POST MORTEM CHANGES Postmortem changes after death Immediate
![POST MORTEM CHANGES Postmortem changes after death Immediate Changes Early Changes Late Changes POST MORTEM CHANGES Postmortem changes after death Immediate Changes Early Changes Late Changes](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-1.jpg)
![Immediate changes • Permanent Cessation of Brain function • Complete Cessation of Circulatory function Immediate changes • Permanent Cessation of Brain function • Complete Cessation of Circulatory function](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-2.jpg)
![Permanent Cessation of Brain function: • • Loss of Sensations; viz, touch, pain and Permanent Cessation of Brain function: • • Loss of Sensations; viz, touch, pain and](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-3.jpg)
![BRAIN DEATH Death of brain cell occurs earliest after stoppage of the circulation but BRAIN DEATH Death of brain cell occurs earliest after stoppage of the circulation but](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-4.jpg)
![Brain –stem death: • The patient must be comatose state at least six hours. Brain –stem death: • The patient must be comatose state at least six hours.](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-5.jpg)
![• • Pupils should be fixed No Corneal reflex Absent of the oculo-cephalic • • Pupils should be fixed No Corneal reflex Absent of the oculo-cephalic](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-6.jpg)
![Complete Cessation of Circulatory Function • • Magnus test Finger nail test Diaphanous test Complete Cessation of Circulatory Function • • Magnus test Finger nail test Diaphanous test](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-7.jpg)
![Entire and permanent cessation of respiratory function • • • Mirror test Feather test Entire and permanent cessation of respiratory function • • • Mirror test Feather test](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-8.jpg)
![SUSPENDED ANIMATION It is a condition in which the vital functions of the body SUSPENDED ANIMATION It is a condition in which the vital functions of the body](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-9.jpg)
![EARLY CHANGES • Facial pallor (pallor mortis) • Changes in the skin • Changes EARLY CHANGES • Facial pallor (pallor mortis) • Changes in the skin • Changes](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-10.jpg)
![CHANGES IN THE EYE • • • Corneal Changes- Loss of Clear Glistening Dry, CHANGES IN THE EYE • • • Corneal Changes- Loss of Clear Glistening Dry,](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-11.jpg)
![• Optic disc looks pale and slowely become hazy. • Pupils fully dilated • Optic disc looks pale and slowely become hazy. • Pupils fully dilated](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-12.jpg)
![CHANGES IN THE SKIN • • • Loss of its translucency Pale and Ashy CHANGES IN THE SKIN • • • Loss of its translucency Pale and Ashy](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-13.jpg)
![COOLING OF THE BODY(ALGOR MORTIS) • Imbalance between heat production and heat loss. • COOLING OF THE BODY(ALGOR MORTIS) • Imbalance between heat production and heat loss. •](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-14.jpg)
![• • Temperature is recorded by Chemical thermometer. Thanotometer 25 cms. Recording of • • Temperature is recorded by Chemical thermometer. Thanotometer 25 cms. Recording of](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-15.jpg)
![- - Sun stroke and pontine haemorrhage, disturbed heat regulating mechanism. Tetanus and strychnine - - Sun stroke and pontine haemorrhage, disturbed heat regulating mechanism. Tetanus and strychnine](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-16.jpg)
![The rate of cooling of the body is modified by the following conditions; • The rate of cooling of the body is modified by the following conditions; •](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-17.jpg)
![POSTMORTEM LIVIDITY It means discolouration or staining of the skin and organs after death POSTMORTEM LIVIDITY It means discolouration or staining of the skin and organs after death](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-18.jpg)
![• Development of lividity • Fixation of lividity • Site of distribution • • Development of lividity • Fixation of lividity • Site of distribution •](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-19.jpg)
![MEDICO-LEGAL IMPORTANCE • • • It is a reliable sign of death It gives MEDICO-LEGAL IMPORTANCE • • • It is a reliable sign of death It gives](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-20.jpg)
![CHANGES IN THE MUSCLES • Primary relaxation/ Flaccidity • Rigor mortis/Cadaveric rigidity • Secondary CHANGES IN THE MUSCLES • Primary relaxation/ Flaccidity • Rigor mortis/Cadaveric rigidity • Secondary](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-21.jpg)
![PRIMARY RELAXATION Starts immediately after death with generalised relaxation of muscle tone: • Drop PRIMARY RELAXATION Starts immediately after death with generalised relaxation of muscle tone: • Drop](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-22.jpg)
![Rigor Mortis/ Cadaveric rigidity : This phenomenon comes immediately after the muscles have lost Rigor Mortis/ Cadaveric rigidity : This phenomenon comes immediately after the muscles have lost](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-23.jpg)
![Time of Onset : Temperate climates – 3 -6 hours Tropical climates – 1 Time of Onset : Temperate climates – 3 -6 hours Tropical climates – 1](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-24.jpg)
![DURATION : * Temperate climate – lasts for 2 -3 days. • Tropical climate DURATION : * Temperate climate – lasts for 2 -3 days. • Tropical climate](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-25.jpg)
![Circumstances modifying the Onset and Duration of Rigor mortis. Age- Rigor – Mortis is Circumstances modifying the Onset and Duration of Rigor mortis. Age- Rigor – Mortis is](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-26.jpg)
![MANNER OF DEATH : • • • In wasting disease and great exhaustion- cholera, MANNER OF DEATH : • • • In wasting disease and great exhaustion- cholera,](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-27.jpg)
![CONDITIONS SIMULATING RIGOR-MORTIS • • • Heat Stiffening Cold Stiffening Cadaveric Spasm Secondary Relaxation CONDITIONS SIMULATING RIGOR-MORTIS • • • Heat Stiffening Cold Stiffening Cadaveric Spasm Secondary Relaxation](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-28.jpg)
![CASE SIMULATING RIGOR MORTIS BEFORE DEATH A case of rigor mortis in a living CASE SIMULATING RIGOR MORTIS BEFORE DEATH A case of rigor mortis in a living](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-29.jpg)
![SOME POINT TO BE DISCUSSED IN RIGOR Kobayashi et al have suggested that the SOME POINT TO BE DISCUSSED IN RIGOR Kobayashi et al have suggested that the](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-30.jpg)
![LATE SIGNS OF DEATH Decomposition / Putrefaction. Adipocere formation / Saponification. Mummification. LATE SIGNS OF DEATH Decomposition / Putrefaction. Adipocere formation / Saponification. Mummification.](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-31.jpg)
![DECOMPOSITION / PUTREFACTION Last stage in the resolution of the body, from the organic DECOMPOSITION / PUTREFACTION Last stage in the resolution of the body, from the organic](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-32.jpg)
![BACTERIAL ACTION Action of bacterial enzymes on tissue components – carbohydrates/fat/proteins. Bacterial growth – BACTERIAL ACTION Action of bacterial enzymes on tissue components – carbohydrates/fat/proteins. Bacterial growth –](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-33.jpg)
![CHARACTERISTIC FEATURES COLOUR CHANGES Greenish discoloration of skin over caecum and flanks after death CHARACTERISTIC FEATURES COLOUR CHANGES Greenish discoloration of skin over caecum and flanks after death](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-34.jpg)
![Discoloration spreads- front of abdomen, external genitals, chest, neck, face, arms and legs – Discoloration spreads- front of abdomen, external genitals, chest, neck, face, arms and legs –](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-35.jpg)
![GASES OF PUTREFACTION Development of gases under the skin and hollow viscera 18 -36 GASES OF PUTREFACTION Development of gases under the skin and hollow viscera 18 -36](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-36.jpg)
![PRESSURE EFFECTS OF PUTREFACTIVE GASES Displaces the diaphragm upwards. Discolored fluid and liquefied tissue PRESSURE EFFECTS OF PUTREFACTIVE GASES Displaces the diaphragm upwards. Discolored fluid and liquefied tissue](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-37.jpg)
![APPEARANCE OF MAGGOTS Flies lay eggs over the decomposed body- nose, mouth, vagina and APPEARANCE OF MAGGOTS Flies lay eggs over the decomposed body- nose, mouth, vagina and](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-38.jpg)
![OTHER SEQULAE Fall of teeth Separation of skull sutures Liquefied brain matter oozes out. OTHER SEQULAE Fall of teeth Separation of skull sutures Liquefied brain matter oozes out.](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-39.jpg)
![INTERNALLY STOMACH Dark red patches over the walls Perforation due to autolysis LIVER Softens INTERNALLY STOMACH Dark red patches over the walls Perforation due to autolysis LIVER Softens](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-40.jpg)
![Early putrefaction 24 -48 hrs Larynx, trachea, brain of infants, stomach, intestines, spleen, omentum Early putrefaction 24 -48 hrs Larynx, trachea, brain of infants, stomach, intestines, spleen, omentum](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-41.jpg)
![FACTORS MODIFYING PUTREFACTION EXTERNAL Warmth and clothing Putrefaction begins at 10°C and occurs rapidly FACTORS MODIFYING PUTREFACTION EXTERNAL Warmth and clothing Putrefaction begins at 10°C and occurs rapidly](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-42.jpg)
![Moisture Help in rapid multiplication of organisms. Bodies recovered from water if left in Moisture Help in rapid multiplication of organisms. Bodies recovered from water if left in](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-43.jpg)
![Manner of burial In air tight coffins, very little change of body for long Manner of burial In air tight coffins, very little change of body for long](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-44.jpg)
![INTERNAL FACTORS Age and condition of the body Sex Mode of death INTERNAL FACTORS Age and condition of the body Sex Mode of death](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-45.jpg)
![ADIPOCERE Modification of the process of putrifaction in the dead body is (checked and ADIPOCERE Modification of the process of putrifaction in the dead body is (checked and](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-46.jpg)
![Yellowish white, greasy wax with rancid smell. It forms at any site where fatty Yellowish white, greasy wax with rancid smell. It forms at any site where fatty](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-47.jpg)
![MUMMIFICATION It is a peculiar desiccation of a dead body where by its soft MUMMIFICATION It is a peculiar desiccation of a dead body where by its soft](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-48.jpg)
![Mummification occurs in bodies buried in shallow graves, in dry sandy soils. Time – Mummification occurs in bodies buried in shallow graves, in dry sandy soils. Time –](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-49.jpg)
![TIME SINCE DEATH/ POST MORTEM INTERVAL Important clue for investigation of time. It helps TIME SINCE DEATH/ POST MORTEM INTERVAL Important clue for investigation of time. It helps](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-50.jpg)
![- Contents of stomach and bowels Contents of urinary bladder Biochemical changes Circumstantial evidence - Contents of stomach and bowels Contents of urinary bladder Biochemical changes Circumstantial evidence](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-51.jpg)
![a h T u o y k n a h T u o y k n](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-52.jpg)
- Slides: 52
![POST MORTEM CHANGES Postmortem changes after death Immediate Changes Early Changes Late Changes POST MORTEM CHANGES Postmortem changes after death Immediate Changes Early Changes Late Changes](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-1.jpg)
POST MORTEM CHANGES Postmortem changes after death Immediate Changes Early Changes Late Changes
![Immediate changes Permanent Cessation of Brain function Complete Cessation of Circulatory function Immediate changes • Permanent Cessation of Brain function • Complete Cessation of Circulatory function](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-2.jpg)
Immediate changes • Permanent Cessation of Brain function • Complete Cessation of Circulatory function • Entire and permanent cessation of Respiratory function
![Permanent Cessation of Brain function Loss of Sensations viz touch pain and Permanent Cessation of Brain function: • • Loss of Sensations; viz, touch, pain and](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-3.jpg)
Permanent Cessation of Brain function: • • Loss of Sensations; viz, touch, pain and temperature Loss of reflexes Total loss of E. E. G. Rhythem Confirmation of Brain- stem death
![BRAIN DEATH Death of brain cell occurs earliest after stoppage of the circulation but BRAIN DEATH Death of brain cell occurs earliest after stoppage of the circulation but](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-4.jpg)
BRAIN DEATH Death of brain cell occurs earliest after stoppage of the circulation but the process of death may be initiated by the failure of the function of brain. Classification: Cortical death Brain-stem death Both cortical & brain stem death
![Brain stem death The patient must be comatose state at least six hours Brain –stem death: • The patient must be comatose state at least six hours.](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-5.jpg)
Brain –stem death: • The patient must be comatose state at least six hours. • No Abnormal Decorticate or decerebrate postures should be present • All brain-stem reflexes must be absent.
![Pupils should be fixed No Corneal reflex Absent of the oculocephalic • • Pupils should be fixed No Corneal reflex Absent of the oculo-cephalic](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-6.jpg)
• • Pupils should be fixed No Corneal reflex Absent of the oculo-cephalic reflex Absent vestibulo-ocular reflexes No Motor responses No Gag reflex No Respiratory movements after test withdrawal of ventilator for 30 sec.
![Complete Cessation of Circulatory Function Magnus test Finger nail test Diaphanous test Complete Cessation of Circulatory Function • • Magnus test Finger nail test Diaphanous test](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-7.jpg)
Complete Cessation of Circulatory Function • • Magnus test Finger nail test Diaphanous test Icard’s Fluorescein test Heat test Artery incision test A flat E. C. G. for a continuous period of five minutes
![Entire and permanent cessation of respiratory function Mirror test Feather test Entire and permanent cessation of respiratory function • • • Mirror test Feather test](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-8.jpg)
Entire and permanent cessation of respiratory function • • • Mirror test Feather test Winslow’s glass water test.
![SUSPENDED ANIMATION It is a condition in which the vital functions of the body SUSPENDED ANIMATION It is a condition in which the vital functions of the body](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-9.jpg)
SUSPENDED ANIMATION It is a condition in which the vital functions of the body are at such a low level that they cannot be appreciated by clinical examination Apparent death This may last few seconds to minutes. Voluntary- by yogis Involuntary – drowning, electrocution, heat stroke, typhoid fever etc.
![EARLY CHANGES Facial pallor pallor mortis Changes in the skin Changes EARLY CHANGES • Facial pallor (pallor mortis) • Changes in the skin • Changes](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-10.jpg)
EARLY CHANGES • Facial pallor (pallor mortis) • Changes in the skin • Changes in the eye • Cooling of the body/Algor mortis • Post mortem lividity/Hypostasis • Rigor mortis/Cadaveric rigidity
![CHANGES IN THE EYE Corneal Changes Loss of Clear Glistening Dry CHANGES IN THE EYE • • • Corneal Changes- Loss of Clear Glistening Dry,](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-11.jpg)
CHANGES IN THE EYE • • • Corneal Changes- Loss of Clear Glistening Dry, becomes permanently hazy after 10 -12 hrs. Loss of reflexes Light reflex abolished Intra Ocular tension falls, eye balls become flaccid and sink in the orbit Blood flow in the retina becomes dotted and segmented look.
![Optic disc looks pale and slowely become hazy Pupils fully dilated • Optic disc looks pale and slowely become hazy. • Pupils fully dilated](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-12.jpg)
• Optic disc looks pale and slowely become hazy. • Pupils fully dilated in the early stage and constrict later due rigor mortis. • Discoloration of the sclera which is initially yellow and later turn brownish due to drying and desiccation of the exposed conjunctiva and the sclera underneath. k/a Taches Noires Scleroitiques
![CHANGES IN THE SKIN Loss of its translucency Pale and Ashy CHANGES IN THE SKIN • • • Loss of its translucency Pale and Ashy](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-13.jpg)
CHANGES IN THE SKIN • • • Loss of its translucency Pale and Ashy white appearance Loss of Elasticity Wounds will not gape if it is inflicted after death Wounds caused during life will retain their characteristic features.
![COOLING OF THE BODYALGOR MORTIS Imbalance between heat production and heat loss COOLING OF THE BODY(ALGOR MORTIS) • Imbalance between heat production and heat loss. •](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-14.jpg)
COOLING OF THE BODY(ALGOR MORTIS) • Imbalance between heat production and heat loss. • Loss of heat of body by means of conduction convection and radiation, till it balances with the temperature of surroundings. • Rate of cooling is fast during first few hours and later slows.
![Temperature is recorded by Chemical thermometer Thanotometer 25 cms Recording of • • Temperature is recorded by Chemical thermometer. Thanotometer 25 cms. Recording of](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-15.jpg)
• • Temperature is recorded by Chemical thermometer. Thanotometer 25 cms. Recording of temperature : Normal temp. – Rectal temp 4 inch above anus. Rate of temp. fall/hour Variation of body temperature There are some Conditions in which heat may be retained or increased.
![Sun stroke and pontine haemorrhage disturbed heat regulating mechanism Tetanus and strychnine - - Sun stroke and pontine haemorrhage, disturbed heat regulating mechanism. Tetanus and strychnine](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-16.jpg)
- - Sun stroke and pontine haemorrhage, disturbed heat regulating mechanism. Tetanus and strychnine poisoning, due to increase in heat production in the muscle. Acute bacterial or viral infection, lobar pneumonia, typhoid fever, encephalitis, etc. Intense asphyxial conditions- rise of temp by 2 -3 degree c at death “ Postmortem Caloricity”
![The rate of cooling of the body is modified by the following conditions The rate of cooling of the body is modified by the following conditions; •](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-17.jpg)
The rate of cooling of the body is modified by the following conditions; • • • Age Condition of the body Mode of death Surroundings Environmental temperature
![POSTMORTEM LIVIDITY It means discolouration or staining of the skin and organs after death POSTMORTEM LIVIDITY It means discolouration or staining of the skin and organs after death](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-18.jpg)
POSTMORTEM LIVIDITY It means discolouration or staining of the skin and organs after death due to accumulation of fluid blood in the dependent parts of the body. Post mortem staining/Hypostasis/Suggilation/ Vibices/ Livour mortis. 1 - 3 hr. Starts 6 -8 hr. Fixes.
![Development of lividity Fixation of lividity Site of distribution • Development of lividity • Fixation of lividity • Site of distribution •](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-19.jpg)
• Development of lividity • Fixation of lividity • Site of distribution • Pattern • Extent • Difference between lividity and bruise.
![MEDICOLEGAL IMPORTANCE It is a reliable sign of death It gives MEDICO-LEGAL IMPORTANCE • • • It is a reliable sign of death It gives](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-20.jpg)
MEDICO-LEGAL IMPORTANCE • • • It is a reliable sign of death It gives the information about the position of the body at the time of death Time since death can be estimated Colour suggest the cause of death Distribution of lividity may give the information about the manner of death
![CHANGES IN THE MUSCLES Primary relaxation Flaccidity Rigor mortisCadaveric rigidity Secondary CHANGES IN THE MUSCLES • Primary relaxation/ Flaccidity • Rigor mortis/Cadaveric rigidity • Secondary](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-21.jpg)
CHANGES IN THE MUSCLES • Primary relaxation/ Flaccidity • Rigor mortis/Cadaveric rigidity • Secondary relaxation
![PRIMARY RELAXATION Starts immediately after death with generalised relaxation of muscle tone Drop PRIMARY RELAXATION Starts immediately after death with generalised relaxation of muscle tone: • Drop](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-22.jpg)
PRIMARY RELAXATION Starts immediately after death with generalised relaxation of muscle tone: • Drop of lower Jaw • Eye balls lose their tension • Pupils are dilated • Joints are flabby • Smooth relaxation- incontinence of Urine and Faeces.
![Rigor Mortis Cadaveric rigidity This phenomenon comes immediately after the muscles have lost Rigor Mortis/ Cadaveric rigidity : This phenomenon comes immediately after the muscles have lost](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-23.jpg)
Rigor Mortis/ Cadaveric rigidity : This phenomenon comes immediately after the muscles have lost the power of contractility and is irreversible changes in the muscles of the body, both voluntary and involuntary. Myofibrils Myosin and Actin Adenosine Triphosphate – A. T. P.
![Time of Onset Temperate climates 3 6 hours Tropical climates 1 Time of Onset : Temperate climates – 3 -6 hours Tropical climates – 1](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-24.jpg)
Time of Onset : Temperate climates – 3 -6 hours Tropical climates – 1 -2 hours • Rigor mortis generally occurs when body is cold. • Not related to nerves action • Develops in paralysed limbs also • First appear in involuntary muscles • Last to be affected finger and toes muscles.
![DURATION Temperate climate lasts for 2 3 days Tropical climate DURATION : * Temperate climate – lasts for 2 -3 days. • Tropical climate](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-25.jpg)
DURATION : * Temperate climate – lasts for 2 -3 days. • Tropical climate – 24 – 48 hours in winter 18 - 36 hours in summer • In general – 1 -2 hours sets on for , 12 hours develops for - 12 hours maintaines and after 12 hours passes of
![Circumstances modifying the Onset and Duration of Rigor mortis Age Rigor Mortis is Circumstances modifying the Onset and Duration of Rigor mortis. Age- Rigor – Mortis is](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-26.jpg)
Circumstances modifying the Onset and Duration of Rigor mortis. Age- Rigor – Mortis is very rare in premature infants. Rigor –mortis is slow in adolescent and healthy adults Muscular conditon and activity before death. Onset is slow and duration is longer in muscular and healthy body at rest.
![MANNER OF DEATH In wasting disease and great exhaustion cholera MANNER OF DEATH : • • • In wasting disease and great exhaustion- cholera,](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-27.jpg)
MANNER OF DEATH : • • • In wasting disease and great exhaustion- cholera, plague, typhoid, T. B. Cancer etc. the onset is early and disappears soon. In diseases – Pneumonia, asphyxia and nervous conditions- onset is delayed Atmospheric condtions: In dry and cold air-onset slow and lost for long time. Warm and moist air onset is rapid and duration short.
![CONDITIONS SIMULATING RIGORMORTIS Heat Stiffening Cold Stiffening Cadaveric Spasm Secondary Relaxation CONDITIONS SIMULATING RIGOR-MORTIS • • • Heat Stiffening Cold Stiffening Cadaveric Spasm Secondary Relaxation](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-28.jpg)
CONDITIONS SIMULATING RIGOR-MORTIS • • • Heat Stiffening Cold Stiffening Cadaveric Spasm Secondary Relaxation : • Muscles become soft and Flaccid • Do not respond to a mechnical and electrical stimulus.
![CASE SIMULATING RIGOR MORTIS BEFORE DEATH A case of rigor mortis in a living CASE SIMULATING RIGOR MORTIS BEFORE DEATH A case of rigor mortis in a living](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-29.jpg)
CASE SIMULATING RIGOR MORTIS BEFORE DEATH A case of rigor mortis in a living patient occurring possibly due to severe vasoconstriction limiting blood supply to the muscles -Murali Chakravarthy, “Rigor Mortis” in a Live Patient; (Am J Forensic Med Pathol 2010; 31: 87– 88)
![SOME POINT TO BE DISCUSSED IN RIGOR Kobayashi et al have suggested that the SOME POINT TO BE DISCUSSED IN RIGOR Kobayashi et al have suggested that the](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-30.jpg)
SOME POINT TO BE DISCUSSED IN RIGOR Kobayashi et al have suggested that the onset and passing off of rigor mortis in various groups of muscles depends on the glycogen and lactic acid levels. They also observed that the glycogen level at death and 1 hour after death and the lactic acid level 1 hour after death in masticatory muscles were lower than in the leg muscles. It is possible that the differences in the proportion of muscle fiber types and in glycogen level in muscles influence the postmortem change in ATP and lactic acid, which would accelerate or retard rigor mortis of the muscles.
![LATE SIGNS OF DEATH Decomposition Putrefaction Adipocere formation Saponification Mummification LATE SIGNS OF DEATH Decomposition / Putrefaction. Adipocere formation / Saponification. Mummification.](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-31.jpg)
LATE SIGNS OF DEATH Decomposition / Putrefaction. Adipocere formation / Saponification. Mummification.
![DECOMPOSITION PUTREFACTION Last stage in the resolution of the body from the organic DECOMPOSITION / PUTREFACTION Last stage in the resolution of the body, from the organic](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-32.jpg)
DECOMPOSITION / PUTREFACTION Last stage in the resolution of the body, from the organic to the inorganic state, is a certain sign of death. AUTOLYSIS Rise of enzyme levels in the tissue cells after death. Softening & liquefying of the body tissue. Starts 3 -4 hrs after death and continues for 2 -3 days.
![BACTERIAL ACTION Action of bacterial enzymes on tissue components carbohydratesfatproteins Bacterial growth BACTERIAL ACTION Action of bacterial enzymes on tissue components – carbohydrates/fat/proteins. Bacterial growth –](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-33.jpg)
BACTERIAL ACTION Action of bacterial enzymes on tissue components – carbohydrates/fat/proteins. Bacterial growth – warmth, moisture are conditions favourable. Clostridium welchii, streptococci, E coli, B proteus.
![CHARACTERISTIC FEATURES COLOUR CHANGES Greenish discoloration of skin over caecum and flanks after death CHARACTERISTIC FEATURES COLOUR CHANGES Greenish discoloration of skin over caecum and flanks after death](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-34.jpg)
CHARACTERISTIC FEATURES COLOUR CHANGES Greenish discoloration of skin over caecum and flanks after death appears 18 -24 hrs. Greenish to black discoloration- ‘Sulphmethahaemoglobin’ formed by H 2 S due to microorganisms in the large intestine. Appears early in summer & delayed in winter.
![Discoloration spreads front of abdomen external genitals chest neck face arms and legs Discoloration spreads- front of abdomen, external genitals, chest, neck, face, arms and legs –](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-35.jpg)
Discoloration spreads- front of abdomen, external genitals, chest, neck, face, arms and legs – spreads whole body in 24 -36 hrs. Discoloration of vessel walls due to pigmentation from decomposed blood over the shoulder and groin. Arborescent pattern- ‘Marbling’
![GASES OF PUTREFACTION Development of gases under the skin and hollow viscera 18 36 GASES OF PUTREFACTION Development of gases under the skin and hollow viscera 18 -36](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-36.jpg)
GASES OF PUTREFACTION Development of gases under the skin and hollow viscera 18 -36 hrs. 24 -48 hrs in solid viscera. H 2 S, ammonia, phosphated hydrogen, CO 2 and methane. Causes pseudo rigidity, exerts pressure. More gases accumulation, body floats in water.
![PRESSURE EFFECTS OF PUTREFACTIVE GASES Displaces the diaphragm upwards Discolored fluid and liquefied tissue PRESSURE EFFECTS OF PUTREFACTIVE GASES Displaces the diaphragm upwards. Discolored fluid and liquefied tissue](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-37.jpg)
PRESSURE EFFECTS OF PUTREFACTIVE GASES Displaces the diaphragm upwards. Discolored fluid and liquefied tissue mixes with gases producing froth. Bloating of the features. Shifting of the area of hypostasis. Changes in skin, hair and wound. Extrusion of fluid from the mouth and nose. Emptying of the heart. Changes in appearance of genitals.
![APPEARANCE OF MAGGOTS Flies lay eggs over the decomposed body nose mouth vagina and APPEARANCE OF MAGGOTS Flies lay eggs over the decomposed body- nose, mouth, vagina and](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-38.jpg)
APPEARANCE OF MAGGOTS Flies lay eggs over the decomposed body- nose, mouth, vagina and anus in 18 -36 hrs. After 24 -36 hrs eggs hatch into larvae or maggots, enter the body and destroy the tissues. After 4 -5 days develop into pupae. After 7 -8 days into adult fly.
![OTHER SEQULAE Fall of teeth Separation of skull sutures Liquefied brain matter oozes out OTHER SEQULAE Fall of teeth Separation of skull sutures Liquefied brain matter oozes out.](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-39.jpg)
OTHER SEQULAE Fall of teeth Separation of skull sutures Liquefied brain matter oozes out. ‘Colliquative putrefaction’ – this process takes place between 5 -10 days.
![INTERNALLY STOMACH Dark red patches over the walls Perforation due to autolysis LIVER Softens INTERNALLY STOMACH Dark red patches over the walls Perforation due to autolysis LIVER Softens](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-40.jpg)
INTERNALLY STOMACH Dark red patches over the walls Perforation due to autolysis LIVER Softens and flabby Becomes spongy ‘Foamy liver’
![Early putrefaction 24 48 hrs Larynx trachea brain of infants stomach intestines spleen omentum Early putrefaction 24 -48 hrs Larynx, trachea, brain of infants, stomach, intestines, spleen, omentum](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-41.jpg)
Early putrefaction 24 -48 hrs Larynx, trachea, brain of infants, stomach, intestines, spleen, omentum and mesentery, liver and adult brain. Late putrefaction 2 -3 weeks Heart, lungs, kidneys, bladder, esophagus, pancreas, diaphragm, blood vessels, prostate, testis and non gravid uterus, ovaries.
![FACTORS MODIFYING PUTREFACTION EXTERNAL Warmth and clothing Putrefaction begins at 10C and occurs rapidly FACTORS MODIFYING PUTREFACTION EXTERNAL Warmth and clothing Putrefaction begins at 10°C and occurs rapidly](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-42.jpg)
FACTORS MODIFYING PUTREFACTION EXTERNAL Warmth and clothing Putrefaction begins at 10°C and occurs rapidly at 37°C. Freezing point – bacterial growth inhibited and putrefaction will not occur. Clothing hastens putrefaction initially and protects against flies and insects.
![Moisture Help in rapid multiplication of organisms Bodies recovered from water if left in Moisture Help in rapid multiplication of organisms. Bodies recovered from water if left in](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-43.jpg)
Moisture Help in rapid multiplication of organisms. Bodies recovered from water if left in air, decomposes rapidly. Air 1 week in air = 2 weeks in water = 8 weeks buried – ‘Casper dictum’
![Manner of burial In air tight coffins very little change of body for long Manner of burial In air tight coffins, very little change of body for long](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-44.jpg)
Manner of burial In air tight coffins, very little change of body for long periods. Without coffins, putrefaction is very rapid. Bodies in deep graves putrefy very slow. Bodies buried in lime, decomposition is retarded. Bodies in sandy and porous soils are conducive to mummification.
![INTERNAL FACTORS Age and condition of the body Sex Mode of death INTERNAL FACTORS Age and condition of the body Sex Mode of death](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-45.jpg)
INTERNAL FACTORS Age and condition of the body Sex Mode of death
![ADIPOCERE Modification of the process of putrifaction in the dead body is checked and ADIPOCERE Modification of the process of putrifaction in the dead body is (checked and](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-46.jpg)
ADIPOCERE Modification of the process of putrifaction in the dead body is (checked and is replaced) adipocere formation. Hydrolisation of fatty tissue into fatty acids. Bacterial fat splitting enzymes and moisture are essential – Lecithinase. Composed of saturated fatty acids by palmitic, stearic, hydroxystearic, olic acids
![Yellowish white greasy wax with rancid smell It forms at any site where fatty Yellowish white, greasy wax with rancid smell. It forms at any site where fatty](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-47.jpg)
Yellowish white, greasy wax with rancid smell. It forms at any site where fatty tissue is present. Time required, in summer-3 wks, in tropics-5 to 15 days. M. L. I. – to establish the identity - cause of death - time since death - place of death
![MUMMIFICATION It is a peculiar desiccation of a dead body where by its soft MUMMIFICATION It is a peculiar desiccation of a dead body where by its soft](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-48.jpg)
MUMMIFICATION It is a peculiar desiccation of a dead body where by its soft parts shrivel up but retain the natural appearance and the features of the body. Rusty brown color, dry, leathery skin adherent to bones. Internal organs get transformed into a thick brown mass.
![Mummification occurs in bodies buried in shallow graves in dry sandy soils Time Mummification occurs in bodies buried in shallow graves, in dry sandy soils. Time –](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-49.jpg)
Mummification occurs in bodies buried in shallow graves, in dry sandy soils. Time – 3 months to 1 -2 yrs M. L. I. – Identification - Cause of death - Time since death - Place of death
![TIME SINCE DEATH POST MORTEM INTERVAL Important clue for investigation of time It helps TIME SINCE DEATH/ POST MORTEM INTERVAL Important clue for investigation of time. It helps](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-50.jpg)
TIME SINCE DEATH/ POST MORTEM INTERVAL Important clue for investigation of time. It helps apprehend the person likely to be involved. Point to be ascertained are; -cooling of the body -post mortem lividity -rigor mortis -decomposition changes
![Contents of stomach and bowels Contents of urinary bladder Biochemical changes Circumstantial evidence - Contents of stomach and bowels Contents of urinary bladder Biochemical changes Circumstantial evidence](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-51.jpg)
- Contents of stomach and bowels Contents of urinary bladder Biochemical changes Circumstantial evidence
![a h T u o y k n a h T u o y k n](https://slidetodoc.com/presentation_image/2f114d44020f408ade67b783ce20ff7d/image-52.jpg)
a h T u o y k n
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Rigor mortis vs livor mortis
Post mortem changes
Body decomposition
Skala gred spm 2015
Post mortem care fdar
Hypo stasis
Post mortem sejarah spm
Post mortem care
Post mortem matematik
Gred spm 2015
Post mortem walkthrough
Post mortem matematik
Gred spm 2014
Post mortem of a protagonist
Changes after death
After me after me after me
If any man comes after me
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Mark bartosik
Antemortem vs perimortem
Thromboembolism
Conditions simulating rigor mortis
Difference between antemortem and postmortem clot
Serva me servabo te meaning
Define forensic pathology
Elizabeth mulroney
Evidence of chemical change
Ridge characteristic
Meaning:manner
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Questioning faith after death
Featal distress
Dry decay
After death images
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Imbricate
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Expressionist vs impressionist
Is post after the event
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What is immediate family considered
Which of the following does not have left recursions?
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Immediate cause of world war 2
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