=Violence.= Wounds must be minutely described as to character,
degree of laceration, contusion, extravasation, damage to tissues,
direction of force, character of instrument, means and method of
infliction, path of projectile or stab-wound, etc. Postmortem changes
and injuries must be differentiated, as must be also antemortem and
postmortem lesions, primary and secondary effects of the injury,
effects of injury and pre-existing diseases. Intracranial hæmorrhages
must be carefully differentiated with respect to causation by
violence or disease. Effects of _contrecoup_ must be borne in mind.
The presence of other marks of trauma, the exclusion of disease, the
location of the clot, the age of the clot, the age of the patient,
etc., are some of the factors to be considered. In young people
without alcoholic history or syphilis intracerebral hæmorrhages
without signs of violence are rare. When associated with fractured
skull they are usually regarded as due to the trauma.
CHAPTER XV.
THE RESTORATION OF THE BODY.
When the autopsy is finished the body-cavities are cleansed and then
thoroughly dried. No blood, stomach- or intestinal-contents should be
left in the cadaver. All bleeding or dripping parts should be tightly
secured; the anus and vulva should be tightly stitched, and the penis
ligated. If necessary, the organs are then cleansed and returned to
the body, as nearly as possible to their normal positions, although
the brain, because of the difficulty of getting it back into the
skull-cap, is usually put into the thoracic cavity. When several
autopsies are done at the same time, care should be taken not to mix
the organs. The undertaker should always be aided in his work; and,
if he so desires, an embalming powder or fluid may now be sprinkled
or poured into the cavities.
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