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OSPE
POSTMORTEM- 1
A body aged aged 30 yrs old found tied of in still box lying
near a bridge. On the PM examination the length of the body was
160 cm, face was found flashed, eyes were closed & congested &
lips were blue. Body was cold, rigor mortis present on the lower
limb. A transverse brownish hard & parchment like ligature
mark ½” broad was found encircling the neck & passing over the
wind pipe. There were abrasion about the margin of the mark. A
similar mark 5×½” found across the side of the neck above the
first mark. A 3rd mark 2×½” was found 1” below 2nd mark.
Larynx & trachea were congested & lungs were congested &
exudates dark fuid flood on section.
Q. a) Mention time since death
Q. b) Age of injury present on the body
Q. c) Cause of death whether death due to homicide, suicide,
accident
ANSWER
a) 24-36hr
since RM is present only on lower limb so
time since death is >24hrs
b) 5-10min
c) Homicide → Strangulation
Multiple ligature marks are present on neck
which may be due
to strangulation.
POSTMORTEM-2
A body of the Mahamadan boy aged 16yrs lying on the roof of the
bunglow, the face was swollen, tongue was protruded, abdomen
& scrotum swollen, body covered with a blister & emitting foul
smell.
O/E, following injury were found-
1) A bruise- ¼” on the…….nostril
2) A bruise- ¾×½” across the……lower limb
3) A bruise- ½×¼” upper limb
4) A semicircular & curve bruise 3×½” obliquely along the face
extending b/w the malar bone & angle of the mouth
5) Six bruises varying ¼×½” in the elbow
Inside the mouth & lips were livid & congested & exudates was
dark frothy blood. There were patches of subpleural ecchymosis
On the lungs and on the pericaridum.
Q. a) Time since death
Q. b) Cause of death
Q. c) Death was homicidal, suicidal or accidental
ANSWER
a) 36 to 48hrs
since the body was swollen, blister & foul smell
(blister formation appear after 36-48hrs after
death)
b) due to combined effect of smothering & traumatic
asphyxia
c) Homicidal
- bruises around mouth & nostril
- lungs are congested &
- ecchymosis over pleura & pericardium
POSTMORTEM-3
A Hindu male aged 60yrs was found floating in water, face was
downwards, hypostasis was red in colour & present on chest,
abdomen & fixed. Bloody froth coming out from the nostril,
weeds & gravel found tightly in the hand. Cutis anserina present
on the skin.
Q. a) Time since death
Q. b) Cause of death with differential diagnosis
Q. c) What investigation you will suggest to establish
diagnosis
ANSWER
a)1 8-24hrs
floatation of body.
b) Drowning
D/D: Opium poisoning, Decompostion, Tetanus,
Snake bite, Organophosphorous poisoning,
Epilesy, Drowning
c) Diatom test→ bone marrow
Gettler’s test→ chlorine
POSTMORTEM-4
A man about to 40yrs found dead in a field with a stab wound on
The abdomen without any bleeding. Rigor mortis was present all
Over the body. Hypostasis present on the back & red in colour.
Several lacerated wound present on the dorsum of forearm.
Q. a) Time since death
Q. b) Cause of death
Q. c) Death was suicidal, homicidal or accidental
ANSWER
a) 12-24 hrs.
Since RM + all over the body
b) internal hemorrhage due to stab wound
c) A.M. stab wound→ Homicidal
POSTMORTEM-5
A dead fetus was sent by the police for PM examination.
Length of the fetus was 37cm long & wt about 900gms.
The fetus was flacid, flat emited sweet smell. On disection
lungs were found to be near the vertebral column & solid.
Diaphragm at 4th ICS.
Q. a) Mention the cause of death.
Q. b) Time of death
Q. c) Age of the fetus
ANSWER
a) Maceration (IUD)
↓
flaccid, flat, sweet rancid smell
b) >24hrs (3-4 days)
c) 7 months
POST MORTEM-6
A burnt body of a woman aged 40yrs brought to the mortuary.
Body was in pugilistic attitude & except the face, left hand,
& perineal region, there were deep burn. There were lacerated
looking wound on the skin & various places without any
bleeding & rupture of blood vessels, fracture of the skull bone
on the both side & curve fracture present on the long bones &
soots were present on the trachea.
Q. a) Burn is antemortem/postmortem
Q. b) Extend of burn
Q. c) Cause of injuries present on the skin & bones
Q. d) Injuries were antemortem or postmortem
ANSWER
a) Antemortem
soot + in trachea→ surest sign of AM burn
b) By rule of 9
= 81% burn (face, left hand, perineal region)
c) Heat fracure/ heat crack
fracture on skull bone due to heat, curve fracture
on long bone
d) Postmortem→ due to heat after death
OSPE- PM.ppt

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OSPE- PM.ppt

  • 2. POSTMORTEM- 1 A body aged aged 30 yrs old found tied of in still box lying near a bridge. On the PM examination the length of the body was 160 cm, face was found flashed, eyes were closed & congested & lips were blue. Body was cold, rigor mortis present on the lower limb. A transverse brownish hard & parchment like ligature mark ½” broad was found encircling the neck & passing over the wind pipe. There were abrasion about the margin of the mark. A similar mark 5×½” found across the side of the neck above the first mark. A 3rd mark 2×½” was found 1” below 2nd mark. Larynx & trachea were congested & lungs were congested & exudates dark fuid flood on section. Q. a) Mention time since death Q. b) Age of injury present on the body Q. c) Cause of death whether death due to homicide, suicide, accident
  • 3. ANSWER a) 24-36hr since RM is present only on lower limb so time since death is >24hrs b) 5-10min c) Homicide → Strangulation Multiple ligature marks are present on neck which may be due to strangulation.
  • 4. POSTMORTEM-2 A body of the Mahamadan boy aged 16yrs lying on the roof of the bunglow, the face was swollen, tongue was protruded, abdomen & scrotum swollen, body covered with a blister & emitting foul smell. O/E, following injury were found- 1) A bruise- ¼” on the…….nostril 2) A bruise- ¾×½” across the……lower limb 3) A bruise- ½×¼” upper limb 4) A semicircular & curve bruise 3×½” obliquely along the face extending b/w the malar bone & angle of the mouth 5) Six bruises varying ¼×½” in the elbow Inside the mouth & lips were livid & congested & exudates was dark frothy blood. There were patches of subpleural ecchymosis On the lungs and on the pericaridum.
  • 5. Q. a) Time since death Q. b) Cause of death Q. c) Death was homicidal, suicidal or accidental
  • 6. ANSWER a) 36 to 48hrs since the body was swollen, blister & foul smell (blister formation appear after 36-48hrs after death) b) due to combined effect of smothering & traumatic asphyxia c) Homicidal - bruises around mouth & nostril - lungs are congested & - ecchymosis over pleura & pericardium
  • 7. POSTMORTEM-3 A Hindu male aged 60yrs was found floating in water, face was downwards, hypostasis was red in colour & present on chest, abdomen & fixed. Bloody froth coming out from the nostril, weeds & gravel found tightly in the hand. Cutis anserina present on the skin. Q. a) Time since death Q. b) Cause of death with differential diagnosis Q. c) What investigation you will suggest to establish diagnosis
  • 8. ANSWER a)1 8-24hrs floatation of body. b) Drowning D/D: Opium poisoning, Decompostion, Tetanus, Snake bite, Organophosphorous poisoning, Epilesy, Drowning c) Diatom test→ bone marrow Gettler’s test→ chlorine
  • 9. POSTMORTEM-4 A man about to 40yrs found dead in a field with a stab wound on The abdomen without any bleeding. Rigor mortis was present all Over the body. Hypostasis present on the back & red in colour. Several lacerated wound present on the dorsum of forearm. Q. a) Time since death Q. b) Cause of death Q. c) Death was suicidal, homicidal or accidental
  • 10. ANSWER a) 12-24 hrs. Since RM + all over the body b) internal hemorrhage due to stab wound c) A.M. stab wound→ Homicidal
  • 11. POSTMORTEM-5 A dead fetus was sent by the police for PM examination. Length of the fetus was 37cm long & wt about 900gms. The fetus was flacid, flat emited sweet smell. On disection lungs were found to be near the vertebral column & solid. Diaphragm at 4th ICS. Q. a) Mention the cause of death. Q. b) Time of death Q. c) Age of the fetus
  • 12. ANSWER a) Maceration (IUD) ↓ flaccid, flat, sweet rancid smell b) >24hrs (3-4 days) c) 7 months
  • 13. POST MORTEM-6 A burnt body of a woman aged 40yrs brought to the mortuary. Body was in pugilistic attitude & except the face, left hand, & perineal region, there were deep burn. There were lacerated looking wound on the skin & various places without any bleeding & rupture of blood vessels, fracture of the skull bone on the both side & curve fracture present on the long bones & soots were present on the trachea. Q. a) Burn is antemortem/postmortem Q. b) Extend of burn Q. c) Cause of injuries present on the skin & bones Q. d) Injuries were antemortem or postmortem
  • 14. ANSWER a) Antemortem soot + in trachea→ surest sign of AM burn b) By rule of 9 = 81% burn (face, left hand, perineal region) c) Heat fracure/ heat crack fracture on skull bone due to heat, curve fracture on long bone d) Postmortem→ due to heat after death