aigohtusiin fe hea @ Psu Pelle. @ Extra dureil Hemorege.[® oonlized- 'e sub culenbut? o ‘ ~ ouP Sub galeci! 5 © sub Privosteall- oc ral t ; eae les “Truwa = > inGleciion . : > weewer — > Jacksonian ePirers4 > “LOWS AL 9. Motor rte > Dawes Membran -SaPlic .Compticodion rae ie occure as hone erosion — am 2-6 weeks. 4o develop .- - A *. Guse. ef. deiTR Meng dig : robossjsasted sae Encephatlitir —— broun: Abscess x oo Cavernous_sinur Trrom bosit - Scanned by CamScanner CCamSeanner soe tees!é ic a Brain injuries « G) localized brain injuries —o Centusion & facertion - BD diffuses byain injuries —— t Concussion — . ~~ (29 iffuse axonal injur| Nia) Cerebro @mPresion: ——wiel-. —=— wechanion - é oP ~ MUI = del. Sudden Wansient loss of Gasciouc due fo Taufaron]. imPaired Cerebral functions Panowi Head Truma- SaaS 0 Vibration affecting The Reficular -Pormedion —. of brain gleam. Clinical Piclure:- __ [Gemoral sign and simPtom | newvo lofical From 16 mintte to 6 hours] - Yul (Normal): Q@ Vomting « insever Gses. slighahy dilated: May Present or nod | @ J toter Power. Vide sian: Jost. with no_signs o 4 Signo F-2 Shock u Jatercdization. NL Blood. Pressuve: |@ Refiex. : riabee y TGaprefure lost With No signs of | © Rapid weak Puls lotrel '2echion © Rapid Shallow ReiP| ® Comeal Reflex lack to | disappear and Pirst fo | ReaPea rs Scanned by CamScanner CCamSeanner soe tees!fe of Gnccussion. w Compleat Recovery — o;.0CCur In. the . most -Cases-+ ‘ 5 2. Ration Recover +o Norma. -wi'irout en}. Residual offed jal inComplat Recover. ( Pest Gncussion SYndrome) = « Pationt Recover but—tncomplealt:: la = fh tom Rested. by. Headch. + disappear. after —E Seng of Relation Pew days — Pew weeks + Encephalopathy - stiyritabbtidy = Con Pusion! = ormnesit- com xd + ae [2] Concussion Passirf to ComPression = @ with lucid intervef © direct. + without lucid: interval » Lucid interval + d&i- Reried of Gngcicus ness belween unconscious ness of Gncussion and. un Gnsciousness of GmPression- Time Minute. to day according 40° Cases). Gauses,, Fissure, Frachuve Resulh in Tearing: 2+ naiddle- MoeminJeal: onary oy oneal ie: branches... 4 Mechanism. + During? Gncussion Me bieod Pressuve is low So Ao Sieedin} occurs Prom Sorn Ves bo 8 + ACler Recover} ef The Pollient and: normalization of blood Precure The bleedin} shorkoand — increas Graduatl{ - leadin} fo another stoGe - af oss. of Gnscious ness - ’ Scanned by CamScanner CCamSeanners Wee tgaMLT of lucid intone 2 é () Viclum Ma fall. Tne name » of aassaal ont shel8(2. agsailjan\ defense. May assume rod Tre ; Guise, of dea not due te “Trumea- i 2))( 2) ed neJligences: —p whens oe mos re en Presented to. hosPihol wile - : Michor} of Head Trima Must be- ce HosPitalized Por 48. hours ‘= Monifovin} of vita) signs — \ewe of Conscous — Stole of pupit — lotor Power - Reflexes - 1 (GI Fatal Concussion due to ferminant ovrert of Vile) confers diiews associated War a Imm diode _umansoucness amd : @ma > 6 hows he. Sena Sn Rodd Traffic accidants - A oCcure' due fo Sever: Rofationall impact: A Non} to See. SPecia- slain cere. Neded - aw DeeP srl Romorrhafe_ in white Subbshance wvea_ Here fe! @ncussion, 0) HosPiteizedtion ae “Qs jnvestijodion 5 EEG.- | — B) “Monitoring of = Vited sigh : pt 2 — level of Oncuse —— Stode— of Pupi) Meler power ta Avoid \orPhin 2 Refriexes- Mask sign of lederaization in Pupi) Scanned by CamScanner CCamSeanner soe tees!AL slote_ ofl ineyeas Ambra cromial) Pressuve - = "ove “Wrran to --18 mm tig. - Guses 4) Tntya cromlo Hg - wee qs (27 DePressed, rocture Lucy db Ae a (2): dn Wwor cremistl Tyne H Bile YW) WPeckien } it 3 £2@) bron! Cdemea: 2. 6) -C-< B obstruction C Wy drecePhadus) » — Fncreas Production “of cs Pu Momidgitirn F TCP vs ccctusion of Cerebral von —a Grjestion'; Edema ——+ irritortion - 2 Poraltic shajex = §-T.2-P —_© occlusion of Avberies —_» ischemia ond brovin infarction - “ Bl Hernisdnf slo§e! = 2 Top —o brain Sleom GmPression —» Hernothion eh Mtedutter Teh — Porman- Me wum- —_5 Deoilh due to Central asp si Scanned by CamScanner CCamSeanners Wee tgaCeP-of GmPrascion « Gomera. Signs and /- cumpdons |) Lae Ah 83 Gradual joss. oft Gnsqous Vomtbig o- Pro. Jechie Vemting a Porsistamt Headch @ Pa Pilogdema: @® vitel signs ( shok y Brood Presure & a | aie SumPloms - Sians of . tateraliZectron w -_ un equa). in S7Ze—- Tpsilateral constriction Fonowed _ by diltodion due to Comferssion of {Psilatera) 2% nerve Then Conthalatercl) affection in Sovrme— Mtemner’ Ja) Motor Power «Temps? (cerebral fee} Conta later tyPerlonia & Slow. Puls Slow breathing: Wren WyPo fonta- (3) E-ReFiex- Contra later] hyper ReFlexta When WyPo RePtexXiar- due to decusstion of \avet eB -meduita~ = ene stage © Removing ° Remonin} of Hematoma of ter Vigoch SS Cowse of deodh —o~ Wernestion o MLO --+- ad Ht ~ DrecomPression ofersion oGe, of inetbedhion a—_Miesis ——— MPertonia os Refiexta- —— My drasis —— wwiotenia. Wy Po Reexo- dePressed Per} of bene ton of bleeding wv. Scanned by CamScannerlocalized brodn. injuries (Gntusion § Lacerbion)- sapes of. Cerebro} Ccombubion couP Conbusion..4- + due to acceleration f. “Mead Goats rbtow:.:! + Confusion af Point of imPach- fa Counter @uP Confusion +- = + due.to” deceleration of Head and brain ides Over: Tre ivvejuler., @unbr Cour of :¢ kull or ‘dd _Gonber cour. lbyusis duei. to-wejatine:7Presure treet} ~Combubion...0PPesifen to sifed aad Pach MULT L1Q)yi Nop! dePend.on TIRE. Site JoL:. Externe wound:, as Bude evidence >of: inferaciombed lesion... a : @ Assailomt Mis} claim That He is net Responsible. Por brain” injur} — Scanned by CamScanner ‘CamSeanner ssoFabra. cranial. -Hm9-- 0) Extra dure m4. @. Sub dural Hq. @) Sub ovachnoid Hwg- @) infra Cerebrell Sage +! SS ERR Extra dural Hm ) va Fie ans. Jrimottic- def cavalo. fa ‘bhed belueei dua and bone * Glucose True as: Fissure Qriclure =» ~estid of Extra dural bisod Nessa: mtdsie: maniac orter , Gonccustoris ei 4o® ee wTR \ucid. infervel ScalP woind! (2). Skull. Prachure- (2) S xtra, dure, ng - Brain GmPresion: ) PMP of ASP xa- ( Worneation of a Medullor: 5 combyoul spn aia). Scanned by CamScanner CCamSeanner soe tees!eG nS eo are Jramatic. foot had def. accumulation of esd Jealwaall Awvo4- a ond | . Tres « Acute Sub dural ng : Fa Chronic Sub dural Hmg. | wD Acute SOH\.. a. t Mechani¢mn :— Rokahion:. peed “Decalerfion TWreor- ~ —» Yeowin§ of viidging vin. exomPler Shakeri:.bab4 s4ndvemes: Chronic SDW~ CPachy: rroningitis wemonchagicr) « Repeated Minoy Trauma. of Wead- in @se_ of 2 ald fe : = diabetic © Alcholic- « blood diseae—. aaa ron eier ao uel ie dura otween duva , avachinet Mare .Gwmon Mechenicm = Site- oe skatt , - cae Le “es an i co bieedie.| feed _ Netmour- en ale Lerbion) : i : of : skutt Pracko APsonf 3 Scanned by CamScanner CCamSeanner soe tees!Areurysm: se Maint Patnrorstical — due dose! Z lana elerlind Prom Patnolegical. intra corobris). i @. RuPfure. of Amaury sem. Aneurysm = Paces Es ; _Confomila MYeotic - Couses:| weakness of | sub acute bact. Pod ont) solubloed ,. vascole le. endo eee oy Sivleign yee agin hare. of bran. > Palko loJical Te. tf +. Cerebral apoPiex4). due tor or HY Par Lintion . . Alor sc sclerosis aS as od ay ies- (2) A TRRv0 scleto lie core bral vena -Yeras Wick, as Cut not Collar -wisosh¥ AB # main bulk of Homlenas in ere it 4 dw usual Ske 4s CorPus shytohGty— onda ous. * Ponting lama. Presented by. t + Coma _K Peavey» = + Pin Point PuPiy s Masde Peeve sir: Scanned by CamScanner CCamSeanners Wee tga“sTramatic T-o4 Mechanic ms ww Shearin' shves 5 Ruphuve. of Bev in. G (Rolotion Tree) lorain substance. AR epky 0) SuvPacex Confusion. Wik Lj, of braln. sei dkomMay be CUP er Center GuP. o Pos} Traumatic epirePs4: (Jacksonian. epierss') «| — due fo Meakn} amd searin} of Meninies amd brain. a Permanent disabit} 5 depend uPon, site Sevarit] of damife gl Personalit\ Chonfles 0 depression, anxieht, o9re ssion- : l Parkinsons disease. iduodoncs 2S 4 (El. Pos} @necusven S4ndvome: a [Zl _-Amnesia: C Relrograde cumneria) + Alto modism: ( Antro grade cemnesia)- 7 is 8 AZheuimac disease. ae Abseess (bron abecers due do infection) « Ie Damage. of cranial) werve. fe Difficult in Speech - (2 Scanned by CamScanner CCamSeanner soe tees!fe sauces Amn - ener cay an) (2 Guobicassins fe cut cx | Dalasied “ceuses en eee fo | Jaksontomn’ apirerr- (2) SaPlic ComPlicedion, Bl |p Dag Tous 2 we 7 Mong, 5.2 sue Contused wound Simulates au} wound. Dong rous infeabion a: Lint ver Mey lead +o deci 2 dagGrous infection - Scanned by CamScannerAnnicide eo Nor} did Tra infant survive afer birty in infanticide A. : 9 Respived 2 Hon Resbived lu al —@. Frotodion ford in ace of infanticide 21, Jel Willig of @ live-born & Viable infant below 2 Year AB \ve biTE — infant show signs of life. SM birTk —o infant dort show anf sins of We: Viable 5 More Tham % Months or 28 weeks: Report on dead neonate or infant Should include 9, os ... | (2). Signs of Nive-binik (3). Period of survive of infant (a) MAeTrod. of aPpred violence (5) Sshimodion of Perl Mortum interval: ‘Scanned by CamScanner CCamSeanners Wee tga_ tn Dake_ : n§ “Related to. baby: clothes, - G1 Examination of | iaCant body: B Place @ DescrPhion evs —— Glor of skin LZ - Raily, 5 ° blood GrouP.- A “Wentification of iat ra. utyine * te (FATS deleymined |\4. 2 e-washt og 3500. 9m (3,5 Kilo) - + weight of Placenta. 5 600 9m 2 lenj he 50 cm. © O-C of Rnee omd. aiboided « Testise_ in gerotum. + Noll byond ike Pinger: Je of infant aa aP Pear Head Heir —a 3 cm- + Head circum Poronce —p 13. Cm * Closed post Pantoned + umblical cord lengih —» So cm i Site —»o midway} betweon xiPhislemum amd S4mPhysic Pubis- * Viable Pefus delormined by oe e \enjik ——_, 35 cm. e weight —____s |Soo 3m «weight of Placenta ——s Yoo 3m © O-C of: Falus afPeay é Testis ak internal inguinal Rind. + wrinked Skin. (scomt{ ¢-¢ Pat) Scanned by CamScanner CCamSeanners Wee tgaoJ. 1S I 3 ls =a 12. J2los pays ined by CamScanner . [»pteqno ae OBL un g rau] t = pucteg Inav Wes | eo eS fe) OW STE wast = sxe Oo papas urls se nua + ‘palates whet xiwian + mn Gu We 01 orl Go! we = obd lite wwuje bpa.| [PURXS | Je 2-0 0G I © |woon = 9x8 a2 ‘wy | 1 ys Pawar | Rb | sno g own 97) / hi) Pousyt ye 2-0 | ne) Oe le r rere eRe RT pasd qm\quin « ea pincry ut beg wo0g =GXI 9 Leap ara tease | AHP | cal apse) pad ng = 3 nS [es . Snauey5D 6 907 jAeude of t4>hS i ime Johe| WW « ype a i fuud sabe XS | 4p rel ; APHVOO YIP anal ey | 2 ee sey Ae Rito aeseieg [eked f qr ct &ree f inperitomap ss | MOW PK ere -ampery orjirads > SIpSO4 22 pod Jo Thom [pepe de fMbem = a eat CCamSeanner soe tees!~ Nonmedicolevidence L of tie b— - : — - ve : ~ ; ‘ ———_--—infamt_show. Signs “~~ aN _ =< Move Gera intemal sign ge __ =~ Pale ond —. — Gees) —_—— ———eumblica) Ord 1212 Lo. Lactate f + Ante mordum wound I» insPiration Ee + 2S poskin 22 Vo vascular i C soa chane QO ..chor§es around. umblica| cord base. s : 1 day ——2 Rin} of hyPremicr Peo 9 dats. 5 Ring. of ulcerbion: =P week.) StumP Calis F External Siang of ihe bite E-@_ Ante-morlum iniu) due te L.@. Skin Desguamotion * Stor} of ler 2 das, + Gmplel after Q weeks. er _Q... Yellowith Choo! be: LS Absence. of Macerlion . b Ee F | E 2 gs weeks. umbticus if Cormed- ddliver'| ov. causes of death Scanned by CamScanner ‘camseaner | "Internal Woke we q. “) Ggns of tive-bivth. 2, FnsPiralion- Lactate.» Gowel test» Vascular char§e- *» jasPiration,! « ResPired Non ResPived © Ge 3ne} TI) chest qavity = shaper Arched (Pombe) ~inte gale wide = Aigpheen at jel of 4 Rib [2] Coley Mosaic Cbteod +air) Wensishenc} | CrePitatian d2 Presenc o2 GW. edge. Rounded edge. (EJ Gmvress Qubbiing under acter @ mp Dishended — Alveoti with S{uamour CPi Rolium- ot level of 2% Fiat Nov raw Ribs Pinkish Cuniform in Color) d2 ont} blood: Firm shovPedse- ColiaPsed Atveoli wih Columnor EPiThelium Scanned by CamScanner CCamSeanners Wee tgaPa Techs. W Shatic Foderes test - SS! a ith m _— * weight of Respired lun. daubles THSt of non ResPired f-—__-*—Res Piration_Resulh- in_sPasrn of ductus! orderiosuntZ -— —©- Jushin} blood in to lung. —— * Respired. ( 80 gm) #& Non Respired (do am) F- Y21 Wydrostodic. des ° — eas Air 0 AL-SPecific gravity ——» Preatin§ in water - MeiReds= Veco Mun) wile Meone E 2h ose ur. alon E Bau. Reipaeddeiee vated Devide luv into lobes 4- Lung cub info Small pieces- ~~ Rewlt AN lun} forks Feat ——o Fin ResPivedtion - AN Jeng. Parts. sink .—_p Non. ResPivaction - f All Proated bul Some see. Pieces. sink fs te ian, — 5. Parti. RexPirotion: Based. Jk8 in case of Poatin® Jung CPedadic Fesh) is Recomended “ys SAuceze all Parl of lung - o SH Picd} —» Aetive ResPivattion e Sink pb Passive. ResPirottion Fadse Result UW) Non ResPived Jung Pleat in aise of s artificial ResPiretion i © PulviCachion . i CD PesPived luv sink in case, of «Promonia * lun} GlaPse Scanned by CamScanner CCamSeanners Wee tgaWydrestatic tech nob used. in a MAacerbion ~ @. MiK in-stomach 5 MulkiPle coiffenitel amomodis. aS. Uy. Fetus. less Tran Zo Mtnin. Bowe 4os) + — {deg Air Swollowed an ResPirodion- +e Ficalation of shomach..Refear to Respiration % Floatation of stomach omd upPer Smoull Intestin indo lived 3 hours Survivell re Plodtition of glomach amd lavJ- intestine . © ANived 6 hours survived - + Nasculer chore! + {) umblical vesale QWs 2° Wdays aller birtK——o© blood clot - © | week after birth —SS"ovJomizedion of clot © Q weeks after bik 5 ComPtet orjomization of clot © | Month offer bir —-p laJamentum teres QPormed: (3 Forman oval —o Closed aljor | week. BI. . Duchus arberiosus - ' + Ranchonal closure alter 6 hours * Actual Closure after 1 Monin ARE ae Scanned by CamScanner CCamSeanners Wee tgaa4 Nevr ah seb pss a esd Shami -ntenat_sian. ws oc Monbe\icoll cord 2 Lactate xx sot Parken stort wound inspiration x beet US skin, Vascular chon4e 212) 2 N stool XX Com estimated. er WCChorle ovound The base of vnnblical @vb) 1212 21 day after bivih 5 RivQ of A Promicr. 0 2 dats oo B - Rinsl of Ulcertion. eo loweek. eon! Shump Poul o Q.week » - Le. Umbiicus Rormed Bl Gale Carlun wand Showed Vital Raaclion) = + PFE of wound e e © Prsh 12 Nouvs 2p edge Red, Swollen. SK2Q 6 -6.do's ——. obiitration of new vessels —1o « low~ —— Healing 4 Primov{ intention 3 2 3. weeks ——». Red Scar a ds =e: Qu Moniks:. —— ... brown . Scar, Se 6 Monws =o. while scar. \3\ GChanGe in wewfbtical yeas) in Chovsee HF wrnleical “yess Vessals a) De squamation smothovint , Trottilig, P =P shronfulation, checkin} i a i yay NR Srouin Head br culTaroad, Posioning - D-H befween Momicidel & accidinta stronfulatien. by umblical ord Lotofte tana Homicide accidindal - Jorns-— |... Move Anan one- one. vahartons jell} |. DigPlacmend unifor didvbuted- Aboresion, Brusit Precenk— albocont Gaelrichion mar Deep super Picied - Dd Welborn desist of infombicide 4 Head injur rede POA, PorCePr j es [eat | eerste |__ Head Injun Metrer Muh Poa | Primi Poa | May bQ primifer| Mabe pyimiPara: Umbiel od} “Jorn cub Cut od capu} succel — Absent Present Prevent — -daneum calp | Contused wound}. Hematoma - Konkuored wound| confuaced wound - Site of Paclun) Promtal or Prital Jat avea of cxPu| Bitaten on bak | Any site & Sides z Riscure- Dissuve. depromed Jake| An4 14Pe S Shave ef PoveaPs + Scanned by CamScanner ‘camseaner | qa) ws Q) @ @) Ww el a Gauiser_of. dontlic-in infact oe Natura) & Accidental courses - Act. of. emission. i Act of Gum ission (S69) infembicisen Sudden infat Dea Syndrome Accidente OY ASPH Xia’ ag ) BTR injuvies ' @ Blood group & Rh incom Pati bid: CY Crgenttod omowetlic Ss) o S4Philis - 6) OifCioh or Pevicipitate. :tabour GQ immatuvit4. @) infection Grd Prolapse. Act of emission . gLor oy) NeSlecki] Feeding oO S cloning - Nan 4x} of umblical cord Ach of Commicsion - SmsWeri _ Trrvohinivd - Shronfutslion Draw ai — Wead injur} _ Poisoning - Scanned by CamScanner \CamScanner sso taalcudden infant decile S4ndtome STDS © defi sudden and non exPecled death of om aP Parent, Health| infant -wititouk accePhed. Caltse- ES _Susgeste d. causes. wy Alleyy to. Mink Pin. _)-,Abnormalit4 of Grdioc @ductin} issue. (A Pnea + idiofatThic aPnea “WY Ppornatremia. Prom incorrect Pood: (5) WY Po Tnarmia of hyperthermia (6) HY Po Shijyodiom (FZ) MM dhaboticerror (a) Vive infection: (2) NeuvoleJical damge d2 Miner }rume: Cle) Scanned by CamScanner CCamSeanners Wee tgaTar Dighnesis of Prnaney ed farous X= NMuliParous Women» se. Sign of deliver). intornal Cvs chenfe. occur after birt ess. umblical ord. ¢Xemination- vt Types of Abortion. 2-7. — laboredor] invesdigection. Resuivad in Suspected: cose. of Crimine} abordion- eB Oar§rovs of abortion. S- AbortiCotent Drug - y ‘Scanned by CamScanner CCamSeanner soe tees!ny Aduiherf:- when Husband accuses hts wife. for eXtra marited Relation. - : 2 RoPe::. Fer Punithmenf = olin more @mPansedion “fue : fi Execulion: Jo delay dode of execution. WH] Divorces to gel extra alimon'}. (+ Sole? aw) 5 Sakeeliaweds fo. .PostPone disbvibubion of ProPertias . [al Honor=Jithingee- : é pe Diagnosis. of! PeeJnome 2], \ eee eee ee } Pigmentation - : ( BE) } Vaseularity _ | aad Pair sd) Fetus. Fiims __Fevditva4 > reas) Sign. L b. ae. —S Abdomenal sign: = insPection Sonar Vulva. + Ral Padion > Vd} sina = © Ausculation — > Cervix, — ulras. Scanned by CamScanner1 (3 Pigmentation 3 # vasaularitl 3 fut), ——— i DD BWeashesigns 2 Le 2 . Enlajed breas}. - + Dark” nipPles and areola. a «-apPearance. of Dark Small Tabercles around: The niPPh, Glled + » aca + delected. from. 2°4 —tonTh: @ & 7 + EnlarJed abdomen: ; + APPearance— of linea nvGra. in middle line. « AlPearance. of Striae Gravidarum -on bol side— of Abdomenal wall d2 distention and. toarinf. of - Gubcutinous fissue-( in 2” Trimesfor) 4 Bl Vulva :---~-. — _ — « Dark & fF vascularity « Js @].Maginge zt Bork 5 F Nasculariy 3 4 secretion. fl cervical sign. abt MQ + 1efaré Sign —o SofPbentf of wdvas cervix. From above. downward. ee! a3 ; defected. at 24 ptontk of PreInancf: (5) — ubrine_sign.- 7 cone Gradual enle}mont of PreJnan}. uberuc zasiat : : | dm 25) ally vase et ab Se 2.33, Abdomenal sir N05 b aio a” Trimestor a Scanned by CamScannersurenmcignsmahssPremency:- (3) a. Letus::- 7. inspection... (2) falPation of Fefof Se (a. Auscultion.of Fetal Heart. Sound: wp felad Heard Sound differentiated [om motheré Palsation by 21 Rate». jYo /mitnute- Alyiim—o Te Tae: © Fits. Cultra SonagraPhi.). ft show eJeslafion sac. by 4. week of Jesfation- -« Hear} beat. bf: Z.. weeks Pt dolormine.g— : — age of @ fetus — sex of fofaus Latin — r—titiple Pregnancy... — Feto tule formation. — intrautrine (etal death by apPearance of i SPaldinge Sign. -: © Eerliveation tas} :> S ———" emncnemall J: ‘Aum aclorond on femen of Hee which Produced after : Ferhiization bY Chorion of blastocyst. «il @mbored of Runle (x &.Q~subunile).. o if detected in blood & urine of — FreGnant oe ce pve 2 weeks after ferfi2cution : weWe 2 week alter delivery:£ abortion - Ties) immuno loficod test. 3 (Q). Q Subunite. of Hee. —» Qualiabve tes Quan titobrye. ted - —4 Scanned by CamScanner joevbortamndemune leicod tee}. (-PreGnamnoy tesh- Arh) — & qualitative defeclion of Hee “ Mornin] urine. \ tes}. depend on Ag- AB Reaction~ : a4 Cc SbteiniG, Rett fom Formation of clored tres on shin | i Bee 4.9 fi Maybe give false Resull 21 , as LH and WcE@ Has Same & ~subunite. _ ..edlse. Result in on. Execessive.L. eS = Post pten Pause - + Pitular} tumor: 2). Drug @ntouninf .HeG (3) Vesicdlar Ole P Hea w chorio Grcinoma ?-ucG. B- subunite. HCG + > deleclion of B-subunife. of HeG in blood or urine: by Qnzyme_ immunoassay (Elsa) Qos : + Quollifative fosf:—» give Postive. or negative. Recul} . + Quantotive. testa. delect. level of -uce : Duvifionof PrYranc4., —abou}-.2 Bo. days . oe do. weeks. : ~9 Calendar months Cs ei gl) : lojuriar Moniz. ( Menstrual Hele). Gunlad: from 1+ day of lash sensed cjcle- Ue Scanned by CamScanner#] } So Sinving Femal in dead Lemale. * er Cit day of Jac} menstrual cycle) ~ . & * jnvestigation( US). if : Uy oe edaaninestion (oFindad (evel), From otk, Crom Petus o longth of ulus. . Funda Cxaminetion # using ulner border of {eft Hand: Funded \evel Duration. of Preqnanc SympPhysis Pubis- 2 mid way between Z umbilicus - é , F Mid way belween 2 ? XiPhoid- g 3 Pirgor below xePhoid Fun, Farm - Scanned by CamScanner“delection song.lin of uforus in inches - lengtre of uborus in inches 6. inches. 7 inches jaches lo incher+ J2 Sacher. J2. inches - Prom felus Scanned by CamScanner ‘CamSeanner ssodef i. introduce Semen to Genital tract of Comoe: | Wiiwouf s0xual infer@urse . ' Sites 0) intra VeJinal intra utrine. indicat hon Litale — ele ee —D +’ VaJinism 1 Git ——_——____—_ » « O¥s Prunia ~ lps» a o Hostile Vaginal dischaJe. ~ () Ho moloJous- aie + Somenof. husband: + Ab {eJal Problem » o done in front husband: 40 be: Sure. From using jis Semen. D HetroJemous or donar- . oo + Semen of donor — + illeJel child » + Resul{ sn serous Problem. as Possibility- of incest. toy occure:: + As ab Bop 2 used in Case. ef infertile husband Scanned by CamScannerETN Balivad)- (3) w inheritance. wife alleje. delivery. 4o inherit dead hushan 4, “eoninferlieide. — when. oT Hills her newly a'nfcomd 37 inhorchom] eof eral. Jn HosPitel: Saas Signs. of. dele old_signs of deliver) ——" : ¢ b Breast Sn ving jin decd: Abdomen - ub. o Vulva - . Breas} difference. Nolin macht Abdomen between. Carvi x: . Na\va Porous Ufovus VoGing wakipwous, FEGNG. Corvix- © General —o exhausted & Rapid Pulc & slight cfevated tom. ® Gress} —5o .Tonder & Pirm- + Colostrum Secrdhion in Circ 2 days aller deiive Tran MAik. Secretion ® Absomen—o «lax 4S Flabby 2 Showin} Vinia nefra 8 shric gravidarum ‘@ Wiilva Show Recent Tears or brusic-and ePisiotom’ ny \ ZPULOUG GND Vulva —Y anal Jide fig ® \eging —» show lochial dischonfe—.- : bloody —o_1s+ Sr on + yellowish Red > 2” oe “Yellowish, 2 3" 7 a _— tei 15 d Scanned by CamScannera dT Porous Nui Pavous: long ta: Jo S : 2 [Body /corvix. >-2 | Vy} cavity Jlobular z Trion] lor S| Mucosa | Smodthi + Rais Rugae = blood 4inged area at Placenta site: Trek Muscle wal wall). Trin muscle. wall oPaning |). Transvens . slid Rounded A Pin hole Ae lacertion wit arbor vitae. Mucosa | 86 lacerated with Wo arbor Vifae— Cervix Scanned by CamScanner ‘CamSeanner ssoSiebel, A — SPontanous induced: ae x SeJa| iMeqal '(ThevaPeutic) Ccriminat) sobeu acta 1 def # Termination of Proqrancigs LPonkomousl4. wi jroul Lamy madbical or WAechemical Mears * we ROPrdcent cboul 10-25 7 a2 all PrAnanciss - Ques. oS —talamal causes. © un cnbroley OM. Go VyPerlention - \i “ S4Po Try redism « — Ulvine. Anomalies: =. IncomPalan| Cervix: ~ GPibroid ; — Ufvine dis Pracemont yo2( o Fetal Coun ge + Chromosenod — Abnormeditias - <0 Gostodionalicattces:- « HYdramnios - a «— vasicular Mole Scanned by CamScannerdef. Tarminadion «of Pregnancy} bY Some Sor of =e Cae [ +. egal GtinaraPulic) “def. Tarmination. of. Profrome4 Lor Savin] shothir.. Vive. indigckom ea chwonic diceace — - Heer} i <> Renal «Malignancy SS Patmronar EclamPsia- Rubell... ina urine Ciel desir. Corts oer bic df Termination of Pregrane’ for Resons Ther Than Jf TT 1 4 Non Para. medica) fro fessional tpecitc stele _ ffofessional Parson _ - t t : sp __« Fig insertion Hinson Syringe. sTuy injection a Poiforn.___« lamice) Rede _“f hyPerfonic : Plastic caTheter. + Suction evacidion: insertion Die afer + Hystorotomi: i Scanned by CamScannerGonoral elod wo Sever Crxercis @ JumPin} From hight @ Ge) ing Heavy} woight We jf. induce— abortion ony in. Pre distor female. Local rR de. 0) Fg ingortion aS Knitting. needle Non Professional) mechomism -. PorRylion off amniotic membran Gmplication - Parfortion of. uwlerus- © Poison in PIU inserhad in vo$ ina: as Jead, Aysonic, mMercur} Mechanism :- ivvibodion —6 Gnhraction of: ulene @mPlicodion:. Toxicity & ulcer: Semi Profesional | cy Higginson Syringes. Hbyacubeneceatehas USinJ irritan| Solution as Jlycerin « “Mechanism : $aPration:. Sac Prom utrine wall 1. Uleer- (2) Jamicel Rod. _Mechanisna - atbsorPe Fiuid omd Swell Causing corvical diltocion. ProfLessioncd \ GQ) Inhor ubrine Injection of hypertonic solulier Mechomism'. QePlaci amniotic Ruid with WyPertonic Solution: of getline or Guucse @ Succion Fevacuation. (earl ese) @ Dillation / Curettege 0 Purtion Oru Hysterobom' Scanned by CamScanner CCamSeanner soe tees!i oe Prosta Slandin..E omd Prostaglandin amalcSues- = Pitulent —o orftocine- ~* Plan} —» ExJot #& Plumbum. (head) - A Projesfaron omfofonis}. (mitepristol) : iMechomis nm i ‘Ecbolic (direc aclion on ulerus —5 @ntracion ) |G Purfaine! 2c.J a Castey oil ak -Cyoton:.a jl: — #A-colody.nTh. Lam Sela Root Mechoism Reflex utrine Gnbraction- CP intoskinal mevemen > ReCiex Ubvine cont.) 3) an pai. te # head _ 7 - = pe tere] a eA Arsenic. a Antimony so ie Mechanism > ONum deal. Scanned by CamScannerHY mon: MULT of hymen examination. . a) One of sans of virginity - (2) Daleclion 44Pe° of hymen Trad causes Problem: § 42) dil ww di _ + annular 3 dontode. hymen allow inter Guvse wikoul RuPdue feranticte between Pimbriate Sat or denlafe hymen : and old. Rupfured Fevenliake between Recont and ofd hymen RuPlure- ©) differentiode. Ruplured hymen due fo Sicfle oy RePected infercur TP of. WYmon s. “WPe. Shape MULT cresentric |] Posterier or Awjavior |» Rupture. on holm sides. SiPice. Aanuter | contra) ovifice.. Js Rupluve. ad 6 or 12. oclock- + Etostic hymen allow infer@urse. witha RupPlure Dental Jovifice has indentation} « May} Simulole RuPlured hymen — along} i¥s Edge. Pimbriate-favifice as Cimbria- fa WAY simulate Ruplured men Along its Edge SePla} forifice has soplum.} «Septum Rupluved inj inter@urse - dividing W into 2 Gnfer} j mPerforale No-orifice. Relintion ef Menstrual blood in va9ina _ CHematoGtPus).—p Relention of btood in Ulewus (Nomata mebrium) —o Refinton of. \o\eod in Wie, + Condtion mot} simulede. PreJnome} - Scanned by CamScanner CCamSeanner soe tees!D.0. of Pimbriabe or donde thynen witk old Quptured- iw SE RQupluved: + SYmmelrical_ on boih Side: + ASdmm obvi} ° Folds ia nature - e Tear edont. Reach Jo vefinal. wall |-« Reach: « Pink » white A oPaque- Trams lucemt «TranoPaque- D:D of Recent & old W}men RuPlurod: Recent old Red Pale Swelling No Tender. — No bleedin§ No = Pouinful. No Scab Scar Tyas lucent “Jrone oPaque. D-10— of Ruptured HYmen dQ Sinfle or RePasted inter qurse: Singie_ RePeated - ONe_oy tow _w}mon QA+sob ke Apo Jr Reis cop ~—Jxars—— libia majora —o wide and. soPerited —?Ruptuved _fourcheste: Vibia Minera os seperated an wid Se: RuPlerad Poot comescue. Ndfina —® wide 05 of vaGinal tong 2 HHmen—s. lacerated: Scanned by CamScanner CCamSeanner soe tees!DieFnosis of Abortion: wo Histor] * vistor'] of Amenorrhen. f # dotea, of tas! meenstrucd cycle. [2h Chinical: Camirethion... = * Si9n of Prdncmcy * Qvix —5 Mork of instrument 8 diloded os ® VaJina —5 Jacertion & embryonic Jissue. Zl (aboreter| invedtqation.. * Prog eee} josh +e 2 weeks after aborlion- # SYyPhilis & Diabelor 6 gPontinous aberiion - a lolood , Urin., Stool Por abortifactent drug (Ay U- Se : ; : — wt delormine lard Size of uberus ew Tifsue. Remnont - [BD-.Product of Abortion. - a Precipiting tos} ae: Ase of Petus : * Ptacorated fetus” —e intra ubrine Pele dealin: Scanned by CamScannerBc a ehock <1. J Orc. Homowbefe. Poisoning. infecdion. Embolism AneslhOtic -GmP lectin 5 hock. ce a : ~K. SYmPoaRehic Shook .—— saver foun > Parferlion of uforus * Powa S4mpaTRDhic shock —o Rapid dilation. f Carvix —D Trigger avea —p RvI- (Z Sage. j i od Time of operlion due to Porferlion of ubus or injury of veJinal wall 98M 5 yh. aflor_oPurlin.. 2 Remnant in iderus:)f BZ. Gmbelism: a _ | He Air @mbolign: duriv use of Hsqgmion s4ringe- | Bab Ombbclism as Ammiotic Puid Qmtin- vernix & Latah, {di Poisonist- d2 Klar] doce. of drug KS absorPlon of low! toxic Pi. ial . Anaesinod: c_@mPieat on. : @. _ Jafcackion a | hs. — . | ZJ. DTC as amniotic iud aich in WsombaPrattin. | te —— P viscosity of bood- == 1 Scanned by CamScannerin abovlive Gse 21. Scanned by CamScanner \CamScaner +See ipa—seucl_of f enxiee:- cle eemeea O). Viginity -@ HWYymon. 2) Rape. Hh AUT u CS)_ inter sox 0). Tasts Por defection. of ganen- ae GD Allejed Rae. (2). Allefed imfolance. of husband (2) Allejed non virginity of wile: in nullity of! vearrfe. ES A Signs. of Virginity - W Breach. Firm & Small nirpie & Ros oveolae BD) labia malora,. ComplehY closing vafinal orifice . + Pourchette infact post. end of labia ative). Bylabis Minova « Comploh} Pink 2 inhack Posterior Gmmissure ( Pett. end ol Labia mime J a 2 Narrow (aPProrimotad wall) ee o duo! Rugs. ia) —Hymon_ . intact WU men. Cribrifovm | MutiPle Smal oPenis: Scanned by CamScannerp 9 De imPhance oe dd imbolamce:. defo im ability of -Panile Crection in males after Puberl4 MALT. 0) RaPes accused may allege imPotonce a8 adefense E ) Divorce wile has ime Rh. Ror: Divorce if twcPomd imPHe (3) @mPamradion- q Filey cn Phy siolafical — - beler |e fears » a) psychic. — « lack of self? @nfidence- a « dislike toward? Comale. « Pear of venereal disease 03) Tramatic. 2 Head A SPined cord -inJuvias- Ad PaThaie4 cot] Gomera) causes « 2 oa onis-t & Vascular quse. as. O:M+ » Nervous disease as fabes dersalic &_Debili lating divewe oS TS & Te xic cause as Addiction loco causes - Partial loss of Penis - x loss ff both testis & Inguinal \dernea Mastin 1h : *® ePisPadiuc £ hype sPadius- Diagnosis of smnPshonces.. a. ih T Gonerel Cxamination fer body louil4 basis oe 2) Sexual chayacler Zl tocal Examination Por a” a, - tie c + dbnovmali lies = desice. in Goniharlion Scanned by CamScanner CCamSeanners Wee tgaT3]. Examination under omaesTreiot: + Proslatic masroJe. —o erochion- \ab_imuadhigation cask Yormona, Profite. - ew Blood SWovr we Drv¥ Residue. in. blood & urin - . ClassCicobion of s2{ual offence. LZ 7 ~ Altura un Noture) L b sexual ack occuve befween sexual aact ocure between — different Sor. 9x0> 1 + Similar S2K @xg OF Xo® = TrveuTh natural Route Paniis xX Vagina 2 Tcreugh un nahural Rout Panis x onus - uw. inces} 3 RaPe. (3 adult) Suxuel_indoraurse..belween forron of Prbidden degree — Of Relation. shiP. as brotKer & Sistor rsont of 9g is nal acceplod St mM otcuve..inMeteroljous A 44-1. Scanned by CamScanner CCamSeanner soe tees!Ase | Aeraid. ~ OPO he AG. sexual inferGurre witr Pay e witout \ts Gncorch * Condfion of @nsent in Female oh (apcd) A. a ge —p Mee Tran. 18 Years = No} under Fear ® Ph sical. violence. * * Merol Vilonce- [P| @ + Power Pat Prujsi co Crus} not be weak). = Power Quy Netembal ( mush net. be Mental deCijent)._ ae (3) Gnéctous —e No} unloy Nowcsis 4 Druq- >. Nol..umder onoesTresia: {DO} 6) wo} DecePlion (Nod under Craud) asus ot — > ImPersanation of Wsband durin sleeP- Qyscie Sane — > Fraudulent TRrarap{ bb doctor or Quacks - bee ‘ = Madical Cxaminalion Por Rave 03 Gxowninotion of vichim (2) Examination of Assail Scanned by CamScanner CCamSeanners Wee tgawr Gnseng conduct @) Gndtion * of attack Examinction ol -vichum~ * asitlank. as, ge lp + (an (A) Age - Alrait— [BPP PM {Cl conscious « {D\oe seep hier Cimical examinaki on - Grant Sane: ae Pai MN Teens oie slosh button |» semen - = toyood Waive oe Qa nerd O tavesd}i9 odion: kar Pregnount} fer} ca) Veneredl disecse. 3 Wev SALDS a Org Residue, in blood 4 urin. @) ssh Ariel | sis- et Skin & Pitre bleod, Hair Biod | a + AIing + Anatomical site- Anolke age ABB | -rbtc0d ~ Heir = Semen, ey Loe], © Pretimindry tes}, ‘+ conformater} fest Pecific fed. follow uP- Pack or Ee Cae eee Nuva! Are |atest oe Pubs! @_ | matted bt Suey ned RuPluvre @ Vaina| Lacerfion | Semen — 4 Scai ‘camseaner | nned by CamScanner@ Grswnki- wari Hon consen\ ox etaminakion vabove 2) Year @ Conduch ond behavior Mal. hele. © Gondliono? “Atack «Hitter » defalis abouk Place Time, injuries , bieeding- e detalis abou} area of entact + delalis about Pos} assaull achivity as chonfle of cletRes oa = Viclum -hishor| @mPared with assillent Wishort: OD» Agesestimoted we below % flor —> Maxmum pee & below 13. Year —s Non. Vetid Consent pm above 1&8 Yeo —o Void Consent ( - ee) @ Cramenammental’ endlion: ®. Cxomrine Pr sie ndlion, toa louil4 « @ Sarninev.Gncous. \avei. bY. Cerri] Phsical chemical nalts Chinicouk Craminettion. (signs off Geneve vielence):. G1 Clothes 2. Teens B oth buon. + brood £. semen S hair Prom: Assailant Hair © Dis arvonGment. of: Wadr (2). Nai) ¢- + broken noltt + SPiTRilum under nail Prom artilant - Scanned by CamScanner CCamSeanner soe tees!w a. © chow. Abrasion & borusis & bite Mark: «Hai. & btood A. Semen. Prom Assailant > painnical Sika. + Race & ovound autre to. Prevent ‘oi: or sha ee «neck A lores Clove bites) 2 is ©. Qwin'B. 12}. ho Pravenk escoPintl = «inner aspach.cf Tighe -.to., serevate Tor, — Aging ¢ wound: “ LB Anolnar \ook Por. See? Vasirsige SB AJE- Pater: = Child —o No sign (unablete to Resish + 12 Alo} under stand) 1 a . Adult Vingins oe Minimal S9n-. Bee te eu Can exPerienced .cexualt4) - + Married womens Meximum sign- Caveatey Resistance) ® FSign_of__lowl_violence | Ww Nulvge-=. Abvesion & torusis 8 tbreedig. & 0 Samon-&- hair & biood Prom ooeteal ) Pulbic hele « Wtattod wit omen. (3) WYraemsa 8 RePlured tyjmen. : : = a Vagina: + + lacarbion : 2 Hair , So “bed ee Assaiood Scanned by CamScanner ‘CamSeanner sso