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.
The child may also have been suffocated by the mother in violent
attempts at self-delivery. The visible signs of this will consist merely
of scratches and nail-marks upon the face or neck. Very severe injuries
are never produced in this way.
We must be careful not to mistake the common blood-coagulum usually
found under the aponeurosis on the child’s head for the result of
violence; nor the folds of the skin, in fat children particularly in
winter, produced by the movements of the head, and which remain strongly
marked in the solidified fat, for the mark left by the cord in a case of
actual strangulation.
3. Supposed Period of Death.
The answer to the question as to the probable time of death, is often of
the utmost importance. To be able to determine this, we must have regard
to the various appearances following death, previous to putrefaction,
and to the chronological succession of the phenomena of external and
internal putrescence.
=A.= _Signs of Death previous to Putrefaction._
Respiration and circulation have entirely ceased.
The eyes have lost their lustre.
There is no vital reaction to stimulants.
The body grows ashy-white. A particularly florid complexion may retain
its color for some days after death.
Neither the red or livid edges of ulcers, nor red, black or blue
tattoo-marks disappear after death.
An icteric hue existing at death never becomes white, and ecchymoses
retain in every case, the hue they had at the time of death.
Most bodies become quite cold in from eight to twelve hours. Fat bodies
and those of persons killed by lightning, or by suffocation, retain the
heat longer than others; in water, bodies cool rapidly.
A general relaxation of the muscular system occurs immediately after
death.
A body presenting only the above signs, has been dead from eight to
twelve hours at the longest.
In from twelve to eighteen hours the eye-balls become soft and
inelastic, and feel flaccid.
The muscles on those parts of the body on which it lies, become
flattened by the weight of the body.
In from eight to twelve hours after death, hypostases resulting from the
gravitation of the blood in the capillaries, begin to form on all the
depending parts of the body.
The most important are the external hypostases—for they are liable to be
confounded with ecchymoses, and consequently with traces of violence
committed previous to death. An incision into the discolored spot should
always be made, when, if it be an hypostasis—a post-mortem stain—there
will be no escape of effused fluid or coagulated blood, as there will be
if it be an ecchymosis, the result of violence previous to death.
The color of these post-mortem stains varies from a livid or coppery-red
to a reddish blue. They are extremely irregular in form, and are never
elevated above the surrounding skin. They are formed after every kind of
death.
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