Handouts All cut

Wounds

Objectives

Knowledge: To know about:

1. Definition of wounds.
2. Classification of wounds
3. types of wounds, under each one we have to know:
   • Definition & causative instrument.
   • Mechanism of infliction.
   • Characters & subtypes
   • Wound dating.
   • Medico-legal importance
4. Difference between hypostasis and bruises.
5. Difference between ante-mortem & post-mortem wound.
6. Complications and mechanism of death in case of wounds.

Acquired skills

1. Diagnose different types of wounds.
2. Interpret wound pattern regards causative objective or weapon, manner of death, manner of infliction (self-inflicted, accidental, or assault).
3. Diagnose differentially cut & contused wound
4. Diagnose differentially suicidal & homicidal wound.
5. Diagnose differentially ante-mortem & post-mortem wound.
6. Diagnose the cause(s) of death.
7. Give an opinion about the direct relation between wounds and cause(s) of death.

Clinical application

Writing a proper medico-legal report.

• Abrasions & Bruises (Contusion) — Features, Dating & Medico‑legal Importance (Abrasions: types, mechanism, dating, patterned abrasions; Bruises: types, factors, dating, hypostasis vs bruise)

• Cuts, Contused, Stab, Fabricated & Defence Wounds (Contused wounds, incised/cut wounds, stab/puncture/penetrating/perforating, fabricated wounds, defence injuries, D.D. between cut vs contused)

• Complications, Embolism & Forensic Differentials (Shock types, hemorrhage, thrombo/fat/air embolism, infection, crush syndrome, role of physician, differences: homicidal vs suicidal & ante‑mortem vs post‑mortem)