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Difference between revisions of "Asphyxial deaths"
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→Macroscopic
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===Macroscopic=== | ===Macroscopic=== | ||
External: | External: | ||
*Plume of froth at the mouth/nostrils (fresh drowning only).<ref name=pmid16378701/><ref name=pmid12134758>{{cite journal |author=Bohnert M, Ropohl D, Pollak S |title=[Forensic medicine significance of the fluid content of the sphenoid sinuses] |language=German |journal=Arch Kriminol |volume=209 |issue=5-6 |pages=158–64 |year=2002 |pmid=12134758 |doi= |url=}}</ref> | *''Plume of froth'' ([[AKA]] ''clone of foam'') at the mouth/nostrils (fresh drowning only).<ref name=pmid16378701/><ref name=pmid12134758>{{cite journal |author=Bohnert M, Ropohl D, Pollak S |title=[Forensic medicine significance of the fluid content of the sphenoid sinuses] |language=German |journal=Arch Kriminol |volume=209 |issue=5-6 |pages=158–64 |year=2002 |pmid=12134758 |doi= |url=}}</ref> | ||
**Classic DDx for this finding is: narcotics, congestive heart failure. | **Classic DDx for this finding is: narcotics, [[congestive heart failure]]. | ||
**Underlying etiology of this finding: pulmonary edema (as may be seen in a cerebral vascular malformation<ref name=pmid8454093>{{cite journal |author=Bilotti A |title=Noncardiogenic pulmonary edema: a certain etiology? |journal=Del Med J |volume=65 |issue=1 |pages=25–7 |year=1993 |month=January |pmid=8454093 |doi= |url=}}</ref>). | **Underlying etiology of this finding: pulmonary edema (as may be seen in a cerebral vascular malformation<ref name=pmid8454093>{{cite journal |author=Bilotti A |title=Noncardiogenic pulmonary edema: a certain etiology? |journal=Del Med J |volume=65 |issue=1 |pages=25–7 |year=1993 |month=January |pmid=8454093 |doi= |url=}}</ref>). | ||
*Wrinkled skin ([[AKA]] ''washerwoman skin'' and ''hydration changes'') - changes due to water immersion; changes may be present in the context of immersion post-mortem.<ref name=pmid6741294>{{cite journal |author=Reh H |title=[Early postmortem course of washerwoman's skin of the fingers] |language=German |journal=Z. Rechtsmed. |volume=92 |issue=3 |pages=183–8 |year=1984 |pmid=6741294 |doi= |url=}}</ref> | *Wrinkled skin ([[AKA]] ''washerwoman skin'' and ''hydration changes'') - changes due to water immersion; changes may be present in the context of immersion post-mortem.<ref name=pmid6741294>{{cite journal |author=Reh H |title=[Early postmortem course of washerwoman's skin of the fingers] |language=German |journal=Z. Rechtsmed. |volume=92 |issue=3 |pages=183–8 |year=1984 |pmid=6741294 |doi= |url=}}</ref> | ||