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Reviewer in

FORENSIC MEDICINE
By

MELCON S. LAPINA, MSCrim
Q1
The scope of forensic medicine can be
summed in two words.
a. Absolute and complicated
b. Broad and encompassing
c. Definite and wide-ranging
d. Specific and delimiting
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Q2
It is the inner framework of the body. It gives
form and rigidity to the body, and serves to
protect many vital organs.
a. Digestive system
b. Integumentary system
c. Muscular system
d. Skeletal system
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Q3
An effect of injury that takes place when the
stimulus applied is insufficient to cause injury
and the body resistance is great.
a. Apparent
b. Real
c. Immediate
d. Delayed
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Q4
Under the physics of wound production, this
factor explains why an M-16 will do more
damage than .38 caliber bullet.
a. Area of Transfer
b. Elasticity and plasticity of tissue
c. Kinetic energy
d. Time
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Q5
Sensation of heat or increase in temperature.
a. Rubor
b. Calor
c. Dolor
d. Loss of function
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Q6
Wound brought about by blunt instrument
could be any of the following, EXCEPT
a. Contusion
b. Hematoma
c. Laceration
d. Incision
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Q7
X, a doctor, wanted to kill his wife by poisoning. During
dinner time, he put poison on the food of his wife.
Moments after, his wife suffered excruciating pain in the
stomach. Seeing his wife in agony, he pitied his wife and
administered an antidote. Thus, his wife did not die.
What is the crime committed by X?
a. Frustrated parricide
b. Attempted parricide
c. Serious physical injuries
d. Murder
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Q8
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Q9
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Q1
The scope of forensic medicine can be
summed in two words.
a. Absolute and complicated
b. Broad and encompassing
c. Definite and wide-ranging
d. Specific and delimiting
TOPIC: Medical Science in Crime Investigation
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Legal Medicine definition
Branch of medicine
Application of medical knowledge to law &
admin of justice
Application of basic & clinical, medical &
paramedical sciences to elucidate legal
matters
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Scope of Legal Medicine
Broad & encompassing
Applies medical & paramedical sciences
Wounds: surgery
Abortion: gynecology
Sudden death & effects of trauma: pathology
Basic medical sciences:
Anatomy
Physiology
Biochemisty,
Physics
Other allied sciences
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Nature of Study
Knowledge in
Pathology
Surgery
Gynecology
Toxicology
Other branches of medicine
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Q2
It is the inner framework of the body. It gives
form and rigidity to the body, and serves to
protect many vital organs.
a. Digestive system
b. Integumentary system
c. Muscular system
d. Skeletal system
TOPIC: Human Anatomy & Physiology
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Systems of Human Body
1. Integumentary System
- Outer covering of body
- Function: protection, regulation of
temperature, sensation & excretion
2. Skeletal System
- Inner framework of body
- Gives form & rigidity to body
- Protects vital organs

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Systems of Human Body
3. Muscular System
- Changes energy from food to mechanical
energy
- Enables parts of body to move & perform
work
4. Digestive System
- Changes food to soluble form: absorbed by
blood & utilized by body
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Systems of Human Body
5. Circulatory System
- Brings food & oxygen to cells of body
- Removes waste materials
- Helps maintain even temperature of body
- Provides defenses against disease
6. Respiratory System
- Supplies oxygen to cells: used for production
of energy
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Systems of Human Body
7. Excretory System: Anim. 1 & Anim. 2
- Collects & eliminates metabolic wastes of
body
8. Reproductive System: Male & Female
- Ensures perpetuation of species
9. Nervous & Endocrine Systems
- Coordinate all other systems of body
- Make other systems work together
harmoniously & efficiently
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Q3
An effect of injury that takes place when the
stimulus applied is insufficient to cause injury
and the body resistance is great.
a. Apparent
b. Real
c. Immediate
d. Delayed
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TOPIC: Medico Legal
Aspects of Physical Injuries
Concept of Physical Injury

Effect of some forms of stimulus on body
Effect:
Apparent: stimulus applied insufficient to cause
injury & body resistance great
Real : effect visible
Immediate: sharp pointed & sharp edged
instrument immediate production of stab
wound
Delayed: blund object delayed production of
contusion
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SOURCE: Except as otherwise stated, the materials taken from this slide and subsequent slides were taken from -
Solis, P. P. (1987). Medico-Legal Aspects of Physical Injuries. In Legal Medicine (pp. 240-
285). Quezon City: R.P. Garcia Publishing Company.
Causes of Physical Injuries
Physical violence
Heat or cold
Electrical energy
Chemical energy
Radiation by radio-active substances
Change of atmospheric pressure
(barotrauma)
Infection
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Q4
Under the physics of wound production, this
factor explains why an M-16 will do more
damage than .38 caliber bullet.
a. Area of Transfer
b. Elasticity and plasticity of tissue
c. Kinetic energy
d. Time
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TOPIC: Physical Injuries Brought
about by Physical Violence
Effect of Physical Violence
Production of wound
Wound:
Solution of natural continuity of any tissue of
living body
Disruption of anatomic integrity of tissue of
body
Interchangeably used w/ wound
NOTE: physical violence not always resulting to
wound but wound always result of physical
violence
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Physics of Wound Production
Wound = kinetic energy X time X area X
other factors
Kinetic Energy = MV
2
/2
Kinetic Energy:
Explains why M-16 bullet (speed: 3,200 ft/sec) will
do more damage than .38 caliber bullet (heavier but
has much slower velocity)
Time:
Shorter time of transfer of energy, greater
production of damage

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Physics of Wound Production
Area of transfer
Larger area of contact, lesser damage to body
Instrument for stabbing greater than blunt
instrument
Other factors
Less elastic & plastic tissue, greater laceration
Movement of parts of body resulting from force
applied & local stretching of tissue cause
internal injuries


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Q5
Sensation of heat or increase in temperature.
a. Rubor
b. Calor
c. Dolor
d. Loss of function
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TOPIC: Vital Reaction
Vital Reaction
Sum total of all reactions of tissue or organ
to trauma
Reaction observable macroscopically &
microscopically
Reactions of living to tissue to trauma:
Rubor: redness or congestion of area due to
increase of blood supply as part of reparative
mechanism
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Vital Reaction
Reactions of living to tissue to trauma:
Calor: sensation of heat or increase in
temperature
Dolor: pain on account of involvement of
sensory nerve
Loss of function: tissue losing ability to
function normally
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Vital Reaction
Importance: differentiates ante-mortem
injury vs post-mortem injury
Vital reactions not observable:
Physical injuries inflicted during agonal state
Sudden death, ex: sudden coronary occlusion
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Q6
Wound brought about by blunt instrument
could be any of the following, EXCEPT
a. Contusion
b. Hematoma
c. Laceration
d. Incision
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TOPIC: Classification of wounds
Classification of Wounds
As to Severity
Mortal wound: capable of causing death
Heart & big blood vessels
Brain & upper portion of spinal cord
Lungs
Stomach, liver, spleen & intestine
Non-Mortal Wound: not capable of producing
death
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Classification of Wounds
Instrument Used
Blunt instrument: contusion, hematoma,
lacerated wound
Sharp instrument: (1) incised wound sharp-
edged instrument; (2) punctured wound
sharp-pointed instrument; (3) stab wound:
sharp-edged & sharp pointed instrument
Tearing force: lacerated wound
Change of atmospheric pressure: barotrauma
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Classification of Wounds
Instrument Used
Heat/Cold: frostbite, burns or scald
Chemical explosion: gunshot/shrapnel wound
Infection
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Classification of Wounds
Manner of Infliction
Hit: bolo, blunt instrument, axe
Thrust/Stab: bayonet dagger
Gunpowder explosion: projectile/shrapnel
wound
Sliding/rubbing or abrasion
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Classification of Wounds
Depth of Wound
Superficial: only layers of skin
Deep: inner structure beyond layers of
skin
Penetrating no exit: punctured, stab &
gunshot wounds
Perforating w/ exit
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Classification of Wounds
Relation of Site of Application of Force &
Location of Injury
Coup Injury: injury @ site of application of
force
Contre-Coup Injury: injury opposite site of
application of force
Coup Contre-Coup Injury: injury @ site &
opposite site of application of force
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Classification of Wounds
Relation of Site of Application of Force &
Location of Injury
Locus Minoris Resistencia: injury not @ site &
opposite but areas offering least resistance. Ex:
blow on forehead, contusion @ eyeball
Extensive injury: injury on greater area more
than site of application of force. Ex: fall from
height, run-over victim of vehicular accident
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Classification of Wounds
Special Types of Wounds
Defense wound: result of instinct of self-
protection
Patterned wound: w/ nature & shape of
object/instrument
Self-inflicted wound: produced on oneself
but no intention to end life
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Classification of Wounds
Self-Inflicted Wounds: Motive
Pension/workmans compensation
Escape obligations/punishment
New identity/destroy existing one
Attention/sympathy
Psychotic behavior
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Q7
X, a doctor, wanted to kill his wife by poisoning. During
dinner time, he put poison on the food of his wife.
Moments after, his wife suffered excruciating pain in the
stomach. Seeing his wife in agony, he pitied his wife and
administered an antidote. Thus, his wife did not die.
What is the crime committed by X?
a. Frustrated parricide
b. Attempted parricide
c. Serious physical injuries
d. Murder
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TOPIC: Legal Classification of
Physical Injuries
Legal Classification of Physical Injuries
Mutilation (Art. 262)
Elements
Penalty
Important Points to Remembers
Serious Physical Injuries (Art. 263)
Element & Penalty
Important Points to Remember
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Legal Classification of Physical Injuries
Administering Injurious
Substances/Beverages (Art. 264)
Elements
Penalty
Important Points to Remembers
Less Serious Physical Injuries (Art. 265)
Elements
Penalty
Important Points to Remembers
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Integumentary System Animation
Skin: true integument covering surface of
body
Largest organ of vertebrate body
15-16% of total body weight of adult human
17.5 sq ft for ave. woman; 20 sq ft for ave.
man
1-2 mm thick

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Integumentary System
Layers
Epidermis (thinner; 10-30 cells thick)
Dermis (thicker)
Melanocytes
Scattered at juncture between deep layers of
epidermis & dermis
Cells producing dark pigment melanin
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Integumentary System
Melanin
Absorbs UV rays
Tanning: increase in melanin production by
much exposure of UVR
Light vs Dark: Production of melanin
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Stratum Corneum: a.k.a. cornified layer or horny layer; outermost layer; flat, arranged in
rows as dead cells.
Stratum Lucidum: a.k.a. hyalin layer; flat & translucent dead cells; appears only on palms
& soles
Stratum Granulosum: a.k.a. granular layer; initiates process of keratinization (dying
process of cells); last of living cells.
Stratum Spinosum: a.k.a. spinous layer; pickle cells many sided cells w/ spines
protruding from surface.
Stratum Basale: a.k.a. stratum germinativum or generating layer; creates new cells;
deepest layer; parallel to basement membrane.
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Dermis
Contains:
Muscle fibers
Glands
Pigment cells
Blood vessels
Sensory nerves
15-40 times thicker than epidermis
Subcutaneous layer
Beneath dermis
fat-rich cells of adipose tissue: acts as (1) shock
absorbers & (2) insulation to conserve body heat
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The Skin Animation
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Skeletal System Animation
Skeleton: framework of animal body,
composed of
Cartilage
Bone
Combination of both
2 Parts
Axial Skeleton
Appendicular
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Axial Skeleton
Skull
Vertebral Column
Ribs
Sternum
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Appendicular Skeleton
Upper pectoral appendages (arms) & girdle
(scapula: shoulder blade& clavicle:
collarbone)
Lower pelvic appendages (legs) & girdle
(ilium, ischium, & pubis, collectively called
as hips)
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Appendicular Skeleton
Arms Legs
Upper arm Humerus Thigh Femur
Forearm Radius &
Ulna
Shank Tibia &
Fibula
Wrist Carpals Knee Cap Patella
Palm metacarpals ankle Tarsals
Fingers Phalanges Sole Metatarsals
Toes Phalanges
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Appendicular Skeleton
Distribution of Bones: (1) adult human: 206
bones; (2) Infants: over 270 bones
Skeleton No. Skeleton No.
Cranium 8 Face 14
Ears 6 Hyoid 1
Vertebral column 26 Sternum 1
Ribs 24 Pectoral girdle & arms 64
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Muscular System
Tissues w/ ability to contract
Myofibril: basic unit of all muscles; minute,
thread-like structure
Muscle fiber: each muscle cell; contains
several myofibrils: myofilaments of 2 types,
thick & thin.
Thick myofilament: several hundred
molecules of protein myosin
Thin myofilament: 2 strands of protein actin
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Muscular System Animation
Human body has 3 types of muscles:
Skeletal muscles
Smooth muscles &
Cardiac muscles
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Digestive System
Chain of organs:
Mouth
Oral cavity
Pharynx
Esophagus
Stomach
Small intestine
Large intestine
Anus
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Digestive System Animation
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Circulatory System Animation
After process of digestion, digested food
delivered to all parts of body by blood stream
Blood picks up nutrients @ small intestine, &
transports to approx. 17 billion cells; transports
oxygen to cells; collects waste materials for
elimination
Heart: pumping station of blood system; cone,
muscular organ size of fist; middle of chest
cavity; lower end pointed to left
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Circulatory System Animation
Heart: 4 chambers
Atria (upper 2)
Ventricles (lower 2)

Heart Beat:
Systole: alternate contraction
Diastole: relaxation
Separated by atrio-ventricular valves;
tricuspid valve: right & bicuspid
valve: left. Valves: allow blood to flow
down only, never up. VEINS: carry
blood into atria; ARTERIES: carry
blood out of ventricles
of muscular walls
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Circulatory System
Blood Vessels: circulates thru body by
means of tubes that varyin size & function
Arteries
Veins
Capillaries
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Respiratory System
Breathing mechanism operates throughout
lifetime: taking in oxygen & giving off
carbon dioxide
Comparative absence & survival
W/out food for 40 days: survives
W/out water for 5 days: survives
W/out oxygen for only a few minutes: death
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Respiratory System Animation
Respiratory Tract:
Nostrils
Pharynx (throat)
Glottis
Larynx (voice box)
Trachea (windpipe)
Bronchi
lungs
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Respiratory System Animation
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Skull
Framework of head
Most complex of all parts of endoskeleton
Cartilaginous during embryonic stage
Includes:
Cranium (primary brain case)
3 pairs of sense capsule for organs of smell, sight &
hearing
Visceral skeleton for tongue (hyoid apparatus)
Ear (incus, malleus, & stapes) for sound conduction
Throat
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Skull
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Skull Animation
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Vertebral Column
Backbone
Main axial support of vertebrates
Composition: segmentally arranged
vertebrae from base of skull to tip of tail
Protects spinal cord
Provides rigidity of body
Direct or indirect attachment of
appendicular skeleton

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Vertebral Column
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Adult human: 26 vertebrae
-7 cevical vertebrae (neck)
- 12 thoracic vertebrae (chest)
- 5 lumbar vertebrae (lower
back)
- 1 on pelvis (sacrum)
- 1 on tail (coccyx)

SOURCE: General Anatomy & Physiology. (2012). Retrieved August 15, 2012,
from Wisc-Online: http://www.wisc-
online.com/Objects/ViewObject.aspx?ID=AP12104

Vertebral Column
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Ribs
Series of cartilaginous/elongated bony
structures attached to vertebrae
Stout, arched structures surrounding thoracic
cavity & uniting ventrally w/ sternum
Forms thoracic cage
12 pairs of ribs 1st-7
th
pairs: true ribs, directly
attached to sternum; 8
th
-10
th
pairs: false ribs,
ends unite w/ cartilages of true ribs; 11
th
-12
th

pairs: floating ribs, ends terminate freely
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Ribs
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Sternum
Breatbone
Elongated structure lying in central portion
of chest
Flat & narrow
3 parts: (1) manubrium: upper part; (2)
gladiolus: middle/body & largest part; (3)
xiphoid: lowest portion
Protect heart; holds sternal ends of ribs &
some abdominal muscles
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Sternum
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Skeletal Muscles
Attached to
skeleton by tendon
Responsible for
voluntary
movement of body
A.k.a. striated
muscles: striations
made by alternating
light & dark bands
of myofibrils
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Smooth Muscles
A.k.a. visceral muscles
Found in internal organs (involuntary
movement)
Involved in automatic process w/out
conscious actions: disgestion & blood
pressure
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Cardiac Muscles
- Only in heart
- W/ striations like
striated muscles
(skeletal muscles)
- Involuntary
contraction of
heart
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3 Types of Muscles
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Arteries
- Large, elastic, thick-
walled tubes
- Carry blood away
from heart
- Location: deep w/in
body; exception: in
wrists, temples, &
neck felt pulsating
very near surface
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Veins
- Large, inelastic
tubes
- Carry blood back to
heart
- Walls: equipped w/
valves preventing
blood from flowing
backward
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Capillaries
Extremely fine tubes Form network throughout body
Connect small arteries (arterioles) &
small veins (venules)
Pathway for exchange of dissolved
materials between blood & cells
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Heart: 4 Chambers
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Heart Beat
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Melanocytes
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7 Cervical Vertebrae
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SOURCE: General Anatomy & Physiology: The Seven Cervical Vertebrae. (2012). Retrieved August 15, 2012, from Wisc-Online:
http://www.wisc-online.com/Objects/ViewObject.aspx?ID=AP12104
12 Thoracic Vertebrae
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SOURCE: General Anatomy & Physiology: The Twelve Thoracic Vertebrae. (2012). Retrieved August 15, 2012, from Wisc-Online:
http://www.wisc-online.com/Objects/ViewObject.aspx?ID=AP12104
5 Lumbar Vertebrae
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SOURCE: General Anatomy & Physiology: The Five Lumbar Vertebrae. (2012). Retrieved August 15, 2012, from Wisc-Online:
http://www.wisc-online.com/Objects/ViewObject.aspx?ID=AP12104
Sacrum & Coccyx
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SOURCE: General Anatomy & Physiology: The Sacrum and the Coccyx. (2012). Retrieved August 15, 2012, from Wisc-Online:
http://www.wisc-online.com/Objects/ViewObject.aspx?ID=AP12104
Elasticity & Plasticity
Ability of tissue to return to its normal
size & shape after being deformed by
pressue
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Agonal
pertaining to death or extreme suffering.
SOURCE: agonal. (2012). Retrieved August 18, 2012, from The Free Dictionary by Farlex: http://medical-
dictionary.thefreedictionary.com/agonal
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Sudden Coronary Occlusion
Coronary refers to arteries carry blood
containing oxygen and other nutrients
essential to the normal functioning of the
heart muscle.
Occlusion refers to blockage
SOURCE: Team, T. N. (2010, January 11). What is coronary occlusion? Retrieved August 18, 2012, from netdoctor:
http://www.netdoctor.co.uk/ate/heartandblood/203287.html
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Contusion
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Soft Tissue Emergencies. (2007, January 27). Retrieved August 18, 2012, from http://www.raems.com/softtissueemergencies.htm
Hematoma
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Dreisbach, B. (2011, July 16). Boxing: See Pictures of Pawel Wolak's Face After Brutal Fight with Delvin Rodriguez. Retrieved August 18, 2012,
from bleacher report: http://bleacherreport.com/articles/769287-see-pictures-of-pawel-wolaks-face-after-brutal-fight-with-delvin-
rodriguez
Lacerated Wound
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Cosmell, H. (2011, May 3). 9 Of The Worst Beatings in Boxing/MMA History. Retrieved August 18, 2012, from totalprosports.com:
http://www.totalprosports.com/2011/05/03/9-of-the-worst-beatings-in-boxing-mma-history/
Incised Wound
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Eriksson, S. (2012). The Med Cell: The Foot. Retrieved August` 18, 2012, from Fight Times:
http://www.fighttimes.com/magazine/magazine.asp?article=396
Punctured Wound
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Home Treatment for Puncture Wound. (2009, September 18). Retrieved August 18, 2012, from hometreatment net:
http://hometreatment.net/home-remedies/common-injuries/home-treatment-for-puncture-wounds/
Stab Wound
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Lyle, D. (2010, February 20). Stab Wounds Dont Always Kill. Retrieved August 18, 2012, from The Writer's Forensic Blog:
http://writersforensicsblog.wordpress.com/2010/02/20/stab-wounds-don%E2%80%99t-always-kill/
Barotrauma
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Sinus Barotrauma Symptoms and Treatment. (2012). Retrieved August 18, 2012, from best-diving.org: http://best-diving.org/barotrauma-
and-diving/137-sinus-barotrauma/162-sinus-barotrauma-symptoms-and-treatment
Frostbite
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SOURCE: Stppler, M. C. (2012). Frostbite (cont.). Retrieved
August 19, 2012, from emedicinehealth:
http://www.emedicinehealth.com/frostbite/page3_em.htm
Scald
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Scald Prevention. (2012). Retrieved August 19, 2012, from National Fire Protection Association:
http://www.nfpa.org/itemDetail.asp?categoryID=2360&itemID=55362&URL=Safety%20Information/For%20consumers/Unintenti
onal%20injuries/Scald%20prevention
Gunshot Wound
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Grey, T. (n.d.). Firearms Tutorial. Retrieved August 19, 2012, from
http://library.med.utah.edu/WebPath/FORHTML/FOR018.html
Shrapnel Wound
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Addario, L. (n.d.). Retrieved August 19, 2012, from lynseyaddario.com: http://www.lynseyaddario.com/#/iraq-medics/42-
15133312
Coup Injury
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SOURCE: Child Head Injury - Brain Injury in Children. (n.d.). Retrieved August 19, 2012, from braininjury.com:
http://www.braininjury.com/children.shtml
Contre-Coup Injury
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SOURCE: El Sayed, T., Mota, A., Fraternali, F., & Ortiz, M. (n.d.). Biomechanics of traumatic brain injury. Retrieved August 19,
2012, from Fernando Fraternali research: http://www.fernandofraternaliresearch.com/article.asp?id=7&pg=3
Defense Wound
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SOURCE: Taylor, J. R. (2009, November 17). Love Hurts: Theories on Relationship Violence. Retrieved August 20, 2012,
from Living Las Vegas: http://living-las-vegas.com/2009/11/preventing-relationship-violence/
Self-Inflicted Wound
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SOURCE: Marazzi, P. (n.d.). Self-inflicted wounds on arm. Retrieved August 20, 2012, from Sciencephotolibrary:
http://www.sciencephoto.com/media/264295/view
Elements of Mutilation
1. Castration (intentional mutilation
(totally/partially) of organ for reproduction
a. Castration
b. Intention
2. Mayhem lopping/clipping off any part of
body other than organ for reproduction
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Penalty of Mutilation
1. Castration RT-RP
2. Mayhem PM med & Max
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Mutilation: Important Points to
Remembers
1. Castration: intentional
2. 1 degree higher: victim 12 yrs old
3. Offender has intention to deprive offended
party of part of his body
4. Mutilation lopping/clipping off of some
part of body
5. Mayhem other intentional mutilation
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Elements & Penalty of SPI
Becomes insane, imbecile, impotent or blind by PI =
PM
Loses: (a) use of speech/power to hear/smell, eye,
hand, foot, arm, leg, (b) use of any such member;
becomes incapacitated for work = PC med & max
(a) becomes deformed; (b) loses of any member of
body; (c) loses use thereof, (d) becomes
ill/incapacitated for work for 90 days = PC min &
med
Becomes ill/incapacitated for labor for days & not
90 days = AM max to PC min
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Mutilation: Important Points to
Remember
1. Commission: wounding, beating,
assaulting/administering injurious
substance
2. Also by reckless imprudence/simple
imprudence/negligence
3. No intent to kill
4. Blindness (complete) & loss of eye:
(a) par 1 both eyes; (b) par 2 1 eye
only
5. Loss of power to hear: (a) par 2
both ears; (b) par 3 1 ear only
6. Loss of hand/incapacity of usual
work: permanent
7. Par 2: principal members of body;
par 3: any other member not
principal member of body
8. Deformity: (a) physical ugliness, (b)
permanent & definite abnormality,
& (c) conspicuous & visible
9. Deformity by loss of teeth: not
reparable by nature
10. Illness: not healing w/in period
11. Medical attendance not important in
SPI
12. Pars 2 & 3: must have work at time
of injury
13. Par 4: incapacity for labor
14. Illness/incapacity for labor: needs
proof; otherwise, slight PI only
15. SPI by excessive chastisement by
parents: not qualified.
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