Top Banner

Click here to load reader

21
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Autopsy

Kursk regional Bureau of Medico-legal examinations

Forensic medicine department of the Kursk State Medical University

Kursk town, Salovaja street 42-a

REPORT № ________of the medico-legal autopsy

Autopsy date: “______” ________________ 200____ year from _________ till ________ hrs

According to decree of ___________________________________________________________

____________________________________ from “______” ________________ 200____ year

at the morgue of Kursk regional Bureau of Medico-legal examinations

Forensic medical examiner:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

are performed the Medic-legal autopsy of:

Name:_______________________________________________________________________

_____________________________________________________________________________

Sex: male/female

Date of born_____________________ Age: _________ years old.

The students of group _____ medical faculty of the KSMU were attended during the autopsy

The known plot of case___________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

After autopsy we must answer on following questions:1. What is a cause of death?2. Are any injuries present?3. What is a time of death?

Page 2: Autopsy

Autopsy record № _______________

DATA OF EXTERNAL EXAMINATION:

Dress and other wearing apparels: __________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Body’s length ___________ cm.;

Build, constitution_______________________________________________________________

Scalp hair (color, length) _________________________________________________________

Condition of the eyes: closed / opened; Corneas: hazy / clear

Iris _____________________________ (color);

Condition of the pupils: shape:__________________ size _____________________cm.

Conjunctivas: __________________________________________________________________ _____________________________________________________________________________

Nose ________________________________________________________________________ Mouth: closed / opened; Teeth: ___________________________________________________ Right Left

8 7 6 5 4 3 2 1 | 1 2 3 4 5 6 7 8 upper jaw________________________________________

8 7 6 5 4 3 2 1 | 1 2 3 4 5 6 7 8 lower jaw

Position of the tongue: ___________________________________________________________

Neck: ________________________________________________________________________

Thorax: _______________________________________________________________________

_____________________________________________________________________________

2

Page 3: Autopsy

Autopsy record № _______________

Female breasts: ________________________________________________________________

Abdomen: _____________________________________________________________________

_____________________________________________________________________________

Genitalia: _____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Extremities: __________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Post mortem changes:

Time of the reaction of the pupil to atropine (pilocarpine) ________________________ min/sec.

Reaction of the muscles to mechanical stimuli ________________________________________

Cooling of the body: on the surface of skin __________________________________________

Temperature in rectum: ___________________________° C.

State and distribution of the rigor mortis: ____________________________________________

_____________________________________________________________________________

State and distribution of the livores mortis: situated at__________________________________

_____________________________________________________________________________

colour:________________________________________________________________________

Changes after pressure:__________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

State and distribution of the putrefaction: ____________________________________________

_____________________________________________________________________________

3

Page 4: Autopsy

Autopsy record № _______________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________Blood, mud or other stains on the surface of body: _____________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

External injuries (site, type, shape, size and peculiar properties): __________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Additional notes: _______________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

4

Page 5: Autopsy

Autopsy record № _______________

DATA OF INTERNAL EXAMINATION:

Thoracic cavity_________________________________________________________________

_____________________________________________________________________________

Tongue: ______________________________________________________________________

_____________________________________________________________________________

Larynx: Mucosa membrane ______________________________________________________

Cartilages _____________________________________________________________

Hyoide bone ___________________________________________________________

Trachea _______________________________________________________________________

Major bronchi _________________________________________________________________

Oesophagus ___________________________________________________________________

_____________________________________________________________________________

Lungs: _______________________________________________________________________

Left: ___________________________________________________________________

_____________________________________________________________________________

_______________________________________________________Weight ______________g.

Right: __________________________________________________________________

_____________________________________________________________________________

_______________________________________________________Weight ______________g.

Heart _________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Size: ______× ________×________ cm; Weight ______________g.

Thickness of the wall of left ventricle ______cm; of right ventricle ______cm5

Page 6: Autopsy

Autopsy record № _______________

Coronary arteries _______________________________________________________________

_____________________________________________________________________________

Aorta: ________________________________________________________________________

_____________________________________________________________________________

Ribs: _________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Abdominal cavity _______________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Stomach ______________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Small intestine _________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Large intestine _________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Liver _________________________________________________________________________

_____________________________________________________________________________

Size: _______× ________×_______×_______ cm; Weight: ______________g.

Gall bladder ___________________________________________________________________

6

Page 7: Autopsy

Autopsy record № _______________

Spleen: _______________________________________________________________________

_____________________________________________________________________________

Size: ______× ________×________ cm; Weight ______________g.

Pancreas: _____________________________________________________________________

_____________________________________________________________________________

Size: ______× ________×________ cm; Weight ______________g.

Kidneys: ______________________________________________________________________

Left: ___________________________________________________________________

_____________________________________________________________________________

Size: ______× ________×________ cm; Weight ______________g.

Right: __________________________________________________________________

_____________________________________________________________________________

Size: ______× ________×________ cm; Weight ______________g.

Urinary bladder: ________________________________________________________________

_____________________________________________________________________________

The head:

Scalp: __________________________________________________________________

_____________________________________________________________________________

Skull: __________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

7

Page 8: Autopsy

Autopsy record № _______________

Brain: __________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Brain vessels: ___________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Additional notes: _______________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Forensic medical examiner: _____________________________________8

Page 9: Autopsy

Autopsy record № _______________

DATA OF LABORATORY EXAMINATIONS:

1. Chemical examination: ________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

2. Microscopic examination _______________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Biological examination __________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

9

Page 10: Autopsy

Autopsy record № _______________

CONCLUSION:

Cause of death: _________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Injuries: ______________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Time of death: _________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Forensic medical examiner: _____________________________________

10

Page 11: Autopsy

Autopsy record № _______________

Appendix № 1

SCHEMATIC PICTURE OF INJURIES, WHICH ARE FOUNDED ON THE BODY

- abrasions- bruises- wounds

Forensic medical examiner: _____________________________________

11