1993-2018 ,u ,p vkj lh % iPphl o’kZ&vla[; vk’kk,a Nhrc : Twenty Five Years-billion Hopes 9 Asthma 10 11 Haemoptysis Bleeding in digestive system Subarachnoid haemorrhage 12 3. 4. 5. 6. History of breathlessness, inhaler use. Enlarged lungs, spongy, thickening of airway walls often packed with thick mucus may be the findings on autopsy. Blood in cough, common in TB Ulcer, cancer, liver disease, polyp. May be associated with hypertension or trauma What questions must be addressed during autopsy when an injury has been sustained by a person who has a substantial natural disease also? · Whether death was caused entirely by the disease and would have occurred irrespective of the injury? · Whether death was caused entirely by the injury and would have occurred whether or not the disease was present? · Whether the death was caused by a combination of these two processes? Whether anaemia can cause death? In severe chronic anaemia, the heart may be unable to sustain the high cardiac output demand and consequently heart failure can develop. The right heart failure can also lead to congestive hepatomegaly (liver enlargement). Iron de iciency is also an independent risk factor for death due to heart failure. Whether anaemia can develop suddenly/acutely? Anaemia can even happen rapidly in cases of acute large bleeding which could be appreciated by presence of pallor and con irmed by estimation of haemoglobin. Although anaemia generally develops over a period of time commonly due to de iciency of micronutrients or may be associated with chronic illnesses. How ear infection can cause death? Brain abscess could be a possible complication due to spread of infection from middle ear. Neck rigidity (which is suggestive of infection involving brain coverings i.e., meningitis) and repeated vomiting (suggestive of raised pressure in head) are further possible complications leading to fatal outcome. FORENSIC INVESTIGATION | 27