pdf-DVT 2022
DVT
FORENSIC MEDICINE
DR SUMIT TELLEWAR
Sec 44- definition of injury- 4 golden words- body, mind, property or reputation
SEC 84- Mchlaughten’s Rule- insanity defense available fn India,
‘SE 85- Involuntary intoxication-person not responsible for his crim re tas
Sec 86- voluntary intoxication- person responsible for his crime.
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IPC & CrPC OF IMPORTANCE
\GI- 20l —7 Evidences.
ies = Def.
193 IPC- Punishment of fase evidence
SER eae nircacediaryoteree eee$0,192. Punsment fase
evidence elven or fabricated in anyother case then upto
Sec 197 JPC- Issuing or signing false certificate
‘Sec 201 1PC- Punishment for causing disappearance of the eviden
IPC & CrPC OF IMPORTANCE
299 - 309- Homicide
pn it el _ cH
$e: 201-detiion of mer “es CNEL
Gama)“ n
_S2¢ 302- punishment of murder death or imprisonment for life cro meuupley
Sec 304- punishment fr culpable homicide not amounting to 2mm forlfeot10 20
years _
Sec 306- abetment of suicide- 10 years of imprisonment.
Sec 307- attempt to murder- 10 years of imprisonment.
i ar ila
Sec 309- punishment of attempted sulcide-decinalized HOW)
IPG & CrPC OF IMPORTANCE
Corviminal ab. 312- 316—> lo
aa
il
iii ie
2
313
if
° IPC & CrPC OF IMPORTANCE
Midmp 319-326, 334-336 Havt>° IPC & CrPC OF IMPORTANCE
Mismp 319-226, 234-335 Huvt>
Cc 319 1PC- any bodily pain, disease or infirmity caused to 3 person is called hurt.
¢ 320 1PC- grievous hurt
1c 3241PC- punishment for voluntarily causing hurt with dangerous weapon- up tyendip
sec 3251¢-punshmet for voluntary casing grevoushur- up tT FaTINB)
(rcs pst ona uigyewushet win mgs veer (ESS)
volar cusnghurt on sudden and rove provocation: up month)
cc 334)
30335 PC- voluntarily causing grievous hurt on sudden and grave provocation- up tolt years imp
(oem tanec up
IPC & CrPC OF IMPORTANCE
SSO rr eat oem atcmate
SSoreramatcem eee cetera mute
Sec 53 a CIPC: An accused of rape can be medically examined without his cansent force on a
‘request belng forwarded by a sub-inspector.
See 54 CrPC- an arrested person can ask for self medical examination froma magistrate.
Sec-164 A CrPC- A rape victim has to be produced for medical examination to a Govt. working
MP with in 24 hrs of reporting and has to be examined with her consent.IPC & CrPC OF IMPORTANCE
:
scien tng PAG ee ae
sec 176
Death & custos
aglstrate in ai dowry death & exhumation: Executive Magistrate, Custodial
‘Rape- Judicial magistrate)
Sec 357 ¢ CPC: ‘or private to provide first ald and treatment to anal pe
a 3 ae
POST-MORTEM CHANGES:
lvidy,livor ne ines so jans,vibices, darkening of death.
mu,
Ke on
Postmortem tty=» Portnonse ay zoe
DECOMPOSITION OF DEAD BODY .
Larynx & trachea,
tomachGintestnes. S>L>BAHAK
Spleen. | a |
Liver: honeycomb appearance (‘foamy liver’
Brain (brains of infants putrefies early).
Heart & lungs
Kidneys and bladder.
Blood vessels,
Uterus — last organ to putrefy in females . A gravid uterus decomposes earlier than
non-gravid uterus
rostate — last to decompose in males.
Followed by skin, muscle & tendon
Rate of decomposition in Se ee oreo
air twice 25 rapidly as in water a
Poisoning by:
cmasaass ” toSicomePoisoning by:
carbolic acid,
zinc chloride, sme s
strychnine &
chronic heavy metal poisoning e.g. arsenic
HANGING & STRANGULATION
5 Headweigut
HANGING.
a peney bvuites .
‘STRANGULATIONS- Ligature, Manual (Throttling)
Typical Atypical Bansdola, Mugging & Garrotting
DROWNING ee eawatev.
Fresh water drowning =.
Hews toncenty.
tere v nntveuacr.
Hemodil.
Blood vessel ose Blood vessel
Hype natvewia,
= ie kalewsa,
Various bony calculationsVarious bony calculations
IDENTIFICATION
small
Obturator Foramen —Large’& oval, base Small & triangular,
‘Acetabulum are’
upwards
Greater sciatic notch
Sub-pubic angle V shaped
Perauricular sulcus Not frequent
Ischial tuberosity Inverted.
apex forwards
srows.en [| (Wide ssHaOW
oO
U shaped
Frequently seen JuP-
Everted
IDENTIFICATION
Finger Print changes in certain conditions
Permanent damage to finger prints
aeGV77ueeaeun
Distance between ridges changed but
pattern retained
Ridge alteration
Ae
Loss of pattern with ridge atrophy
Eee
Leprosy, Radiation,
Electrocution
Gcromegaly
Scleroderma, Eczema,
Acanthosis nigricans
Coeliac diseaseINJURIES
gpatt
? ">
= By crushing of the skin between two blunt objects
-_Spilt variety of laceration
AEE
ROAD TRAFFIC INJURIES
er ees
SEAT BELT YES (RT YES (LT No
a SHOULDERTO SHOULDERTORT =~
LEFT GROIN) GROIN)
DASHBOARD YES. YES ‘NO.
STEARING WHEEL & D> yo
WHIPLASH EFFECT YES YES NOY.
‘WINDSCREEN YES, ves. No
EFFECT wal eS
TOXICOLOGY
USED FOR GASTRIC LAVAGE
STANDER
wee
SPECIAL LAVAGE: :
MIC
‘Swollen stomach mucosa in carbolic acid Poisoning
leathery stomach appearance)‘Swollen stomach mucosa in carbolic acid Poisoning
(leathery stomach appearance)
MUL can do gastric lavage/ activated charcoal therapy
Therapy.
TOXICOLOGY
Standardized morph
ss/hashish- stem
TOXICOLOGY
white, Purple.
Dhatura flower- white and blue In color, bell shaped flowerTOXICOLOGY
Common presentations of pt under substance intoxication @ Hospital Emergency
(opie (ereasea) Lawer! Depron) Decreased
temperature
THERMAL INJURY
Heat cramps Normal or increased Sweating presént Dilated pupils’
Increased Moist Complaint of thirst,
Heat stroke Absent KU [Contracted pupils) <>
MIC thighs,
intact vessels
nerves in the bed of rupture}coagulated blood
in the intact vessel (segmental clotting in inte
blood vessel) single mostimp findingFIREARMS.
Flame- burning/ singing
Smoke- blackening ~~
‘Gunpowder particles- tattooing —
"
un
FIREARMS,
i
DUM-DUM BULLET- A NOTCH IN THE CENTER OF BULLET.
‘TANDEM BULLET (PIGGY BACK]- ONE SEHIND ANOTHER
YAWNING BULLET- LOST ITS KINETIC ENERGY
TUMBLING BULLET- TUMBLES TOWARDS THE TARGET
RICOCHIET BULLET- CHANGES DIRECTION BY BEING DEFLECTED IN MID PATHWAY
KENNEDY PHENOMENON- SURGICAL ARTIFACT IN GUNSHOT WOUND.
—
AUTOPSY PROCEDURES
Skin ncstons-shaped, Yshape! &/Modiied Yshaped. Commonjpreservativesij
dup
‘Necketo be dssectedastinnieck compression deaths) Sulphuric acid poisoning rectified
eset poleonte: rece
a
{nfanesutofssbeomentobeopenedtisty Tsu for histopathology 10%
Formalin =<
Evisceration techniques: Urine- thymol
in situ organ dissection Blood & vitreous humor- sodium
= =MISCELLANEOUS
ne rs hae in chief” if the witness turns csi
Note-qudge can ask question to a witness anytime during witnessing. |
LL Sermons esses: those where punishment sls than 2 re
‘Warrant cases- those IPC where punishment is more than 2 yrs.
Medical negligence- Civil {issue of monitory compensation b/w doctor & patient.
limitation is “doctrine of last chance”)
uid interval-ihen/sympton's disappear temporarily (Insanity anc/EDH