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.
_Internally_, the process of putrefaction begins in the trachea and
larynx. The brain in children up to the end of the first year, is next
attacked. Next the stomach, intestines and spleen, and then the omentum
and mesentery. The liver is usually compact and firm, even some weeks
after death. Putrefaction commences on its convex surface. The brain of
the adult follows next in the succession of putrefying organs. Several
months usually elapse before putrefaction of the heart has advanced very
far. In the lungs decomposition begins about the same time as in the
heart, sometimes earlier. The kidneys, urinary bladder, œsophagus,
pancreas, diaphragm and larger arterial trunks then succumb, and last of
all the uterus.
4. The Probable Cause of Death.
Although in general, a careful examination of a body found dead, will
readily reveal the true cause of death, yet instances frequently occur
where attempts at concealing it, or peculiar circumstances in connection
with the death, may render the task more difficult.
We confine ourselves here to a brief notice of some of the more
important points to be kept in view, in rightly estimating the relative
value of post-mortem appearances, and in guarding against possible
mistakes.
Rough handling, falls and blows, occurring a short time after death, may
produce excoriations and pseudo-ecchymoses, which cannot by sight be
distinguished from such as are the result of violence inflicted during
life.
_Wounds_ inflicted during life are distinguished from those inflicted
after death, by the entire absence in the case of the latter, of any
signs of vital reaction, as inflammation, hæmorrhage, suppuration,
swelling or cicatrization of the edges of the wound, etc. But in the
case of very sudden death from wounding of an important organ, these
traces of vital reaction may also be wholly wanting. Again, injuries are
often produced on dead bodies, by the instruments used to recover them
from the places in which they have been discovered.
_Contused wounds_ seldom represent the exact dimensions of the weapon
employed.
Blunt weapons may merely contuse and disfigure, or lacerate, or fracture
bones, or produce rupture of internal organs. Healthy organs never
rupture spontaneously, and can only be ruptured by external violence.
The inspection of the position, direction, depth, breadth, and number of
wounds, compared with the weapon with which they have been inflicted,
often furnish the means of approximately judging of the position of the
perpetrator when he committed the deed, and even his object and bodily
strength.
In judging whether _fractures_ have been produced before or after death,
we must remember that it is very difficult to fracture the bones of a
dead body. Hence, for example, considerable injuries of the cranial
bones, particularly of the base of the skull, have most probably been
produced during life. A fracture of the ribs in the dead body is never
splintered.
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