Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
to state here that ulcerations have been found in the stomach and
intestines more or less accompanied with a collection of dark brown or
black bloody fluid, which have given rise to suspicions of poisoning
in infants to all outward appearances quite healthy. An infant may be
thrown into water and drowned. No traces of this mode of death would
be discoverable in the infant unless respiration had taken place prior
to its immersion. The plea of accidental drowning in a cesspool or
water-closet pan may be put forward; it is therefore well to examine
the cord. Has a ligature been placed upon it? Has it been cut by a
sharp instrument? The nature and character of the fluid found in the
stomach should be noted.
Fractures of the skull may happen--
1. _In the Womb._--The parturient female may fall from a considerable
height, and thus cause injury to her child. These cases are of no
judicial importance, as the presence of intra-uterine putrefaction or
an examination of the lungs will at once show that the child has not
breathed. It must be borne in mind, however, that dislocations may take
place in the womb, and this fact may be brought forward in defence. The
history of the case, and the absence of any other signs of violence,
will decide the truth or falsity of the plea.
2. _During Labour._--Fracture of the cranial bones during labour
generally occurs in difficult and protracted labours, which, from
this very cause, seldom become the subject of judicial inquiry. In
some cases the defective ossification of the bones of the skull may
give rise to fractures, which may lead to dangerous mistakes. This
deficiency, in the process of ossification is thus described by Casper:
“If the bone in question is held up to the light, this is seen to shine
through the opening, which is closed only by the pericranium. When the
periosteal membrane is removed, the deficiency in the ossification
is seen in the form of a round or irregularly circular opening, not
often more than three lines in diameter, though frequently less; its
edges are irregular and serrated: these edges are _never depressed,
as is the case in fractures_; and neither they nor the parts in their
neighbourhood are ever observed to be ecchymosed.” The child in these
cases may breathe for a short time, and then die without any apparent
cause.
[Illustration: Fig. 26.--Photo-micrograph of human milk, × 250.
(R. J. M. Buchanan.)]
3. _By Falls._--It is beyond doubt possible for a child to be born so
precipitately as to fall on the floor and be severely injured, and that
even fatally. In cases of alleged precipitate birth, to account for
injuries found on the child, the following points should be remembered,
and will assist in forming a diagnosis:
1. In Favour of Precipitate Birth and Accidental Injury
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