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Full text of "Medical Jurisprudence And Toxicology"

162

MEDICAL JURISPROTENCE.

On or about the 9th November 1926, Mt. Masuman reported to the Sub-Divisional
Magistrate of Mohanlalganj, District Lucknow, that her husband had attempted to
murder her by strangulation. On examination I found bruise-like marks on both sides
of the front of the neck. The skin round about these marks was inflamed and covered
with tiny blisters. She had similar marks on the palms and tips of the fingers. On further
examination these were found to have been caused by the application of the juice of
a marking nut (see Fig. 54).

Accidental strangulation is rare, but it may occur when an article of
clothing, a neck band or a cord is tightly drawn round the neck all of a
sudden. This may occur in an epileptic or an intoxicated person who may
be helpless in extricating himself from such tight encirclement of the neck.
It may also occur when a string used in suspending a weight on the back
should slip from across the forehead and compress the neck. This is easy
to conjecture, if the body has not been disturbed after death. Children
may also be accidentally strangled by a window blind cord or string encir-
cling the neck too tightly during play.

Differences between Hanging and Strangttktion.—The differences be-
tween hanging and strangulation are given below in a tabulated form: —

Hanging

Strangulation

* 1.
2.

Mostly suicidal.

Ligature mark, oblique, non-conti-
nuous, placed high up in the neck
between the chin and the larynx, the
base of the groove or furrow being
hard, yellow and parchment-like.
Abrasions and ecchymoses round

-about the edges of the ligature mark,
rare.
Subcutaneous tissues under the mark,

v white, hard, and glistening.
Injury to the muscles of the neck,
rare.

Carotid arteries, internal coats rup-
tured in violent cases of a long drop.
Fracture of the larynx and trachea,
very rare and that too in judicial
hanging.
Fracture-dislocation of the cervical

"vertebrae, common in judicial hang-
ing.
Scratches,   abrasions  and bruises  on

Hie face, neck and other parts of the
body, usually not present.
Face, usually pale and no petechise.

10.

stretched   and   elongated   in
fresh bodies.

12.  External  signs  of  asphyxia,  usually
—.— not well marked.

13.  Bleeding 'from the nose, mouth and
ears, very rare.

14.  Saliva,   xiinning   out   of   the   mouth
\    ——down on the chin and chest,

\15. Emphysematous patches on the sur-
s-^tace of the lungs, not present.

1.  Mostly homicidal.

2.  Ligature  mark,  horizontal or  trans-
verse,  continuous,  low  down in the
neck below the thyroid, the base of
the groove or furrow being soft and
reddish.

3.  Abrasions    and    ecchymoses    round
about the edges of the ligature mark,
common.

4.   Subcutaneous tissues under the mark,
ecchymosed.

5.   Injury to  the muscles of the neck,
common.

6.   Carotid arteries, internal coats ordi-
narily ruptured.

7.   Fracture of the larynx and trachea,
often found.

8.   Fracture-dislocation   of   the   cervical
vertebrae, rare.

9.   Scratches,  abrasions  and bruises on
the face, neck and other parts of the
body, usually present.

10.   Face,   congested,   livid   and   marked
with! petechiae.

11.   Neck, not so.

12.   External signs of asphyxia, very well ',
-    marked.

13.   Bleeding from the nose, mouth and
ears, may be found.

14.   Saliva, no such running.

15.   Emphysematous patches on the sur-
face of the lungs, may be present.

ILLUSTRATIVE CASES

Suicide.—1. f A Hindu lunatic in a jail strangled himself by passing two or "three;;
coils of stout thread around his neck, attaching the ends securely to his wrists and then
extending his arms to the utmost limit.    This occurred during ten minutes when his
attendant was absent.—Surgeon-General Francis, Med. Times and Gaz.,  Dec. 2, 1876> ,
P-634.                                                                                                                          „;