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    Forensic Medicine Assignment (2011-2012)

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    aymanway
    This document summarizes a forensic medicine case study involving a patient who was hit by a speeding car. The patient initially lost consciousness but regained it after a few minutes. He then had a lucid interval at home where he had a headache and dizziness. Later he became drowsy and was taken to the hospital where he fell into a coma. CT scans revealed epidural changes requiring decompression surgery.

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    Forensic Medicine Assignment (2011-2012)

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    aymanway
    30 views4 pages
    This document summarizes a forensic medicine case study involving a patient who was hit by a speeding car. The patient initially lost consciousness but regained it after a few minutes. He then had a lucid interval at home where he had a headache and dizziness. Later he became drowsy and was taken to the hospital where he fell into a coma. CT scans revealed epidural changes requiring decompression surgery.

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    This document summarizes a forensic medicine case study involving a patient who was hit by a speeding car. The patient initially lost consciousness but regained it after a few minutes. He then had a lucid interval at home where he had a headache and dizziness. Later he became drowsy and was taken to the hospital where he fell into a coma. CT scans revealed epidural changes requiring decompression surgery.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    30 views4 pages

    Forensic Medicine Assignment (2011-2012)

    Uploaded by

    aymanway
    This document summarizes a forensic medicine case study involving a patient who was hit by a speeding car. The patient initially lost consciousness but regained it after a few minutes. He then had a lucid interval at home where he had a headache and dizziness. Later he became drowsy and was taken to the hospital where he fell into a coma. CT scans revealed epidural changes requiring decompression surgery.

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    of 4

    Qassim University College of Medicine Forensic Medicine

    Forensic Medicine Assignment (2011-2012)

    Done By: Ayman J. Al-Jaafry. ID: 425035000.

    Part 1: While a passerby crossing the road, he was hit by a speeding car. Immediately, he lost his consciousness for a few minutes and soon, he regained his consciousness and walked home. Part 2: During this period, (in which he regained his consciousness), he stayed in his home with his family, told them about the accident. He looked normal and continued his normal life activities (ate his lunch and took his shower). The only thing that he was complaining of during this period was a slight headache and mild dizziness. Part 3: A few hours later, he started to be drowsy and was taken to the hospital for medical exam. As soon as he had arrived at the hospital, the doctor noticed that he was losing his consciousness and soon he entered into coma. His blood pressure was high with high temperature and his pupils were unequal and appeared dilated and fixed. Doctors requested CT scan on the head and later took him to the operation theater to carry out an emergency operation.

    Q1: When the patient was hit by the speeding car, he lost his consciousness. What would be the diagnosis? Concussion of the brain Q2: What is the most probable cause of loss of consciousness during this stage? Due to physiological shaking of the brain. Q3: what is the clinical picture of this case at this stage? Skin changes : sweat, cold, clammy. Face appearance: pale. Pulse: weak, rapid. Respiration: shallow. Blood pressure: low. Muscles: flaccidity.

    Reflexes: are lost (the last reflex to disappear and reappear is the corneal reflex followed by sphincter reflexes). Temperature: normal or subnormal. Pupils: equal but contracted in mild concussion and dilated in severe concussion. Vomiting is common. He regained his consciousness and walked home: Q4: what we call this period? Lucid Interval. Q5: how long does it last? Lasts for a few hours. Q6: what is the importance of this period? 1- During it the patient can give the name of assailant.
    2-

    The assailant or his defense can claim that the injury in not the cause of death because the patient has recovered after the injury.

    When he arrived at the hospital, he lost his consciousness. Q7: what would be the diagnosis? Compression. Q8: what are the other manifestations of this case? 1- Gradual loss of consciousness. 2- High blood pressure. 3- Slow and full pulse. 4- Slow, deep and stertorous breathing. 5- Temperature: High (cerebral fever).

    6- Vomiting: projectile. 7- Papilledema. 8- Signs of lateralization which are: a) Conjugate deviation of the eyes: first towards the affected side (due to irritation) then, towards the opposite side (paralysis). b) The pupil is first contracted on the affected side, then on the opposite side (irritation), then dilated and fixed on the affected side, then on the opposite side (paralysis). c) Muscular twitches and exaggerated reflexes on the side of body that is opposite to the site of the lesion in the brain, followed by paralysis and loss of reflexes.

    Q9: What doctors expect to see on CT scan? Epidural changes. Q10: How can doctors manage this case? Or in other meaning, What is the name of the operation that doctors intend to undertake? Decompression operations.

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