Forensic medicine

• PM changes of MI test

  Tripehenyl tetrazolium chloride ( LDH )
• TTC IS CONVERTED TO WHAT IN VIABLE TISSUE

  FORMAZAN ( BRIGHT RED COLOUR )
• Intraventricular asymmetric hypertrophy is seen in

  Hypertrophic cardic myopathy
• Most common cause for sudden death and for athletes

  Coronary artery disease

  Hypertrophy cardiac myopathy >commotion cordis
• What method is used to open the heart during autopsy

  Inflow and outflow tech
• MTP ACT 2021 CONSENT GIVEN BY

  PREG FEMALE ONLY >18 YRS

  MINOR - LEGAL GUARDIANS
• MTP INDICATION IN UPTO 20 WEEKS

  SERIOUS RISK TO FETUS AND MOTHER

  FAILURE OF CONTRACEPTIVE OF BOTH MALE AND FEMALE
• MTP INDICATION 20 WEEKS TO 24 


  Serious risk to fetus

  Special category like

  Minor , physical disability ,mental illness and MR ,incest ,rape ,serial assault ,change in martial status ( widow,divorce),emergency declared by govt
• MTP INDICATION >24 WEEKS

  RISK TO FETUS ONLY
• How many doctors for 20 weeks ,20-24 ,>24 weeks MTP opinions required

  1, 2, medical board - obg,pediatric,radiologist
• MTP is done in india

  1.obg ( ms,dgo)

  2.RMP - 6MONTHS IN GOVT COLLEGE ,1 YEAR IN PRIVATE COLLEGE

  3.RMP ASSISTED WITH 25 MTP AND 5 DONE ON THEIR OWN

  4RMP - 3MONTH IN OBG , 10 MTP DONE BY MEDICAL MEANS
• Upto 9 weeks who and what can be done

  All 4 ppl and medical management
• 9-12 weeks who

  1,2,3 Dr done
• >12 weeks who

  1,2 and > 9 weeks only surgical methods is used
• INFAMOUS CONDUCT OR PROFESSIONAL MISCONDUCT ARE 


  ALCOHOL

  ADDICTION

  ADULTERY

  ASSOCIATION

  ADVERTISING

  ABORTION
• BNSS FOR ABORTION LAW

  88-92
• Medical dichotomy

  Fee splitting between Doctor by un wanted referrals
• Unethical acts punishment

  State medical council and courts
• State medical council will give what type of punishment for unethical acts

  1.warning

  2.penal erase - temporary, permanent ( professional death sentence ) done by Nmc - ethical and medical registration board
• Breech of etiquette is

  Not punishable offense
• Privileged communication 


  Court of law

  Infection

  Vernelogy

  In pt interset

  Crime done

  Servant and employee

  In self interset

  Notifiable disease
• Direct evidence 


  1.common witness / eye witness /1 hand knowledge

  2. Expert witness
• Indirect evidence 


  Circumstantial witness

  Hersay witness
• Hersary witness are not admissible except 


  Dying declaration

  Res gestate

  Dying desposition
• Dying declaration is 


  Voluntary statement of dying person

  But person does not die then this is not admissible but corrobartive
• Res gestae 


  Involuntary statement heard by 2 person
• Dying disposition 


  Court room procedure done bedside
• Victim and accused lawyers called 


  Public prosecutor, defender lawyer
• Dying deposition 


  Court room procedure done bedside
• Court room procedure in order 


  1.Victim and accused with lawyer cometo Court

  2.court summons

  3.oath except ( child <12 yrs, atheist )

  4.oral evidence recording

  5.direct e/o

  6.cross e/o

  7.redirect e/o

  8.court question ( any time )
• Cross examination details 


  Done by opp lawyers

  Leading question is allowed

  No time limit except posco <1 years
• Power of courts

  Judicial magistrates

  Session court

  High court

  Supreme Court
• Judicial magistrate

  2 class -10k ,1yr

  1 class -50k,3yr

  Chief jm - unlimited and 7 yrs
• Session courts 


  Assistant court - Ul ,10yrs

  Additional session and district judge - ul both ,death sentence ,life imprisonment

  District and session - ul both
• Judicial hanging / hangman fracture

  C2-c3 fractures
• Undertaker fracture 


  C6-c7 fracture

  Handling body after pm
• Summon are called subpoena
• Inquest type

  Coroner's - jury ,Italian

  Medical examiners- pathologist ,US

  Police

  Magistrate
• Police inquest

  194 bnss

  Min rank is head constable
• Magistrate inquest

  196 bnss

  Executive Magistrate < sub divisional Magistrate < district Magistrate