78905_forensic Study Guide Final Version 2

Outcome of the undergraduate Curriculum

Faculty of Medicine Pathology-core course-1

FORENSIC MEDICINE & TOXICOLOGY

Study Guide2009

Table of Contents

TOPIC

Page

THE OUTCOMES OF THE UNDERGRADUATE CURRICULUM 3

AIMS & OBJECTIVES5

CURRICULUM MAP8

INTRODUCTION 9

TEACHERS CONTACTS10

ASSESSMENT11

ICONS13

TOPIC OUTLINES14

No.Lectures (Names)

01Identification & Mass disaster 15

02Death & Post mortem changes and brain death (I) 17

03Death & Post mortem changes and brain death (II) 19

04Medico legal importance of wounds (I)21

05Medico legal importance of wounds (II)23

06Head Injuries25

07Fire Arm Injuries27

08Physical injuries 30

09 Asphyxia (I)33

10 Asphyxia (II)36

11 Sexual Offences38

12General Aspects of Forensic Toxicology42

13 Volatile and Noxious Gases (I)44

14 Volatile and Noxious Gases (II)47

15Plant Poisonous and Drug Dependence (I)50

16Plant Poisonous and Drug Dependence (II)53

17Animal poins and Insecticides poisonous56

No.Practical (Names)Page

01Identification59

02Ballistics Gross Specimen 60

03Primary medico legal report and death certificate. 62

04Blood & Hair and Fibbers 63

No.STUDENT-DIRECTED LEARNING (SDL)Page

01Medico legal importance of Consent

02 Medico legal Significance of Car seat belt and Expected injuries in car accident.

03Medico legal evidence collection and reservation methods and chain of custody.

No.TUTORIALSPage

01Discussion on Medico legal importance of wounds.

02Discussion on Addiction (Drugs and mechanism physiological antidotes.

TRAINING IN FORENSIC MEDICINEAims/objectives of the course:

1. To give the medical students basic knowledge (as a future general practitioner) about the forensic pathology and forensic medical sciences.

2. To give the students some basic skills of dealing with forensic cases in their future careers.

3. To highlight the major forensic problems in the community which could face the general practitioners, and the way of dealing with them.

4. Each lecture would have specific aim(s) (take home message(s)), which would be insisted upon during and at the end of the lecture. These aims would be evaluated at the end of each lecture.

Methods of fulfilling the aims:

The course would be delivered as lectures (total 17 hours). The lectures would include:

Theoretical information

Practical knowledge Forensic skills

Case studies

Discussions

The lectures will be submitted with a case picture to be looks like a case scenario.Multimedia such as power point presentation in would be used to fulfil the aims.

FORENSIC MEDICINE

Prerequisites:1. Anatomy, physiology, histology and biochemistry of the human body.

2. General and systemic pathology.

Course Description:Lectures (17)

PSL (2)

SDL (3)

Tutorials (2)

Practical (4)

Reading:Book: 1)Simpson's Forensic Medicine

By: Bernard Knight, eleventh edition.

2) Hand Book of Forensic Pathology

By: Vincent J.M Di Maio

and Suzanna E. Daua

Undergraduate Program Learning Outcomes

CodeLearning Outcomes

Knowledge

By the end of the program the graduate will be able to:

A1Describe normal human development across the life-span and how these affect normal structure and function.

A2Describe normal structure and function of the major systems and how they interrelate.

A3Describe the molecular, biochemical and cellular basis essential for maintaining homoestasis.

A4Demonstrate knowledge of the basic medical sciences that explain causes and mechanisms of disease.

A5Describe the alterations in structure and function of major body systems as a result of illness or injury.

A6Demonstrate knowledge and understanding of the pharmacological principles of treatment using drugs, their efficacy in the management and symptomatic relief of diseases, as well as their side effects.

A7Discuss the implications of basic ethical principles, including confidentiality, informed consent, truth telling, and justice, for the care of patients.

A8recognize the legal background of medical practice

A9Explain the causes and mechanisms of intoxication.

A10Describe the role of family, community, and culture as factors influencing patient presentations, interpretations of illness episodes and adherence to treatment episodes.

A11Demonstrate knowledge and understanding of the natural history of disease and relationships with risk factors and disease prevention.

A12Recognize and discuss the principles of disease surveillance and screening, disease prevention, communicable disease control, health promotion, and health needs assessment.

A13Describe strategies to support life-long learning via print and electronic sources to assist in making diagnostic and treatment decisions and to remain current with advances in medical knowledge and practice.

A14Demonstrate knowledge of how to use the basic medical sciences and clinical skills for clinical decision making and problem solving in the care of patients.

A15Recognize the scientific basis of health, disease, and medicine in the management of common and high impact conditions in the society.

A16Demonstrate knowledge of the functional approach to managing chronic conditions, including knowledge of the impact of chronic illness on function.

A17demonstrate basic knowledge of the global health care delivery system in the community including physicians, hospitals, outpatient centres, health agencies and the role of community agencies in that system.

A18Recognize the management of common emergencies and the initial and the life saving management steps for other emergencies.

A19Identify the "Red flags" indicating seriousness in the different clinical presentations.

Cognitive Skills


B1Recognize, define and prioritize problems.

B2Demonstrate the ability to acquire new information and data.

B3Critically appraise validity and applicability of acquired information to ones professional decisions.

B4Organize, record, research, present, critique, and manage clinical information.

B5Recognize the limitations of knowledge in medicine and the importance of triangulation of evidence before reaching a decision.

B6Evaluate the patients medical problems.

B7Formulate accurate hypotheses to serve as the basis for making diagnostic and treatment decisions.

B8Reflect on ones thinking process and decisions and apply rational processes.

B9Use appropriate intellectual strategies to deal with uncertainties when they arise.

B10Demonstrate an understanding of research methodology.

B11Formulate research questions.

B12Draw research hypotheses.

B13Choose appropriate research methodologies and designs.

B14Select appropriate methods of data collection.

B15Analyse and interpret collected data.

Interpersonal Skills & Responsibility


C1Display the personal attributes of compassion, honesty, and integrity in relationships with patients, families, communities and the medical profession.

C2Exhibit appropriate value for the sensitive nature of the doctor/patient relationship and the importance of active listening, with attention to the patients familial, cultural, and spiritual circumstances.

C3Demonstrate professionalism and high ethical standards in all aspects of medical practice, specifically competence, honesty, integrity, respect for others, professional responsibility and social responsibility.

C4Exhibit a capacity for self-evaluation, moral reflection and ethical reasoning to form the basis for a self-directed, lifelong engagement in the responsible, committed, compassionate practice of medicine.

C5Apply the four principles of ethical and legal knowledge, namely respect for autonomy, beneficience, non-maleficience and justice.

C6Demonstrate awareness and understanding of the legal and professional responsibilities; and report inappropriate medical practice.

Communication, Information Technology & Numerical Skills


D1work effectively as part of a health care team

D2communicate effectively with patients, their families and colleagues, both verbally and in writing

D3retrieve information by all means including electronically

D4present information clearly in written, electronic and oral forms

D5work within a changing, multi-task environment

Psychomotor Skills


E1Elicit accurate comprehensive and focused medical history by employing techniques that facilitate the patients sharing of information.

E2Conduct a both effective and accurate comprehensive and focused physical examination.

E3Formulate a differential diagnosis.

E4Select the appropriate laboratory tests and radiographic studies and interpret their results and use them in making diagnostic and treatment decisions.

E5Formulate and implement a plan of care for both the prevention and treatment of disease.

E6Educate patients about their health problems and to motivate them to adopt health promoting behaviors.

E7Use pharmacotherapeutic agents and other therapeutic modalities effectively.

E8Demonstrate appropriate technique for performing Basic Life Support and Advanced Life Support.

E9Undertake tasks to initiate and be involved in the care of acutely ill patients.

Curriculum Map

ModuleCode/No Module Units (Hours)Credit Hours

TheoreticalPractical PSLTutorialsSDL

Forensic Medicine and ToxicologyPATM 4131742

232

TEACHING DEARTMENTS:Pathology Department

introduction

Welcome to the forensic and toxicology course..

In this course , our goal to gain a broad understanding of basic knowledge as a future general practitioner about the forensic pathology, different forensic medical sciences in addition to the basic knowledge of forensic toxicology which include some clinical knowledge of some poisonous substance. To highlight the major forensic problems in the community which could face the general practitioners, and the way of dealing with them. To give the medical students basic knowledge as a future general practitioner- about the forensic pathology and forensic medical sciences.

Student needs:

In order to establish this foundation, you will need to learn a number of specific facts and the precise terminology used to describe them.

as well as some key concepts about the mechanism of death, of wounds, and of the poisonous. And to learn some about the role of laboratories in forensic pathology, forensic medicine and forensic toxicology. Learn the most recent technology in this field and how to collect the samples, preserve it, to whom it should be sent, what is the chain of custody. This is whatever your specialty in future. Also you should learn a lot about the forensic system and the legal roles, especially in your country, that regulate your medical job, as a doctor.

Likewise, you will need to solve conceptual problems throughout your training and career, in order to continue to build on your knowledge about forensic cases and to evaluate the significance of new findings that will be reported in future. Study skills:

Introduce the students to university life and how to utilize lecture, study, and utilize library and how to deal with examinations.

Teachers Contacts

Name

Department

Dr. Ayman Nagy (AN)Pathology Ext#21106Assessment

1. Formative:

This form of assessment is designed to give you feedback to help you to identify areas for improvement. It includes a mixture of MCQs, short answer-questions (SAQs), extended matching questions (EMQs), problems-solving exercises and independent learning activities in all subjects. These will be given during tutorial sessions. The Answers are presented and discussed immediately with you after the assessment. The results will be made available to you.2. Summative:

This type of assessment is used for judgment or decisions to be made about your performance. It serves as:

a. Verification of achievement for the student satisfying requirement

b. Motivation of the student to maintain or improve performance

c. Certification of performance

d. GradesA:-Written Exams :

They will include multiple choice questions (MCQs). They will cover material presented in lecture, readings, and discussion.

All exams must be taken on the date scheduled.B:- Practical Exam :

It will be in an OSPE (Objective Structured Practical Exam) format,

You will pass through 5 stations. C :- Continuous Assessment:The degree of continuous assessment will be divided to:

40% to PSL.

40% to SDL.

20% to Log book

In this Course your performance will be assessed according to the following: Continuous assessment quizzes

(30%)

Final written Exams

(50%) Practical Exam (OSPE) (20%)

Total = 100 Marks

Icons (standards)The following icons have been used to help you identify the various experiences you will be exposed to.

Learning objectives

Content of the lecture

Independent learning from textbooks

Independent learning from the CD-ROM.

The computer cluster is in the 2nd floor of the medical library, building No. 7.

Independent learning from the Internet

Problem-Based Learning

Self- Assessment (the answer to self-assessment exercises will be discussed in tutorial sessions)

The main conceptsTopic Outlines

Lecture 1: Identification & Mass disaster

Department: PathologyLecturer: DR. Ayman Abdel Hamid Nagy

At the end of the lecture you should be able to:

1. Appreciate the concept of DNA fingerprints.

2. Modern technology used in identification.

3. Understand the role of the forensic pathologists in the identification process

4. Describe the major avenues requires human identification services such as mass disasters.

1. DNA fingerprints and its role in human identification.

2. The dating of skeletal remains.

3. Role of X- ray in identification. Photosuperimposition techniques for identifications. Reconstruction of the facial appearance from skull.

4. The role of GP & the forensic pathologists in the identification process.

Student Notes: .

(Insert here handouts and additional pages for notes if needed)

Continue 1: Identification & Mass disaster

5. Role of the pathologist in mass disaster (a-Forward planning-b- Outline of necessities in mass disaster planning include the provision of pathologists and other staff, and Provision of mortuary facilities. C-Retrieval of bodies).

Remember, However, That, Finger prints still the most important human prints in the scene of the crime.

Simpson's Forensic Medicine BY

Bernard Knight, eleventh edition.

To be announced in lecture

Student Notes: .


Lecture 2: DEATH & POSTMORTEM CHANGES AND

BRAIN DEATH (I)



1. Define death and its types and their medicolegal significat

2. Differentiate between physical death and brain death

3. Medicolegal aspects of brain death.

4. Indications of death.

5. Postmortem Changes of forensic importance..HypostasisRigor mortis.

1. Definition of death

2. Definition and criteria of brain death

3. Changes after death. The medicolegal importance of temperature changes, factors affecting the cooling rate,and methods of measuring.

Student Notes: .


Continue 3: DEATH & POSTMORTEM CHANGES AND

BRAIN DEATH (I)

4. Definition and colors of hypostasis and hypostasis timing, and differentiation between it and contusion and medicolegal aspects of hypostasis.

5. Definition, mechanisms and factors affecting its timminig and cadaveric spasm and medicolegal aspects of Rigor Mortis.



Remember, However, That, The early diagnosis of death is so important in endemics and organ transplantation but should be in accurate way.

Student Notes: .


Lecture 3: : DEATH & POSTMORTEM CHANGES AND

BRAIN DEATH (II)


At the end of the lecture you should be able to: 1. Putrefaction as a late Post mortem changes.

2. Define Adipocere formation and describe its medicolegal significance

3. Define Mummification and describe its medicolegal significance

4. Define Maceration and describe its medicolegal significance

5. Timing the postmortem interval

1. Putrefaction Sequance, Putrefaction in immmersied, in buried bodies and its medicolegal significance

Student Notes: .


Continue Lecture 4: :

DEATH & POSTMORTEM CHANGES AND BRAIN DEATH (II)

2. Adipocere formation and its medicolegal significance

3. Mummification and its medicolegal significance

4. Maceration and its medicolegal significance.

5. Post mortem damage by predators.

6. Identifying the time after death.

Remember, However, That insects is so important in diagnosis of death, cause of death and time passed since death. Do not miss Predator injuries as postmortem injuries.

Simpson's Forensic Medicine BY Bernard Knight, eleventh edition.

to be announced in lectures

Student Notes: .


Lecture 4: Medico legal Importance OF THE WOUNDS I



1. Wounds, definition and type

2. Mechanism of wounds

3. Classifications of wounds

4. Forensic anatomy of the skin.

5. Role of forensic pathologist, Emergency Room (ER) physician, and surgeon in evaluation of wounds

6. Abrasions.

7. Contusions or Bruises.

8. Lacerations.

1. Definition of wound

2. Classification of wounds and mechanisms of wouds.

3. Medico-legal aspect of wounds, and the role of physician in evaluation of wound for medico-legal point of view.

4. Definition, mechanism, age, medico legal aspects of Abrasion, bruises, and laceration.

5. The duty of General practitioner GP, ER physician in evaluation of wounds from medico-legal point of view.

Student Notes: .


Continue

Lecture 4: Medico legal Importance OF THE WOUNDS I

To be listed in the lecture.



Self-assessment

Briefly answer the following short question:

1- What is the medicolegal importance of wounds?

Student Notes: .


Lecture 5: Medico legal Importance OF THE WOUNDS II



1. Incised wounds, cut or slashes.

2. Stab Wounds and penetrating injuries

3. Injuries by weapons other than knives.

4. Defence and fabricated wounds.

5. Dating of wounds.

6. Causes of death from wounds and Investigation of wounds.

11. 1. Definition, mechanism, age, medico legal aspects of Incised, stab and penetrating wounds.

2. Medicolegal aspects of defence and fabricated wounds.

3. Histological and histochemical changes in wounds and its medicolegal importance in dating of wounds.

4. Investigations and differentiation between suicidal, accidental and homicidal wounds.

Student Notes: .


Continue Lecture 6: Medico legal Importance OF THE WOUNDS II

Remember, However, That How to differentiate between P.M and A.M. wounds? D.D. between cut and contused wounds in skin stretched over the bone?3.

Simpson's Forensic Medicine BY Bernard Knight, eleventh edition.

.

In the computer cluster also you have the opportunity to see some useful web site.

www.google.com

Self-assessment

Briefly answer the following short question:List the differences between contused and incised wound

Student Notes: .


Lecture 6: Head Injuries



1. Describe skull fractures.

2. Describe the brain membranes hemorrhage.

3. Describe the different injuries affecting the cerebral tissues.

4. Describe the medico legal significance, complications of head injuries.

5. The ability to talk and walk after different injuries.

2. Forensic anatomy of brain membranes.

3. Description of different types of brain membranes hemorrhages and their medicolegal significance.

4. cerebral injuries, its mechanism, its fatalities, and their medicolegal importance.

5. Describe the complications and causes of deaths from head injuries.

Student Notes: .


Continue Lecture 6: Head Injuries

Remember, However, That, All Head injuries should be hospitalised for observation of post concussion symptoms and signs?



You have the opportunity to watch the CD-ROM You can access the CD-ROM during your spare time.

In the computer cluster also you have the opportunity to see some useful web site :

www. forensic pathology for student.comwww.studentconsult.com Self-assessment


What is the lucid interval?

Student Notes: .


Lecture 7: FIRE ARM INJURIES



1. Know the types of firearm weapons including rifled weapons and non rifled weapons.

2. Know the mechanics of missile injury.

3. Identify characters of wounds from smooth bore guns and rifled weapons including; contact wounds, intermediate and far distance wounds.

4. Differentiate and identify the entrance and the exit of wounds.

5. Estimating the range of discharge.

6. Know the doctors duty in firearm injuries and deaths. 1. Types of firearm weapons including rifled weapons and non rifled weapons.

2. The mechanics of missile injuries.

3. Types and characters of firearms injuries from rifled and non rifled weapons.

Student Notes: .


Continue Lecture 7: FIRE ARM INJURIES

4. Factors affecting the shape of Firearm injuries.

5. The differences between entrance and the exit of fire arm injuries.

6. Estimating the range of discharge.

a. The medicolegal significant of firearm injuries and doctor's duty in firearms injuries.free radicals Remember, However, That rifling marks are primary and secondary and the secondary one can be intentionally interrupted.



You have the opportunity to watch the CD-ROM about the. You can access the CD-ROM during your spare time.

Student Notes: .


Continue Lecture 7: FIRE ARM INJURIES

In the computer cluster also you have the opportunity to see some useful web site about the inflammatory process:

www.Fleshandbones.com www.webpath.com Self-assessment


Enumerate the factors affecting FAI shape.

Student Notes: .


Lecture 8: - Physical injury

Department: PathologyLecturer: DR. Ayman Abdel Hamid Nagy At the end of the lecture you should be able to: 1. Physical injury, definition and types

2. Burning, classification, and causes of death in burning.

3. Gross appearance at autopsy.

4. Ante mortem versus postmortem burns.

5. Fumes and fires, Inhalation of soot.

6. Electrical injury, the difference between point of entrance and exit.

7. Causes of death in electrical injury

8. Causes of death from lighting1. Definition and classification of physical injury

2. Value of evaluation of physical injury in forensic medicine

3. Burning either dry or moist heat

4. Definition, classification of severity, causes of death

5. Gross appearance at autopsy. Ante mortem versus postmortem burns.

Student Notes: .


Continue 8

6. Fumes and fires, Inhalation of soot.

7. Spurious " wounds" in burns. Atypical localized burning and spontaneous combustion.

8. Electrical injury

9. Definition and Physical factors

10. The cutaneous electric marks

11. Cause of death in electrical injury, Internal and histological appearance, Mood of death by electricity.

12. Lighting

13. Definition and physical factors. External and internal appearance.14. Causes of death.

15. Medicolegal significance of physical injuries.

Remember, however, that Post mortem buns is so common. Student Notes: .


Continue 8




In the computer cluster also you have the opportunity to see some useful web site about the www.forensic pathology for students.com

Self-assessment


Differentiate scaldes from dry and corrosive burns

Student Notes: .

Lecture 9: ASPHYXIA I



1. Define asphyxia and know its classification ( Gordone's classification).

2. Mechanical Asphyxia.

3. Know the traditional features of asphyxia.

4. Understand the phases and sequences of asphyxia.

5. Define different types of mechanical asphyxia and autopsy findings.1. Definition, types and traditional features of asphyxia.

2. Phases and sequences of asphyxia.

3. Definition, different types of mechanical asphyxia and autopsy findings of each type.

Student Notes: .


Continue 10

4. Effects and mechanism of fatal pressure on the neck (Manual strangulation, strangulation by ligature, mugging and Arm locks and hanging, hanging, sexual asphyxia) and autopsy findings.

5. Medico legal importance of each type of mechanical asphyxia.

Remember, however, that post mortem hanging Student Notes: .


\

Continue 9




In the computer cluster also you have the opportunity to see some useful web site about the www.forensic pathology.com Self-assessment


List differences between hanging and strangulation

Student Notes: .

Lecture 10: ASPHYXIA II

Department: Pathology

Lecturer: DR. Ayman Abdel Hamid Nagy


1. Know the different autopsy signs of immersion.

2. Know the difference between drowning and immersion.

3. Natural causes of death before entering and whilst in water

4. Understand the sequences of events in drowning on fresh and sea water.

5. Know the autopsy signs of drowning.

6. Understand the mode of death.

7. Know the laboratory test for diagnosis drowning (chemical changes in the blood in drowning and histological changes and diatoms).

a. The differences between drowning and immersion.

b. The autopsy signs of immersion.

c. The sequence of events in drowning in fresh and sea water.

Student Notes: .


Continue 10

d. The autopsy signs of drowning.

e. Natural causes of death before entering and whilst in water

f. Mode of death and laboratory tests for drowning.

g. Injuries sustained in or before entering the water.

h. Estimation of duration of immersion.

Remember, Hower, That Do not miss non violent cause of asphyxia

Student Notes: .


Lecture 11: SEXUAL OFFENSES



1. Definitions and know the different types of sexual offense.

2. Definition of rape, and medicolegal types of hymen.

3. Consent and its medicolegal types.

4. Examination of living assailant and victim in cases of rape and homosexual offences.

5. External and internal findings in fatal sexual assaults.

6. Collection of medicolegal evidences as semen and its examinations. 1. Medico-legal aspects of pregnancy.

2. Examination of medico-legal cases of pregnancy.

3. Know the medico-legal aspects of abortion including criminal, therapeutic and spontaneous abortion, methods of induction and doctor's action in respect to illegal abortion. Regulations on induced abortion.

Student Notes: .


Continue 11

7. Deaths associated with abortion and autopsy in abortion deaths. Infanticide definition, medicolegal importance and autopsy findings 1. Definition of each type of sexual offense.

2. Know in details the doctors duty in examination, including:

Informed consent and regulations in general and in KSA especially for examination and duties of doctors in different medicolegal cases.

Methods examinations and manegement of allegad assailant and victim.

Medcolegal evidences collections as seminal collection and available tests for recent and old stains.

Making full record for the case.

3. External and internal findings in fatal sexual assaults.

4. Medico-legal aspects of pregnancy.

5. Medicolegal types of abortion and medicolegal regulations of termination of pregnancy.

6. Methods of induction of abortion.

Student Notes: .


Continue 11

7. Examination of case pregnancy and its sure signs.

8. Examination of case recent and old abortion.

9. Deaths associated with abortion and autopsy in abortion deaths.

10. Collection of medicolegal evidence of abortion and laboratory tests.

11. Infanticide definition, medicolegal importance and autopsy findings, age of viability, determination tests for viability.

Remember, However That the Saudi regulation of examination of all cases of rape and raped females (especially).

Do not miss the illegal abortion in cases of induced abortion

Student Notes: .


Continue 11



In the computer cluster also you have the opportunity to see some useful web site

www.forensic pathology for student.com Self-assessment


What is the medicolegal significance of abortion and pregnancy?

Student Notes: .

Lecture 12: GENERAL ASPECTS OF FORENSIC

TOXICOLOGY

Department: Pathology Lecturer: DR. Ayman Abdel Hamid Nagy


1. Definition of the poison, classification of poison and fields of toxicology.

2. Definition of the forensic toxicology

3. The rules of the forensic toxicologist

4. Medicolegal significance of forensic toxicology.

5. Diagnosis of poisoning.

5. General treatment of poisoning (emergency and supportive management.)1. Definition of the poison, classification of poison and fields of toxicology.

2. Definition of the forensic toxicology

3. The rules of the forensic toxicologist

4. Medicolegal significance of forensic toxicology.

5. Diagnosis of poisoning.

6. General treatment of poisoning exposure

Student Notes: .


Continue 12

Remember, That to safe the life of poisoned patient the type of poison should be not the first thing you should to know.




www. forensic pathology for medical students.com

Student Notes: .


Lecture 13: VOLATILE POISONS AND NOXIOUS GASES(1)

Department: Pathology Lecturer: DR. Ayman Abdel Hamid Nagy


1. Define the volatile poisons and Noxious gases

2. Ethyl alcohol (Ethanol) metabolism.

3. Ethyl alcohol actions, toxic dose and fatal dose.

4. Clinical picture of alcohol acute toxicity, Its diagnosis, and treatment.

5. Medicologal importance of acute ethyl alcohol toxicity and autopsy findings.

6. Methyl alcohol Toxicity. and Medicologal importance of acute Methyl alcohol toxicity and autopsy findings.

1. Define the volatile poisons and Noxious gases

Student Notes: .


Continue 13

2. Ethyl alcohol metabolism, action, toxicity (C/P, Fatal and toxic dose, and medicolegal significance of ethyl alcohol toxicity, autopsy finding)

3. Mthyl alcohol metabolism, action, toxicity (C/P, Fatal and toxic dose, and medicolegal significance of methyl alcohol toxicity, autopsy finding).

Student Notes: .


Continue 13

listed: will be announced in lecture




In the computer cluster also you have the opportunity to see some useful web site www.google.com Self-assessment


Discuss autopsy findings in alcohol toxicity

Student Notes: (Insert here handouts and additional pages for notes if needed) .

Lecture 14: VOLATILE POISONS AND NOXIOUS GASES (II)




1. Cyanide poisoning, Conditions of poisoning, management of toxicity.

2. Medicolegal significance of poisoning and autopsy finding.

3. Carbon monoxide poisoning, Conditions of poisoning, management of poisoning.

4. Medicolegal significance of poisoning and autopsy finding.

5. Carbon monoxide poisoning, Conditions of poisoning, management of poisoning.

6. Medicolegal significance of poisoning and autopsy finding.1. Cyanide poisoning, sources and condition of poisoning, fatal and toxic dose, c/p of toxicity and management, autopsy findings and medicolegal significance of cyanide toxicity.

Student Notes: .


Continue 14

2. Carbon monoxide poisoning, sources and condition of poisoning, fatal and toxic dose, c/p of toxicity and management, autopsy findings and medicolegal significance of carbon monoxide toxicity.

3. Carbon dionoxide poisoning, sources and condition of poisoning, fatal and toxic dose, c/p of toxicity and management, autopsy findings and medicolegal significance of carbon dionoxide toxicity.

4. Diagnostic laboratory tests and role of physation in collection and preservation of samples.

Student Notes: .


Continue 14

Remember, That the CO poisoning is the silent Killer.





www.google.com Self-assessment

Briefly answer the following short question:What is the autopsy findings of cyanide and Co poising?

Student Notes: .

Lecture 15: PLANT POISONOUS AND DRUG DEPENDENCE (1)




1. Define the plant toxicology and alkaloids

2. Describe the types and classifications of plant poisons

3. Opium toxicity, sources and chemistry, management of toxicity, medicolegal importance of toxicity

4. Atropine toxicity, sources and chemistry, management of toxicity, medicolegal importance of toxicity.

5. Strychnine toxicity, sources and chemistry, management of toxicity, medicolegal importance of toxicity. 1. Definition of plant toxicology and alkaloids.

2. Opium toxicity, sources and chemistry, management of toxicity (c/p, antidotes, D.D), precautions in prescription of opium, medicolegal importance of toxicity

Student Notes: .


Continue 15

3. Atropin toxicity, sources and chemistry, management of toxicity (c/p, antidotes, D.D), medicolegal importance of toxicity

4. Strychnine toxicity, sources and chemistry, management of toxicity (c/p, antidotes, D.D), medicolegal importance of toxicity.

Student Notes: .


Continue 15

Remember, however, that not all medicinal plants are absolutely safe.




On the website you will find

many interactive cases for

discussion, MCQs and images.

www.studentconsult.com Self-assessment


What is the legal precautions of morphine prescription? Student Notes: .


Lecture16: PLANT POISONOUS AND DRUG DEPENDENCE (II)




1. Ergot toxicity, sources and chemistry, management of toxicity, medicolegal importance of toxicity

2. Cocaine toxicity, sources and chemistry, management of toxicity, medicolegal importance of toxicity

3. Define the drug dependence

4. Theories of dependence, and classifications of dependence

5. Examples of dependence, management of dependence

6. Describe the medicolegal aspects of the drug of dependence.1. Ergot toxicity, sources and chemistry, management of toxicity (c/p, antidotes, D.D), medicolegal importance of toxicity

2. Cocain toxicity, sources and chemistry, management of toxicity (c/p, antidotes, D.D), medicolegal importance of toxicity3. Definition of dependence

Student Notes: .


Continue 16

4. Theories of dependence, and classifications of dependence

5. Examples of dependence and its management.

6. Describe the medicolegal aspects of the drug of dependence.

Student Notes: .


Continue 16

Remember, however, the magnitude of addiction and increasing the number of addict drugs.




On the website you will find many interactive cases for discussion, MCQs and images.



What is the medicolegal significance of drug depends?

Student Notes: .


Lecture 17: ANIMAL POISONS & INSECTICIDIES POISONOUS


At the end of the lecture you should be able to: 1. Define animal toxicology

2. Poisonous snakes, Classifications, mechanisms of snake poisoning, fatal period and fatal dose, Management of toxicity.

3. Medicolegal importance of snake poisoning and autopsy findings.

4. Poisonous scorpiones, Classifications, mechanisms of scorpion poisoning, fatal period and fatal dose, Management of toxicity.


6. Medicolegal importance of bee stings and autopsy findings.7. Definition and classification of insecticides.

8. Conditions of poisoning.

9. Medicolegal importance of organophosphorus poisoning

10. Medicolegal importance of carbamates poisoning

11. Medicolegal importance of paraquat poisoning Student Notes: .


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12. Medicolegal importance of new insecticide poisoning. Know the most acquired preneoplastic disorders

1. What is animal toxicology, definition and classifications

2. Poisonous snakes, Classifications, mechanisms of snake poisoning, fatal period and fatal dose, Management of toxicity.


4. Poisonous scorpiones, Classifications, mechanisms of scorpion poisoning, fatal period and fatal dose, Management of toxicity.


6. Medicolegal importance of bee stings and autopsy findings.

7. Definition and classification of insecticides.

8. Conditions of poisoning.

9. Medicolegal importance of organophosphorus poisoning (Diagnosis, D.D, Treatment, Autopsy findings)

10. Medicolegal importance of Carbamates poisoning (Diagnosis, D.D, Treatment, Autopsy findings)

11. Medicolegal importance of paraquat poisoning (Diagnosis, D.D, Treatment, Autopsy findings). Student Notes: .


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Remember, however, that the insecticide and organophosphrous poisoning are a house hold poisoning.




On the website you will find many interactive cases for discussion, MCQs and images.



What are the autopsy findings in snakes poison and scorpion?

Student Notes: .

Practical 1:IdentificationTUTOR: DR. Ayman Abdel Hamid Nagy Department: Pathology

OBJECTIVES:

Characteristics useful in identifying the living, dead remains.

Personal identity from skeletal remains.

General identification of human remains (Biological profile) as role of individual prints (finger, foot, lip, DNA and others).

Estimating the subject's age from skeletal structures and role of teeth in identification.

.Determination of sex.

Estimation of stature and race from skeletal remains..

Teaching material of different gross specimens demonstrating the following lesions: 1. Images and X-rays

2. Long bone

3. Skull

4. Pelvis

5. Sternum

6. Jars of foetus

Practical 2:Ballistcs- gross specimensTUTOR: DR. Ayman Abdel Hamid Nagy Department: Pathology

. Know the types of firearm weapons including rifled weapons and non rifled weapons.

Know the mechanics of missile injury.

Identify characters of wounds from smooth bore guns and rifled weapons including; contact wounds, intermediate and far distance wounds.

Differentiate and identify the entrance and the exit of wounds.

Estimating the range of discharge.

Know the doctors duty in firearm injuries and deaths.

Types of firearm weapons including rifled weapons and non rifled weapons.

The mechanics of missile injuries.

Types and characters of firearms injuries from rifled and non rifled weapons.

Factors affecting the shape of Firearm injuries.

The differences between entrance and the exit of fire arm injuries.

Estimating the range of discharge.

The medicolegal significant of firearm injuries and doctor's duty in firearms injuries.free radicals

Teaching material of different gross specimens demonstrating the following lesions: 1. Complete bullet

2. Fired and non fired bullets

3. Empty cartage

4. Different types of powders

5. Images of different shapes of fire arm injuries.

6. Brown atrophy heart

.

Simpson's Forensic Medicine By Bernard Knight, eleventh edition.

Practical 3:Primary medicolegal reports and Death certificatesTUTOR: DR. Ayman Abdel Hamid Nagy Department: Pathology

OBJECTIVES:1. Medico-legal aspect of wounds, and the role of physician in evaluation of wound for medico-legal point of view.

2. Definition, mechanism, age, medico legal aspects of Abrasion, bruises, and laceration.

3. The duty of General practitioner GP, ER physician in evaluation of wounds from medico-legal point of view.

4. Medicolegal aspects of defence and fabricated wounds.

5. Histological and histochemical changes in wounds and its medicolegal importance in dating of wounds.

6. Investigations and differentiation between suicidal, accidental and homicidal wounds.

7. How to write a primary medicolegal report.8. Indications of death.

9. Postmortem Changes of forensic importance..HypostasisRigor mortis.

10. Timing the postmortem interval

11. Death certificate.

Practical 4:Blood & hair and fibbersTUTOR: DR. Ayman Abdel Hamid Nagy Department: PATHOLOGY

OBJECTIVES: Medicolegal importance of evidence in scene of crime in general.

Medicolegal importance of. hair &blood and fibbers.

How to preserve the forensic evidence?

What is the chain of custody?

Is it human?

Is it related to certain persn?

:Simpson's Forensic Medicine By Bernard Knight, eleventh edition.

Independent learning

Independent learning is a very essential skill for tomorrows doctors. We will train you to gain this important skill by asking you to read independently about specific topics in pathologyList of Course student directed learning:

1- Medico legal importance of Consent

2- Medico legal Significance of Car seat belt and Expected injuries in car accident. 3- Medicolegal evidence collection and reservation methods and chain of custody.Problem Solving Learning PSLProblem Solving Learning is a very essential skill for tomorrows doctors. We will train you to gain this important skill by asking you to read independently about specific topics in pathology

List of Course Problem Based Learning

1- It discuses house hold poisoning, and post mortem findings in corrosive and heavy metal poisoning. 2- It discuses the house wife abuse, sexual abuse. Weapons used, injuries findings and post mortem findings in this case.Log book requirement:

Students will be divided into groups each group consists of six students they will work together to inspect and photo six medicolegal cases ( wounds, and/ or Post mortem changes). To write a full Primary medicolegal report

By the end of the book it will be corrected and discussed according to cases.

Further Reading

Course Text Book:



Other Information Resources:1. Knight's Forensic Pathology by Pekka Saukko. Bernard Knight, Third Edition ( Reading Text book).

2. Hand Book of Forensic Pathology By: Vincent J.M Di Maio

and Suzanna E. Daua (Reading Text book).3. Forensic web site on the internet. www.forensicmedicineformedicalstudent.co.uk www.internt pathologylaboratory for medical education. co

4. Hand out of lectures.5. King Abdul Aziz University Library.

The most characteristic of the fire arm injury is:

Presence of inlet and exit.

Loss of substance

Presence of associated projectile.

Presence of the missile.

The circular shape of wound.C

Structure of the Module

KING ABDULAZIZ UNIVERSITY

Faculty of Medicine

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78905_forensic Study Guide Final Version 2