8. Re-examine injuries after 24-48 hours (particularly bruises with
blunt force impact)
9. Pre-treatment and post-treatment examination (Re-view)
10.Bodily pain is also covered in simple hurt. Tenderness or restriction
of movements should be noted. Better to review after 1-2 days.
11.In case no external injury appreciable: So do not ill the category of
hurt in such cases.
12. How to recognise whether the cut marks are self-in licted or not?
Self-in licted cut marks are usually super icial, rarely dangerous to life
(unless infected), occasionally involving full thickness of skin, regular
(equal depth at origin till end), multiple, often parallel, usually not on
vital or sensitive areas, usually on left side of body (in right handed
person), no corresponding cuts in cloths are seen.
13. How to identify post-mortem ant bite marks and whether they can
be confused with abrasion injury?
Ant bite marks are identi ied by being super icial ulceration with
scalloped and serpiginous margins with absence of underlying
bleeding. Although some lesions may not be associated with
surrounding in lammatory changes (as in case of bite after 2-3 hours)
but slight in lammatory changes in some lesions may be present if
bitten immediately or within 2-3 hours of death.
They can be mistaken for antemortem abrasions. Linear ant bite
lesions around neck may resemble ligature abrasions.
14. Whether the scrotum swelling due to haemorrhage can be only
due to direct trauma to testicles?
Not always; the scrotum swelling due to bleeding could be possible
extension of retroperitoneal hematoma as retroperitoneal
haemorrhage may present as reddish brown swollen scrotal mass. Due
to nearly closed retroperitoneal compartment the physical indings
may be rare or sometimes misleading during presentation of patients
with retroperitoneal haematoma. Retroperitoneal haematoma could
happen spontaneously. This spontaneous haemorrhage in concealed
space in retroperitoneum may be a potential complication of DIC
(Disseminated Intravascular Coagulation) which itself is a known life
threatening complication of severe sepsis (generalized infection in
MEDICAL DIMENSION OF FREQUENTLY ENCOUNTERED CASES | 32