Forensic Science: Bruises and Wounds
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Questions and Answers

What does the shape of a bruise indicate?

  • The causal instrument that caused the bruise. (correct)
  • The pain level experienced by the person.
  • The depth of the bruise.
  • The age of the individual.
  • How do color changes in a bruise indicate its age?

  • From fresh red to blue, then green and yellow stages. (correct)
  • Colors shift from peripheral blue to central green.
  • Changing from red to yellow indicates it is old.
  • A consistent color indicates it is fresh and new.
  • Which type of tissue is likely to bruise more easily?

  • Eyelids and genitals. (correct)
  • Nerves and vessels.
  • Fibrous tissues.
  • Palms and soles.
  • What factor contributes to infants and the elderly bruising more easily?

    <p>Delicacy of the skin and health issues. (D)</p> Signup and view all the answers

    Which type of bruise occurs due to blunt force impact postmortem?

    <p>Contused Wounds. (C)</p> Signup and view all the answers

    What characteristic of lacerated wounds helps to identify them?

    <p>Ragged or lacerated edges. (D)</p> Signup and view all the answers

    What is the main limitation of blood grouping in paternity tests?

    <p>It cannot totally confirm paternity. (A)</p> Signup and view all the answers

    What can cause deep bruises to take a long time to become apparent?

    <p>Location in the body and tissue type. (B)</p> Signup and view all the answers

    Which type of wound is classified as causing death to the victim?

    <p>Fatal wound (A)</p> Signup and view all the answers

    What is a common effect of bruises on individuals with more subcutaneous fat?

    <p>They bruise more easily. (C)</p> Signup and view all the answers

    What characterizes a bruise or contusion?

    <p>It involves extravasation of blood into surrounding tissues. (A)</p> Signup and view all the answers

    What is the key feature of a post-mortem abrasion?

    <p>It is brown and leathery. (D)</p> Signup and view all the answers

    Abrasions typically result from what type of force?

    <p>Blunt force (D)</p> Signup and view all the answers

    Which type of wound is defined as having a clear edge and is created by a cutting tool?

    <p>Incised wound (A)</p> Signup and view all the answers

    What legal classification of wounds heals in less than 20 days and leaves no permanent infirmity?

    <p>Minor wounds (D)</p> Signup and view all the answers

    Which of the following reflects the site of impact for abrasions?

    <p>It shows the position of the assailant. (C)</p> Signup and view all the answers

    Which characteristic is NOT typical of fabricated wounds?

    <p>The age of the wound correlates with the date stated (A)</p> Signup and view all the answers

    What type of shock is caused by the nervous system's failure to control blood vessel diameter?

    <p>Neurogenic shock (C)</p> Signup and view all the answers

    Which type of shock occurs due to severe infection?

    <p>Septic shock (D)</p> Signup and view all the answers

    What is the typical healing process for incised wounds?

    <p>Heals by primary intention. (C)</p> Signup and view all the answers

    Which complication involves tissue destruction leading to the release of inflammatory mediators?

    <p>Traumatic shock (A)</p> Signup and view all the answers

    Which characteristic is NOT associated with incised wounds?

    <p>Presence of significant bruising. (D)</p> Signup and view all the answers

    In which scenario would you expect to see defense injuries?

    <p>In the case of an assault (B)</p> Signup and view all the answers

    What is a common misconception about stab wounds?

    <p>They can be caused by a blunt object. (B)</p> Signup and view all the answers

    Which of the following is NOT a cause of cardiogenic shock?

    <p>Severe blood loss (C)</p> Signup and view all the answers

    What is a common clinical sign of shock?

    <p>Sinus tachycardia greater than 90 beats/min (C)</p> Signup and view all the answers

    What changes can be observed in an incised wound within the first 12 hours?

    <p>Edges are red and swollen. (A)</p> Signup and view all the answers

    Which type of wound is likely to show a clean cut edge with gaping and no bruising?

    <p>Stab wound. (B)</p> Signup and view all the answers

    Which type of shock can result from a life-threatening allergic reaction?

    <p>Anaphylactic shock (C)</p> Signup and view all the answers

    What does the presence of trace evidence in a laceration indicate?

    <p>Potential involvement of foreign bodies. (A)</p> Signup and view all the answers

    How can the age of an incised wound be determined?

    <p>Using the date of a related crime. (D)</p> Signup and view all the answers

    What is a defining characteristic of fabricated or self-inflicted wounds?

    <p>They appear on the body without any trace evidence. (A)</p> Signup and view all the answers

    What type of trauma can cause head injuries through rapid rotational acceleration?

    <p>Inertial trauma (A)</p> Signup and view all the answers

    Which of the following organs is particularly vulnerable to compression and laceration during blunt impact?

    <p>Liver (B)</p> Signup and view all the answers

    What condition may arise following intestinal damage from abdominal injuries?

    <p>Peritonitis (A)</p> Signup and view all the answers

    Which type of trauma involves damage caused by a knife or other penetrating object?

    <p>Penetrating trauma (B)</p> Signup and view all the answers

    In a road traffic accident, which site of injury is most likely associated with stab wounds due to vascular penetration?

    <p>All of the above (D)</p> Signup and view all the answers

    Signup and view all the answers

    Flashcards

    Wound: Definition

    A disruption of the continuity of tissues produced by external mechanical force.

    Minor Wound: Legal Classification

    A wound that heals in less than 20 days and leaves no permanent infirmity.

    Dangerous wound: Legal Classification

    A wound that takes more than 20 days to heal or causes permanent infirmity.

    Fatal Wound: Legal Classification

    A wound that causes death of the victim.

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    Abrasion (Graze or Scratch)

    Damage to the superficial layer of the skin (epidermis), often extending into the dermis, causing slight bleeding.

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    Bruise (Contusion or Ecchymosis)

    Extravasation of blood into surrounding tissues from damaged capillaries or venules.

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    Abrasion: Medico Legal Importance

    The site of an abrasion reflects the site of impact and the sort of assault.

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    Abrasion: Medico Legal Importance (Age)

    The age of an abrasion can be compared to the date of the assault, providing clues to the event's timing.

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    Shape of a bruise

    The shape of a bruise can be used to determine the object that caused it. For example, a round bruise might be caused by a punch, while a long, thin bruise might be caused by a whip.

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    Site of a bruise

    Bruises usually appear at the site of the impact, but they can shift from their original location depending on the force and the tissues involved.

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    Age of a bruise

    The color of a bruise changes over time as hemoglobin breaks down. Fresh bruises are red, then blue, then green, and finally yellow.

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    Size of a bruise

    The size of a bruise depends on several factors, including the type of tissue, age, sex, and the force of the impact.

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    Postmortem Bruise

    Bruises that develop after death are usually small and occur in areas where the body has been pressed against a surface.

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    Lacerated Wound

    A lacerated wound is a tear in the skin caused by blunt force trauma.

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    Characteristics of a lacerated wound

    Lacerated wounds often show signs of crushing, indicating the impact of the force.

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    Infection Risk of Lacerated Wound

    Lacerated wounds are more likely to become infected because of the damaged tissues and the potential for contamination.

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    Incised Wound (Cut)

    An injury caused by a sharp-edged object, such as a knife or razor, that cuts through the full thickness of the skin.

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    Characteristics Of An Incised Wound

    Incised wounds are characterized by clean, regular edges, more length than depth, and profuse bleeding.

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    Stab Wound

    The depth of a stab wound extends far beyond the visible surface length, often penetrating deep into the body.

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    Identifying Characteristics Of Stab Wounds

    Stab wounds are often elliptical in shape and may reveal the type of blade used, its width, and even the length of the weapon.

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    Fabricated or Self-Inflicted Wounds

    Injuries self-inflicted by a person on their own body, often for attention or deception.

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    Healing Of An Incised Wound

    Incised wounds typically heal by primary intention, meaning the edges are brought together and the wound closes without a large scar.

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    Healing Of A Stab Wound

    Stab wounds often heal by secondary intention, leaving a larger scar because the edges can't be easily brought together.

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    Age Determination Of Wounds

    The age of a wound can be determined by examining its appearance, from redness and swelling in the first day to fading scars over time.

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    Abdominal Skin Injury

    Injury to the skin of the abdomen, often caused by a broad impact, resulting in minimal visible damage.

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    Internal Abdominal Injuries

    Internal organs like the liver, spleen, kidneys, and intestines are vulnerable to damage from compression or tearing against the spine during blunt trauma.

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    Stab Wounds in Abdomen

    Stab wounds that penetrate the abdomen can cause significant blood loss by damaging major blood vessels like the aorta and vena cava, resulting in blood pooling within the peritoneal cavity.

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    Peritonitis

    Inflammation of the peritoneum, often caused by damage to intestines, leading to a severe infection.

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    Head Injury

    This is any injury to the scalp, skull, meninges, and brain caused by mechanical trauma.

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    Fabricated Wounds

    Injuries intentionally inflicted by the victim to support a false claim of assault.

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    Defense Injuries

    Injuries sustained by the victim while defending themselves from an attack.

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    Shock

    A life-threatening condition caused by the body's inability to maintain adequate blood flow to vital organs.

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    Hypovolemic Shock

    Caused by a loss of blood volume, leading to decreased blood pressure and tissue perfusion.

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    Cardiogenic Shock

    Caused by the failure of the heart to pump blood effectively, resulting in inadequate oxygen delivery.

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    Septic Shock

    Caused by a severe infection, leading to widespread inflammation and organ dysfunction.

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    Traumatic Shock

    Caused by a rapid and excessive release of inflammatory mediators, leading to vascular instability and organ damage.

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    Anaphylactic Shock

    Caused by a life-threatening allergic reaction to a substance, leading to rapid swelling and airway obstruction.

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    Study Notes

    Forensic Medicine - Wounds

    • Wound Definition: A disruption of tissue continuity caused by external mechanical force.
    • Legal Wound Classification:
      • Minor wounds heal in less than 20 days without permanent impairment.
      • Dangerous wounds take longer than 20 days to heal and cause permanent impairment.
      • Fatal wounds result in the victim's death.
    • Medical Wound Classification:
      • Abrasions (grazes, scratches)
      • Bruises (contusions, ecchymoses)
      • Lacerations (torn and contused)
      • Incised wounds (cuts)
      • Puncture wounds (stab wounds)
      • Gunshot wounds (GSW)

    Forensic Medicine - Abrasions

    • Abrasion Definition: Damage to the epidermis (outer skin layer) that does not usually involve bleeding; however, the dermis (lower skin layer) may be affected, resulting in minor bleeding.
    • Causative Force: Blunt force
    • Medico-legal Importance of Abrasions:
      • Shape: Reflects the shape of the object causing the abrasion.
      • Site: Provides information about the site of impact (potentially useful in determining the type of assault).
      • Direction of Injury: Allows inference of the assailant's position.
      • Age of Abrasion: Allows comparison with the date of the assault; early = soft scab; 3 days after = dry scab.

    Forensic Medicine - Bruises (Contusions)

    • Bruise (Contusion) Definition: Extravasation (escape) of blood into surrounding tissues from damaged capillaries or venules, results from blunt trauma.
    • Medico-legal Importance of Bruises:
      • Shape: Indicates the shape of the causal object.
      • Site: Indicates location of the impact, but location can shift.
      • Age: Age is visually judged by color changes as hemoglobin degrades; typically take 1-4 weeks to disappear from the injury site.
      • Size: Bruises in lax tissues are easier to see than in fibrous tissues (e.g., eyelids, genitals bruise easily compared to palms).

    Forensic Medicine - Other Wound Types (Lacerations & Incised Wounds)

    • Lacerated Wounds (Contused Wounds): Splitting of the skin (and tissue) from direct crushing force.
      • Characterized by ragged or lacerated edges, abrasions and bruising, crushed blood vessels, possible embedded hairs.
      • Less blood loss than incised wounds, but higher risk of infection.
    • Incised Wounds: Destruction of full skin thickness from contact with a sharp object (knife, razor, broken glass).
      • Characterized by regular edges (depending on sharpness of the weapon), often longer than deep, hair cut rather than pulled, and profuse bleeding.

    Forensic Medicine - Stab Wounds

    • Stab Wound Definition: Penetrating injury where the depth is greater than the wound's length.
    • Causal Instrument: Sharp-pointed objects (knives, daggers, needles).
    • Medico-legal Importance:
      • Shape, Size, and depth,
      • Track may reflect weapon width and length,
      • Broken tips may be lodged in the wound,
      • Absence of bruising or abrasion.

    Forensic Medicine - Fabricated/Self-Inflicted Wounds

    • These wounds are intentionally inflicted.
    • Often superficial and on readily accessible areas (e.g., extremities, forehead).
    • Location/type rarely consistent with the circumstances of a crime.

    Forensic Medicine - Defense Injuries

    • Injuries inflicted by the victim when defending themselves.
    • Examples include punching, kicking, or use of a knife.

    Forensic Medicine - Shock

    • Neurogenic shock: Failure of the nervous system to control blood vessel diameter.
    • Hypovolemic shock: Loss of blood or body fluids.
    • Cardiogenic shock: Heart's failure to pump blood.
    • Septic shock: Due to severe infection.
    • Anaphylactic shock: Severe allergic reaction
    • Traumatic shock: Tissue destruction leads to inflammatory mediators.

    Forensic Medicine - Embolism

    • Venous Emboli: Air, fat, or amniotic fluid blockages of vessels.
    • Arterial Emboli: Nitrogen can cause emboli in scuba diving.

    Forensic Medicine - Sepsis

    • Sepsis is a life-threatening condition that can result from an infection.

    Forensic Medicine - Adult Respiratory Distress Syndrome (ARDS)

    • Acute respiratory failure (ARF) characterized by hypoxemia (low oxygen in the blood), bilateral pulmonary infiltration, with or without an underlying lung disease.

    Forensic Medicine - Disseminated Intravascular Coagulation (DIC)

    • Abnormal activation of the blood's clotting mechanism, leading to widespread clotting and potential organ damage.

    Forensic Medicine - Acute Renal Failure

    • Shock, hemorrhage, and crush injuries can lead to acute kidney failure.

    Forensic Medicine - Scars

    • Permanent disfigurement caused by organ or function loss is an indicator of permanent damage.

    Forensic Medicine - Neck Injuries

    • Very vulnerable from a wide variety of potential injuries, often due to strangulation, pressure, cuts, stabs.
    • Cuts, stabs, and abrasions are often visible.

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    Explore the intriguing aspects of bruises and wounds in forensic science through this quiz. Delve into the characteristics, healing processes, and implications of various types of injuries. Perfect for students and enthusiasts interested in the scientific study of trauma and its effects.

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