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Forensic
medicine: is the application of medical and paramedical
knowledge in the administration of law and justice. Legal
medicine and state medicine are other names for it.
Medical jurisprudence: deals with the legal rights,
privileges, duties and obligations of medical practitioner.
Points to remember
1. Pin – point pupils = Opium
2. Dilatation of pupils = Dhatura, Cyanide
3. Constriction of pupils = Opium, phenol, organo-phosphorus,
physostigmine,
chloral hydrate.
4. Cumulative poisons are: Barbiturates, and methyl alcohol
5. Habit forming poisons are: Caffeine and Nicotine.
6. Addiction drugs are: Alcohol, Barbiturates, Coccaine,
Cannabis, Chloral hydrate, Opium, Pethidine.
7. Hemodialysis is good value in: Salicylate, methanol,
barbiturate, and aspirin
(except kerosene oil and diazephem)
8. 1st sign of intra-uterine death: Gas shadow in aorta (as
early as 12 hours).
9. Increased anion gap is seen in Salicylate poisoning, lactic
acidosis, starvation.
10. Ideal suicide poison = Cyanide
11. Ideal homicide poison = Thallium, fluoride compounds.
12. Commonly used homicidal poisons: Arsenic, aconite
13. Commonly used suicidal poisons: Endrine, Opium,
Barbiturates, Organo-phosphorus compounds.
14. Poison resembling cholera = Arsenic
15. Poison resembling tetanus = Strychnine
16. Poison resembling natural death = Thallium
17. Poison resembling fading measles = Arsenic
18. Poison resembling thyrotoxicosis = Bi-nitro compounds.
Tests for detecting poisons:
Arsenic = Marsh’s test, Reinsch’s test
Opium = Marquis test
Alcohol = Mc’evan’s test
Datura = Mydriatic test
Phenol = Green urine.
IMPORTANT POINTS TO REMEMBER
The Percentage of blood alcohol in the stage of "dead
drunk" is 0.5%.
Pisiform gets ossified by 12 yrs of age.
By 14 yrs. patella gets ossified.
Anterior fontanelle closes by 18 months of age.
The height of a child is double of birth height by 4 years of
age,
Under IPC, a person below 7 years is not criminally
responsible.
Fatal period of Datura poisoning is 24 hours.
In India, rigor mortis sets within 1-2 hours.
While dispatching blood and urine for chemical analysis,
sodium fluoride is added as preservative in concentration of 50
mg/10ml.
Critical level of alcohol in blood is 0.15%.
The minimum age for giving consent for surgery is 18 years.
In fractured ends of bone, soft provisional callus is formed
by 15 hours.
The minimum time required for adipocere formation in a dead
body is 21 days.
Indian Medical Council Act was enacted in 1956.
Mental retardation is I.Q. Below 70.
Ratio between ethyl alcohol in blood to urine is 1:1.33
Gas rigidity appears after 72 hours.
Marbling is noticed by 36 hours.
Full development of rigor mortis takes about 12 hours.
In exhumation, 6-7 samples of earth are collected.
Intercourse with wife below 15 years of age is considerable
rape.
Fatal period of aconite isusually 1-5 hours.
Cooling of body is gradual upto 1-3 hours.
Hypostasis is mottled within first 3 hours of death.
Killing range of a militry rifle is 3000
yards.
Juvenile offender is a person under 16 years
The dispersion of pellets is seen usually at distance beyond
10 feet.
In a gunshot wound, the presence of singeing of hair or
charring of skin denotes a fire up to 18 inches.
Dispersion of pellets in shotgun injury is calculated as
dispersion in inches = 1.5 times the dispersion in yards.
An infant born before 210 days is not legally considered
capable of maintaining a separate existence.
A bruise showing bluish black discolouration is 4 days old.
The upper limit of safety for carbon monoxide in air is 0.01%.
Rh positivity in India is 93%.
In an abrasion, the scab usually dries and falls between 4-6
days.
Fatal dose of opium is 2 gm.
The range of an air rifle is about 90 yards.
Mixed dentition is seen in children between
6-12 years of age.
Basisphenoid unites the basi-occiput at the age to 22 years.
First permanent molar appears at age of 6-7 years.
Judicial first class Magistrate can pass a sentence of
imprisonment upto 3 years.
Age of maturity for those under court of wards is 21 years. In
India, sexual maturity is gained at 14 years of age.
The degree of accuracy in determining sex from long bones is
80%.
Fatal period of sulphuric acid poisoning is 18-24 hours.
Multiplying factors for estimating stature from humerus and
femur in males are 5-5.3 and 3.6-3.8 respectively.
Colliquative liquefaction is seen within 1
week after death.
A contusion assumes green colour by 6 days.
Marriage age for boys and girls are 21 years and 18 years
respectively.
Internal organs take 24 hours to cool. A person becomes major
at the age of 18 years. Eruption of temporary teeth is completed
by 2 to 2.5 years.
Foetal parts can be detected on plain X-ray usually by 16
weeks.
Child below 12 years is not required to take an oath.
Xiphoid process unites with sternum at age of 40 years.
Cranial capacity is 10% less in females.
Nuclear features persist in decomposition for a period of 2-3
years.
Precipitin test is positive to be opium in dead body upto 10
years.
After death, benzidine test is positive upto 150 years. Bones
begin to decompose after death in 3-10 years.
Less than 7 aminoacids in bone suggest age of bone after death
as more than 100 years. The rate of cooling of body in first 6
hours is 2.5°F and in next 6 hours as 1.5"-2.0cF. Victim of
drowning in a state of suspended animation can be revived as
long as 10-20 minutes.
Centre of ossification for pisiform bone
appears at an age of 10-12 years.
The floatation time in summer for a dead body after drowning
is one day.
The age of 15 years old female is best determined by the
radiography of upper end of radius and ulna.
Maggots in a dead body do not appear before
48 hours.
Hairs become loose after 72 hours of death.
Epiphyseal union of sternal end of clavicle occurs at age of
22 years.
Washer woman's hands and feet usually occur within 12-18
hours.
Saponification in drowning occurs in about 5 weeks.
Death ensues in about 5 mts. of complete submersion.
By ABO.RH, MN systems the exclusion of Paternity is about 50%.
Estimation of Age from eruption of teeth is possible upto 17
to 21 years of age. Gustafson's method for estimation age of
adult over 21 years.
In poisoning by salicylates, the Gastric lavage is useful upto
24 hours.
The age of consent for medical examination in cases of rape is
minimum 12 years.
If a person is absent from his usual haunts, and has not been
heard for 7 hears, he is presumed to be dead.
Infanticide means unlawful destruction of child below 1 year
of age.
By ABO, Rh, MN systems the exclusion of Paternity is about 50%
Estimation of Age from eruption of teeth is possible upto 17
to 21 years of age
In poisoning by salicylates, the Gastric lavage is useful upto
24 hours
The age of consent for medical examination in cases of rape is
minimum 12 years
In sin of Gomorrah, buccal swabs are useful upto 9 hours
In most countries, breath alcohol concentration 35 mg/100 ml
is considered an offence After absorption, the ratio of alcohol
in blood and urine is constant and is 1:1.31 Histologically,
reticulum fibres in an abrasion are seen on 8 days
Widmark's formula for urine analysis of alcohol is 3/4 prq
Pancreas constitute 0.1% of body weight
Punishment for false evidence is given under section 193 of
IPC
Length of a female larynx is about 3.8 cm
Calcification of third molar begins at 8-10 years.
Lip prints on cheiloscopy are divided into 8 patterns
?gm tablet of aluminium phosphide is able to liberate 1.0 gm
The diameter of "human hair at 15 years of age is 0.053 ram *
Alcohol gaze nystagmus is produced at an average blood levels
of 80 mg%
The residual alcohol in mouth takes about 20 min to disappear
and within this period breath analyser test may be false
positive
Skeletal muscles constitute about 29% of body weight
Term 'under the influence' of alcohol is used
when blood concentration is 80-100mg%
Statutory rape is rape under 15 years of age
Weight for occluding internal jugular vein hanging is 2 kg
Majority of deaths due to Aluminium phosphide occurs in within
24 hours
During sleep, rectal temperature is 0.5-1.0°C lower
Drowned body floats in about 12-18 hours in summer S
Bones constitute about 12% of body weight
Absence of III molar tooth indicates that the person is
definitely under the age of 17 years
In a dead body, maggots in rainy day are seen in 6 hours.
Arsenic, Aconite and Dhatura are generally used as homicidal
poisons.
Ricin is the active principle of croton oil seed.
Abrin is the active principle of abrus
precatorius.
Soneryl is a coloured babriturate.
Breath alcohol can be measured by Alcometer or Drunkometer.
The fatal dose of Dhatura is about one grain.
Physostigmine can be regarded as the specific antidote of
Dhatura.
Amygdaline is the glucosides of vegetable origin found in
cyanides.
The process of putrefaction can be retarded by carbon monoxide
gas.
Euthanasia means "Mercy killing".
Joule burn is seen in electrocution.
Amyl nitrate is an antidote for poisoning due to hydrocyanic
acid.
Olive green discoloration of urine on exposure to air is seen
in poisoning due to carbolic acid.
Overlying is a type of smothering.
Optic atrophy is the characteristic feature of poisoning by
methyl alcohol.
Dryness of mouth, dilated pupils and delirium are symptoms of
Dhatura poisoning. (All 'D's)
The first permanent tooth to erupt is first molar.
Dying declaration can be recorded by a medical officer.
Presence of fine white leathery froth in mouth and nostrils is
seen in drowning.
Privation of any member of joint is a grievous hurt.
Pugilistic attitude is seen in burn death due
to coagulation of proteins.
Dying declaration should be recorded by Magistrate.
Nalorphine is an antidote for morphine.
Locard's principle states that every contact leaves a trace.
The strongest corrosive poison is sulphuric acid.
Arborescent markings are seen in lightening.
Before performing Postmortem examination, body should be
identified by Policemen.
Warrant case means a case relating to an offence punishbale
with death, imprisonment for life or for a term exceeding two
years.
In civil cases, a reasonable sum for travelling expenses is
generally tendered when the summons is served. This is known as
conduct money. It is paid by the party that has called his as a
witness.
Hair cells are of special interest in cell sexing since both
Barr body and Y chromosome can be demonstrated.
Nails, hairs and long bones are preserved in cases of chronic
arsenic poisoning.
Postmortem fibrinous clots in heart are known as "Cardiac
polyp".
The surest sign of death is putrefaction.
The rigor mortis start first at upper eye-lids.
Dribbling of saliva from the angle of the mouth is generally
considered as the surest sign of hanging.
Presence of soot in respiratory tract is the surest sign of
burn.
Strong sulphuric acid when thrown on the face of a person is
known as "Vitreol throwing".
Black gun powder consists of potassium nitrate, sulphur, and
charcoal.
Nitrocellulose or Nitroglycerine is used as a smokeless gun
powder.
Richochette bullet is one which strikes any
other surface before striking the object.
The pulmonary lesion in the injury of air blast is called
"Blast lung".
Loss of virginity is called defloration.
The Buccal coitus is called "Sin of Gomorrah".
The commission of sexual assalut upon a dead body is called "Necrophily".
"Testamentary capcity" is the capacity of a
person to make a valid will.
Malpraxis is defined as want of reasonable skill and or
willful negligence on the part of doctor resulting in
deterioration of patients' health or his death.
Copper sulphate is used as an antidote to phsophorus.
'Gyroget' are cartridges or miniature rockets
driven by solid fuel, which produces considerable heat and
smokeless gas on burning.
Forensic means courts of law.
Deposition means a statement on oath made by a witness in a
judicial proceeding. It is taken down in writing and signed by
the witness and magistrate.
Document means any matter expressed or described upon any
substance by means of letters, figures or marks, or by more than
one of these means.
Evidence includes all legal means which help to prove or
disprove any matter of fat, the truth of which is submitted to
judicial investigation. It can be oral (direct, indirect or
hearsay), documentary & circumstantial.
Hurt is defined as bodily pain, disease or infirmity caused to
any person.
Injury includes every inquiry other than a trial, conducted by
a Magistrate or court.
Investigation includes all the proceedings for the collection
of evidence conducted by a Police officer or by any person other
than a magistrate who is authorised by a magistrate on his
behalf.
Jury means a body of persons sworn to render verdict in a
court of justice. It is composed of uneven number and not less
than 7 and more than 9 persons.
Metropolitan area means any area in the state comprising a
city or a town whose population exceeds one millin.
Offence means any act of omission made punishable by law for
the time being in force.
Perjury means wilful utterance of falsehood under oath.
Plantiff is one who brings an action in a
court of law.
Summons case means a case relating to an offence punishable
with imprisonment for a term not exceeding two years
Testimony means the evidence, oral or written, of a witness
under under oath.
Warrant means a written authority under "hand and seal". It is
used for the arrest of persons or for their forcible production
in a court of law
Traumatic rupture of hymen is seen on posterolateral aspect.
Taylor gave a formula on rate of decomposition of dead body in
air, water and earth.
Most reliable method of determining personal identity is
Dactylography.
Contre-Coupe injury is seen in head injury.
Strychnine acts on anterior horn cells.
Last organ to putrefy in mate is prostate whereas in female it
is ungravid uteus.
In Carboluria, urine turns green on exposure to air.
Cyanide poisoning produces cherry red colour.
McEwen's sign is seen in alcoholism.
Cutis anserina is seen in drowning.
Shaking palsy or 'mad Hatters' is seen with mercury poisoning.
Poison which can be detected in burnt bodies in arsenic.
Cepahlic index helps in identification of race.
Tentative cuts are seen in suicides.
Pugilistic attitude is seen in antemortem or
postmortem burns.
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