Difference between revisions of "Asphyxial deaths"

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423 bytes added ,  18:16, 12 October 2010
→‎Drowning: +wrinkled skin
(→‎Drowning: +wrinkled skin)
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==Drowning==
==Drowning==
===General===
Classic:
Classic:
*Autopsy is often negative, i.e. there is no anatomical cause of death.
*Autopsy is often negative, i.e. there is no anatomical cause of death.
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**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>


Internal:<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><ref>URL: [http://netk.net.au/Forensic/Drowning.pdf http://netk.net.au/Forensic/Drowning.pdf]. Accessed on: 20 September 2010.</ref>
Internal:<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><ref>URL: [http://netk.net.au/Forensic/Drowning.pdf http://netk.net.au/Forensic/Drowning.pdf]. Accessed on: 20 September 2010.</ref>
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