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
8. _Flattening of the muscles_ of those parts on which the body rests,
due probably to loss of vital turgidity.
9. _Hypostasis._--Suggillation, or _post-mortem_ staining, is due to
the gravitation of the blood to the most dependent parts of the body
not subject to direct pressure. The hypostatic marks begin to form
in from eight to twelve hours after death, and increase in size till
putrefaction sets in. They alter their position with changes in the
position of the body so long as the blood remains fluid, but when it
has coagulated they remain permanent. Hypostasis may be mistaken for an
ecchymosis or a bruise, and in the lungs for congestion, inflammation,
&c. Errors may also occur with regard to the brain, stomach, kidneys,
and intestines: in the last, the redness of inflammation is seen all
over the parts, whereas the coloration of hypostasis is interrupted,
and this is best shown by drawing out the convolutions. The heart is
an exception to the rule, but it may contain clots varying in size
and colour. These are _post-mortem_ formations. The use of the word
suggillation is objectionable, as it has been used in opposite senses
by Continental and British authors--some writers restricting the term
to ecchymosis proper, others using it as synonymous with cadaveric
lividity or external hypostasis.
Cutaneous Hypostasis
(1) _Meaning of the expression._--The gravitation of
the blood in the capillaries after death, in obedience
to the laws of inert matter.
(2) _On what parts of the body usually seen?_--On the
most dependent parts of the body; on the whole of the
back of the body, if the body be supine. The patches are
irregular and slashed, terminate abruptly, and do not
fade gradually into the surrounding colourless skin.
(3) _At what period after death first observed?_--In
from eight to twelve hours, gradually extending in size
till putrefaction sets in.
(4) _Whether or not affected by death from
hæmorrhage?_--Formed after every kind of death, even
after death due to hæmorrhage, although the coloration
may not be quite so marked.
(5) _Hypostasis is liable to be mistaken for
ecchymosis--the result of injury._--Hypostasis must
also not be confounded with the livid patches seen on
the legs and feet of aged persons and on those who have
died from typhus, chronic renal and cardiac disease, &c.
The rose patches--“frost erythems”--seen on those who
have died from exposure to cold, must not be mistaken
for ecchymosis. The above patches are as frequently on
the upper surfaces of the body as on the lower, and are
not so extended as cadaveric lividities; the blood,
moreover, which gives rise to them is diffused through
the areolar tissue, and not incorporated with the true
skin.
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