The =nails= should be considered in connection with skin and hair,
with reference to the following points: presence or absence,
hypertrophy, atrophy, color, condition, length, development,
onychia, hyperonychia, paronchyia, onychogryphosis, longitudinal and
transverse ridges, fissures and cracks, opacity, brittleness, etc.
25. =Teeth.= Number, character, condition, anomalies, dental work,
caries, Hutchinson’s teeth, odontoma, dental osteoma, dentigerous
cysts, epulis, papilloma, etc.
26. =Mucous Membranes.= Color, deposits or incrustations, eruptions,
erosions, herpes, mucous patches, rhagades, ulcers, fissures,
moisture, trauma, effects of corrosives, burns, pigmentation, as in
Addison’s disease, leukoplakia, hairy tongue, hemorrhages, tumors,
etc.
27. =Muscles.= Musculature and condition of muscles (slight,
athletic, well developed, poor, flabby, soft, etc.), anomalies, etc.
28. =Rigor Mortis.= Postmortem rigidity is one of the absolute signs
of death. It begins usually 1-2 hours after death, the involuntary
muscles and heart showing it first. Externally it shows first in
the muscles of lower jaw and neck, extends downward, involving the
lower extremities last and disappearing in the same order. Its
appearance, however, is subject to the greatest variation, and the
presence or absence of rigor mortis cannot be used as a criterion
for the estimation of the length of time the body has been dead.
Instantaneous rigor has been reported in suicides and in people
killed in battle. Intense excitement, great muscular exertion, etc.,
favor its rapid appearance. It also comes on very quickly after
death from rabies, tetanus, strychnine poisoning, cholera and a
number of other conditions. It sometimes is delayed or absent after
heat-stroke; chronic alcoholism also delays its appearance. Usually
the contraction lasts 24-48 hours, but under certain conditions may
persist for several days. It is prolonged in muscular individuals,
after death by suffocation, rabies, strychnine poisoning, etc. The
stiffening of the muscles may be broken by application of heat or the
use of force (removal of clothes from the body); when once broken it
rarely returns. In a case of death from rabies seen by the writer
the rigor was so strong that it required the united efforts of two
men to straighten the limbs, and before the close of the autopsy the
rigor had returned as strong as in the beginning. Rigidity due to
undertaker’s injections and freezing must not be mistaken for rigor
mortis. The possibility of rigidity due to ankylosis must also be
borne in mind.
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