CDI 2 WEEK 5

Cards (18)

  • Injury refers to the damage inflicted on any part of the body due to deliberate or accidental application of mechanical or other traumatic agent
  • A wound is the disruption of the continuity of tissues and lining epithelium produced by external mechanical force
  • The term injury is used synonymously with wound, with the former having a wider meaning that includes damage produced by physical force, heat, cold, chemicals, and radiation
  • Cases that should be labelled as medico-legal may include:
    • Road side accidents, factory accidents, or any other unnatural mishaps
    • Suspected or evident homicides or suicides (including attempted ones)
    • Suspected or evident poisoning
    • Burn injuries due to many causes
    • Injury cases where foul play is suspected
    • Injury cases where there is a likelihood of death in the near future
    • Suspected or evident sexual offenses
    • Suspected or evident criminal abortions
    • Unconsciousness, when the cause is not clear
    • Cases brought dead with improper history
    • Cases referred by courts
  • The nine abdominopelvic divisions are:
    • Right hypochondriac
    • Right lumbar
    • Right inguinal (or the right iliac)
    • Epigastric
    • Umbilical
    • Hypogastric (or the pubic)
    • Left hypochondriac
    • Left lumbar
    • Left inguinal (or left iliac)
  • The right upper quadrant contains:
    • Right portion of the liver
    • Right kidney
    • Small portion of stomach
    • Portion of ascending and traverse colon
    • Parts of small intestine
  • The left upper quadrant contains:
    • Left portion of the liver
    • Larger portion of stomach
    • Pancreas
    • Left kidney
    • Spleen
    • Portions of travers and descending colon
    • Parts of the small intestine
  • The right lower quadrant is the location of:
    • Cecum
    • Appendix
    • Part of the small intestines
    • Right reproductive organs
    • Right ureter
  • The left lower quadrant is the location of:
    • The smallest intestines
    • Some of the large intestine
    • Left reproductive organ
    • Left ureter
  • Blunt force injuries result from forceful contact with a blunt object, such as fists, baseball bat, hammer, walls, trees, etc.
    The three main types of blunt force injuries include:
    1. Abrasions
    2. Contusions
    3. Lacerations
  • Abrasions are also known as scrapes, scratches or grazes. They refer to a superficial injury involving only the outer layers of the skin; they do not penetrate the full thickness of the epidermis.
    • Brush abrasions are broad patches, commonly seen as road rash following a motor vehicular accident
    • A scratch is a linear abrasion produced by drawing a sharp point over the surface of the skin or mucous membrane
  • A contusion is also known as bruise of ecchymosis, refers to discoloration resulting from hemorrhage beneath the skin, tissue or mucosa without any associated breach in the surface.
    • Post-mortem lividity may be confused by bruising
    • Various terms exist to describe the gross appearance of contusions, including petechiae, ecchymosis, and hematoma
  • Lacerations refer to splitting of tissues and the forceful tearing of skin when an object impacts skin with a force that exceeds its elastic capacity.
    • Lacerations have ragged wounds with irregular division of tissue planes
    • Their margins are often bruised and abraded
    • Blood vessels, nerves, and delicate tissue bridges may be exposed in the depth of the wounds
    • Lacerations do not generally reflect the shape or size of the object that produced them
  • Sharp force injuries refer to damage to tissues or organs by objects or weapons with sharp edges or pointed ends, classified into incised, stab, and chop wounds
  • Incised wounds are most often caused by an object moving in a slashing motion, resulting in clean edges, minimum bruising, and no bridging of nerves or vessels
  • Stab wounds are the result of a pointed or sharp object forced inward, usually caused by a weapon being thrust at or into a victim
  • Chop wounds are caused by objects with relatively sharp edges and reasonable weight, resulting in a combination of sharp and blunt injuries at the point of impact
  • Defensive wounds refer to injuries sustained by victims attempting to defend themselves from attack, often found on the victim's fingers, arms, forearms, and upper arms