Professional Documents
Culture Documents
1. Civil Law – That branch of law which deals with a system of norms or
rules of a character general and common which regulate the relations
of persons, individual or collective, and which protects the person in his
personality as well as his interests both moral and patrimonial. As such,
therefore legal medicine can be applied to the following:
3. Remedial Law – branch of law which deals with the rules concerning
pleadings, practice and procedure in all courts of the Philippines.
4. Special Laws
a. Insurance law
A. Worldwide setting
The oldest code of law was the Code of Hammurabi (2200 B.C.). It
included legislation on adultery, rape, divorce, incest, abortion, and
violence.
Antistius testified that Julius Caesar bore 23 wounds but only one
penetrated the chest cavity through the space between the first and
second ribs.
The first textbook in legal medicine was written in 1532 during the
reign of Emperor Charles V of Germany. It was included in “Constituto
Criminalis Carolina”.
Pope John XXII, in the 14th century expressed the need of experts
in the ecclesiastical courts, in the diagnosis of leprosy and medico-legal
cases.
B. In the Philippines
In June 18, 1949, Republic Act 409 which was later amended by
Republic Act 1934 provides (Sec. 38) for the creation of the Medical
Examiners and Criminal Investigation Laboratory under the Police
Department of the City of Manila.
1. Health Officers
Other definitions:
The word Law includes regulations and circulars which are issued to
implement a law.
Characteristics of Law:
a. It is a rule of conduct
Forms of Law:
5. Forensic:
A principle that, when the court has once laid down a principle of
law as applied to a certain state of facts, it will adhere to that principle,
and apply it to all future cases where the facts are substantially the
same.
4. Customs which are contrary to law, public order or public policy shall
not be countenanced. (Art. 11, Civil Code). A custom must be proved as
a fact according to the rules of evidence (Sec. 12, Civil Code)
1. Civil Law – That branch of law which deals with a system of norms or
rules of a character general and common which regulate the relations
of persons, individual or collective, and which protects the person in his
personality as well as his interests both moral and patrimonial. As such,
therefore legal medicine can be applied to the following:
3. Remedial Law – branch of law which deals with the rules concerning
pleadings, practice and procedure in all courts of the Philippines.
4. Special Laws
a. Insurance law
September 2, 2016
Medical Evidence
The rules of evidence shall be the same in all courts and on all
trials and hearings, whether civil or criminal (Section 2, Rule 128, Rules
of Court).
The court may not require nor allow exposure of the genitalia of
an alleged victim of sexual offense to show the presence and degree of
genital and extra-genital injuries suffered by the victim. There are other
ways for the court to know the facts other than actual exhibition.
2. Testimonial Evidence:
Sec 42, Rule 130, Rules of Court – Opinion Rule –General Rule- The
opinion of a witness is not admissible, except as indicated in the
following section
Sec. 43, Rule 130, Rules of Court – Expert Evidence - The opinion of a
witness regarding a question of science, art, or trade, when he is skilled
therein, may be received in evidence.
The probative value of the expert medical testimony depends upon the
degree of learning and experience on the line of what the medical
expert is testifying, the basis and logic of his conclusion, and other
evidences tending to show the veracity or falsity of his testimony.
3. Experimental Evidence:
4. Documentary Evidence:
A document is an instrument on which is recorded by means of
letters, figures, or marks intended to be used for the purpose of
recording that matter which may be evidentially used. The term applies
to writings, to words printed, lithographed or photographed; to seals,
plates or stones on which inscriptions are cut or engraved; to
photographs and pictures; to maps or plans (Black’s Law Dictionary, 4th
e d.).
(4) Laboratory
(5) Exhumation
(6) Birth
(7) Death
5. Physical Evidence:
c. Tracing Evidence – These are physical evidences which may assist the
investigator in locating the suspect. Aircraft or ship manifest,
physician’s clinical record showing medical treatment of suspect for
injuries sustained in an encounter; blood stains recovered from the
area traversed by the wounded suspect infer direction of the
movement are examples of tracing evidence.
September 9, 2019
Preservation of Evidences:
Kinds of Sketch:
b. Finished Sketch – a sketch prepared from the rough sketch for court
presentation.
Essential Elements to be Included in a Sketch:
e. there must be a title and legend to tell what it is and the meaning of
certain marks indicated therein.
1. Direct Evidence:
That, which proves the fact in dispute without the aid of any
inference or presumption. The evidence presented corresponds to the
precise or actual point at issue.
2. Circumstantial Evidence:
b. When the facts from which the inferences are derived are proven,
and
c. When the combination of all the circumstance is such as to produce a
conviction beyond reasonable doubt (Sec. 4, Rule 123, Rules of Court)
September 16,2019
Deception Detection
b. Narcoanalysis or narcosynthesis
c. Intoxication
h. Spotless past record – “Religious man” – The subject may assert that
it is not possible for him “to commit such act” invoking that he is a
religious man, and has a spotless record in the past.
j. “Not that I remember” expression – The subject will resort to the use
of “not that I remember” expression when answering. This indicates
someone trying to be evasive or to avoid committing something
prejudicial to him.
V. Scientific interrogation
c. Stay fairly close to the subject and let him feel the assurance that you
will not harm or insult him.
Basis of the Investigator’s inference that the Subject is Not Telling the
Truth:
VI. CONFESSION
Kinds of Confession
1. Extra-judicial Confession:
The reason for the above rule is to guard against conviction based
upon false confession of guilt. It is possible that a person might have
confessed his guilt regarding an offense which someone else has
committed and when asked on further interrogation and investigation,
the nature of the injuries inflicted by him do not coincide with the
identity or nature of the injuries received by the victim.
b. Judicial Confession:
4. Psychological Classification:
September 23
3. The longer the interval between the death and the examination of
the remains for purposes of identification, the greater is the need for
experts in establishing identity. The process of taking fingerprints andits
examination under a magnifying lens requires the services of an expert.
When putrefaction has set in, the external bodily marks useful in
identification might be destroyed so that it is necessary to resort to an
anatomical or a structural examination of the body which requires
knowledge of medicine and dentistry.
4. Inasmuch as the object to be identified is highly perishable, it is
necessary for the team to act in the shortest possible time specially in
cases of mass disaster.
Methods of Identification:
Examples:
b. Dental findings on the skeletal remains are compared with the dental
record of the person in possession of the dentist.
IDENTIFICATION OF PERSONS
4) Paretic gait – Gait in which the steps are short, the feet are
dragged and the legs are held more or less widely apart.
5) Spastic gait – A gait in which the legs are held together and
move in a stiff manner and the toes dragged.
During the process of running the foot marks are less distinct
because of the slipping of the foot and the sand or soil thrown into the
marks by the pressure of the tip of the toes.
Gait Patterns:
2) Gait line – The straight line connecting the center of the succeeding
steps. It is more or less in zigzag fashion especially when the legs are far
apart while walking. Stout, elderly people and those who want stability
while walking have a more zigzag gait line.
3) Foot line – The longitudinal line drawn on each foot mark. There may
be a difference in the foot line of the left and right foot.
4) Foot angle – The angle formed by the foot line and the direction line.
In normal walking the foot angle is very characteristic of a person and
cannot be altered immediately. However, it may be altered when a
person is running, carrying a heavy weight or moving on a rugged
terrain.
5) Principal angle – The angle between the two succeeding foot angles.
6) Length of step – When the distance between the center points in two
successive heel prints of the two feet exceeds 40 inches, there is a
strong presumption that the person is running.
1. Way of sitting.
6. Manner of leaning.
e. Hands and feet – Size, shape and abnormalities of the hand and feet
may be the bases of identification. Some persons have supernumerary
fingers or toes far apart with bony prominence. Some fingers or toes
are with split nails.
i. Height of a person
2) Two times the length of one arm plus 12 inches from the
clavicle and 1.5 inches from the sternum is approximate height.
3) Two times the length from the vertex of the skull to the pubic
symphysis is the height.
5) The distance from the base of the skull to the coccyx is about
44% of the height.
October 4
A. Fingerprinting
B. Dental Identification
C. Handwriting
D. Identification of Skeleton
E. Determination of Sex
A. Fingerprinting
The finger may be wounded or burned, but the whole pattern with all
its details will reappear when the wound heals. If the injury is deep or
beyond the layers of the skin and scar develops, it will not deter
identification. On the contrary, the scar will make a much deeper
impression of the pattern. It can be said that fingerprints are an
indelible signature which a person carries from the cradle to the grave.
2. Rolled Method – The bulbs of the thumb and other fingers are rolled
on the surface of the paper after being rolled on an ink pad or ink plate
with printing ink.
Kind of Impressions:
c. It should provide good contrast to the place where the latent print is
impressed.
b. Aluminum powder
c. Plaster of Paris
d. Copper powder for latent prints on leather
e. Metallic antimony
If the “floater” has been in a body of water for a longer time and
the friction ridges have disappeared, the skin of the fingertips is cut
away. This area of skin from each finger is placed in a small labeled test
tubes containing formaldehyde solution. If the papillary ridges are still
preserved on the outer surface, the person taking the prints places a
portion of the skin on his right index finger protected by a rubber glove
and then takes the print after inking the fingertip.
1. Arches – the ridges go from one side of the pattern to another, never
turning back to make a loop.
3. Whorls – Patterns with two deltas and patterns too irregular in form
to classify:
a. Simple whorls – Consists of two deltas with a core consisting of
circles, ellipses, or spiral turning to the right or left.
b. Central pocket loop – It is like simple loop but in the core, one
may find one ridge which forms a convex towards the opening of
the loop.
B. DENTAL IDENTIFICATION
2. The enamel of the teeth is the hardest substance of the human body.
It may outlast all other tissues during putrefaction or physical
destruction.
3. After death, the greater the degree of tissue destruction, the greater
is the importance of dental characteristics as a means of identification.
Section 2. Upon the lapse of ten years from the last entry, dental
practitioners shall turn over the dental records of their patients to the
National Bureau of Investigation for record purposes: Provided, that the
said practitioner may retain copies thereof for their own files.
Done in the City of Manila, this 11th day of June, in the year of Our Lord,
nineteen hundred and seventy-eight.”
1. Teeth position:
2. Surface:
3. Restoration:
4. Prosthesis:
b. Removable prosthesis:
1. Complete denture
2. Partial denture
2. Age
Beyond 25 yrs.. . . Ends of the root of the 3rd molar have been
completely calcified.
C. Handwriting
Movements in Writing:
1. Finger movement – The letters are made entirely by the action of the
thumb, the pointing and middle fingers. Such is found among children,
illiterate and those to whom writing is an unfamiliar process.
a. Physical Violence
b. Heat or Cold
c. Electrical Energy
d. Chemical Energy
g. Infection
Kinetic energy:
Time:
The shorter the period of time needed for the transfer of energy,
the greater the likelihood of producing damage. If a person is hit on the
body and the body move towards the direction of the force applied, the
injury is less as when the body is stationary. The longer the time of
contact between the object or instrument causing the injury, the
greater will be the dissipation of energy.
Area of Transfer:
The larger the area of contact between the force applied on the
body, the lesser is the damage to the body. By applying an equal force,
the damage caused by stabbing is greater compared to a blunt
instrument.
“Other Factors”:
The less elastic and plastic the tissue, the greater the likelihood
that a laceration will result. Elasticity and plasticity refer to the ability of
a tissue to return to its “normal” size and shape after being deformed
by a pressure.
Vital Reaction:
CLASSIFICATION OF WOUNDS:
1. As to Severity:
(3) Lungs.
When the moving head hits a firm, fixed and hard object,
brain contusion may develop at the opposite of the site of impact.
The wounds of the different organs and regions of the body will
be discussed separately under “Injuries in Various Parts of the Body”.
7. Special Types of Wounds:
(2) Exposure of parts of the body to heat radiation from open fires,
radiators, or protective grills over radiator (thermophilia).
(3) Penetrating nail or spike to the chest wall, or insertion into the
urinary bladder in a female.
October 25
Mutilation:
Mutilation is the act of looping or cutting off any part of the living
body. In order to be punishable under the Code, it must be intentional,
otherwise it will be considered as a physical injury.
(1) Wounding;
(2) Beating;
a. Deformity;
“The loss of any other part of his body” means loss of the parts of
the body not mentioned in paragraph 2, Art 263.
b. The infliction of physical injury was done knowing that the substance
or beverage administered is injurious or took advantage of the victim’s
weakness or credulity; and
The throwing of acid on the face of someone does not fall within
the provision because what the provision contemplates is administering
or taking in the injurious substance or beverages.
The provision does not contemplate of slight or less serious
physical injuries which is the consequence of injurious substances or
beverages, but results only in serious-physical injuries.
Any person who shall inflict upon another physical injuries not
described in the preceding articles, but which shall incapacitate the
offended party for labor ten days or more , or shall require medical
attendance for the same period, shall be guilty of less serious physical
injuries and shall suffer the penalty of arresto mayor.
The fact that the injury only requires medical attendance for two
days but incapacitated the victim from attending to his ordinary work
for a period of 29 days makes the crime less serious physical injuries.
1. Physical injuries which incapacitate the victim for labor from one to
nine days, or require medical attendance for the same period.
2. Physical Injuries which did not prevent the offended party from
engaging in his habitual work or which did not require medical
attendance.
If the victim merely suffered from small contusion or superficial
abrasion which does not require medical attendance or incapacity, this
falls in the paragraph of slight physical injury.
A slight slap on the face or holding tightly the arm of the victim
which did not even develop redness of the skin may be a form of ill-
treatment.
d. All those who appear to have used violence upon the person of the
offended party shall be penalized by arresto from five to fifteen days.
November 8
(1) Petechiae.
(2) Contusion.
(3) Hematoma.
b. Deep.
(1) Musculo-Skeletal Injuries.
(a) Sprain.
(b) Dislocation.
(c) Fracture.
(d) Strain.
(e) Subluxation.
a. Abrasion
b. Incised Wound.
c. Stab Wound.
d. Punctured.
e. Lacerated.
CLOSED WOUNDS:
Petechiae:
Contusion:
Inasmuch as it used to take more time for the blood to get out of
the blood vessels, contusion does not immediately develop after the
application of force. It may develop after a lapse of minutes or even
hours after the application of force. The variation depends on the part
of the body injured, tenderness of the tissues affected, condition of the
blood vessels involved, and natural disease.
Women are much more easily bruised than men while boxers are
less prone to suffer contusion in spite of heavy punishment.
The size of the contusion is usually greater than the size of the
object causing it. The location of the contusion may not always indicate
the site of the application of force. For instance, a blow on the forehead
may cause black-eye or contusion around the tissues of the eye-ball, or
a kick on the leg may cause appearance of contusion at the region of
the ankle on account of the gravitation of the effusion between
muscles and fascia.
Age of Contusion
(a) General condition of the victim – Some healthy persons are easily
bruised.
(b) Part of the body affected – Bloody parts of the body produce larger
contusion, especially where subcutaneous tissue is loose. In areas of
the body with excessive fat, contusion easily develops, while parts of
the body with abundant fibrous tissue and good muscle tone, bruising
is less.
(c) Amount of force applied – Other factors being equal, the greater the
force applied the more effusion of blood will develop.
(e) Age – Children and old age persons tend to bruise more easily.
Children have loose and tender skin. Old people have less flesh and the
blood vessels are more fragile.
(g) Application of heat and cold – If, immediately after injury cold
compress is applied the production of contusion will be minimized.
After it has already developed, application of warm compress will
hasten its disappearance.
The distinction between ante-mortem and post-mortem
contusions in an undecomposed body is that in ante-mortem bruising,
there is swelling, damage to epithelium, extravasation, coagulation and
infiltration of the tissues with blood, while in post-mortem bruising
there are no such findings.
(b) In contusion, the skin shows no elevation and if ever elevated, the
elevation is slight and is on account of inflammatory changes, while in
hematoma the skin is always elevated.
Musculo-Skeletal Injuries:
(f) spiral Fracture – The break in the bone forms a spiral manner
as observed in long bones.
(g) Pathologic Fracture – Fracture caused by weakness of the bone
due to disease rather than violence.
Internal Hemorrhage:
(i) Reflexes are present but sluggish and in severe cases may be
absent.
Open Wounds:
Characteristics of Abrasion:
Forms of Abrasion:
a. Linear:
c. Confluent:
d. Multiple:
c. Usually the wound is shallow near the extremities and deeper at the
middle portion. However, this finding may be modified by the shape of
the wounding instrument and part of the body involved.
e. Gaping is usually present due to the retraction of the edges but its
presence and degree of retraction depends on the direction of the
incised wound with the line of cleavage (Langer’s line).
After 12 hours – Edges are swollen; adherent with blood and with
leucocyte infiltration.
connective-tissue cells.
a. Suicidal – Located in peculiar parts of the body, like the neck, flexor
surfaces of the extremities (elbow, groin, knee), wrist, and accessible to
the hand in inflicting the injury. The most common instrument used is
the barber’s razor blade with an improvised handle. There is usually
superficial tentative cut (hesitation cuts) and the direction varies with
the location and the hand (left or right) used in inflicting the injuries.
The most common site of suicidal incised wounds are on the wrist with
involvement of the radial artery and the neck.
b. Homicidal – The incised wounds are deep, multiple and involve both
accessible and non-accessible parts of the body to the hands of the
victim. Defense and other forms of wounds may be present. Clothings
are always involved.
The surface length of a stab wound may reflect the width of the
wounding instrument. It may be smaller when the wound is not so deep
inasmuch as it is only caused by the penetration of the tapering portion
of the pointed instrument. It may be made wider if the withdrawal is
not on the same direction as when it was introduced or the stabbing is
accompanied by a slashing movement. In the latter case the presence
of an abrasion from the extremity of the skin defect is in line with
direction of the slashing movement.
the body.
Characteristics:
Accidental stab wounds are quite rare and are usually caused by
falling against a projecting sharp object like broken piece of glass or
flattened and pointed iron bars.
4. Punctured Wound:
The site of the external wound can be easily sealed by the dried
blood, serum or clotted blood so that introduction of pathogenic
microorganism which does not require the presence of air in its growth
and multiplication may find the place favorable, and may produce fetal
consequences.
Characteristics:
a. The opening on the skin is very small and may become unnoticeable
because of clotted blood and elasticity of the skin. The wound is much
deeper than it is wide.
c. Sealing of the external opening will be favorable for the growth and
multiplication of anaerobic microorganism like bacillus tetani.
a. Located in areas of the body where the vital organs are located.
b. Usually singular but may be multiple but located in one area of the
body.
c. Parts of the body involved ids accessible to the hand of the victim.
b. Fish spines.
Characteristics:
a. The shape and size of the injury do not correspond to the wounding
instrument.
b. The tear on the skin is rugged with extremities irregular and ill-
defined.
c. The injury developed is at the site where the blunt force is applied.
f. Examination with the aid of the hand lens shows bridging tissue
joining the edges and hair bulbs intact.
g. Bleeding is not extensive because the blood vessels are not severed
evenly.
A. VIRGINITY
Kinds of Virginity:
The size, consistency and shape of the female adult breast varies
with age, degree of physical development, stage in the menstrual cycle,
pregnancy, nutrition and hormonal factors.
b. Conical Breast – The breast has the shape similar to a cone. The
outline consists of two converging lines which meet at the region of the
nipple.
c. Infantile or Flat Breast – The breast is only slightly elevated from the
chest without distinct boundary and showing no definite shape.
2. Vaginal Canal:
The labia majora is firm, elastic and plump and its medial borders
are usually in close contact with each other so as to cover the labia
minora and the clitoris. The labia minora is soft, pinkish in close contact
with one another, and its vestibule is narrow. Entry of the male organ
may cause the labia to gape due to stretching of their borders.
The condition of both labia is not a reliable basis in determining
virginity. A woman may be a virgin but with a gaping labia, while others
might have had previous delivery but the labia are still coaptated. The
condition of the labia is much more related to the general physical
condition of the woman rather than the absence or the presence of
previous sexual intercourse. A stout woman usually can preserve the
plump, coaptated and firm labia while skinny women usually have
gaping labia.
4. Fourchette:
5. Hymen:
Classification of Hymen:
c. As to number of opening:
Normally the labia majora and minora are in close contact with
one another covering almost completely the external genitalia. After
defloration, the labia may gape exposing the introitus vulvae.
The finding may not be relied upon because some females may
have inherently gaping labia, especially, asthenic women although
there is no history of previous of previous sexual act, while others may
preserve the coaptated labia even if there has been previous sexual act.
2. Fourchette:
3. Vaginal canal:
The vaginal wall, together with the vulva, may suffer injury during
defloration or some other causes.
g. Recent vaginal surgery – The canal may become narrow and fibrous
scar may replace the muscular vaginal wall at the site of surgery.
k. Post-menopause.
l. Uterine retroversion.
4. Hymen:
c. Jumping or running.
e. Medical instrumentation.
f. Local medication.
h. Masturbation.
j. Previous operation.
2. Location of laceration:
For the purpose of locating the site of the laceration, the hymenal
orifice is related to the face of a watch while the subject is in lithotomy
position. With the examiner facing the female genitalia, the location of
the laceration will be described corresponding to the time in the face of
a watch. By this procedure, a laceration at the region of the fourchette
may be described as a laceration at 6:00 o’clock position in the face of a
watch while on the horizontal sides may be termed 9:00 (left side) and
3:00 (right side) positions.
4. Complications of laceration:
A vast majority of laceration of the hymen healed uneventfully,
although in rare instances complications set in. the following are the
possible complications:
1. Local Changes:
2. Systemic Effects:
e. Increased respiration;
B. During Orgasm:
In the male, orgasm is the sensation resulting from the
contraction of the smooth muscles of the genitalia and the striated
muscles of the pelvic floor coinciding with ejaculation.
Women almost never suffer death from natural causes during the
normal sexual act. The reason may be that they are less susceptible to
cardio-vascular disease and that they play a passive role in sexual
intercourse. Women can control their tendencies to over-excitement
and they exert less physical effort in a sexual act than men do.
g. Hemorrhage.
h. Infection.
SEX CRIMES
Criminological Characteristics:
1. It is one of the ancient and universal crimes. It existed since the dawn
of history. Although, considered a crime by almost all countries of the
world, society’s reaction to its repression depends on the moral value
and its gravity as a social problem.
6. Many sex crimes are committed but not reported; if reported, not
investigated; if investigated, not prosecuted. This is on account of the
fact that undue publicity may be prejudicial to the reputation of the
victim.
11. The severity of punishment does not deter its commission. Its
frequency has not been appreciably reduced by Martial law.
12. Its occasional consequence (pregnancy) becomes a legal problem,
e.g. support, abortion, legitimacy, unwanted child, inability to find a
means of livelihood, etc.
13. If the offender is of past middle age, usually the victims are
children. The primary reason is that old men will be ignored by elderly
women so they focus their attention on children who can easily be
enticed by candies or other things of value.
14. The psychic trauma suffered by the victims of sex crimes varies with
the moral standard of the victim. Women of the “Maria Clara” type
with morality of the Puritan Standard may inflict fatal or serious injuries
on the offender. Some may develop a feeling of worthlessness and as a
consequence, may lead to self-destruction, while others may be
mentally deranged. Others may have a strong belief in the machinery of
justice and file the complaint, but a great number of those who seek
justice later become amenable to an amicable settlement.
1. The offender had carnal knowledge of the woman. The victim of the
crime must always be a woman while the offender must inferentially be
a man because sexual act must be done by a man and a woman.