma
Frostbite
Scald
Gunshot Wound
Shrapnel Wound
Coup Injury
Contre-Coup Injury
Defense Wound
Self-Inflicted Wound
Elements of Mutilation
Castration
(intentional mutilation
(totally/partially)
of
organ for reproduction
Castration
Intention
Mayhem
Mutilation:
Important Points
to Remembers
Castration:
intentional
1
degree
higher:
victim 12 yrs old
Offender
has
intention to deprive
offended party of part
of his body
Mutilation
lopping/clipping off of
some part of body
Mayhem
other
intentional mutilation
ill/incapacitated
for
work for 90 days = PC
min & med
Becomes
ill/incapacitated
for
labor for days & not
90 days = AM max to
PC min
Mutilation:
Important Points
to Remember