A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
If there are no traces of blood, or of that peculiar unctious substance,
the _vernix caseosa_, on the body, sufficient time must have elapsed
since its birth, to have afforded leisure and opportunity for cleansing
it.
The contraction of the umbilical arteries in living children, does not
occur sooner than after eight or ten hours. The mummification of the
cord commences after two, three, or even four days, and the putrefaction
only after a much longer time. Mummification of the cord takes place as
well after death as before, but not in water, nor in the liquor amnii.
If the umbilicus has already cicatrized, the child must be at least five
days old.
The stomach immediately after birth, contains a small quantity of quite
white, transparent, seldom somewhat bloody, inodorous mucus, very tough,
or a trifling quantity of the colorless liquor amnii. If milk be found,
it shows that some time must have elapsed since the birth.
In the large intestines meconium is still to be found, two, three, or
even four days after birth.
The age of a child, evidently older than five or six days, can only be
determined by general appearances.
_What was the cause of death?_ We will here refer only to those injuries
and kinds of death as can only occur in new-born children, and to those
_post-mortem_ appearances which might lead to error in regard to them.
During labor, death to the child may result from cerebral hyperæmia, or
from injuries to the cranium, which are then unattended by traces of
violence on the body, and are frequently due to imperfect ossification
of the bones, detected by holding the bones up to the light after
removal of the periosteum.
Prolapse and pressure of the cord, and coiling of the cord around the
neck, may produce all the appearances of death by suffocation.
The mark of the cord runs uninterruptedly round the neck, is broad,
circularly depressed, grooved, never excoriated, and everywhere quite
soft. A mummified, parchmentlike, unecchymosed depression, with or
without excoriations, points to intentional strangulation.
Subsequent to birth, the child may have been killed by falling on its
head on the floor, if the birth has been very rapid. The probable
results of such a fall, would be rupture of the cord; premature
separation of the placenta, with its consequences; concussion of the
brain and hyperæmia, or actual hæmorrhage within the skull; and fracture
of the skull bones. The fractures are almost exclusively confined to the
parietal bones, one or both, chiefly in the region of the vertex.
Comminuted fracture of several bones of the skull, speak against an
accidental death by a fall. The absence of any signs of violent usage on
other parts of the body, or about the head, with simple fracture of the
skull, speaks for an accidental death.
Public-domain text, read in full here on John Shaqi.
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