: Medical Jurisprudence Volume 3 (of 3) by Fonblanque J S M John Samuel Martin Paris John Ayrton - Medical laws and legislation Great Britain

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OF THE

Medical Jurisprudence.

Medical Jurisprudence.

A SYNOPSIS OF THE OBJECTS OF INQUIRY IN CASES OF SUDDEN, AND MYSTERIOUS SICKNESS, AND DEATH.

THE PATIENT IS LIVING, AND MEDICAL ASSISTANCE IS REQUIRED.

Account given by the patient and his friends.--How far their report deserves credit.--Whether there be any external injuries.--Previous state of the patient, with respect to bodily health and strength.--The age and occupation of the individual in question.--Season of the year.--Present symptoms of the patient; with the circumstances of their accession, progress, intensity, and duration.--Whether any similar attack has been experienced by himself at any previous period, or by any part of his family and friends at the present time; and whether the latter have felt any degree of nausea or uneasiness.--What remedies have been employed, by whom recommended, and by whom administered.--Nature of the food last taken as to quantity and quality.--Whether the patient had observed any unusual flavour, or grittiness in his food.--Condition and nature of the utensils in which it was cooked.--Appearance of the evacuations.

THE PATIENT IS DEAD.--THE ATTENDANTS CAN FURNISH ONLY AN IMPERFECT ACCOUNT OF HIS DISSOLUTION.

Examination of the attendants.--Circumstances to be investigated.--How soon the deceased is supposed to have died, after the alleged cause of his dissolution.--Had the deceased been under the influence of violent passion.--Was he at the time of death in a state of intoxication.--Plan of the inquiry to be adopted according to the principles already explained in CASE I, in combination with those to be developed in the following still more complicated one.

THE BODY IS FOUND DEAD.--ITS HISTORY IS UNKNOWN.

SITUATION and attitude of the body.--General appearance of the countenance, as to colour, vascular turgescence, or congestion, and morbid physiognomy.--Appearance of the eyes, and eye-lids, lips, and gums.--Whether any, and what discharge issues from the mouth, nostrils, ears, or any other orifice.--Apparent age of the deceased.--Description of his person as to bulk, stature, obesity, muscular powers, &c.--Conformation of the neck, with respect to its shortness, fullness, and thickness.--Probable period that has elapsed since the extinction of life.--State of the body, in relation to the degree of stiffness, or flexibility of its limbs, progress of putrescence, &c.--Whether any, and what marks, or ecchymoses are visible upon the throat, or under the ears.--Whether there are any, and what marks, punctures, wounds, contusions, and ecchymoses, dislocations, or injuries, on the chest, abdomen, or in any other parts of the body; and whether their appearance and character lead to any conclusions respecting the nature of the operation or instrument by which they were inflicted.--Whether such wounds were necessarily of a mortal nature, or sufficiently severe to have caused immediate death.--What is their direction.--Whether they were inflicted during life.--If during life, whether they resulted from an act of suicide or otherwise; whether from accident or design.--State of the linen and clothes of the deceased.--Whether torn, or in any way disordered.--Whether stained with blood.--Whether they yield the odour of spirit, sourness, putridity, or that of tobacco.--Whether any articles have been broken, or injured in the pockets.--Whether there is reason to believe that the deceased had been robbed.--What are contained in his pockets.--Whether any soil, or other matter adheres to the shoes, or dress; and if so, how far it corresponds with the surrounding soil or herbage.--Whether the hair of the deceased appears dishevelled.--If the deceased be a female, whether there be any marks or bruises that would indicate the commission of a rape.

Whether the spot in question be of a description to explain the cause of the deceased having been found there; or how far its retired situation excites the suspicion of his having been conveyed thither for concealment, or some other purpose.

Character and condition of different objects surrounding the body.--If in the open country, whether any indications of a struggle having happened on the spot are visible upon the ground, or herbage, near the deceased.--Whether any footsteps can be traced near the body, and if so, what is their exact shape and dimensions, and what their direction.--Can the particular spot in which the body was found have been invested with unwholesome vapour, or with air destructive of animal life.--Has there been any violent thunderstorm.--or can the person have been exposed to any extraordinary degree of heat.--Whether any and what weapons are lying near the body.--If so, what is their exact position in relation to the body and its members.--If the body is found in the water, are there any and what reasons for supposing that he was killed by other means, and subsequently thrown into the water.--What are the principal local circumstances of the water in question.--Was the body found floating or otherwise.--What wounds and contusions are visible on its surface.--If the body were drowned, was the death accidental or malicious; was it perpetrated by himself or others.--Whether any footsteps are visible on the margin of the water.--Whether any soil or herbage be found in the grasp, or under the nails, of the deceased.--If the deceased be found suspended by the neck, was it by an act of suicide or otherwise.--Was he killed by strangulation or by other means, and subsequently suspended.--What is the nature of the ligature, and the manner in which it is fixed.--Are the hands tied.--If the deceased be found in an apartment, whether it be in a house of ill fame, or in one of suspicious character.--If the deceased be found dead in bed, or chair, or on the floor, what is the nature of the excrementitious matter in the night-vessels.--What bottles, and other articles of medicine are in the apartments?

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