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 give answers to these questions will in many cases be impossible,
and each must be decided by such circumstances as present themselves
in each individual case. For instance, if the body be found stiff,
blanched, naked or nearly so, lying on the ground, the vessels of
the interior gorged with blood, whilst the superficial vessels are
contracted and can be seen only with difficulty; at the same time,
the hydrostatic test shows that respiration has taken place, and in
the absence of all external or internal causes--the probability is in
favour of death by cold. In close relation with the present subject is
the question--
=Has the Infant bled to Death?=--Fatal hæmorrhage from the cord may
occur, especially if it be divided by a sharp instrument close to the
body of the child. As a rule, hæmorrhage does not occur from a ruptured
cord. (The signs of death from hæmorrhage have been noticed, page 81.)
=How Long did the Child survive its Birth?=--The answer to this
question is by no means easy, and the data on which a decision can
be based are not very reliable. The presence or absence of the
_vernix caseosa_ should be noticed. In still-born children the closed
eyelids, when raised, do not remain open; in the live-born, on the
other hand, the eyes remain half open even after repeated attempts to
close them. Another guide to the determination of the length of time
the child survived its birth may be found in the absence or presence
of the meconium in the intestines. The meconium--so-called from its
resemblance to inspissated poppy juice--is found in the large intestine
as a dark-greenish pasty mass, more or less filling that portion of
the bowel. In the upper portions of the intestines it varies from a
light-yellowish or greyish to a greenish-brown colour, till in the
large intestine it assumes the colour and consistence above mentioned.
It is generally discharged by the infant in from four or five to
forty-eight hours after birth. In breech presentations it may be passed
during the process of delivery, although the child be still-born; but
its entire absence from the intestines is presumptive of existence for
some days after birth.
[Illustration: Fig. 27.--Photo-micrograph of starch granules, × 250
(potato). (R. J. M. Buchanan.)]
The following are some of the points to be considered in forming a
diagnosis: (1) Changes in the skin. (2) Changes in the umbilical cord.
(3) Changes in the circulatory system.
Table showing how long a New-born Child has Lived.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account