Report Writing for

OSCE

Dr. Abhishek Karn

Associate Professor
Dept. of Forensic Medicine & Toxicology
UCMS
1. Spotters / Stations:-
10 Spotters --- 1 mark each --- in 1 minute = 10 marks
OR
1 Case of 10 marks (Autopsy Report/
Death Certificate/Injury Report/Sexual
Offence Examination Report)

2. Record-file/ Log Book:- 10 marks

3. Viva:- 30 marks
A. Internal Examiner :- 15 marks
B. External Examiner :- 15 marks
AUTOPSY REPORT
Autopsy Report
• Relevant Details:
• External Examination:
• Internal Examination
• Special Examination(if any):
• Visceral Samples (if any):
• Cause of death:

• Name of doctor & Signature

• Designation
• Date
• Hospital
Prepare an AUTOPSY REPORT of the
following case:

• A 68 years old man named Hari Prasad was found dead

wearing wet clothing in his bed at home.

• During medico-legal autopsy examination, mud was

observed in the air passages as well as in the stomach & a
total of 210 g pleural effusion was also noted in the thoracic
cavity (left 70 g, right 140 g). The left & right lungs were
expanded and weighed 800 grams & 950 grams,
respectively.
• Histological examination revealed the pathological
finding of pneumonia with the exudation of numerous
leucocytes into the alveoli. Diatoms were detected in the
liver & both lungs by diatom test.

• In addition, scene investigation disclosed that he had

fallen into a ditch in front of his house & had inhaled
muddy water in the ditch, & had then managed to reach
his bed & survive for a while, but dying eventually from
aspiration pneumonia as a result of inhalation of
exogenous water.
Autopsy Report
• Relevant Details:
• External Examination:
• Internal Examination
• Special Examination(if any):
• Visceral Samples (if any):
• Cause of death:
Secondary drowning

• Name of doctor & Signature

• Designation
• Date
• Hospital
DEATH CERTIFICATE
Prepare a DEATH CERTIFICATE of the
following case:

A 60 years old man with chronic duodenal ulceration died of

peritonitis a few days after an operation for duodenal
perforation, carcinoma of left lower lobe of lung also being
present.
 Peritonitis 3 days

Perforation of duodenal ulcer 1 week

Chronic duodenal ulcer 3 years

Oat-cell carcinoma of left lower

lobe of lung
Prepare a Death Certificate of the following
case:

A 68 years old diabetic man who had been under insulin for
many years, developed ischemic heart disease & died
suddenly from myocardial infarction.
 Myocardial Infarction 1 hour

Chronic Ischemic Heart Disease 5 years

Diabetes mellitus 12 years

Death Certificate
This is to certify that:- Name, Age, Sex:- M/F, Address
Inpatient No........................... Registration No. ..........................
Date of Admission:- ................. Time of Admission:- .................
Diagnosis:- ..........................
Expired on .......................at....................
• Cause of death:-
▫ Immediate Cause:
▫ Basic Cause:
▫ Contributory Cause:
• Manner of death:-
• Issuing Doctor:-
• ..............................
• Designation:- ...................................................................
• NMC Registration No. ......................................................
• Date:- ...............................................................................
INJURY REPORT
Injury Report
• Relevant details:
• Injury Details (Nature, size, site):
• Type of injury (Legal classification):
• Type of weapon/object used (Blunt/Sharp/Firearm):
• Fatal or Not?:

• Name & Signature of doctor

• Designation
• Hospital
• Date
Prepare an INJURY REPORT of the following
case:

• A 47 years old, was brought with an injury on the left thigh.

According to his statement on the way to home, he was
attacked by two males. One of them showed a knife &
snatched his wallet. Upon protest he was stabbed on the front
of his left thigh.
• On examination 1 punctured wound was found on left mid
thigh anteriorly measuring about 1″x 0.5″ x muscle depth. No
major blood vessel was injured. The wound was sutured after
proper toileting, analgesic & antibiotic prescribed & advised
to come after 1 week for suture removal.
Injury Report
• Relevant details:
• Injury Details: Stab (Punctured) wound on left mid thigh
anteriorly (1″x 0.5″ x muscle deep)
• Type of injury: Simple
• Type of weapon/object used: Sharp-force weapon (Knife)
• Fatal or Not?:

• Name & Signature of doctor

• Designation
• Hospital
• Date
Injury Report
• Relevant details:
• Injury Details: Stab (Punctured) wound on left mid thigh
anteriorly (1″x 0.5″ x muscle deep)
• Type of injury: Simple
• Type of weapon/object used: Sharp-force weapon (Knife)
• Fatal or Not?:

• Name & Signature of doctor

• Designation
• Hospital
• Date
 RAPE VICTIM’S &
ASSAILANT’S EXAMINATION
REPORT
Sexual Offence Examination Report
• Relevant Details:
• External Examination:
 General Examination:
 Genital Examination:

• Samples collected:

• Conclusion:

• Name & Signature of doctor

• Designation
• Hospital
• Date
Prepare a REPORT OF EXAMINATION OF
VICTIM OF ALLEGED SEXUAL ASSAULT:

• A female 18 years old, measuring 5’4” by height, 57 kg by

weight alleged of being raped by her boyfriend.
• L.M.P. was 20 days back with regular 28 days menstrual
cycle as per her statement.
• Examination of clothing did not show any suspected seminal
or blood stain, foreign hairs or fibers or any kind of damage.
• No any injury or bite-mark could be detected anywhere on
the body of the victim including breasts, thighs, buttocks &
pubic regions.
• On examination of the genitals, no loose pubic hairs could
be recovered from the pubic regions. There was absence of
any staining or matting of pubic hairs. Labia majora &
labia minora were well developed, adult type & widely
separated showing almost the interior of vagina on
lithotomic position without any injury or inflammation.
Hymen was almost in the form of hymen carrunculae, with
no sign of recent tears. Hymeneal orifice was admitting two
fingers loosely.
• Vaginal swabs revealed no spermatozoa or seminal fluid.
Sexual Offence Examination Report
• Relevant Details:
• External Examination:
 General Examination:
 Genital Examination:
• Samples collected:

• Conclusion:
Evidence of recent sexual intercourse could not be found.

• Name & Signature of doctor

• Designation
• Hospital
• Date
THANK YOU