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
16. The importance of the external examination, and the particulars to
be chiefly attended to in performing it, will vary in different cases
with the probable cause of death. It comprehends an examination--(1)
Of the position of the body when found, as well as of all external
injuries or marks presented by it. (2) Of the vicinity of the body,
with a view to discover the objects on which it rested, or from or
upon which it may have fallen, marks of a struggle, signs of the
presence of a second party about the time of death or after it, weapons
or other objects the property or not the property of the deceased, the
remains of poisons, marks of vomiting; and where marks of blood are of
importance, and doubts may arise as to their really being blood, the
articles presenting them must be preserved for further examination. (3)
Of the dress, its nature and condition, stains on it of mud, sand, and
the like, of blood, of vomit, of acids, or other corrosive substances,
marks of injuries, such as rents or incisions; where injuries have been
inflicted on the body, care should be taken to compare the relative
position of those on the body and those on the clothes; and where
stains, apparently from poison, are seen, the stained parts are to
be preserved for analysis. (4) Ligatures, their material and kind,
as throwing light on the trade of the person who applied them; the
possibility, or impossibility, of the deceased having applied them
himself; their sufficiency for accomplishing their apparent purpose, &c.
17. The inspectors will commence the examination of the body itself by
surveying the external surface and openings. Before cleaning it they
will examine it on all sides, not neglecting the back, as is often
done, and look for marks of mud, blood, ligatures, injuries, stains
from acids, and the like; foreign bodies, or injuries within the
natural openings of the body, viz. the mouth, nostrils, ears, anus,
vagina, and urethra. If there are impressions of finger marks, they
will consider which hand produced them. If there be any doubt about
stains being blood, the skin presenting them must be preserved for
analysis. If there be acid stains, or other probable remains of poison,
or any foreign matter, the nature of which may require to be determined
by analysis, these must also be preserved. The ordinary places for the
impressions of ligatures are the neck, the wrists, the ankles, and the
waist. The degree of warmth of the trunk and extremities, the presence
or absence of cadaveric rigidity, and whether it exists equally in the
upper or the lower extremities, should be noted in this stage of the
proceedings; in other cases the progress of putrefaction, as indicated
by the odour of the body, the looseness of the cuticle, the colour of
the skin, and formation of dark vesicles on it, the evolution of air in
the cellular tissue, the alteration of the features, the softness of
the muscles, the shrivelling of the eyes, the looseness of the hair and
nails.
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