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FROGLETS NOTES
Summary of Legal Medicine
Book by Solis
treatment
CHAPTER I Purpose in examining a Purpose in examining a
GENERAL CONSIDERATION patient is to arrive at a patient is to include those
definite diagnosis so that bodily lesions in his report
Legal Medicine- branch of which deals with application of
appropriate treatment can and testify before the court
medical knowledge to the purposes of law and in the
be instituted or before an investigative
administration of justice. It is the application of basic and body
clinical, medical and paramedical sciences to elucidate
Minor or trivial injuries are Records all bodily injuries
legal matters.
usually ignored inasmuch even if they are small or
as they do not require usual minor because these
Concept and practice of Legal Medicine in the
treatment. injuries may be proofs to
Philippines is of Spanish origin.
qualify the crime or to justify
the act.
Legal Medicine Forensic Medicine
Application of medicine to Application of medical
legal cases science to elucidate legal Example:
problems
Presence of PHYSICAL INJURIES of a victim of sexual
abuse = presumes that force was applied; hence, crime
Medical Jurisprudence- knowledge of law in relation to committed must be RAPE.
the practice of medicine. It concerns with the study of the
rights, duties and obligations of medical practitioner with Presence of PHYSICAL INJURIES on the offender of the
particular reference to those arising from doctor-patient crime of physical injuries= proof that the victim acted in
relationship. SELF-DEFENSE.
Knowledge of legal medicine means the ability to 1. LAW- rule of conduct, just, obligatory, laid by
acquire facts, the power to arrange those facts in legitimate power for common observance and
their logical order, and to draw a conclusion from benefit.
the facts which may be useful in the
administration of justice. Characteristics of Law:
Medical Jurist (medical examiner, medico-legal
officer, medico-legal expert) – a physician who - It is a rule of conduct;
specializes or is involved primarily with medico- - It is dictated by legitimate power; and
legal duties. They are mostly in the service of the - Compulsory and obligatory to all.
government.
Forms of Law:
It is the duty of every physician, when called
upon by the judicial authorities, to assist in the A. Written or Statutory Law (Lex
administration of justice on matters which are Scripta) – composed of laws which are
medico-legal in character.‖ produced by the country’s legislations
To be involved in medico-legal duties, a and which are defined, codified and
physician must possess sufficient knowledge of: incorporated by the law-making body.
o Pathology Ex. Philippine Laws.
o Surgery B. Unwritten or Common Law (Lex non
o Gynecology Scripta) – composed of unwritten
o Toxicology laws based on immemorial customs
o Other branches of Medicine germane and usages. Sometimes referred to as
to the issues involved. case law, common law, jurisprudence
or customary law. Ex. Laws of England.
Ordinary Physician Medical Jurist
Sees an injury or disease Sees injury or disease on 2. FORENSIC- denotes anything belonging to the
on the point of view of the point of view of cause court of law or used in court or legal proceedings
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FROGLETS NOTES
Summary of Legal Medicine
Book by Solis
A principle that, when the court has once laid TYPES OF MEDICAL EVIDENCE
down a principle of law or interpretation as applied to a
certain state of facts, it will adhere to and apply to all future 1. Autoptic or Real Evidence – evidence made
cases where the facts are substantially the same. known or addressed to the senses of the court. It
is not limited to that which is known through the
BRANCHES OF LAW WHERE LEGAL MEDICINE MAY sense of vision but is extended to what the sense
BE APPLIED of hearing, taste, smell and touch is perceived.
(Sec.1, Rule 130)
In CIVIL LAW, knowledge of legal medicine may be useful
on the following: Limitations to the Presentation of Autoptic
Evidence:
1. Determination and termination of civil personality
(Art.40-41); a) Indecency and Impropriety – presentation
2. Limitation or restriction of a natural person’s of evidence may be necessary to serve the
capacity to act (Art. 23 and 29); best interest of justice but the notion of
3. Marriage and legal separation decency and delicacy may cause inhibition
4. Paternity and filiation of its presentation.
5. Testamentary capacity of a person making a will.
Ex: Court may not allow exposure of the
In CRIMINAL LAW, legal medicine is applicable in the genitalia of an alleged victim of sexual
following provisions of the Penal Code: offense to show the presence and degree of
the genitalia and extra-genitalia injuries
1. Circumstances affecting criminal liability; suffered.
2. Crimes against person;
3. Crimes against chastity. b) Repulsive Objects and those Offensive to
Sensibilities – foul smelling objects,
In REMEDIAL LAW, legal medicine is applied in the persons suffering from highly infectious and
following provisions of the Rules of Court: communicable disease, or objects which
when touch may mean potential danger to
1. Physical and mental examination of a person the life and health of the judge may not be
(Rule 28); presented.
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Kinds of Sketch:
The preservation is co-terminus with
Rough Sketch- made at the crime scene or the life of the witness.
Human mind can easily be subjected to
during examination of living or dead body.
too many extraneous factors that may
cause distortion of the truth.
Finished Sketch- sketch prepared from the rough
sketch for court presentation.
6. Special Methods- Special way of treating certain
type of evidence may be necessary. Preservation
Essential Elements to be Included in a
may be essential from the time it is recovered to
Sketch:
make the condition unchanged up to the period it
reaches the criminal laboratory for appropriate
a. Measurement must be accurate;
b. Compass direction must always be examination.
indicated to facilitate proper orientation Special Ways of Preservation:
in the case of crime scene;
c. Essential item which has a bearing in a. Whole human body- embalming.
the investigation must be included; b. Soft tissues (skin, muscles, visceral
d. Scale and proportion must be stated by organs) – 10% formalin solution.
mere estimation; c. Blood- refrigeration, sealed bottle
e. There must be a title and legend to container, addition of chemical
tell what it is and the meaning of preservatives.
certain marks indicated therein. d. Stains (blood, semen) – drying, placing
in sealed container.
3. Description- putting into words the person or e. Poison- sealed container.
thing to be preserved. It must cause a vivid
impression on the mind of the reader, a true CHAPTER II
picture of the thing described. DECEPTION DETECTION
Minimum Standard Requirements which must be Methods of deception detection used by law
satisfied in the description of the person or thing enforcement agencies:
to make it complete: 1.Devices which record the psycho-physiological response
a.Polygraph or lie detector machine – records
a. Skin Lesion
physiological changes that occur in association with
b. Penetrating wound
lying in a polygraph.
c. Hymenal Laceration
d. Person
Phases of Examination
i. Pre-test interview
4. Manikin Method- miniature model of a scene or
ii. Actual interrogation and recording through the
of a human body indicating marks of a various
instrument
aspects of the things to be preserved.
5. Preservation in the Mind of the Witness
Standard test questions:
Drawbacks of preserving evidence in the mind of 1.Irrelevant questions – no bearing to the case
the witness: under investigation (ex: age, citizenship,
occupation, etc).
The capacity of a person to remember 2.Relevant questions – pertaining to the issue
time, place and event may be under investigation (ex: Did you shoot to death
destroyed or modified by the length of Mr. X?).
time, age of the witness, confusion with 3.Control questions – unrelated to the matter
other evidence, trauma or disease, under investigation but are of similar nature
thereby making the recollection not although less serious as compared to those
reliable; relevant questions (ex: Have you ever used a
gun?).
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foot or hand is
Negro- Thick lips
pressed on
and prominent
mouldable
eyes
materials like mud,
Shape of the skull
clay, cement
Caucasian-
mixture, or other
Elongated skull
semi-solid mass.
Malayan- Round
Footprint or
head apparel
handprint- a
Mongolian- Round
footmark or
head
handmark on a
hard base Red Indians and
Eskimos- Flat head
contaminated or
smeared with Wearing Apparel- Casual and
foreign matters like customary wearing may
dust, floor, blood, indicate race as well as
etc. religion, nationality, region,
Complexion and custom.
Changes in the eyes- near- o Stature- change in height; rate of
sightedness, far-sightedness, growth
state of being color blind, etc. o Tattoo marks- introduction of coloring
Facies- different kinds of pigments in the layers of the skin by
multiple puncture.
facial expressions brought
about by disease or racial o Weight- not a good point of
influence. identification for it is easily changed
from time to time.
Left- or right-handedness
Degree of nutrition- in o Deformities- may be congenital or
acquired
relation to height and age.
o Birth marks
o Injuries leaving permanent results- e.g.
Points of Identification Applicable to Both Living
amputation, improper union of fractured
and Dead before Onset of Decomposition
bones
o Occupational marks- certain
o Moles
occupations may result in some
o Scar- a remaining mark after healing of
characteristic marks or identifying
the wound.
guide
Age of scar
o Race
Recently formed-
Color of the skin
slightly elevated,
Caucasian-Fair
reddish or bluish in
Malayan-Brown color, and tender to
Mongolian-Fair touch
Negro- Black Few weeks to two
Feature of the face months- scar has
Caucasian- inflammatory
Prominent sharp redness, and it is
nose soft and sensitive
Malayan- Flat nose Two to six months-
with round face brownish or
Mongolian- Almond coppery red, free
eyes and from contraction
prominent cheek and corrugation,
bone and soft
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applicable only to recently written 7. Length of interment or length from the time of death
documents May be determined by the nature and presence of soft
tissues and the degree of erosion of the bones.
Disguised writing Ordinarily, all the soft tissues in a grave disappear
within a year.
The deliberate attempt on the part of the writer to alter his 8. Presence or absence of ante or post mortem injuries
writing habit to invent a new writing style of by imitating the 9. Congenital deformities and acquired injuries on the
writing of another person. hard tissues causing permanent deformities
Done by changing the direction of the slant,
changing the speed in writing, deliberate (pp. 86-102)
carelessness
Procedure of the Test
Signature forgery
Two Methods may be utilized and both should be
Signature forgery examination is the most common activity employed in the examination:
of a questioned document examiner
1. Detection of Agglutinins
Classifications of Signature Forgery 2. Detection of Agglutinogens
1. Traced forgery: the outlining of a genuine signature
from one document onto another Value of the Test
2. Simulated forgery: an attempt to copy in freehand
It may solve disputed parentage (maternity or paternity).
manner the characteristics of a genuine signature
either from the memory of the signature or from as Positive result - not conclusive that the one in question is
model. the offspring
3. Spurious forgery: one prepared primarily in the Negative result - conclusive that he is not the child of the
forger’s own handwriting wherein little or no attempt alleged parents. Grouping is true not only with blood but
has been made to copy the characteristics of the also with other body fluids like saliva, vaginal secretion,
genuine writing seminal fluid, milk, urine and others
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B.SIGNS OF DEATH
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b.5.Diaphanous Test
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Greenish Discoloration over the iliac fosae. 1-3 days Face swollen and red. Greenish discoloration 1 – 2 wks
Eyeballs are soft and yielding. on the eyelids, lips, neck and sternum. Skin
Greenish discoloration spreading over the 3-5 days of the hands and feet wrinkled. Upper surface
while abdomen, external genitals and other of brain greenish in color.
parts of the body. Frothy blood from the moth Skin wrinkled. Srotum and penis distended 4 wks
and nostrils. with gas. Nails and hair still intact. Lungs
Abdomen distended with gas. Cornea fallen 8-10 days emphysematous and covered the heart.
in and concave. Purplish red streaks of veins Abdomen distended, skin of hands and feet 6 – 8 wks
prominent on the extremities. Sphincters come off with nails like a glove.
relaxed. Nails firm.
Body greenish-brown. Blisters forming all 14 – 20
over the body. Skin peels off. Features days Factors Influencing the Floating of the Body in Water
unrecognizable. Scrotum distended. Body
Age: Bodies of fully-developed and well-nourished newly-
swollen up owing to distention. Maggots
born infants float rapidly.
found on the body. Nails and hair loose and
easily detached.
Sex: Women float sooner than men.
Soft parts changes into a thick, semi-fluid 2-5 mos
black mass after death Conditions of the body: Stout persons float quicker.
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Stage of digestion in the stomach: it normally takes 3-4 hrs Presumed DEAD FOR ALL PURPOSES:
for the stom ach to evacuate its contents after a meal. The
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o Lost on board a vessel lost during sea other, shall prove the same; in the absence of proof, it is
voyage, missing airplane, not been
presumed that they died at the same time and there shall
heard of for 4 years since loss of
be no transmission of rights from one to the other.
vessel or airplane.
o Person in armed forces who has taken CHAPTER VII
part in war, missing for 4 years SPECIAL DEATHS
o Person In danger of death other
circumstances and his existence not I. JUDICIAL DEATH
known 4 years.
METHODS
Article 392 Civil Code
1. Death by Electrocution
If absentee appears or without appearing his 2. Death by Hanging
existence is proved, he shall recover his property in the 3. Death by Musketry
condition in which it may be found, and the price of any 4. Death by Gas Chamber
property that may have been alienated or the property
acquired therewith; but he cannot claim either fruits or OTHER METHODS OF CAPITAL PUNISHMENT
rents.
1. Beheading
PRESUMPTION OF SURVIVORSHIP 2. Crucifixion
3. Beating
Rule 131 Section 5(jj) Rules of Court 4. Cutting Asunder
5. Precipitation from a height
When 2 persons die in same calamity, such as:
6. Destruction by a wild beast
Wreck 7. Flaying
8. Impaling
Battle
9. Stoning
Conflagration
10. Strangling
Not shown who died first; there are no particular 11. Smothering
circumstances from which it can be inferred, the 12. Drowning
survivorship is presumed from the probabilities resulting
from the strength and age of the sexes, according to the II. EUTHANASIA
following: ―Mercy Killing‖ – deliberate and
painless acceleration of death of a
1. Both UNDER 15: Older presumed survived person usually suffering from an
2. Both ABOVE 60: Younger presumed incurable and distressing disease.
survived
3. One UNDER 15, Other ABOVE 60: UNDER TYPES:
15 presumed survived
1. Active Euthanasia
4. One OVER 15, Other UNDER 60,
2. Passive Euthanasia
a. Different Sex: Male presumed
a. Orthothanasia
survived
b. Dysthanasia
b. Same Sex: Older
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Burial Grounds Requirements (PD 856, Code of Sanitation) Allowed when death is not due to dangerous
communicable disease. A special permit needs to be
Burial Grounds Requirements the following requirements secured from officers authorized to issue permits.
shall be applied and enforced:
4. Cremation
(a) It shall be unlawful for any person to bury remains in
places other than those legally authorized in conformity Pulverization of the body into ashes by the
with the provisions of this Chapter. application of heat. Body must first be identified and there
must be a permit for cremation.
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(a)The donation shall be authorized in writing by the donor 3. Medical or scientific institutions including eye
specifying the recipient, the organ or part of his body to be banks.
donated and the specific purpose for which it will be
utilized. Requirements:
(b)A married person may make such donation without 1.Must be in writing
the consent of his spouse.
2. Specify the person/institution granted the
(c) After the death of a person the next of kin may authorization
authorize the donation of an organ or any part of the
body of the deceased for similar purposes in accordance 3. Specify the organ/part to be detached
with the prescribed procedure.
4. Signed by the grantor and 2 disinterested
(d)If the deceased has no next of kin and his remains are persons
in the custody of an accredited hospital, the Director of the
hospital may donate an organ or any part of the body of the 5. Copy furnished to the Secretary of Health
deceased in accordance with the requirement prescribed in
this Section. Limitation to the Authorization
(e) A simple written authorization signed by the donor in Not allowed when died with dangerous
the presence of two witnesses shall be deemed sufficient communicable disease
for the donation of organs or parts of the human body
Penal Provision
required in this Section, notwithstanding the provisions of
the Civil Code of the Philippines on matters of donation. Imprisonment of not less than six months nor
A copy of the written authorization shall be forwarded to more than one year.
the Secretary.
Exhumation
(f) Any authorization granted in accordance with the
requirements of this Section is binding to the executors, The deceased buried may be raised or
administrators, and members of the family of the deceased. disinterred upon lawful order from fiscals, court and any
entity vested with authority to investigate. It must be
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(a) Permission to disinter remains of persons who died of Sec 92 Code of Sanitation, Disinterment Requirements:
non-dangerous communicable diseases may be granted
after a burial period of three years. 1. Permission to disinter remains of persons who
died of non - dangerous communicable disease
(b) Permission to disinter remains of person who died of may be granted after burial period of 3 years
dangerous communicable diseases may be granted after a 2. If death is due to a communicable dangerous
burial period of five years. disease, permission may be granted after a burial
period of 5 years
(c)Disinterment of remains covered in paragraphs "a" and 3. Shorter period may be granted in special cases,
"b" of this Section may be permitted within a shorter time subject to the approval of Regional Director
than that prescribed in special cases, subject to the (Director of Health) concerned or his duly
approval of the Regional Director concerned or his duly authorized representative.
authorized representative. 4. In all cases of disinterment, the remains shall be
disinfected and placed in a sealed container prior
(d) In all cases of disinterment, the remains shall be to disposal.
disinfected and places in a durable and sealed container
prior to their final disposal.
According to Art 305 of the Civil Code, no human
Read article 308 of the NCC remains shall be retained, interred, disposed of
or exhumed without the consent of: spouse,
If the dead body is a subject matter of criminal
descendants of the nearest degree, ascendants
investigation, it may be exhumed anytime
of the nearest degree, brothers and sisters
1. There must be a formal request from any of the law
enforcement agencies authorized to make investigation
Sec 1098 Revised Administrative Code Shipment
addressed to any establishment authorized to perform
of remains at sea - no body or remains shall be
medico-legal investigation. Reasons could be:
shipped to the US except under such conditions
a. Determine cause of death as may be prescribed by the United States Public
Health Service. The outside box containing the
b. Determine identity remains shall be plainly marked so as to show
the name, age, nationality, of the deceased
c. Recover organs or tissues for further person, the cause of death, the destination and
examination for: remains.
- toxicology analysis
If dead body is a subject matter of criminal
- histopathological examination investigation, it may be exhumed anytime.
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―The loss of any other part of his body‖ means The basis to determine whether the physical
loss of the parts of the body not mentioned in paragraph 2, injury is less serious or not is by either the period of
Art. 263. medical attendance or period of incapacity; both of which is
ten days or more but not more than thirty days.
Incapacity means the inability of the injured
person to perform, or engage on a work or vocation before The fact that the injury only requires medical
he sustained injury. attendance for two days but incapacitated the victim from
attending to his ordinary work for a period of 29 days
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Different measurement of the stab wounds may a. Located where vital organs are located
be produced by one weapon if it is tapering b. Usually singular but may be multiple but located
towards the sharp point in one area
Withdrawal of the instrument not on the same c. Parts of the body involved is accessible to the
direction as when it was introduced may hand of the victim
increases length of the skin defect d. Clothing is usually not involved
Three-cornered file when used as a stabbing e. Wounding is made while the victim is sitting or
weapon- three-cornered skin defect standing. There is bleeding towards the lower
The most common immediate cause of death- part of the body
hemorrhage f. No disturbance of the crime scene
Accidental stab wounds are rare g. Presence of suicide note
h. Wounding instrument found near the body
4. Punctured Wound
Punctured would with puncturing instrument loaded with
A result of a thrust of a sharp pointed instrument poison:
External injury small but depth is to a certain
degree a. Poison dart- cyanide or nicotine
Produced by: icepick, needle, nail, spear, pointed b. Fish spines
stick, thorn, fang of animal, hook c. Dog bites with hydrophobia virus
External hemorrhage is limited but internal d. Injection of air and poison as a way of
injuries may be severe euthanasia
Direct involvement of blood vessels and bloody
organs may cause fatal consequences
Site of external wound can be easily sealed 5. Lacerated Wound (Tear, Rupture, Stretch, ―Putok‖)
Punctured would is usually accidental but in
rare instances it may be homicidal or suicidal A tear of the skin and the underlying tissues due
to forcible contact with a blunt instrument
Produced by: wood, iron bar, fist blow, stone, butt
Characteristics: of firearm, others without sharp objects
Force applied to tissue is greater than its
1. The opening on the skin is very small and may cohesive force and elasticity
become unnoticeable because of clotted blood The tissue tears and laceration is produced
and elasticity of the skin. The wound is much
deeper than it is wide.
2. External hemorrhage is limited although internally Characteristics:
severe
3. Sealing of the external opening will be a. Shape and size of the injury do not correspond to
favorable for the growth of anaerobic the wounding instrument
microorganism b. Tear on the skin is rugged with extremities
irregular and ill-defined
c. Injury developed is at the site where the blunt
Medical Evidences that tend to show it is homicidal: force is applied
d. Borders of the wound are contused and swollen
a. It is multiple and usually located on e. Usually on areas where the bone is superficially
different parts of the body located, like scalp, malar region on the face, front
b. Deep part of the leg, dorsum of the foot
c. Defense wounds on the victim f. Examination shows bridging tissue joining the
d. Disturbance of the crime scene- sign of edges and hair bulbs intact
struggle g. Bleeding is not extensive because blood vessels
are not severed evenly
h. Healing process is delayed
Proof to show it is suicidal:
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Practical ways of determining how much of the skin surface a.1.Loss of blood incompatible with
is involved in an injury or disease: blood:
Skin serves as the mechanical protection of the Blood constitutes about 1/20
body of the body weight of an adult
It is punctuated with sensory nerve endings for By volume, an average size
pain, temperature and touch adult has 5 to 6 quarts of
It acts as thermo-regulator, storage of water, blood
excretor of sweat and organ for absorption A loss of 1/3 to 2/5 of the
Determination of how much skin is involved is circulating blood may result
important to determine the mode of treatment to irreversible hypovolemic
and prognosis shock and may be fatal
Significant in cases of: burns, contusion, dermal The volume of blood lost may
manifestation of certain diseases be related to the rate or
Burns in children and old age persons, space of time a certain
involvement of more than 70% of the body volume of blood has been
surface- fatal shed
Estimation as to how much of the body surface Males can stand more lost
involved, the rule of the nine is used of blood than females
a.2.Hemorrhage may result in an
increase in pressure in or on the vital
Body surface expressed as percentage using the rule of organs to affect the normal function:
nine:
Intracranial hemorrhage may
Whole of head and neck 9% 9% cause compression of
the vital centers of the
Whole of one upper 9% 18% brain.
extremity Hemopericardium may cause
embarrassment of the
Whole of front chest and 18% 18% contraction of the heart.
abdomen Hemorrhage into the chest
cavity may cause diminution
Whole of posterior chest 18% 18%
of the respiratory output with
and abdomen
subsequent anoxia
Whole of one lower 9% 18% a.3.Hemorrhage may cause
extremity (front) mechanical barriers to the function of
organs:
Whole of one lower 9% 18%
extremity (back) Hemorrhage into the tracheo-
bronchial lumina can cause
asphyxia
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Common causes of
hemorrhage due to natural
causes:
o Intra-cerebral
hemorrhage
(apoplexy)
o Spontaneous
subarachnoid
hemorrhage
o Rupture of the
arteriosclerotic
aneurysm of the
aorta
o Rupture of the
esophageal varices
in cases of
cirrhosis of the liver
and bleeding of
peptic ulcer of the
stomach and
duodenum
o Pulmonary
hemorrhage
o Ruptured ectopic
pregnancy
o Spontaneous
rupture
of
cavernous
hemangioma
or hepatoma
o Rupture of the
enlarged spleen
2. Size of Injury:
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3. Organs Involved
4. Shock
a. Bacterial:
- Tetanus
- Pathogenic microorganism
b. Viral:
- Hydrophobia
- Hepatitis
c. Foreign body:
- Bullet
- Glass fragments
- Shrapnel
d. Chemical:
- Cyanide
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- Nicotine
b. Tourniquette above the site of the wound
e. Toxin
c. Placing ice on the bite site
Snake Venom d. Sucking the wound to drain venom
o Characterized as two
punctured wounds at the e. Administration of anti-snake venom serum
center of the reddened
affected area
Scorpion Venom
Snake venom toxicity will depend on: o Has neurotoxic, hemolytic
and hemorrhagic effect
a. Potency of venom injected o Produces only one punctured
wound on the center of a
b. The amount of venom depends on the season
reddened area
of the year and the length of time the
o Main symptoms are pain
edema and reddening
snake has eaten. If a snake has just killed his
prey, the toxic content is smaller
a.Incision of the wound to promote more Blow on the head may not necessarily
external hemorrhage to produce external lesions but may
drain the venom produce severe meningeal hemorrhage
producing compression of the brain
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Kinds of Hemorrhage:
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Conditions of the Locality - (a) degree of hemorrhage; and cellular tissues not clot
(b) evidence of struggle; (c) position of the body; removed by washing
(d) presence of suicide note; (e) condition of Edges and cellular tissues
weapon. Edges gape owing to the are not deeply stained and
reaction of the skin and can be removed by
muscle fibers washing.
Factors in Determining Whether Wounds were Inflicted
During Life or After Death
Edges do not gape but are
1. Hemorrhage is more profuse when the wound was closely approximated to
Inflammation and reparative
inflicted during lifetime. If wounds are inflicted after each other unless wound
processes
death, the amount of bleeding is comparatively less is
due to loss of tone of blood vessels, absence of heart caused within one or two
action and post-mortem clotting of blood. Violence hours after death.
upon a living body may not show bruise until after No inflammation or
death.
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4. From the Scene of the Crime Any person who shall shoot at another with any
firearm shall suffer the penalty of prision correccional in its
minimum and medium periods, unless the facts of the case
CHAPTER XIII are such that the act can be held to constitute frustrated
GUNSHOT WOUNDS or attempted parricide, murder, homicide or any other
crime for which higher penalty is prescribed by any of the
articles of the Code.
Death or physical injuries brought about by the powder
propelled substances may be due to the following: Classification of Small Firearms
Firearm shot - The injury is caused by the missile Small firearms are those which will propel projectile of
propelled by the explosion of the gunpowder in the less than one inch in diameter.
cartridge shell and at the rear of the missile. The
missile may be single as in the case of a pistol or 1. As to Wounding Power
revolver or multiple shots or pellets in case of a a. Low Velocity Firearm - With muzzle velocity of not
shotgun. more than 1,400 feet/second (i.e. revolver)
Detonation of high explosives as in grenades, bombs
and mine explosion. b. High Power Firearm - 2,200 - 2500 feet/second
(i.e. military riffle)
An instrument used for the propulsion of a projectile b. Rifled Bore Firearm - The bore of the barrel has
by the expansive force of gases coming from the spiral lands and grooves which run parallel with one
burning of gunpowder another but twisted spirally from breech to muzzle
Includes rifles, muskets, shotguns, revolvers, pistols, (i.e. military rifle)
and all other deadly weapons from which a bullet,
ball, shot, shell, or other missile may be 3. As to the Manner of Firing
discharges by means of gunpowder or other a. Pistol - Fired only by a single hand (i.e. revolver)
explosives. it also includes air rifles except such
b. Rifle - Fired from shoulder (i.e. shotgun)
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When gun muzzle is pressed on the skin when fired, all of 6. Kind of Weapon:
the products of combustion primarily the muzzle blast will High power weapon has more destructive effect as
penetrate the tissues causing severe mechanical compared with low power one. The shape of the bullet
destruction on account of pressure. The explosive effect also plays an important role. Conical shape free end
will cause extensive laceration of soft tissues and fracture bullets have more piercing power without marked
of bones. tissue destruction while missiles with hemispherical
free ends are more destructive.
8. Other Consequential Effects on the Body of the Victim:
Contact Fire:
Aside from direct involvement of vital structures of the The nature and extent of the injury is caused not only
body, pressure to other organs and tissues, the gunshot by the force of the bullet but also by the gas of the
wound may be the source of hemorrhage, infection, muzzle blast and part of the body involved. The
paralysis, shock, loss of functioning etc. which may cause following factors must be taken into consideration:
disability or death on the victim.
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3. as symmetry:
There may be no sliding noose at the end of the
a. symmetrical: the knot or noose is at the
ligature. It may be tightened after it has been
midline of the body either at the occiput
encircled around the neck and the pressure on
or just below the chin.
the air passage, blood vessels and nerves of the
b. Asymmetrical: knot or noose is not is
neck is established when the body is suspended.
not in the midline but on the one side,
with the head tilted to the side opposite 3. Mode of Application of the Ligature
the location of the noose or knot. The ligature may be placed around the neck with
a single loop or with two or more hoops. This can
be distinguished on the nature of the ligature
Mechanism of Death:
marks. In single loop, there is but one ligature
There is a ligature around the neck with a knot or furrow, but if there are several, there will be
with a sliding noose and the other end is fastened to an several ligature marks with an intervening
elevated object like peg, nail, window casing, door knob, redness between the furrow. There is more
tree, etc.. pressure in a single loop ligature on account of
concentration of force at the weight compare to
Upon suspension of the body, the weight causes several loops.
the noose or band to tighten, producing pressure at the
region of the neck. 4. Position of the Knot
The knot or joint is usually located on either
The pressure of the band will cause the air side of the neck. The head is flexed opposite
passage to constrict, the larynx is pushed backwards and the location of the knot. The level of the
its opening is closed by the contact of the anterior to the ligature around the neck may differentiate
posterior laryngeal wall producing asphyxia. hanging from strangulation by ligature. In
hanging, the ligature is usually pull of the
Pressure of the ligature may also cause constricting force, while in case of
compression of the superior laryngeal nerve, ceratoid strangulation by ligature, the loop is found
arteries and jugular veins producing cerebral anoxia. below the thyroid cartilage. It is not easy to retain
the knot beneath the chin.
Forms of furrow that develops in the neck
depends upon the type of ligature, the number of loops 5. Course of the ligature around the neck
around the neck and the point of suspension. The usual appearance is that the groove or
ligature mark is deepest opposite the location of
Protrusion of the tongue depends upon how the knot. However, if the not is just underneath
pressure is applied around the neck. If above the larynx the chin, the groove at the back of the neck is not
and in an upward direction, the tongue will be pushed deep on account of the firmer skin and
outward and will protrude from the mouth but if the muscular tissue.
pressure is below, the tongue is kept inside the buccal
cavity. Symptoms
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Method.
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The subsequent impact of the pedestrian to the Fitness to drive – capacity to manipulate the
ground after the first impact steering wheel, step on the brake and
The injury sustained by the pedestrian depends accelerator, visual and hearing perception, reflex
mostly on the force of the ground impact, nature time, heart condition, history of epileptic seizure,
of the road and part of the body involved etc.
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Alcoholic drunkenness – a person with at least 1. There are so little crushable materials to absorb
0.15% alcohol in the blood is considered drunk the impact that the motorist himself is subjected
Injuries due to second collision – like steering to the severe force.
hub imprint, fractured skull, multiple abrasions 2. No restraint system is available to keep the
and laceration of the face and scalp, fracture of operator and the passenger on the bike and as a
the leg bones, ribs and sternum result, ejection from the motorcycle is common.
3. FROM THE VICTIM IN VEHICLE-PEDESTRIAN Inasmuch as the cyclist is exposed to crashes, the only
COLLISION alternative approach is the protective wearing apparel.
REASONS WHY THERE IS A HIGH PERCENTAGE OF 1. Moral Virginity- the state of not knowing the
MOTORCYCLE CRASH nature of sexual life and not having experienced
sexual relation.
1. A motorcycle can attain a high speed compared 2. Physical Virginity- a condition where a woman is
with other ordinary road vehicle. conscious of the nature of the sexual life but has
2. It has a small profile that the driver of other not experienced sexual intercourse.
vehicles may fall to see it. a. True Physical Virginity- the hymen is
3. At high speed and frequently in curves, the intact.
cyclist may lose control of the brake. it may hit a b. False Physical Virginity- hymen is
fixed object, the tire may skid, or the cyclist may unruptured but the orifice is wide and
be drunk. elastic.
3. Demi-Virginity- condition of a woman who
Whenever the motorcycle strikes another vehicle or a fixed permits any form of sexual liberties as long as
object the injuries is quite severe because: they abstain from rupturing the hymen by sexual
act.
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i. Degree of laceration
DEATH RELATED TO SEXUAL ACT
(complete, incomplete or
complicated laceration) A. Death by male partner
ii. Location of laceration a. Death from natural cause- because of
iii. Duration of laceration(fresh increased blood pressure, tachycardia
bleeding, fresh healing, and hyperventilation due to emotional
healed with sharp coaptible response and muscular exertion.
borders without congestion or b. Death may be due to the defensive act
healed laceration with of the woman-victim.
rounded non-coaptible B. Death by female partner
borders and retraction of the a. The sexual intercourse might be done
edges.) in a relatively confined space like the
iv. Complications of laceration back of the seat of a car.
b. In case of oral sex (fellatio) wherein the
PSYCHOLOGICAL CONSIDERATION
male penis is placed in the mouth of
A. During sexual excitement the female partner. The Size and the
a. Local Changes – the parasymphatetic length of the penis may cause total or
innervations of the sex organ is from partial block of the air passage,
the 2nd , 3rd and 4th spinal sacral causing asphyxia.
segments, and the sympathetic c. In case of cunnillingus (a prevented
innervations is from the 11th thoracic sexual act wherein the male licks the
down to the 1st lumbar. Brrr brrr brrr female genital organ) the male partner
b. Sysmetic effects: may blow air in the vulva and may
i. Increase of pulse rate cause embolism especially when the
ii. Marked increase in blood woman is pregnant.
pressure making its peak d. Sadist who may not be sexually
during orgasm satisfied by sexual intercourse but by
iii. An increase of peripheral inflicting physical injuries to the partner
flow of blood experienced as .
e. In concealing the crime.
an increase of body warmth
iv. Tumescence- consequence f. The female may die of shock as a
of this peripheral flow result of the extreme trauma in case of
concentrating on erectile rape.
tissue g. Hemorrhage.
v. Increased respiration h. Infection
vi. A decrease in bleeding C. Death of BOTH partners
during arousal a. May be due to the performance of the
vii. A decrease of sensory sexual act in an enclosed place with
perception carbon monoxide or asphyxiant gas.
B. During Orgasm b. Homicide-suicide pact. Brrrr brr brr
In the male, orgasm is the sensation
Character of the Offended Party:
resulting from the contraction of the
smooth muscles of the genital and the -The person is guilty of rape if force and violence were
striated muscles of the pelvic floor used regardless of the good or bad morals of the offended
coinciding with ejaculation. party.
In the female, during orgasm, there is
contraction of the smooth muscles of Evidences of Force or Intimidation: or
the uterus and rhythmic contraction of
the viginal sphincter, the -Mere initial reluctance of the offended party or verbal
ischiocavernousus and the pelvic floor refusal alone will not prove force. Must be a manifested
musculature. Brrr brr brr and tenacious resistance.
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g. examination of the
genitalia, including the breast
1. pubic hair
of offender
2. semen
and
spermatozoa
3. blood stains
4. body louse
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-victim in the course of struggle may 4.Investigation of witnesses who may possibly be material
have inflicted injurie upon him to the prosecution of the case may be conducted
-matted together due to blood stains or -Spermatozoon: living organism, normally present in the
seminal fluid discharge seminal fluid consisting of a head, neck and tail. From 50-
55 microns in length. The head is ovoid and flattened when
-presence of body louse viewed in front and pearshape when viewed on the profile.
e. potency of the offender -The ff specimens may be examimed for seminal fluid and
spermatozoa:
- defense that he is impotent
1. wearing apparel of the victim and alleged
f. evidence of genital infection accused
3. Evidences form the companion of the victim 2. vaginal smear from victim
a. history of the incident, won they are consistent 3. stains on the body of the victim and accused
with narration of facts of victim
4. stains found at the site of the commission of
b. if companion helped victim when force was the offense
applied by offender, companion must be
subjected to physical and medical examination PROCEDURE:
for physical injuries
1. Gross Examinations
c. examination of clothings
a.Inspection by means of the naked eye or with
d. to determine whether the companion might the use of the hand lens
have participated as an accomplice
-stain is grayish-white to faint yellow in
e. mental condition, physical power, age and color
emotional state to determine capacity to resist
unlawful aggression from offender b.Inspection by means of Ultraviolet light
-to make visible small seminal stains or
f. presence of alcohol or other depressants patches
Investigation of the Crime Scene: -shows bluish fluorescence
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2.Micro-chemical Examinations
-test of unknown semen in the same
-moisten portion of stained fabric with diluted hydrochloric way as blood precipitin is done
acid solution and let soaking stay for 1/2 to 5 hrs
b. Seminal Grouping
depending on age of stain. Allow the liquid portion to dry on
the side. Perform any of the following: -test is of value for elimination
a. Florence Test: produced by the action of -positive result does not definitely imply
iodine on choline, not a proof of seminal fluid but only of that the person is owner of sperm in
the presence of some vegetable or animal substance, question, negative result: totally
positive result: merely presumptive evidence of small fluid, exclude alleged accused as possible
negative result: in all probability it is not that of the seminal owner of semen
fluid
How long after sexual intercourse can spermatozoa be
b. Berberio's Test: some allege this test is found in the vaginal canal? Short period of time in vagina
specific for spermatic fluid, reaction probably depends on but in uterus, differing views (2 or 3 days at most, 43 hours,
the presence of spermatic secretion 17 days, more than 2 weeks, 48 hrs after intercourse)
c. Puramen Reaction: based on the presence of Can a woman be raped while she is on her natural
spermine in the prostatic fluid, Puramen reaction is found sleep? Occasionally it may happen, but highly improbable.
to be very reliable and rather characteristic of seminal fluid Normal virgin: hard to conceive such could be committed,
BUT possible to woman who had several sexual
d. Acid Phosphate Test: semen produces a very
intercourse and to those who have given birth
high phosphate activity as compared with other body fluids
Can a woman commit the crime of rape on a man?
the ff are needed: "commited by having carnal knowledge of a woman" thus,
no. BUT, under present laws, WOMAN CAN COMMIT
1. citrate buffer solution
CRIME OF RAPE ON A MAN. (See crim :p)
2. suitable substrate
Can rape cause death? Although not usual, introduction
3. diazonium salt of matured male sex organ into vagina of young girl may
produce injury sufficient to produce death. Death may be
3.Microscopic Examinations due to hemorrhage brought about by laceration of vaginal
canal, shock, subsequent infection such as gangrene or
-presence of complete spermatozoon will peritonitis.
undoubtedly infer presence of seminal fluid, although
semen may be present without spermatozoa, such Laceration of vagina with accompanying hemorrhage can
as in cases of aspermia (semen without also occur even in adult women if man's sex organ is
spermatozoa) or oligospermia (semen with few exceptionally big and sexual act was done roughly.
spermatozoa)
Can husband commit the crime of rape on his wife?
a. Dr. Hankin's Method NO. Marriage is a license of the husband to have sexual
intercourse with his wife. Purpose of marriage is
b. Gaguli's Method: best way to stain procreation and there can be no procreation if there is no
spermatozoa in India sexual intercourse.
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Elements:
Medical proofs on account of the application of
force, and conditions that will cause the victim to 1. The offender commits acts of lasciviousness;
be deprived of her reason or otherwise
unconscious are no longer relevant. 2. The offended woman must be over 12 but under 18
years of age, except when the victim is the sister or
descendant of the offender;
When the issue of age of the victim becomes a
problem and its determination may be proved 3. The offender commits the act by abuse of authority,
through medical proofs confidence, relationship or deceit;
Elements: C.ABDUCTION
1. The offender commits any acts of lasciviousness; Abduction is the carrying away of a woman by an abductor
with lewd design.
2. The lascivious act is done under any of the following
circumstances: Lewd design is the intent of the abductor to have sexual
intercourse with the woman abducted.
a. By using force or intimidation.
A.FORCIBLE ABDUCTION:
b. By depriving her of her reasons or otherwise
unconscious; Art. 342. Forcible abduction. — The abduction of any
woman against her will and with lewd designs shall be
c.When the woman is under 12 years of age; punished by reclusion temporal. The same penalty shall be
imposed in every case, if the female abducted be under
3. The offended party must be a person of either sex.
twelve years of age.
B. ACTS OF LASCIVIOUSNESS WITH THE CONSENT
Elements:
OF THE OFFENED PARTY:
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3. The carrying away of the offended party is with her Prostitutes are women who, for money or profit,
consent; and habitually indulge in sexual intercourse or lascivious
conduct.
4. The taking away must be with lewd design.
Reasons why some women become prostitutes:
D. ADULTERY AND CONCUBINAGE
Physiological and psychological traits;
A.ADULTERY: Economic factors;
Home and neighborhood;
Art. 333. Who are guilty of adultery. — Adultery is Influence of contraceptives
committed by any married woman who shall have sexual
intercourse with a man not her husband and by the man
who has carnal knowledge of her knowing her to be Medico-legal Aspects of Prostitution
married, even if the marriage be subsequently declared
void. Adultery shall be punished by prision correccional in Prostitution is one of the venues in spreading
its medium and maximum periods. venereal and other diseases
Evidences may be gathered to prove sexual or
lascivious acts
Elements: 2. Hustler:
2. She has had sexual intercourse with a man not b)Street walker
her husband; and
3. Door knocker;
3. The man with whom she had sexual intercourse knows
her to be married even if the marriage has subsequently 4. Factory Girl
been declared void.
Effects of Prostitution
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c. Blockage- alternative sexual gratification may become c. Vaginisimus- painful spasm of the vagina
blocked due to poor social skills with adults of the opposite during sexual act.
sex, anxiety about sex, unresolved oedipal conflicts,
d. Old age- weakening of sexual feeling in the
unavailability of or conflict with a committed partner, as well
elderly.
as repressive social sexual norms.
As to Mode of Sexual Expression or Way of Sexual
d. Disinhibition- sexual controls may become disinhibited
Satisfaction:
due to senility, dementia, mental retardation, psychosis,
drug or alcohol, impulse disorders, situational stress, failure
1. Oralism- the use of the mouth as a way of sexual
of incest avoidance, a general cultural acceptance.
gratification.
4. Bestosexual- sexual desire towards animals.
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In a case cited by Camp and Purchase (Practical 2. The physician has several medical reasons to
Forensic Medicine, p. 32, 1957), a married justify his act. There is no hard and fast rule in
woman with unstable character finding herself medicine. He may claim that there is medical
pregnant, threatened to commit suicide. The justification to such abortion because the woman
physician whom she repeatedly made her threat is suffering from a disease which might imperil
during her unexpected visits referred her to a her life if pregnancy will be allowed to progress to
psychiatrist who recommended abortion. The full term.
operation was carried on by a reputed 3. In most cases, the products of conception
gynecologist but unfortunately, the patient died of removed which may be utilized as corpus delcti
gangrene of the uterus. The coroner did not in the crime is lost.
recommend prosecution because the operation
was done to save the life of the mother. 4. The pregnant woman herself is in connivance
with the physician and it is quite difficult to let her
Safeguards to be Observed by Physician in Performing testify truthfully as to the actual happening. She,
Therapeutic Abortion: herself, is in pari delicto to the crime of criminal
1. The lawful abortion must be performed by a abortion.
licensed physician or surgeon.
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Signs of maturity of the child at birth 1. Infancy is the period in the life of a child from
birth up to one year.
1. Length of the fetus – 50 cm a. Why is the crime of infanticide applied
2. Weight – 3 kg only to kiiling of less than 3-day old
3. Lanugo hair almost disappeared infant rather than within the 1st year of
4. Limbs and body plump the life of the child?
5. Face lost its wrinkles 2. When the head and neck of the child are already
6. Skin covered with vernix caseosa (waxy or out of the birth canal and the child has breathed
cheese-like white substance found coating the through the lungs but the child is not yet
skin of newborn human babies) capable of independent existence and it was
7. Head covered with haird about 2 inches long deliberately put to death, is it considered
8. Nails project from the fingers; toe-nails reach infanticide?
only to the end 3. When a child was born less than 7 months of
9. One or both testes are in the scrotum, or labia uterogestaton. With modern neonatal
have close the vulva management, the child had all the chances to
10. Lower end of femur may show center of live. After a few hours after birth, the chold was
ossification about 0.6 cm in diameter deliberately killed. Is the killing a case of
infanticide? Can the crime of infanticide be
committed on someone who is not yet a person
CHAPTER XXVI as contemplated by law?
INFANTICIDE (NEONATICIDE)
Infanticide - The killing of a child less than 3 days old. Motives for committing infanticide
RPC. Art. 255. Infanticide. — The penalty 1. To conceal dishonor (single, widowed, estranged
provided for parricide in Article 246 and for from husband, living separately from husband)
murder in Article 248 shall be imposed upon 2. Financial reason
any person who shall kill any child less than 3. Desired number of children has already been
three days of age. attained (substitute for ineffective family
planning)
4. Congenital abnormality of the child
5. Mental abnormality of the parent
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6. Belief that child will bring bad luck to the family 1. Complete examination of skin surfaces
1. By omission or neglect
a. Failure to ligate the umbilical cord (if
not cut or not tightly ligated, child may
bleed to death)
b. Failure to protect the child from heat
and cold (depriving the child of
necessary clothing)
c. Failure to take the necessary help of
a midwife or a skilled physician
d. Failure to supply the child with proper
food (child starved to death)
e. Failure to remove the child from the
mother’s discharge which resulted to
suffocation
2. By commission
a. Inflicting physical injuries (use of
kitchen utensils, hard or sharp objects)
b. Suffocation
c. Strangulatioin
d. Drowning (child disposed in
a sewerage disposal in a
creek)
e. Poisoning
f. Burning
g. Delibreate exposure to heat cold (direct
sunshine, basin of cold water)
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CHAPTER XXVII
PATERNITY AND FILIATION
1. For succession
a. Right of legitimate children is
different from that of illegitimate
childrem
2. For enforcement of naturalization and
immigration laws
a. Naturalized citizens give ipso facto
Philippine citizenship to their minor
children. Thus, the minors must
prove that they are legitimate
children of the naturalized citizen.
b. A minor child of a naturalized or
permanent resident alien may be
given the right to land in the
Philippines upon proof that he is a
legitimate child of the latter.
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