Post Mortem Blood Changes Quiz
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Questions and Answers

What are the relative capacities of arteries, veins, and capillaries in the human body?

  • Arteries - 5%, Veins - 10%, Capillaries - 85% (correct)
  • Arteries - 10%, Veins - 5%, Capillaries - 85%
  • Arteries - 10%, Veins - 85%, Capillaries - 5%
  • Arteries - 85%, Veins - 10%, Capillaries - 5%

Livor Mortis is the settling of blood due to gravity after death.

True (A)

Pressure points will not discolor due to livor mortis or hemolysis.

True (A)

Hemolysis is the breakdown of red blood cells which releases hemoglobin into the surrounding tissue, creating a permanent discoloration.

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

Only arterial injection gives a clear indication of livor mortis.

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

What is the term for the process where plasma separates from blood cells and escapes into the tissues?

<p>Extravasation</p> Signup and view all the answers

What is the term for the thicker, more viscous blood that remains in the vascular system after the plasma escapes into the tissue?

<p>Sludge</p> Signup and view all the answers

Tissues will have a lower moisture level after plasma escapes into the tissues.

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

What is the term for the chemical process that occurs in the blood after death that leads to the formation of clots?

<p>Blood coagulation</p> Signup and view all the answers

Post-mortem caloricity is the decrease in body temperature after death.

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

Refrigeration of the body will increase the amount of clots in the body.

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

Chicken Fat Clot formation typically begins after the time of death.

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

The formation of Chicken Fat Clot is due to the rapid circulation of blood.

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

What is the other name for the Currant Jelly Clot?

<p>Cruor Clot</p> Signup and view all the answers

During pre-injection, a Cruor Clot can be easily displaced into a liquid state.

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

What is the protein that makes up a white fibrin heart clot?

<p>Fibrin</p> Signup and view all the answers

White Fibrin Heart Clots are often seen during embalming due to the travel of arterial fluid and drainage through the chambers of the heart.

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

Which of the following is NOT a characteristic of clotting in blood?

<p>Worsened by refrigeration (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of sludged blood?

<p>Lessened by refrigeration (D)</p> Signup and view all the answers

Sludged blood can be easily rehydrated.

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

Unlike blood clots, sludged blood does not have a tendency to gravitate.

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

Hemolysis is a type of clot that occurs in the blood after death.

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

Pressure points, where the body has been pressed against a surface, can lead to the formation of livor mortis.

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

The blood clotting process helps the body to stop bleeding.

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

A Chicken Fat Clot forms during the agonal period.

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

Sludged blood is usually caused by the body's immune system attacking the blood cells.

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

Livor mortis is a type of blood clot.

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

The term "extravasation" refers to the process of removing blood from the body during embalming.

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

Arterial fluid is used to help remove blood clots from the body.

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

Post-mortem caloricity can cause a decrease in body temperature.

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

The formation of a Chicken Fat Clot is associated with a faster than normal blood flow.

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

Livor mortis is a more reliable indicator of death than hemolysis.

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

The presence of a Cruor Clot is a strong indication that death was sudden.

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

Sludging of blood is caused by the separation of blood cells from plasma due to gravity.

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

Embalming fluid can be used to rehydrate sludged blood.

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

A Chicken Fat Clot is a type of post-mortem clotting that can be dissolved with pre-injection.

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

White Fibrin Heart Clots are formed from a mix of white and red blood cells.

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

Livor mortis can be reversed if the body is moved.

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

The circulatory system plays a role in the formation of both blood clots and sludged blood.

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

Hemolysis causes a lasting discoloration in the tissue due to the release of red blood cells.

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

Flashcards

Post Mortem Blood Changes

Changes in blood after death, mainly due to gravity and chemical reactions.

Relative Capacities (blood)

Arteries (5%), Veins (10%), Capillaries (85%) – Blood distribution after death.

Livor Mortis

Post-mortem settling of blood due to gravity, causing discoloration.

Hemolysis

Breakdown of red blood cells, releasing hemoglobin, causing a permanent stain.

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Sludging of Blood

Separation of plasma and blood cells, creating thicker blood (extravasation).

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Blood Coagulation

Blood clotting, often affected by temperature. It can plug vessels.

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Chicken Fat Clot

A clot that forms during the dying process (Agonal), hard to dissolve.

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Currant Jelly Clot

A homogeneous red, jelly-like clot, common in sudden deaths.

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White Fibrin Heart Clot

Fibrin clot in the heart, at the end of the blood coagulation process in the heart.

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Clots vs. Sludged Blood

Clots are semi-solid, lessened by refrigeration, while sludged blood is thick liquid worsens with refrigeration.

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Pressure Points

Areas where blood pooling won't discolour, increasing resistance to embalming.

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Pinch Test

Used to determine if discoloration is due to livor mortis or hemolysis

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Extravasation

Process wherein plasma separates from blood cells, escaping into tissues.

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Agonal Period

Time period immediately prior to death.

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Post Mortem Caloricity

Heat generated after death.

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Intravascular

Within the blood vessels

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Extravascular

Outside the blood vessels

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Arterial Injection

Injecting embalming fluid into arteries

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Drainage Chemicals

Chemicals used in embalming to drain fluids

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Pulsator

A device used in embalming to help circulate fluids

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Massaging

Using massage to help circulate and drain fluids

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RBC's

Red Blood Cells

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Study Notes

Post Mortem Blood Changes

  • Relative Capacities: Arteries hold 5%, veins 10%, and capillaries 85% of the blood. Capillaries offer the most resistance to embalming due to their microscopic size.

  • Livor Mortis: Blood settles due to gravity after death. It settles into dependent areas. Livor mortis can start before death if circulation is weak.

Hemolysis

  • Pressure points: Pressure points do not usually change color.
  • Resistance in congested areas increases. Drainage chemicals, massaging, and pulsators help clear issues.
  • RBC breakdown: Red blood cells break down, releasing hemoglobin into surrounding tissues, causing permanent staining.
  • Hemolysis is noticeable in areas where livor mortis has already formed.

Sludging of Blood

  • Plasma Separation: Plasma separates from blood cells and leaks into surrounding tissue, occurring at the capillary level.
  • Extravasation: This process is known as extravasation.
  • Sludge: Blood left in the vascular system has a lower moisture level compared to surrounding tissues, making it thicker and viscous.
  • Tissues have a higher moisture level forming tertiary edema.

Blood Coagulation

  • Temperature: Coagulation occurs when body temperature approaches or surpasses normal body temperature after death.
  • Refrigeration: Refrigeration lowers body temperature, reducing the amount of clots.

Blood Coagulation (continued)

  • Clot Formation: Clots can act like corks, plugging blood vessels. The more liquid the blood, the easier it is for arterial solution to spread and for fluids to drain.

Chicken Fat Clot

  • Agonal Period: Starts forming during the agonal period (prior to death).
  • Blood Separation: Slow circulation allows blood components to separate.
  • Clot Characteristics: Clot is two-toned (red and white), tough and fibrous, and doesn't dissolve with pre-injection.

Currant Jelly/Cruor Clot

  • Homogenous Mass: True post-mortem clot. Blood forms a homogenous (same type) mass, not yet separated.
  • Jelly-like: Red, jelly-like, easily fragmented.
  • Sudden Deaths: More prominent in sudden deaths.

Cruor Clots (continued)

  • Ease of Displacement: Easier to displace.
  • Pre-injection: Loosely formed clots may tumble back into liquid form after pre-injection.

White Fibrin Heart Clot

  • Fibrin Protein: Made of fibrin (an insoluble protein).
  • Chemical Coagulation: Final stage of chemical coagulation of blood before scar tissue forms.
  • Rare Observation: Rarely seen since arterial fluids and drainage don't pass through the chambers of the heart.

Clots vs. Sludged

  • Clots: Lessened by refrigeration; semi-solid mass; need fragmentation; happens immediately after or shortly following death; can't gravitate.
  • Sludged Blood: Worsened by refrigeration; thick but liquid; can be re-hydrated; often starts before death; will gravitate; can stain and increase resistance due to saturation.

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Post Mortem Blood Changes PDF

Description

Test your knowledge on post mortem blood changes, including livor mortis, hemolysis, and sludging of blood. This quiz will explore how blood behaves after death and the factors influencing these changes. Understand the implications of these processes in forensic science.

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