20. =Signs of Trauma.= Location, size, character and condition of
wound (bruises, bloody suffusions, hæmatoma, erosion, denudation,
lacerations, punctures, crushing, blister, fractures, dislocations,
bullet-wounds, marks of hanging, strangulation (abrasions in the neck
caused by hanging show minute hemorrhages in and about their edges,
particularly in the upper border; section of the neck shows small
hemorrhages in the cervical tissues), or drowning, burns, action
of corrosives (brown spots on lips), effects of electric currents,
etc. In the case of powder-markings note number, direction, burning,
singeing of hairs, etc.) In medicolegal cases the description of
traumatic lesions should be especially minute and complete. An effort
should be made to distinguish postmortem from antemortem wounds.
Recent wounds have clean cut walls and edges covered with blood; old
wounds show reaction, vascularization, granulations, adhesion of
edges of wound, or of exudate. Postmortem wounds are usually free
from blood unless large veins are ruptured. Loss of the epidermis
before or after death causes in the cadaver yellowish or brown, firm,
leather-like spots.
21. =Surgical Wounds.= Location, size, nature of operation, state of
wound, character of surgical dressings, drainage, etc., discharge
from wound as blood, pus, féces, urine, etc., odor of wound, age as
shown by stage of repair, evidence of infection, etc. Hypodermic
marks, saline injections, blisters, venesection, cupping, exploratory
punctures, recent vaccination marks, etc., should be noted.
22. =Scars.= Location, size, character, recent or old, pigmented
or pale, rough or smooth, contractures, keloids, traumatic or
surgical, nature of injury or surgical operation, hypodermic scars,
vaccination, acne, cupping, small-pox, chicken-pox, shingles,
“electric belt,” croton oil, burns, etc.
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