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aigohtusiin fe hea @ Psu Pelle. @ Extra dureil Hemorege.[® oonlized-
'e sub culenbut? o ‘
   
  
~ ouP
Sub galeci! 5
 
© sub Privosteall- oc ral t ; eae les  “Truwa =
> inGleciion . :
>  weewer
— > Jacksonian ePirers4
>
“LOWS AL 9. Motor rte > Dawes Membran
-SaPlic .Compticodion rae
ie occure as hone erosion —
am 2-6 weeks. 4o develop .- - A
*. Guse. ef. deiTR Meng dig
: robossjsasted sae Encephatlitir
—— broun: Abscess x
oo Cavernous_sinur Trrom bosit -
 
 
 
Scanned by CamScanner
CCamSeanner soe tees!é
ic
a Brain injuries «
G) localized brain injuries —o Centusion & facertion -
BD diffuses byain injuries ——
t
Concussion — .
~~ (29 iffuse axonal injur|
Nia) Cerebro @mPresion:
  
——wiel-.
—=— wechanion -
é oP
~ MUI
=
del. Sudden Wansient loss of Gasciouc due fo Taufaron].
imPaired Cerebral functions Panowi Head Truma-
SaaS
0 Vibration affecting The Reficular -Pormedion
—. of brain gleam.
 
 
Clinical Piclure:-
__ [Gemoral sign and simPtom | newvo lofical 
From 16 mintte to 6 hours] - Yul (Normal):
 
Q@ Vomting « insever Gses. slighahy dilated:
May Present or nod | @ J toter Power.
Vide sian: Jost. with no_signs o
4 Signo F-2 Shock u Jatercdization.
NL Blood. Pressuve: |@ Refiex. :
riabee y TGaprefure lost With No signs of |
© Rapid weak Puls lotrel '2echion
© Rapid Shallow ReiP| ® Comeal Reflex lack to |
disappear and Pirst fo |
ReaPea rs
Scanned by CamScanner
CCamSeanner soe tees!fe of Gnccussion.
w Compleat Recovery
— o;.0CCur In. the . most -Cases-+ ‘ 5
2. Ration Recover +o Norma. -wi'irout en}. Residual offed
jal inComplat Recover. ( Pest Gncussion SYndrome)
= « Pationt Recover but—tncomplealt:: la
= fh tom Rested. by. Headch.
+ disappear. after —E Seng of Relation
Pew days — Pew weeks + Encephalopathy
- stiyritabbtidy
= Con Pusion!
= ormnesit-
com xd +
ae
 
[2] Concussion Passirf to ComPression
= @ with lucid intervef
© direct. + without lucid: interval »
 
Lucid interval +
d&i- Reried of Gngcicus ness belween unconscious ness of
Gncussion and. un Gnsciousness of GmPression-
Time Minute. to day according 40° Cases).
Gauses,, Fissure, Frachuve  Resulh in Tearing: 2+ naiddle-
MoeminJeal: onary oy oneal ie: branches... 4
Mechanism.
+ During? Gncussion Me bieod Pressuve is low So
Ao Sieedin} occurs Prom Sorn Ves bo 8
+ ACler Recover} ef The Pollient and: normalization
of blood Precure The bleedin} shorkoand —
increas Graduatl{ - leadin} fo another stoGe -
af oss. of Gnscious ness - ’
Scanned by CamScanner
 
CCamSeanners Wee tgaMLT of lucid intone 2
é () Viclum Ma fall. Tne name » of aassaal ont
shel8(2. agsailjan\ defense. May assume rod Tre
; Guise, of dea not due te “Trumea-
i 2))( 2) ed neJligences: —p whens
oe mos re en Presented to. hosPihol wile -
: Michor} of Head Trima Must be-
ce HosPitalized Por 48. hours
‘=  Monifovin} of vita) signs
— \ewe of Conscous
— Stole of pupit
—  lotor Power
- Reflexes -
1 (GI Fatal Concussion
due to ferminant ovrert of Vile) confers diiews
associated War
a Imm diode _umansoucness amd : @ma > 6 hows
he. Sena Sn Rodd Traffic accidants -
A oCcure' due fo Sever: Rofationall impact:
A Non} to See. SPecia- slain cere. Neded -
 
   
aw DeeP srl Romorrhafe_ in white Subbshance wvea_
Here fe! @ncussion,
0) HosPiteizedtion ae
“Qs jnvestijodion 5 EEG.-
| — B) “Monitoring of = Vited sigh :
pt 2 — level of Oncuse
—— Stode— of Pupi)
Meler power
ta Avoid \orPhin 2 Refriexes-
Mask sign of lederaization in Pupi)
Scanned by CamScanner
 
CCamSeanner soe tees!AL slote_ ofl ineyeas Ambra cromial) Pressuve -
= "ove “Wrran to --18 mm tig. -
Guses 4) Tntya cromlo Hg - wee
qs (27 DePressed, rocture Lucy db Ae a
(2): dn Wwor cremistl Tyne H Bile
YW) WPeckien } it 3
£2@) bron! Cdemea: 2.
6) -C-< B obstruction C Wy drecePhadus) »
— Fncreas Production “of cs Pu Momidgitirn
F TCP vs ccctusion of Cerebral von —a
Grjestion'; Edema ——+ irritortion -
2 Poraltic shajex
= §-T.2-P —_© occlusion of Avberies —_»
ischemia ond brovin infarction - “
 
Bl Hernisdnf slo§e!
= 2 Top —o brain Sleom GmPression —»
Hernothion eh Mtedutter Teh — Porman-
Me wum- —_5  Deoilh due to Central asp si
 
Scanned by CamScanner
CCamSeanners Wee tgaCeP-of GmPrascion «
Gomera. Signs and /- cumpdons |)
Lae Ah 83
Gradual joss. oft Gnsqous
Vomtbig
o- Pro. Jechie Vemting
a Porsistamt Headch
@ Pa Pilogdema:
@® vitel signs
( shok y
Brood Presure &
a
| aie SumPloms -
Sians of . tateraliZectron
w -_
un equa). in S7Ze—-
Tpsilateral constriction Fonowed _
by diltodion due to Comferssion
of {Psilatera) 2% nerve
Then Conthalatercl) affection
in Sovrme— Mtemner’
Ja) Motor Power
«Temps? (cerebral fee} Conta later tyPerlonia &
Slow. Puls
Slow breathing:
Wren WyPo fonta-
(3) E-ReFiex-
Contra later] hyper ReFlexta
When WyPo RePtexXiar-
due to decusstion of
 
\avet eB -meduita~
 
=
ene stage
 
 
© Removing
° Remonin} of Hematoma of ter Vigoch
SS
Cowse of deodh —o~ Wernestion o MLO --+-
ad Ht ~ DrecomPression ofersion
oGe, of inetbedhion a—_Miesis
——— MPertonia
os Refiexta-
—— My drasis
—— wwiotenia.
Wy Po Reexo-
dePressed Per} of bene
ton
of bleeding wv.
Scanned by CamScannerlocalized brodn. injuries (Gntusion § Lacerbion)-
sapes of. Cerebro} Ccombubion
 couP Conbusion..4-
+ due to acceleration f. “Mead Goats rbtow:.:!
+ Confusion af Point of imPach-
 
fa Counter @uP Confusion +-
= + due.to” deceleration of Head and brain ides
Over: Tre ivvejuler., @unbr Cour of :¢ kull
or
‘dd _Gonber cour. lbyusis duei. to-wejatine:7Presure treet}
~Combubion...0PPesifen to sifed aad Pach
   
MULT
L1Q)yi Nop! dePend.on TIRE. Site JoL:. Externe wound:,
as Bude evidence >of: inferaciombed lesion...
a :
@ Assailomt Mis} claim That He is net
Responsible. Por brain” injur} —
  
Scanned by CamScanner
 
‘CamSeanner ssoFabra. cranial. -Hm9--
0) Extra dure m4.
@. Sub dural Hq.
@) Sub ovachnoid Hwg-
@) infra Cerebrell Sage +!
  
SS ERR
    
Extra dural Hm )
va Fie ans. Jrimottic-
def cavalo. fa ‘bhed belueei dua and bone
 
* Glucose True as: Fissure Qriclure =» ~estid of
Extra dural bisod Nessa: mtdsie: maniac orter
 
, Gonccustoris ei 4o® ee wTR \ucid. infervel
    
ScalP woind!
(2). Skull. Prachure-
(2) S xtra, dure, ng -
Brain GmPresion:
) PMP of ASP xa- ( Worneation of
a Medullor: 5 combyoul spn aia).
 
 
Scanned by CamScanner
CCamSeanner soe tees!eG nS
eo are Jramatic. foot had
def. accumulation of esd Jealwaall
 
 
Awvo4- a ond | .
Tres « Acute Sub dural ng : Fa
Chronic Sub dural Hmg. |
wD
Acute SOH\.. a. t
Mechani¢mn :— Rokahion:. peed “Decalerfion TWreor-
~ —» Yeowin§ of viidging vin.
exomPler Shakeri:.bab4  s4ndvemes:
Chronic SDW~ CPachy: rroningitis wemonchagicr) «
Repeated Minoy Trauma. of Wead-
in @se_ of 2 ald fe
: = diabetic
© Alcholic-
« blood diseae—.
aaa ron eier ao uel
ie
dura otween duva , avachinet
Mare .Gwmon
Mechenicm =
Site- oe skatt ,
 
 
 
- cae Le “es an i co
bieedie.| feed _ Netmour-
 
 
 
 
 
en ale Lerbion) : i : of :
skutt Pracko APsonf 3
 
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CCamSeanner soe tees!Areurysm:
    
 
  
 
 
  
se Maint Patnrorstical — due dose! Z
lana elerlind Prom Patnolegical. intra corobris). i
@. RuPfure. of Amaury sem.
Aneurysm = Paces Es ;
_Confomila MYeotic -
Couses:| weakness of | sub acute bact.
Pod ont) solubloed ,. vascole le. endo eee
 
 
 
   
 
     
 
  
   
   
 
oy
Sivleign yee agin
 
  
 
hare. of bran.
 
 
  
  
> Palko loJical Te. tf +. Cerebral apoPiex4). due tor
or HY Par Lintion .
. Alor sc sclerosis aS as od ay ies-
(2) A TRRv0 scleto lie core bral vena
-Yeras Wick, as Cut not Collar
-wisosh¥
AB # main bulk of Homlenas in ere it 4
dw usual Ske 4s CorPus shytohGty— onda ous.
* Ponting lama. Presented by.
t + Coma _K Peavey»
= + Pin Point PuPiy
s Masde Peeve sir:
  
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CCamSeanners Wee tga“sTramatic T-o4
Mechanic ms
ww Shearin' shves 5 Ruphuve. of Bev in.
G (Rolotion Tree) lorain substance.
AR epky
0) SuvPacex Confusion. Wik Lj, of braln.
sei dkomMay be CUP er Center GuP.
 
 
o Pos} Traumatic epirePs4: (Jacksonian. epierss') «|
— due fo Meakn} amd searin} of Meninies amd brain.
 
a Permanent disabit} 5 depend uPon, site Sevarit] of damife
gl Personalit\ Chonfles 0 depression, anxieht, o9re ssion- :
l Parkinsons disease. iduodoncs 2S 4
(El. Pos} @necusven S4ndvome: a
[Zl _-Amnesia: C Relrograde cumneria) +
Alto modism: ( Antro grade cemnesia)- 7
is 8
AZheuimac disease. ae
Abseess (bron abecers due do infection) «
Ie
Damage. of cranial) werve.
fe
Difficult in Speech -
(2
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CCamSeanner soe tees!fe sauces
 
Amn
- ener cay an)
(2 Guobicassins
  
 
 
fe cut cx |
 
   
  
  
 
  
Dalasied “ceuses
en eee fo
| Jaksontomn’ apirerr-
     
 
(2) SaPlic ComPlicedion,
 
   
 
 
Bl |p
Dag Tous
2 we
7
Mong, 5.2 sue
Contused wound Simulates au} wound.
Dong rous infeabion a: Lint ver
Mey lead +o deci 2 dagGrous infection -
Scanned by CamScannerAnnicide
 
 
eo Nor} did Tra infant survive afer birty
in infanticide A. :
9 Respived 2 Hon Resbived lu al
—@. Frotodion ford in ace of infanticide 21,
Jel Willig of @ live-born & Viable infant below 2 Year
AB \ve biTE — infant show signs of life.
SM birTk —o infant dort show anf sins of We:
Viable 5 More Tham % Months or 28 weeks:
Report on dead neonate or infant Should include 9,
os ... |
(2). Signs of Nive-binik
(3). Period of survive of infant
(a) MAeTrod. of aPpred violence
(5) Sshimodion of Perl Mortum interval:
‘Scanned by CamScanner
 
CCamSeanners Wee tga_ tn Dake_
: n§ “Related to. baby: clothes,
- G1 Examination of | iaCant body:
 
B
    
Place
@ DescrPhion evs
 
  
—— Glor of skin
LZ - Raily,
5 ° blood GrouP.-
A “Wentification of iat
ra. utyine
* te (FATS deleymined |\4. 2
e-washt og 3500. 9m (3,5 Kilo) -
+ weight of Placenta. 5 600 9m
2 lenj he 50 cm.
© O-C of Rnee omd. aiboided
« Testise_ in gerotum.
+ Noll byond ike Pinger:
Je of infant aa
aP Pear
Head Heir —a 3 cm-
+ Head circum Poronce —p 13. Cm
* Closed post Pantoned
+ umblical cord lengih —» So cm
i Site —»o midway} betweon xiPhislemum
amd S4mPhysic Pubis-
* Viable Pefus delormined by oe
e \enjik ——_, 35 cm.
e weight —____s |Soo 3m
«weight of Placenta ——s Yoo 3m
© O-C of: Falus afPeay
é Testis ak internal inguinal Rind.
+ wrinked Skin. (scomt{ ¢-¢ Pat)
Scanned by CamScanner
CCamSeanners Wee tgaoJ. 1S
I
3
ls
=a
12. J2los pays
 
 
 
ined by CamScanner
 
 
 
 
 
 
  
 
 
 
 
. [»pteqno ae
OBL un g rau] t =
pucteg Inav Wes | eo eS fe) OW STE wast = sxe Oo
papas urls se nua +
‘palates whet xiwian + mn Gu We 01 orl Go! we =
obd lite wwuje bpa.| [PURXS | Je 2-0 0G I © |woon = 9x8 a2
‘wy | 1
ys Pawar | Rb | sno g own 97) /
hi) Pousyt ye 2-0 | ne) Oe le r rere
eRe RT
pasd qm\quin « ea
pincry ut beg wo0g =GXI 9
Leap ara tease | AHP |
cal apse) pad ng =
3 nS [es . Snauey5D 6 907
jAeude of t4>hS i ime
Johe| WW « ype a i
fuud sabe
XS | 4p rel ;
APHVOO YIP anal
ey | 2 ee
sey Ae Rito aeseieg [eked
f qr ct &ree f inperitomap ss | MOW PK ere
-ampery orjirads > SIpSO4 22 pod Jo Thom [pepe de fMbem = a
 
 
 
 
 
eat
 
 
CCamSeanner soe tees!~ Nonmedicolevidence
L
of tie
b— - : — - ve : ~ ; ‘
———_--—infamt_show. Signs “~~ aN
_ =< Move Gera intemal sign
ge __ =~ Pale ond —. — Gees)
—_——
———eumblica) Ord 1212 Lo. Lactate
    
f + Ante mordum wound I» insPiration
Ee + 2S poskin 22 Vo vascular
i C soa chane
QO ..chor§es around. umblica| cord base.
s : 1 day ——2 Rin} of hyPremicr
Peo 9 dats. 5 Ring. of ulcerbion:
=P week.) StumP Calis
F External Siang of ihe bite
 
E-@_ Ante-morlum iniu) due te
L.@. Skin Desguamotion
* Stor} of ler 2 das,
+ Gmplel after Q weeks.
er
_Q... Yellowith Choo!
be:
LS Absence. of Macerlion .
b
Ee
F
|
E
2 gs weeks. umbticus if Cormed-
ddliver'| ov. causes of death
 
Scanned by CamScanner
‘camseaner | "Internal
Woke we
q.
“)
Ggns of tive-bivth. 2,
FnsPiralion-
Lactate.» Gowel test»
Vascular char§e-
*» jasPiration,! «
 
ResPired
Non ResPived
 
© Ge 3ne}
TI) chest qavity
= shaper Arched (Pombe)
~inte gale wide
= Aigpheen at jel of 4 Rib
[2] Coley Mosaic Cbteod +air)
Wensishenc} | CrePitatian d2 Presenc o2
GW. edge. Rounded edge.
(EJ Gmvress Qubbiing
under acter
@ mp Dishended — Alveoti
 
with S{uamour
CPi Rolium-
ot level of 2%
Fiat
Nov raw
Ribs
Pinkish Cuniform in Color)
d2 ont} blood:
Firm
shovPedse-
ColiaPsed Atveoli
wih Columnor EPiThelium
 
Scanned by CamScanner
 
CCamSeanners Wee tgaPa Techs.
W Shatic Foderes test
- SS! a ith m
_— * weight of Respired lun. daubles THSt of non ResPired
f-—__-*—Res Piration_Resulh- in_sPasrn of ductus! orderiosuntZ
-— —©- Jushin} blood in to lung.
—— * Respired. ( 80 gm) #& Non Respired (do am)
F- Y21 Wydrostodic. des
 
°
— eas
 
 
Air 0 AL-SPecific gravity ——» Preatin§ in water
- MeiReds= Veco Mun) wile Meone
E 2h ose ur. alon
E Bau. Reipaeddeiee vated Devide luv into lobes
4- Lung cub info Small pieces-
~~ Rewlt AN lun} forks Feat ——o Fin ResPivedtion
- AN Jeng. Parts. sink .—_p Non. ResPivaction -
f All Proated bul Some see. Pieces. sink
fs te ian, — 5. Parti. RexPirotion: Based.
Jk8 in case of Poatin® Jung CPedadic Fesh) is
Recomended
“ys SAuceze all Parl of lung -
o SH Picd}  —» Aetive ResPivattion
e Sink pb Passive. ResPirottion
Fadse Result
UW) Non ResPived Jung Pleat in aise of
s artificial ResPiretion i
© PulviCachion . i
CD PesPived luv sink in case, of «Promonia
* lun} GlaPse
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CCamSeanners Wee tgaWydrestatic tech nob used. in
a MAacerbion
~  @. MiK in-stomach
5 MulkiPle coiffenitel amomodis.
aS. Uy. Fetus. less Tran Zo Mtnin.
Bowe 4os) + —
{deg Air Swollowed an ResPirodion-
+e Ficalation of  shomach..Refear to Respiration
% Floatation of stomach omd upPer Smoull Intestin
indo lived 3 hours Survivell
re Plodtition of glomach amd lavJ- intestine
. © ANived 6 hours survived -
+ Nasculer chore! +
{) umblical vesale QWs
2° Wdays aller birtK——o© blood clot -
© | week after birth —SS"ovJomizedion of clot
© Q weeks after bik 5 ComPtet orjomization of clot
© | Month offer bir —-p laJamentum teres QPormed:
 
(3 Forman oval —o Closed aljor | week.
BI. . Duchus arberiosus - '
+ Ranchonal closure alter 6 hours
* Actual Closure after 1 Monin
ARE ae
Scanned by CamScanner
 
CCamSeanners Wee tgaa4
 
Nevr ah seb pss
a esd Shami -ntenat_sian. ws
oc Monbe\icoll cord 2 Lactate xx
sot Parken stort wound inspiration x
beet US skin, Vascular chon4e 212) 2
N stool XX
Com estimated. er
WCChorle ovound The base of vnnblical @vb) 1212
21 day after bivih 5 RivQ of A Promicr.
0 2 dats oo B - Rinsl of Ulcertion.
eo loweek. eon! Shump Poul
o Q.week » - Le. Umbiicus Rormed
 
Bl Gale Carlun wand Showed Vital Raaclion)
= + PFE of wound e e
© Prsh 12 Nouvs 2p edge Red, Swollen.
SK2Q 6 -6.do's ——. obiitration of new vessels
—1o « low~ —— Healing 4 Primov{ intention
3 2 3. weeks ——». Red Scar a
ds =e: Qu Moniks:. —— ... brown . Scar,
Se 6 Monws =o. while scar.
\3\ GChanGe in wewfbtical yeas) in Chovsee HF wrnleical “yess Vessals
a) De squamation  smothovint , Trottilig,
P =P shronfulation, checkin}
i a i yay NR Srouin Head br
culTaroad, Posioning -
 
  
 
D-H befween Momicidel & accidinta stronfulatien. by
 
 
umblical ord Lotofte tana
Homicide accidindal -
Jorns-— |... Move Anan one- one.
vahartons jell} |. DigPlacmend unifor didvbuted-
Aboresion, Brusit Precenk— albocont
Gaelrichion mar Deep super Picied -
 
 
 
Dd Welborn desist of infombicide 4 Head injur
rede POA, PorCePr j
es [eat | eerste |__ Head Injun
 
Metrer Muh Poa | Primi Poa | May bQ primifer| Mabe pyimiPara:
Umbiel od} “Jorn cub Cut od
capu} succel — Absent Present Prevent —
-daneum
calp | Contused wound}. Hematoma - Konkuored wound| confuaced wound -
  
 
Site of Paclun) Promtal or Prital Jat avea of cxPu| Bitaten on bak | Any site
& Sides
z Riscure- Dissuve. depromed Jake| An4 14Pe
S Shave ef
PoveaPs +
 
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‘camseaner | qa)
ws Q)
@
@)
Ww
el
a
Gauiser_of. dontlic-in infact oe
Natura) & Accidental courses
- Act. of. emission. i
Act of Gum ission (S69) infembicisen
Sudden infat Dea Syndrome
Accidente
OY ASPH Xia’ ag
) BTR injuvies '
@ Blood group & Rh incom Pati bid:
CY Crgenttod omowetlic
Ss) o S4Philis -
6) OifCioh or Pevicipitate. :tabour
GQ immatuvit4.
@) infection
Grd Prolapse.
Act of emission . gLor
oy) NeSlecki] Feeding
oO S cloning -
Nan 4x} of umblical cord
Ach of Commicsion -
SmsWeri _ Trrvohinivd -  Shronfutslion
Draw ai —  Wead injur}  _ Poisoning -
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\CamScanner sso taalcudden infant decile S4ndtome STDS
  
© defi sudden and non exPecled death of om aP Parent,
Health| infant -wititouk accePhed. Caltse-
 
ES
_Susgeste d. causes.
wy Alleyy to. Mink Pin.
_)-,Abnormalit4 of Grdioc @ductin} issue.
(A Pnea + idiofatThic aPnea
“WY Ppornatremia. Prom incorrect Pood:
(5) WY Po Tnarmia of hyperthermia
(6) HY Po Shijyodiom
(FZ) MM dhaboticerror
(a) Vive infection:
(2) NeuvoleJical damge d2 Miner }rume:
Cle)
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CCamSeanners Wee tgaTar Dighnesis of Prnaney
ed farous X= NMuliParous Women»
se. Sign of deliver).
intornal Cvs chenfe. occur after birt
ess. umblical ord. ¢Xemination-
vt Types of Abortion.
2-7. — laboredor] invesdigection. Resuivad in Suspected: cose.
of Crimine} abordion-
eB Oar§rovs of abortion.
S- AbortiCotent Drug -
y
 
‘Scanned by CamScanner
CCamSeanner soe tees!ny Aduiherf:- when Husband accuses hts wife. for
eXtra marited Relation. - :
2 RoPe::. Fer Punithmenf = olin more @mPansedion
“fue :
fi Execulion: Jo delay dode of execution.
WH] Divorces to gel extra alimon'}. (+ Sole? aw)
5 Sakeeliaweds fo. .PostPone disbvibubion of ProPertias .
[al Honor=Jithingee- : é
pe Diagnosis. of! PeeJnome 2],
\
eee eee ee
 
} Pigmentation - : ( BE)
} Vaseularity _ | aad
Pair sd)
Fetus. Fiims __Fevditva4
> reas) Sign. L b. ae.
—S Abdomenal sign: = insPection Sonar
Vulva. + Ral Padion
> Vd} sina = © Ausculation —
> Cervix,
— ulras.
 
Scanned by CamScanner1
(3 Pigmentation 3 # vasaularitl 3 fut),
 
——— i
DD BWeashesigns 2 Le
2 . Enlajed breas}. -
+ Dark” nipPles and areola. a
«-apPearance. of Dark Small Tabercles around: The niPPh,
Glled + » aca
+ delected. from. 2°4 —tonTh:
@ &
7 + EnlarJed abdomen: ;
+ APPearance— of linea nvGra. in middle line.
« AlPearance. of Striae Gravidarum -on bol side—
of Abdomenal wall d2 distention and. toarinf. of -
Gubcutinous fissue-( in 2” Trimesfor) 4
Bl Vulva :---~-. — _
— « Dark & fF vascularity « Js
@].Maginge zt
Bork 5 F Nasculariy 3 4 secretion.
fl cervical sign. abt
MQ + 1efaré Sign —o SofPbentf of wdvas cervix.
From above. downward. ee!
a3 ; defected. at 24 ptontk of PreInancf:
(5) — ubrine_sign.- 7
cone Gradual enle}mont of PreJnan}. uberuc
zasiat : : |
dm 25) ally vase et ab
Se 2.33, Abdomenal sir N05 b aio
a” Trimestor a
 
Scanned by CamScannersurenmcignsmahssPremency:- (3)
a. Letus::-
7. inspection...
(2) falPation of Fefof Se
(a. Auscultion.of Fetal Heart. Sound:
wp felad Heard Sound differentiated [om motheré
Palsation by 21 Rate». jYo /mitnute-
Alyiim—o Te Tae:
© Fits. Cultra SonagraPhi.).
ft show eJeslafion sac. by 4. week of Jesfation-
-« Hear} beat. bf: Z.. weeks
Pt dolormine.g—
: — age of @ fetus
— sex of fofaus
Latin — r—titiple Pregnancy...
— Feto tule formation.
— intrautrine (etal death by apPearance of
i SPaldinge Sign. -:
© Eerliveation tas} :> S  ———" emncnemall
J:
‘Aum aclorond on femen of Hee which Produced after
: Ferhiization bY Chorion of blastocyst.
«il @mbored of Runle (x &.Q~subunile)..
o if detected in blood & urine of — FreGnant oe
ce pve 2 weeks after ferfi2cution
: weWe 2 week alter delivery:£ abortion -
Ties) immuno loficod test. 3
(Q). Q Subunite. of Hee. —» Qualiabve tes
Quan titobrye. ted -
—4
Scanned by CamScanner
 
joevbortamndemune leicod tee}. (-PreGnamnoy tesh- Arh) —
& qualitative defeclion of Hee “ Mornin] urine.
\ tes}. depend on Ag- AB Reaction~ : a4
Cc SbteiniG, Rett fom Formation of clored tres on shin
|
i Bee 4.9 fi Maybe give false Resull 21 ,
as LH and WcE@ Has Same & ~subunite.
_ ..edlse. Result in on. Execessive.L. eS
= Post pten Pause -
+ Pitular} tumor:
2). Drug @ntouninf .HeG
(3) Vesicdlar Ole P Hea
w chorio Grcinoma ?-ucG.
B- subunite. HCG +
> deleclion of B-subunife. of HeG in blood or urine:
by Qnzyme_ immunoassay (Elsa)
Qos :
+ Quollifative fosf:—» give Postive. or negative. Recul} .
+ Quantotive. testa. delect. level of -uce
 
  
: Duvifionof PrYranc4.,
—abou}-.2 Bo. days .
oe do. weeks. :
~9 Calendar months Cs ei gl) :
lojuriar Moniz. ( Menstrual Hele).
Gunlad: from 1+ day of lash sensed
cjcle-
 
Ue
Scanned by CamScanner#]
}
So Sinving Femal in dead Lemale.
* er Cit day of Jac} menstrual cycle) ~ . &
* jnvestigation( US). if : Uy
oe edaaninestion (oFindad (evel), From otk, Crom Petus
o
longth of ulus. .
Funda Cxaminetion
# using ulner border of {eft Hand:
Funded \evel
    
    
  
Duration. of Preqnanc
 
SympPhysis Pubis- 2
mid way between Z
umbilicus - é
, F
Mid way belween 2 ?
XiPhoid- g
3 Pirgor below xePhoid Fun, Farm -
 
Scanned by CamScanner“delection song.lin of uforus
 
 
 
 
 
 
 
 
 
 
 
 
in inches -
lengtre of uborus in inches
6. inches.
7 inches
jaches
lo incher+
J2  Sacher.
J2. inches -
Prom felus
Scanned by CamScanner
 
‘CamSeanner ssodef i. introduce Semen to Genital tract of Comoe: |
Wiiwouf s0xual infer@urse . '
Sites 0) intra VeJinal
intra utrine.
indicat hon Litale — ele
ee —D +’ VaJinism 1 Git
——_——____—_ »  « O¥s Prunia ~ lps»
a o Hostile Vaginal dischaJe.
~ () Ho moloJous-
aie + Somenof. husband: + Ab {eJal Problem »
o done in front husband: 40 be: Sure.
From using jis Semen.
D HetroJemous or donar- .
oo + Semen of donor — + illeJel child »
+ Resul{ sn serous Problem. as Possibility-
 
 
of incest. toy occure:: + As ab Bop
2 used in Case. ef infertile husband
 
Scanned by CamScannerETN Balivad)- (3)
w inheritance. wife alleje. delivery. 4o inherit dead hushan 4,
“eoninferlieide. — when. oT Hills her newly a'nfcomd
37 inhorchom] eof eral. Jn HosPitel:
 
Saas Signs. of. dele old_signs of deliver)
——" : ¢ b
Breast Sn ving jin decd:
Abdomen - ub. o
Vulva - . Breas} difference.
Nolin macht Abdomen between.
Carvi x: . Na\va Porous
Ufovus VoGing wakipwous,
FEGNG. Corvix-
 
© General —o exhausted & Rapid Pulc & slight cfevated tom.
® Gress} —5o .Tonder & Pirm-
+ Colostrum Secrdhion in Circ 2 days aller deiive
Tran MAik. Secretion
® Absomen—o «lax 4S Flabby
2 Showin} Vinia nefra 8 shric gravidarum
‘@ Wiilva Show Recent Tears or brusic-and ePisiotom’ ny
\ ZPULOUG GND Vulva —Y anal Jide fig
® \eging —» show lochial dischonfe—.- :
bloody —o_1s+ Sr on
+ yellowish Red > 2” oe
“Yellowish, 2 3"
7 a _— tei 15 d
 
Scanned by CamScannera dT Porous Nui Pavous:
long ta: Jo S : 2
[Body /corvix. >-2 |
Vy} cavity Jlobular z Trion] lor
S| Mucosa | Smodthi + Rais Rugae
= blood 4inged area
at Placenta site:
Trek Muscle wal
wall). Trin muscle. wall
 
 
 
oPaning |). Transvens . slid Rounded A Pin hole
Ae lacertion wit
arbor vitae.
 
 
 
 
 
 
Mucosa | 86 lacerated with Wo
arbor Vifae—
 
Cervix
 
Scanned by CamScanner
‘CamSeanner ssoSiebel,
A —
SPontanous induced:
ae x
SeJa| iMeqal
'(ThevaPeutic) Ccriminat)
sobeu acta
1
def # Termination of Proqrancigs LPonkomousl4. wi jroul
Lamy madbical or WAechemical
Mears *
we ROPrdcent cboul
10-25 7 a2 all PrAnanciss -
Ques.
oS —talamal causes. © un cnbroley OM. Go
VyPerlention - \i
“ S4Po Try redism «
— Ulvine. Anomalies:
=. IncomPalan| Cervix:
~ GPibroid ;
— Ufvine dis Pracemont
yo2(
o Fetal Coun ge + Chromosenod — Abnormeditias -
<0 Gostodionalicattces:- « HYdramnios -
a «— vasicular Mole
Scanned by CamScannerdef. Tarminadion «of Pregnancy} bY Some Sor of
=e Cae [
 
+. egal GtinaraPulic)
“def. Tarmination. of. Profrome4 Lor Savin] shothir.. Vive.
indigckom ea chwonic diceace — - Heer}
i <> Renal
«Malignancy SS Patmronar
EclamPsia- Rubell...
ina urine Ciel desir.
  
  
   
 
Corts oer bic
 
df Termination of Pregrane’ for Resons Ther Than
Jf
TT 1 4
Non Para. medica) fro fessional tpecitc stele
_ ffofessional Parson _ -
t t : sp
__« Fig insertion Hinson Syringe. sTuy injection
a Poiforn.___« lamice) Rede _“f hyPerfonic
: Plastic caTheter. + Suction evacidion:
insertion Die afer
+ Hystorotomi:
 
i
Scanned by CamScannerGonoral elod
wo Sever Crxercis
@ JumPin} From hight
@ Ge) ing Heavy} woight
We jf. induce— abortion ony in. Pre distor female.
Local rR de.
0) Fg ingortion aS Knitting. needle
Non Professional) mechomism -. PorRylion off amniotic membran
Gmplication - Parfortion of. uwlerus-
© Poison in PIU inserhad in vo$ ina:
as Jead, Aysonic, mMercur}
Mechanism :- ivvibodion —6 Gnhraction of: ulene
@mPlicodion:. Toxicity & ulcer:
Semi Profesional | cy Higginson Syringes. Hbyacubeneceatehas
USinJ irritan| Solution as Jlycerin «
“Mechanism : $aPration:. Sac Prom utrine wall
1. Uleer-
 
   
 
(2) Jamicel Rod.
_Mechanisna - atbsorPe Fiuid omd Swell
Causing corvical diltocion.
ProfLessioncd \ GQ) Inhor ubrine Injection of hypertonic solulier
Mechomism'. QePlaci amniotic Ruid with
WyPertonic Solution: of getline or Guucse
 
@ Succion Fevacuation. (earl ese)
@ Dillation / Curettege 0 Purtion
Oru Hysterobom'
Scanned by CamScanner
CCamSeanner soe tees!i oe Prosta Slandin..E omd Prostaglandin amalcSues-
= Pitulent —o orftocine-
~* Plan} —»  ExJot
#& Plumbum. (head) -
A Projesfaron omfofonis}. (mitepristol)
: iMechomis nm
i ‘Ecbolic (direc aclion on ulerus —5 @ntracion )
 
|G Purfaine! 2c.J
a Castey oil
ak -Cyoton:.a jl:
— #A-colody.nTh.
Lam Sela Root
Mechoism Reflex utrine Gnbraction-
CP intoskinal mevemen > ReCiex Ubvine cont.)
3)
an pai. te
# head _ 7 - =
pe tere] a
eA Arsenic.
a Antimony so
ie
 
Mechanism > ONum deal.
Scanned by CamScannerHY mon:
MULT of hymen examination. .
a) One of sans of virginity -
(2) Daleclion 44Pe° of hymen Trad causes Problem: §
42) dil
ww di
_ + annular 3 dontode. hymen allow inter Guvse wikoul RuPdue
feranticte between Pimbriate Sat or denlafe hymen :
and old. Rupfured
Fevenliake between Recont and ofd hymen RuPlure-
©) differentiode. Ruplured hymen due fo Sicfle oy RePected infercur
TP of. WYmon s.
 
 
 
 
 
 
  
 
 
 
 
 
 
 
“WPe. Shape MULT
cresentric |] Posterier or Awjavior |» Rupture. on holm sides.
SiPice.
Aanuter | contra) ovifice.. Js Rupluve. ad 6 or 12. oclock-
+ Etostic hymen allow infer@urse. witha
RupPlure
Dental Jovifice has indentation} « May} Simulole RuPlured hymen —
along} i¥s Edge.
Pimbriate-favifice as Cimbria- fa WAY simulate Ruplured men
Along its Edge
SePla} forifice has soplum.} «Septum Rupluved inj inter@urse -
dividing W into 2 Gnfer}
j mPerforale
No-orifice. Relintion ef Menstrual blood in va9ina
_ CHematoGtPus).—p Relention of btood in
Ulewus (Nomata mebrium) —o  Refinton of.
\o\eod in Wie,
+ Condtion mot} simulede. PreJnome} -
Scanned by CamScanner
 
 
 
 
CCamSeanner soe tees!D.0. of Pimbriabe or donde thynen witk old Quptured-
 
 
iw SE RQupluved:
+ SYmmelrical_ on boih Side: + ASdmm obvi}
° Folds ia nature - e Tear
edont. Reach Jo vefinal. wall |-« Reach:
« Pink » white A oPaque-
Trams lucemt «TranoPaque-
 
D:D of Recent & old
W}men RuPlurod:
 
 
Recent old
Red Pale
Swelling No
Tender. — No
bleedin§ No
= Pouinful. No
Scab Scar
Tyas lucent
 
“Jrone oPaque.
 
D-10— of Ruptured HYmen dQ Sinfle or RePasted inter qurse:
 
 
Singie_ RePeated -
ONe_oy tow _w}mon QA+sob ke Apo Jr Reis cop
~—Jxars——
 
 
libia majora —o wide and. soPerited
—?Ruptuved _fourcheste:
Vibia Minera os seperated an wid
Se: RuPlerad Poot comescue.
Ndfina —® wide 05 of vaGinal tong
2 HHmen—s. lacerated:
Scanned by CamScanner
CCamSeanner soe tees!DieFnosis of Abortion:
wo Histor] * vistor'] of Amenorrhen. f
# dotea, of tas! meenstrucd cycle.
[2h Chinical: Camirethion...
= * Si9n of Prdncmcy
* Qvix —5 Mork of instrument 8 diloded os
® VaJina —5 Jacertion & embryonic Jissue.
Zl (aboreter| invedtqation..
* Prog eee} josh +e 2 weeks after aborlion-
# SYyPhilis & Diabelor 6 gPontinous aberiion -
a lolood , Urin., Stool Por abortifactent drug
(Ay U- Se : ; : —
wt delormine lard Size of uberus
ew Tifsue. Remnont -
[BD-.Product of Abortion. -
a Precipiting tos} ae:
Ase of Petus :
* Ptacorated fetus” —e intra ubrine Pele dealin:
Scanned by CamScannerBc a
ehock <1. J Orc.
Homowbefe. Poisoning. infecdion.
Embolism AneslhOtic -GmP lectin
5 hock. ce a :
~K. SYmPoaRehic Shook .—— saver foun
> Parferlion of uforus
* Powa S4mpaTRDhic shock —o Rapid dilation. f Carvix —D
Trigger avea —p RvI-
 
(Z Sage. j
i od Time of operlion due to Porferlion of ubus
or injury of veJinal wall
98M 5 yh. aflor_oPurlin.. 2 Remnant in iderus:)f
   
BZ. Gmbelism: a _ |
He Air @mbolign: duriv use of Hsqgmion s4ringe- |
Bab Ombbclism as Ammiotic Puid  Qmtin- vernix & Latah,
{di Poisonist- d2
Klar] doce. of drug
KS absorPlon of low! toxic Pi.
ial . Anaesinod: c_@mPieat on. :
@. _ Jafcackion a |
hs. — . |
ZJ. DTC as amniotic iud aich in WsombaPrattin. |
te —— P viscosity of bood- ==
1
Scanned by CamScannerin abovlive Gse 21.
 
 
 
 
 
Scanned by CamScanner
\CamScaner +See ipa—seucl_of f enxiee:-
cle eemeea
O). Viginity
-@ HWYymon.
2) Rape.
Hh AUT
u CS)_ inter sox
0). Tasts Por defection. of ganen-
ae
GD Allejed Rae.
(2). Allefed imfolance. of husband
(2) Allejed non virginity of wile: in nullity of! vearrfe.
ES
A
Signs. of Virginity -
W Breach. Firm & Small nirpie & Ros oveolae
BD) labia malora,. ComplehY closing vafinal orifice .
+ Pourchette infact post. end of labia ative).
Bylabis Minova « Comploh} Pink
2 inhack Posterior Gmmissure ( Pett. end ol Labia mime
J a 2 Narrow (aPProrimotad wall) ee
o duo! Rugs.
ia) —Hymon_ . intact WU men.
 
 
Cribrifovm | MutiPle Smal oPenis:
Scanned by CamScannerp 9 De imPhance oe dd
imbolamce:.
defo im ability of -Panile Crection in males after Puberl4
MALT. 0) RaPes accused may allege imPotonce a8 adefense E
) Divorce wile has ime Rh. Ror: Divorce if twcPomd imPHe
(3) @mPamradion- q
Filey
cn Phy siolafical — - beler |e fears »
a) psychic. — « lack of self? @nfidence-
a « dislike toward? Comale.
« Pear of venereal disease
03) Tramatic. 2 Head A SPined cord -inJuvias-
Ad PaThaie4 cot] Gomera) causes « 2
oa onis-t & Vascular quse. as. O:M+
» Nervous disease as fabes dersalic
&_Debili lating divewe oS TS
& Te xic cause as Addiction
loco causes -
Partial loss of Penis -
x loss ff both testis
& Inguinal \dernea
Mastin 1h : *® ePisPadiuc £ hype sPadius-
Diagnosis of smnPshonces.. a. ih
T Gonerel Cxamination fer body louil4
basis oe 2) Sexual chayacler
Zl tocal Examination Por a” a,
- tie c + dbnovmali lies
= desice. in Goniharlion
Scanned by CamScanner
CCamSeanners Wee tgaT3]. Examination under omaesTreiot:
+ Proslatic masroJe. —o erochion-
\ab_imuadhigation
cask Yormona, Profite. -
ew Blood SWovr
we Drv¥ Residue. in. blood & urin -
 
. ClassCicobion of  s2{ual offence.
LZ 7 ~
Altura un Noture)
L b
sexual ack occuve befween sexual aact ocure between
— different Sor. 9x0> 1 + Similar S2K @xg
OF Xo®
= TrveuTh natural Route
Paniis xX Vagina
2 Tcreugh un nahural Rout
Panis x onus -
uw. inces}
3 RaPe.
(3 adult)
Suxuel_indoraurse..belween forron of Prbidden degree —
Of Relation. shiP. as brotKer & Sistor
rsont of 9g is nal acceplod
St mM otcuve..inMeteroljous A 44-1.
 
 
Scanned by CamScanner
CCamSeanner soe tees!Ase |
Aeraid. ~
 
OPO he
AG. sexual inferGurre witr Pay e witout \ts Gncorch *
Condfion of @nsent in Female oh (apcd)
A. a ge —p Mee Tran. 18 Years
= No} under Fear ® Ph sical. violence. *
* Merol Vilonce-
[P| @ + Power Pat Prujsi co Crus} not be weak).
= Power Quy Netembal ( mush net. be Mental deCijent)._
 
ae (3) Gnéctous
—e No} unloy Nowcsis 4 Druq-
>. Nol..umder onoesTresia:
{DO} 6) wo} DecePlion (Nod under Craud) asus ot
— > ImPersanation of Wsband durin sleeP-
Qyscie Sane — > Fraudulent TRrarap{ bb doctor or Quacks -
bee
‘ =
Madical Cxaminalion Por Rave
03 Gxowninotion of vichim (2) Examination of Assail
Scanned by CamScanner
 
CCamSeanners Wee tgawr Gnseng
conduct
@) Gndtion
* of attack
Examinction ol -vichum~
* asitlank. as, ge lp + (an
(A) Age -
Alrait—
[BPP
PM
{Cl conscious «
 
 
{D\oe seep hier
Cimical examinaki on -
Grant Sane:
 
ae Pai
 
MN Teens oie
slosh button |» semen -
= toyood
 
Waive
oe Qa nerd O
tavesd}i9 odion:
kar Pregnount} fer}
ca) Veneredl disecse.
3 Wev SALDS
a Org Residue,
in blood 4 urin.
@) ssh
Ariel | sis-
 
et
Skin & Pitre
bleod, Hair
 
 
Biod |
a
+ AIing
+ Anatomical site-
Anolke
 
 
age
ABB | -rbtc0d
~ Heir
 
= Semen,
ey Loe],
© Pretimindry tes},
‘+ conformater} fest
Pecific fed.
   
 
follow uP-
 
Pack or
 
 
 
 
 
 
 
 
 
 
 
 
 
Ee Cae eee
Nuva! Are |atest
oe
Pubs!  @_ | matted bt
Suey
ned RuPluvre @
Vaina| Lacerfion | Semen
— 4
Scai
‘camseaner |
nned by CamScanner@ Grswnki-
wari Hon consen\ ox etaminakion vabove 2) Year
@ Conduch ond behavior Mal. hele.
© Gondliono? “Atack «Hitter »
defalis abouk Place Time, injuries , bieeding-
e detalis abou} area of entact
+ delalis about Pos} assaull achivity as chonfle of cletRes
oa
= Viclum -hishor| @mPared with assillent Wishort:
 
 
OD» Agesestimoted
we below % flor —> Maxmum pee
& below 13. Year —s Non. Vetid Consent
pm above 1&8 Yeo —o Void Consent ( - ee)
@ Cramenammental’ endlion:
®. Cxomrine Pr sie ndlion, toa louil4 «
@ Sarninev.Gncous. \avei. bY. Cerri] Phsical chemical nalts
 
 
Chinicouk Craminettion.
(signs off Geneve vielence):.
G1 Clothes 2. Teens B oth buon.
+ brood £. semen S hair Prom: Assailant
 
Hair © Dis arvonGment. of: Wadr
(2). Nai) ¢- + broken noltt
+ SPiTRilum under nail Prom artilant -
Scanned by CamScanner
CCamSeanner soe tees!w a. © chow. Abrasion & borusis & bite Mark:
«Hai. & btood A. Semen. Prom Assailant
> painnical Sika.
+ Race & ovound autre to. Prevent ‘oi: or sha
ee «neck A lores Clove bites)
2 is ©. Qwin'B. 12}. ho Pravenk escoPintl
= «inner aspach.cf Tighe -.to., serevate Tor,
 
— Aging ¢ wound:
“ LB Anolnar \ook Por. See? Vasirsige
SB AJE- Pater:
= Child —o No sign (unablete to Resish +
12 Alo} under stand)
1 a . Adult Vingins oe Minimal S9n-.
Bee te eu Can exPerienced .cexualt4) -
+ Married womens Meximum sign-
Caveatey Resistance)
 
 
® FSign_of__lowl_violence |
Ww Nulvge-=. Abvesion & torusis 8 tbreedig. &
0 Samon-&- hair & biood Prom ooeteal
) Pulbic hele «  Wtattod wit omen.
(3) WYraemsa 8 RePlured  tyjmen. : : =
a Vagina: + + lacarbion
: 2 Hair , So “bed ee Assaiood
 
 
Scanned by CamScanner
 
‘CamSeanner sso