Forensic Medicine

Christian medical college,Vellore

Newton Wells
MBBS,Intern
Case Discussion
CASE HISTORY:

21-year-old Ms. Shanti D., daughter of Mr. Raghu K., residing at No. 23,
Thottapalayam, Vellore - 4, was brought to CMC Hospital, on 16.08.2022, by Mrs.
Kavita, WPC, All Women Police Station, Vellore.

Ms. Shanti had registered a complaint that she had been raped (vaginal
intercourse) by a colleague two hours earlier. Concerning this case (Cr. No.
258/22 u/s 376 IPC), request for examination of the survivor was made by

Mrs. Ambika, Sub-Inspector of Police, All Women Police Station, Vellore, vide
letter no. 282/2022 dated 16.08.2022 through Mrs. Kavita, WPC No. 1441.

Medical examination of Shanti was performed in the Forensic Medicine

department between 9 am and 10 am today after obtaining her consent.
 EXAMINATION FINDINGS
The following observations were noted:
➤ Clothes were crumpled and blouse was torn. Blood stain
measuring 3cm x 2cm was present on the underwear.

General examination:
Height -157 cms,
Weight - 45 kgs,
Pulse - 100/minute,
BP - 110/85 mm Hg
Temperature - 37˚ C.
No external injuries.
Local examination:

Hymen: Multiple fresh tears with margins bleeding to touch were seen between
3 o' clock and 7 o' clock.

Blood stains were present around the vulva

Labia: Congested and tender.

Vagina: Bruising present on the posterior wall.

Cervical & Vaginal swabs tested negative for semen & spermatozoa.
IDENTIFICATION MARKS
A Flat,circular ,non hairy,black mole measuring 0.5 mm in diameter,present
on left foot 5cm below Big toe.

A Linear,Hypopigmented flat scar,horizontally placed,measuring

3mmx2mm,present on forehead 2cm above the right eyebrow.
 PROVISIONAL OPINION
After detailed examination of Ms.shanti,Daughter of Mr.Raghu on 16.08.2022 with the above
mentioned Identification marks,

I,Dr.Newton Wells,am of the opinion that at the time of examination there are no signs
suggestive of recent use of force.there are signs suggestive of forceful vaginal
penetration.however the opinion regarding vaginal intercourse is reserved awaiting FSL report.

Place: Vellore

Date: 16.08.2022

Sign:Newton

Name: Newton Wells

Designation: MBBS Intern

TNMC Registration number: 84857

Seal:
 FINAL OPINION
After perusal of the provisional report of Ms.Shanti Daughter of Mr.Raghu dated 16.08.2022 and FSL report
from CMC bearing number 193/22 ,dated 20.09.2022 in relation to Cr.No 258/22,U/S 376 IPC of All Women
Police Station Vellore,

I,Dr.Newton Wells, am of the opinion that at the time of examination there are no signs suggestive of recent
use of force.There are signs suggestive of genital assault,however the possibility of vaginal intercourse cannot
be ruled out.

Place:Vellore

Date:20.09.2022

Sign:Newton

Name:Newton Wells

Designation:Intern

TNMC Registration number:84857

Seal:
 WOUND CERTIFICATE

Wounds or injuries found on the person of a mancalling himself Mr.John

Son of Mr.Jaison aged 44 years ,An inhabitant of 21 Nehru colony,vellore
who was sent with memo No.112/22 from Katpadi police station and
accompanied by Sethuraman PC No.12345 for report as to certain injuries
said to be due to alleged history of being assaulted with a knife by
neighbour on 20.07.2022 at 11.pm
On External examination

This injury measures 3cm x 1.5 cm x bone depth This injury measures 3cm x 0.5cm x muscle depth
Identification Marks:
1.A round,flat,non hairy black mole,measuring 1mm in diameter,present on the inner aspect
of the right forearm ,3 cm below the elbow joint.
2.A round,flat,non hairy black mole,measuring 0.2 mm in diameter present on the outer
aspect of the left leg,5 cm below the knee joint.

The injured person was first seen by the undersigned at Emergency department and the
examination was conducted at Christian medical college,vellore on 20.07.2022 at 11.00
pmwhen the following injuries were found
S.N TYPE SITE SIZE and AGE Of KIND of REMARKS HURT/GRI
O SHAPE INJURY FORCE EVOUS
HURT

1. AVULSION ON THE LEFT 3cm x 1.5 FRESH SHARP - Grievous

THUMB 2 cm cm x bone hurt
BELOW BASE depth,
OF THUMB TILL Elliptical
TIP OF NAIL. shaped

2. INCISION ON THE LEFT 3 cm x 0.5 FRESH SHARP - Hurt

PALM 2 cm cm x
BELOW THE muscle
LITTLE FINGER depth
Linear
shape
 OPINION
After detailed Examination of Mr.John Son of Mr.jaison with the above mentioned
Identification marks,
I,Dr.Newton Wells,have made opinion that Injury 1 and 2 are fresh and Sharp force
trauma.Injury 1 is grievous hurt and Injury 2 is hurt.
Place:Vellore Sign:Newton
Date:20.02.2022 Name:Newton Wells
Designation:MBBS INTERN
TNMC REG.NUMBER: 84857
Seal:********
MEDICAL CERTIFICATION OF CAUSE OF DEATH

CASE 1
 Form No.4
MEDICAL CERTIFICATE OF CAUSE OF DEATH
(For hospital inpatients) To be sent to Registrar along with Form No.2 (Death Report)
Name of Hospital CHRISTIAN MEDICAL COLLEGE,VELLORE. I hereby certify that the person whose particulars are
given below died in the above hospital in Ward No.H on (date) 15.02.2022 at 7.44 pm
Name of Deceased Shri ELANGESWARAN .T Age & Sex 48 YEARS, MALE
CAUSE OF DEATH INTERVAL BETWEEN ONSET & DEATH
Immediate cause I.(a) Acute respiratory distress syndrome 1 day
Underlying cause (b) Bacterial Pneumonia-Pseudomonas aeroginosa 2 days
(c) Confirmed Covid 19 10 days
Contributory cause II. Human Immuno Deficiency Virus 17 years

Manner of Death: 1.Natural

How did injury occurred? Not applicable
Was death associated with pregnancy? No
If yes,was there delivery? No

Name & signature of certifying doctor Dr.Newton wells Date of certification 15.02.2022
_____________________________________________________________________________________________________________
(To be detached and handed over to the relative of the deceased)
Certified that Shri ELANGESWARAN .T Son of Shri THANGARAJ.T R/o 2,NORTH STREET,KUTHAPPER POST
TRICHY,TAMIL NADU ,was admitted to this hospital on 06.02.2022 he/she expired on 15.02.2022 at 07.44 AM/PM
Place : VELLORE
Date : 15.02.2022 Signature : Newton
Name : Dr.Newton Wells
Designation : MBBS Intern
Medical council Registration Number : 84857
Seal : Sealed
MEDICAL CERTIFICATION OF CAUSE OF DEATH

CASE 2
 Form No.4
MEDICAL CERTIFICATE OF CAUSE OF DEATH
(For hospital inpatients) To be sent to Registrar along with Form No.2 (Death Report)
Name of Hospital CHRISTIAN MEDICAL COLLEGE,VELLORE. I hereby certify that the person whose particulars are
given below died in the above hospital in Ward No.MHDU on (date) 15.02.2022 at 2.15 am
Name of Deceased Shri Saravanan Age & Sex 28 YEARS, MALE
CAUSE OF DEATH INTERVAL BETWEEN ONSET & DEATH
Immediate cause I.(a) Acute respiratory distress syndrome 2 hours
Underlying cause (b) Ventilator associated Pneumonia 13 days
(c) Confirmed Covid 19 15 days
Contributory cause II. Scrub typhus 2 weeks

Manner of Death: 1.Natural

How did injury occurred? Not applicable
Was death associated with pregnancy? No
If yes,was there delivery? No

Name & signature of certifying doctor Dr.Newton wells Date of certification 15.02.2022
_____________________________________________________________________________________________________________
(To be detached and handed over to the relative of the deceased)
Certified that Shri Saravanan Son of Shri Kathavarayan R/o Pasal Gate ,Teacher street,Thirupathur,TAMIL NADU ,was admitted to this hospital on 30.01.2022 he expired on 15.02.2022 at
2.15 am
Place : VELLORE
Date : 15.02.2022 Signature : Newton
Name : Dr.Newton Wells
Designation : MBBS Intern
Medical council Registration Number : 84857
Seal : Sealed
MEDICAL CERTIFICATION OF CAUSE OF DEATH

CASE 3
 Form No.4
MEDICAL CERTIFICATE OF CAUSE OF DEATH
(For hospital inpatients) To be sent to Registrar along with Form No.2 (Death Report)
Name of Hospital CHRISTIAN MEDICAL COLLEGE,VELLORE. I hereby certify that the person whose particulars are
given below died in the above hospital in Ward No.S on (date) 25.05.2022 at 10.16 pm
Name of Deceased Shri PichandiAge & Sex 42 YEARS, MALE
CAUSE OF DEATH INTERVAL BETWEEN ONSET & DEATH
Immediate cause I.(a) Myocardial Infarction 2 hours
Underlying cause (b) Coronary Artery Disease 10 years

Contributory cause II. Immuno Thrombocytic Purpura 3 months

Manner of Death: 1.Natural

How did injury occurred? Not applicable
Was death associated with pregnancy? No
If yes,was there delivery? No

Name & signature of certifying doctor Dr.Newton wells Date of certification 25.05.2022
_____________________________________________________________________________________________________________
(To be detached and handed over to the relative of the deceased)
Certified that Shri Pichandi Son of Shri Valli kannan R/o Reddy palayam,Kattukannur,Arni,T.V malai,TAMIL NADU ,was admitted to this hospital on 06.05.2022 he expired on 25.05.2022 at
10.16 pm
Place : VELLORE
Date : 25.05.2022 Signature : Newton
Name : Dr.Newton Wells
Designation : MBBS Intern
Medical council Registration Number : 84857
Seal : Sealed
THANK YOU