Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
The appearance of wounds inflicted during life will vary according to
the length of time the subject has survived. If death takes place
immediately, they will present red and bloody surfaces, with ecchymosis.
Should life have lingered for some hours, their edges will be somewhat
tumid and retracted, and the surrounding skin will display a reddish
appearance; clots of blood may also exist in them, and these will be
found to adhere to their surfaces. In those cases in which several days
elapse before death, they may appear bedewed with purulent matter. _Dr.
Hutchinson_ very justly remarks that wounds, made when the circulation
has ceased, and the body become cold; and when the blood has coagulated
in the vessels, and the muscles have become rigid, may be known to have
been inflicted after death by the pallid appearance of their surfaces,
and by the total absence of tumefaction and retraction; such wounds,
moreover, never contain any adherent clots of blood, and there is no
surrounding ecchymosis. These characters may not perhaps be quite so
distinct, where the violence has been effected immediately after death,
while the body is still warm, the blood fluid, and the muscles endowed
with contractility; yet in this latter case there will neither appear
tumefaction, nor ecchymosis; and the blood, which may have oozed from
the divided surfaces, will remain fluid, or form clots not adherent to
them.
_Contusions_, effected during life, are always accompanied with more or
less of ecchymosis; and, if produced by severe external violence, the
skin will necessarily be involved in the injury. When ecchymosis is
superficial, and the subject outlives its course, its progress and
decline present highly characteristic phenomena; at first the injured
surface presents a spot of a red, or bluish colour; this spot which is
formed by the blood infiltrated into the cellular tissue, soon assumes a
deep livid, or leaden hue; it then after a few days becomes,
successively, violet, yellowish, and terminates by a pale citron colour.
It is generally seven or eight days before it disappears. These
characters will always enable the anatomist to distinguish contusions
made during life, from those occurring after death.
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