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Thanatology Thanatos=death Logos=science
Is the branch of science that deals with the study of death.
y Blacks law dictionary defines death ass Cessation of Life or Ceasing to exit.
y Death is permanent and irreversible cessation of functions of three interrelated
Vital Systems of the body. Nervous, Circulatory & Resp
y If any of these 3 systems fail then the other 2 also fail as they are functionally
interrelated to each other.[Tripod of Life]
y Due to advancement of medical science it is possible to maintain resp. &
circulation for long periods. However irreversible damage to the brain often
occurs during the short period when breathing/circulation has been suspended.
Due to irreversible brain damage body remains in vegetative form. Hence there
appeared the concept of Brain Death.
y Latest criteria for declaration of death is Brain Death.
y The need for declaration of death is very important for cremation & ritual purpose
and for transplantation purpose.
Brain Death is diagnosed by testing following brain stem reflexes.
1. Absence of corneal reflex.2. Dilated & fixed pupils not reacting to light.
3. Absence of vestibule-ocular reflex.
4. Absence of cranial motor nerve response to painful stimulus.
5. Absence of cough reflex.
6. Test withdrawal of ventilator should cause stoppage of resp.
1 Somatic / Systemic / Clinical death.
2 Cellular / molecular death.
Somatic death-- The term death as commonly used means somatic death There is
death of the body as a whole.
Soma means body.
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After somatic death tissues & cells survive for a varying period depending upon their O2
requirement.
When these individual tissues & cells die, it is termed as Molecular or Cellular death.
It occurs in parts, eg. Nervous tissue dies with in 5 mts, while muscles survive up to
about 3-4 hrs . blood cells & cornea may remain alive for > 5hrs. Organ which need
more blood supply during life die early in the absence of circulation.
Molecular death is generally complete within 3 to 4 hrs of somatic death.
Diagnosis of Somatic / Clinical death is difficult in the following:
1. Soon after death when the body is warm.
2. Suspended animation.
3. Coma due to excessive dose of sedatives/hypnotics.
4. Hypothermia.
5. Electrocution
6. Drowning.
MODES OF DEATH It refers to the abnormal physiological state that existed at the time
of death.
1. Coma 2.Syncope 3. Asphyxia
Coma: death occurs due to failure of functions of the brain and irreversible damage to
its vital centers.
Coma may occur due to
1. Raised intra cranial pressure.
2. Poisons like opioids, alcohol.
3. Metabolic disorders like uraemia.
SYNCOPE: death occurs due to failure of functions of heart.
It may occur due to.
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1. Heart disease.
2. Hemorrhage
3. Pathological states of blood.
4. Exhausting diseases.
5. Poisoning due to digitalis, aconite or oleander.
ASPHYXIA: death occurs due to failure of respiratory system
It may occur due to
1. Pathological cond of resp. system (pneumonia)
2. Paralysis of resp. center (opium poisoning)
3. Occlusion of air passages.
4. Breathing of irrespirable gases.
5. Traumatic asphyxia.
MANNER OF DEATH
It refers to the circumstances in which death occurs
Natural
Unnatural Accidental
Homicidal
Suicidal
SIGNS OF DEATH/ CHANGES AFER DEATH
IMMEDIATE SIGNS/ Signs of Somatic death
1. INDRNDIBILITY & loss of EEG rhythm.
2. Cessation of CIRCULATION
3. Cessation of RESPIRTION
EARLY SIGNS/ Signs of Molecular death
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(occurs with in 12-24 hrs of death)
1. Cooling of the body (ALGOR MORTIS)
2. Changes in the eye.
3. Changes in the skin.
4. Post mortem lividity
5. Changes in the muscles.
LATE CHANGES (Occurs about 24 hrs after death)
1. Decomposition
2. Modification *Adipocere/ Saponification *mummification
IMMEDIATE SIGNS (Signs of Somatic death)
1. INSENSIBILITY & Loss of EEG rhythm.
y Loss of sensation viz. perception of touch, pain, temp.
y Less of Vountary power to move
y Reflexes are lost.
These signs are not conclusive of death as they may be present in condition as fainting
attack, vagal inhibition, epilepsy, drowning , electrocution etc. These signs can betaken as conclusive only when associated with loss of rhythm for a continuous period of
5 mts.
2. Cessation of CIRCULATION
y On careful auscultation heart sounds are not heard for a continuous period of
5mts. Sometimes in living persons it is difficult to hear sounds(Feeble pulse,
Thick chest wall Emphysema)
y Flat ECG for a continuous period of 5mts.3. Cessation of RESPIRATION
On careful auscultation complete absence of breath sounds for a continuous period of
5mts.
Resp. may stop for very short period without death in
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1.Voluntary act 2. Drowning
3. New Born Infant 4. Chyene-stokes breathing
EARLY SIGNS (Signs of Molecular death)
COOLING OF THE BODY/ ALGOR MORTIS
Algor=Coldness Mortis=of death
After death heat production stops and the body loses heat by conduction, convection &
radiation till it is in equilibrium with the surrounding temp.
Body temp. is recorded by chemical thermometer (THANTOMETER)25 cm long,
graduated from 0-50 0C. It is inserted 8-10 cm in the rectum for 2-3 mts or by making a
slit in the abdomen & inserting the thermometer under the lever.
Isothermic Phase
Body temp. is remain unchanged for a short period after death. When the body temp is
normal at the time of death there is no fall in core temp for about 45 mts. As heat loss
occurs only through body surface. It takes some time for the temp. gradient to be
created b 100 the inner care & the surface of the body.
If we plot a graph between temp (Y axis) & time since death ( X axis) we get a
SIGMOID or INVERTED S shaped graph.
In First 2 hrs
Rate of fall of temp. = Half the diff. between body temp & the surroundings.
In Next 2hrs temp falls at half of this rate.
Thereafter temp falls slowly till the body is in equilibrium with the surroundings.
In tropical countries like India avg. heat loss is 0.5 to 0.7 C per hour.
Body attains Env Temp in about 16-20 hrs.
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Time Since Death Normal body temp (37.2 C ) Rectal temp
(in hrs ) = Avg. rate of fall of temp/hr (0.6 C)
Temp estimates to find time since death applies mainly to countries with cold or
temperate climate. In countries like India it is not possible to base any far reaching
conclusions on the basis of this observation
POST MORTEM CALORICITY
Temp may increase in first few hrs after death
1. Sun stroke , Pontine Hemorrhage mechanism of heat regulation is disturbed
before death.
2. Tetanus & Strychnine poisoning- increase in heat production in the muscles due
to convulsions
3. Acute Vital or Bacterial Infection: Lobar Pneumonia, Typhoid.
Rate of Cooling of the body depends upon:
1. Age- children and adults of small stature cool rapidly due to large body surface.
2. Condition of the body- Lean bodies cool rapidly & fat bodies cool slowly since fat
is a bad conductor of heat.
3. Sex Females have mor e fat so body cools slowly.
4. Mode of Death- Sudden death in a healthy person- body cools slowly. Deaths
due to asphyxia, lightning, CO poisoning body cools slowly. Death s due to
long illness & wasting disease body cools rapidly.
5. Surroundings- Body cools rapidly in well ventilated rooms- movement of air
accelerates cooling by convection. Also in water due to conduction. Body
covered with clothing & lying in bed cools slowly.
6. Env. Temp Body cools rapidly when temp difference between environment &
body is more.
CHANGES IN THE SKIN
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After death skin assumes pale, ashy white appearance. It loses translucency. (Due to
absence of circulation).
POSTMORTEM STAINING/ LIVIDITY/ HYPOSTASIS/ SUGGILATION/ VIBICES/
LIVOR MOTIS
Means discoloration or staining of the skin & organs due to accumulation of fluid blood
in the dependent parts of the body. It is due to blood gravitating & distending the
tolneless capillaries and small veins in the depende t parts of the body.
Its starts within an hour after death & presents as mottled patches on the dependent
parts within 1-3 hrs.
These patches coalesce in about 3-6 hrs.
Fixation of lividity is due to stagnation of blood in the distended toneless capillaries &
small veins and not due to coagulation of blood. Once the lividity get fixed, if the position
of the body is changed pattern of lividity is not altered due to
y Inability of blood to flow easily from the distended toneless capillaries and
y Staining of tissues caused by diffusion of hemoglobin. From distribution & fixation
of liviidity, it is possible to determine the position in which body was lying after
death. Fixation of lividity indicates time since death is more than 8 hrs/
Distribution & Pattern of lividity depends upon the position of the body after death.
In HANGING it is present over the dependent lower limbs, external genitalia & lower
parts of forearms and hands.
In DROWNING as the body floats with face downwards, it is present on head & upper
parts of the body is constantly changing position as in running water it may not develop.
As lividity develops due to filling of Bld. Vessels it is not developed over areas of
Contact Flattening (areas of body in actual contact with surface on which body is lying)
because pressure of the body occlude toneless capillaries.
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In supine position areas of contact flattening are back of shoulders, buttocks & back of
calves.
Pressure due to tight clothing prevents development of lividity in that area. White band
on the neck due to tight collar or ornaments around neck may be mistaken as marks ofstrangulation.
EXTENT of Lividity depends upon the vol. of bld in circulation & duration for which bld
remains fluid after death.
When total Bld. Vol. is decreased (massive hemorrhage ) the lividity is limited in extent.
When total blood vol. is increased(CCF) extent of lividity is marked.
COLOUR of lividity depends on color of blood & mode of death.
Normally color of lividity is initially bluish pink & afterwards bluish purple.
In deaths due to excessive hemorrhage & anemia- it is very faint.
In deaths due to asphyxia ( bld is mainly venous &n do not coagulate readily)- Lividity is
intensely developed & purple.
In lobar pneumonia (bld. Coagulates rapidly)- Lividity is less obvious.
CO Poisoning, Burns, Exposure to Cold-----------Bright cherry red
KCN-------------Pink
Phosphorus---------Dark Brown
H2 S------------Bluish Green
Nitrites--------------Reddish Brow
Opium------------------Black
Potasium Chlorate---------Chocolate Brown
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Lividity of INTERNAL ORGANS develops in the same way as that on the skin. In supine
position it appears over post. Part of cerebrum, cerebellum, left vent. Of heart, dorsal
aspect of lungs, liver & kidney post. Wall of stomach, lowermost portion of intestines in
the pelvic cavity
LIVIDITY CONGESTION
(due to disease)
Cause Capillary & Small Vein
distension with blood
Due to some pathology in
the organ
Situation On dependent parts only Involve whole organ
diffusely
Cut
Surface
Oozing of blood from
distended capillaries
Exudation of fluid mixed
with blood
Swelling & Exudation Nil May be present
Mucous membrane Normal Dull & lusterless due to
inflammation
Hollow organs when
stretched
Show alternate stained &
unstained areas.
Show uniform staining
Nature of change postmortem Ante mortem
LIVIDITY BRUISE
Situation On dependent body parts Situated anywhere.
Tissue
level
Epidermal Sub epidermal
surface Not elevated Surface slightly elevated
margins Clearly defined Diffuse
Color Uniform in color Changes color with time
Cause Distension of capillaries & veins
with blood
Extravasation of blood from
capillaries
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Nature of
change
Postmortem Ante mortem
Effect if
Pressure
Pressed spot appears blanched if
PMS not fixed
No color change
Cut
Surface
Oozing of blood from distended
capillaries which can be easily
washed away
Extravasation of blood in the
surrounding tissue which can not be
washed away easily
M/E Blood elements are found within
the bld. Vessels.
Blood elements are found outside the
Bld. Vessels.
MLI Suggest time since death &
position of the dead body
Suggest nature of injury & weapon
used
MEDICOLEGAL IMPORTANCE OF P.M. STAINING
1. A reliable sign of death.
2. It gives information about position of the body at the time of death & whether the
position has been altered.
3. It helps to estimate time since death.
4. Its color may indicate cause of death.5. Its distribution may suggest manner of death.
6. It may be mistaken as bruises or pathological conditions.
CHANGES IN THE MUSCLES:
1. Primary Relaxation- Immediately after death there is relaxation of muscle tone &
lower jaw droops, intraocular tension falls, pupils dilate, muscles become soft &
flabby, joints are flexible, sphincters relax (may lead to incontinence of urine &
faeces). The muscles still react to external stimuli.
2. RIGOR MORTIS (RIGOR=Rigidity MORTIS=Death)
Shortening, Stiffening & Opacity of muscles which occurs after the period of primary
relaxation.
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Mechanism:
The contractile element of the muscles consist of protein filaments Myosin & action.
In relaxed state during life Actin inter digitate with Myosin only to a small extent and
muscle fibers appear soft.
This softness & extensibility of muscles is due to presence of ATP above a certain level.
ATP above a certain level. ATP is converted to ADP & release of energy which causes
contraction of muscle fibers and actin & myosin interdigitate with each other to greater
extent.
During life there is resynthesis of ATP but after death there is continuous breakdown of
ATP and resynthesis of ATP occurs as long as glycogen is available. Once glycogen is
exhausted synthesis of ATP stops and the muscle fibers loses normal softness,
elasticity & extensibility. There is fusion of actin & myosin into a Dehydrated Gel
resulting in Rigor Mortis.
The extensibility of muscles begins to fall when ATP drops to 85% . During Rigor Mortis
reaction of the muscle changes from slightly alkaline to distinctly acidic due to formation
of lactic acid.
ONSET OF RIGOR MORTIS
Is tested by gently bending various joints of the body.
Rigor Mortis occurs both in voluntary & involuntary muscles.
It occurs earlier in Involuntary muscles than in Voluntary ms. It is not dependent upon
the nerve supply of the muscles as it also appears in paralyzed muscles.
In Involuntary muscles it appears in the heart within an hour after death. In Voluntary
muscles it first appear in the
Muscles of Eyelids----------------3-4 hrs
Muscles of Face---------------4-5hrs
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Neck & trunk-----------------------5-7hrs
Muscles of upper limbs-----------7-9hrs
Muscles of legs---------------------9-11hrs
Small muscles of fingers & toes----------11-12hrs
It passes off in the same order in which it appears. It passes off due to autolysis of
muscle proteins. When erector pilae muscles of the skin are affected by RM skin
presents a granular puckered appearance called GOOSE SKIN or CITIS ANSERINA
(Cutis= Skin; Anser=Goose).
The skin papillae stand out prominently with hair standing on end. Such a condition is
also found when body is exposed to cold water (Drowning)
PERIOD OF STAY OF RIGOR MORTIS:
It starts in 2-3 hrs after death, takes about 12 hrs to develop (from head to toe) persist
for another 12 hrs & takes about 12 hrs to pass off. ROLE OF 12
FEATURES OBSERVED DURING RIGOR MORTIS
Partial emptying of heart due to rigidity of heart muscles. Pupils are constricted (RM of
Iris muscle)
Postmortem delivery.
FACTORS THAT INFLUENCE RIGOR MORTIS (1) AGE
Rigor Mortis does not develop in a fetus < 7 months IUL. In a fetus> 7mnth IUL rigor
mortis develops & passes off quickly. In Children & Old Age-RM develops & passes off
quickly.
(2) PHYSIQUE
In a person of weak musculature- RM develops & passes off quickly and vice versa in a
person of strong musculature
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(3) TEMP
It develops & passes off quickly at high atm temp & vice versa.
(4) In death due to exhaustive diseases & convulsive disorders RM appears & passes
off early.
(5) In death due to drowning RM appears early due to muscular exhaustion but lasts
longer due to coldness of water.
(6) Rigor Mortis may be absent in septicemic conditions.
MEDICOLEGAL IMPORTANCE OF RIGOR MORTIS
(1) It is a sure sign of death.
(2) It helps to estimate time since death.
(3) It may give information about the position of body at the time of death &
whether it has been altered after rigor mortis has set in.
(4) It may be confused with Cadaveric Spasm, Heat Stiffening, Cold Stiffening &
Gas Stiffening
CONDITIONS SIMULATING RIGOR MORTIS
(1) Cold Stiffening: When body is exposed to extreme coldness for reasonable
period stiffness occurs due to freezing of body fluids & synovial fluids &
synovial fluids in the joints & hardening of S/C fatty tissue. Such a body
becomes flaccid if kept at atm. temp. for sometime, after which RM
reappears.
(2) Heat Stiffening: When body is exposed to temp> 70 c, it coagulates the
muscle proteins & causes stiffening & contraction of muscles. Body assumes
pugilistic (boxer) attitude in which lower limbs & arms are semi flexed and
hands clenched. RM does not develop in these cases & heat stiffening persist
until the coagulate protein liquefies due to decomposition.
(3) Gas Stiffening: It is due to accumulation of putrefactive gases in the tissues.
Other putrefactive changes present in the body helps to identify the condition.
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(4) Cadaveric Spasm/ Instantaneous Rigor: characterized by stiffening of
muscles immediately after death without being preceded by primary
relaxation.
PRECONDITIONS FOR CADAVERIC SPASM
y Somatic death must occur with Extreme Rapidity.
y The person must be in Great Emotional Tension.
y Muscles must be in a state of great physical activity at the time of death.
Cadaveric spasm is a vital phenomenon as it starts immediately before death but due to
obscure reason it persists after death without primary relaxation, while other muscles
are undergoing pr. relaxation. It passes off when putrefaction in the muscles break the
contraction.
MEDICOLEGAL IMPORTANCE OF CADAVERIC SPASM
(1) Indicates sudden death associated with great emotional tension.
(2) Indicates that muscles were in physical activity at the time of death.
(3) It may help to find the manner of death. In suicidal death weapon of light wt.
(razor/knife) may be found tightly clenched in the hand of dead body.
In some case of drowning grass weeds or other objects present in water may be found
tightly clenched in deceaseds hand.
In homicidal cases some part of clothing or hair of the assailant may be found in
deceaseds hand.
Secondary Relaxation
With the disappearance of RM muscles once again become soft & flaccid. But they donot respond to mechanical or chemical stimuli. Muscle reaction again becomes alkaline.
Secondary Relaxation coincides with onset of putrefaction.
LATE SIGNS
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1. PUTRERFACTION OR DECOMPOSITION
is the last stage of resolution of body from organic to inorganic state. It is brought about
by two main processes
a) Auto = Self b) Bacterial Action
Autolysis: Auto= Self Lysis= Destruction
After death enzymes are released from the cells of the body. They soften and liquefy
the tissues of the body. It starts 3-4 hrs after death and continues steadily for 2-3 days.
Bacterial Action:
Microorganisms responsible for putrefaction are both aerobes & anaerobes. Important
bacteria responsible are Cl. Welchii Streptococci, E. Coli, B. proteus.
Cl. Welchii produces lecithinase which hydrolysis lecithin present in cell membrane
including RBCs.
Thus initiates the process of putrefaction and haemolysis. Warmth, Moisture & Air
which favors bacterial growth accelerates the onset & progress of putrefaction. During
life these organisms are present in large intestine but after death they enter the blood
vessels & spread rapidly throughout the body.
FEATURES OF PUTREFACTION
A) COLOR CHANGE
First external sign of putrefaction is greenish discoloration of the skin over the caecum &
flanks, and internally on the under surface of liver.
Here the contents of the bowel are more fluid & full of bacteria. Discoloration is due to
formation of sulphmethemoglobin. Due to bacterial action blood gets hemolysed & the
liberated Hb is converted to sullphmetaemoglobin by the action of H2 S (formed by the
microorganisms in large intestine). Color change over the caecum & flanks appears in
12-24 hrs after death.
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It appears earlier in summers and delayed in winters. Discoloration spreads over the
front of abdomen & external genitals. Patches appear on the chest, neck, face, arms &
legs which coalesce and the whole body is discolored in next 24 hrs.
Marbling: The veins over the root of neck, shoulders & groins become visible as bluish
or greenish lines forming a mosaic or arborescent pattern known as marbling. It occurs
due to staining of the vessel wall by the pigments released from the decomposing bld.
Marbling starts after about 24 hrs of death and is prominently seen in 36-48 hrs.
B) DEVELOMENT OF FOUL SMELLING GASES
Simultaneously with the color change body starts emitting foul smell due to production
of gases of decomposition (H2S, ammonia, phosphorates hydrogen & methane). These
gases form in the subcutaneous tissue, hollow viscera & eventually in the solid viscera.
In 12-18 hrs abdomen gets distended due to collection of gases in the intestines. In 18-
36 or 48 hrs gas formation is abundant & it collects in the tissues & hollow viscera
leading to false rigidity of the cadaver.
C) PRESSURE EFFECT OF PUTREFACTIVE GASES
1. Bloating of Features
In about 36 hrs face becomes so swollen & altered in color that identification
becomes impossible. Eyes bulge out, Tongue becomes blackened out & protrudes
out may be mistaken for strangulation. Breasts in females are enormously swollen.
In 48-72 hrs rectum also protrudes.
Due to excess pressure of gases body surface expands & may lead to splitting of the
skin & impress pressure marks form previously well fitting clothes. Such a mark on
the neck may be mistaken for strangulation.
2. Shifting of areas of PM Staining: Due to decomposition blood clots liquefy &
pressure of gases leads to displacement of PM staining in any direction. If PM
staining extends to head, it may be mistaken for violence to the neck or
smothering.
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3. Changes in Skin, Hair & Wounds: Putrefactive blisters/ blebs appear on the skin
in 36-48 hrs. they contain mainly gas & little reddish fluid. Vital Reaction is
absent. When the blister breaks, patch of raw skin similar to scald is seen. Skin
gets denuded and bruises & abrasions become unrecognizable. Skin of hand &
feet may peel off like glove & stocking in 48-72 hrs. Such peeling off is also
observed in burns & in drowning (when the body remains in water for 2-3 days).
Hairs become loose & can be pulled out easily. Both Antemortem & Postmortem
Wounds begin to ooze blood (Post mortem bleeding).
4. Extrusion of fluid from Nose & Mouth: Due to pressure of gases in abdomen,
diaphragm is forced upwards compressing the lungs & heart. Blood staines froth
oozes out of nose & mouth. Stomach contents may be forced out & enter the
larynx. If stomach contents may be forced out & enter the larynx. If stomach
contents are beyond secondary bronchioles, it indicates that the inhaled food
particles are antemortem in origin.
5. Emptying of the heart: it occurs due to pressure of gases on the diaphragm
leading to compression of chest cavity.
6. Changes in the genitals: After 36 hrs of death penis & scrotum are enormously
swollen. In females the genitals are swollen & oozing of blood tinged fluid. These
changes may be mistaken as sexual assault. In about 48-72 hrs cervix & uterus
protrudes. In a pregnant female fetus may be mistaken as sexual assault. In
about 48-72 hrs cervix & uterus protrudes. In a pregnant female fetus may be
expelled (Postmortem Delivery)
D) APPEARANCE OF MAGGOTS:
Flies are attracted to the putrefying body &
Lay eggs in open wound & natural orificesin about 18-36 hrs.
Eggs hatch in to maggots/Larvae------------in about 24 hrs
Larvae develop in to pupae------------ in about 4-5 days
Pupae develop in to adult flies --------in about 4-5 days
Forensic Entomology is the study of insects infesting the dead body. It helps to
find time since death.
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E) OTHER CHANGES In about 3-7 days teeth become loose in their sockets &
may fall out. Skull Sutures in children become loose & liquefied brain may run
out. in about 5-12 days Colliquative Putrefaction begins. Tissues become soft,
loose & get converted to semi fluid black mass.
Abdomen bursts and stomach & intestines protrude.
All these changes are not distinguishable in stages. If putrefaction still continues soft
tissues separate from the bones. The body is skeletonized in about 1-3 months. In India
bones start decomposing in a year in uncoffined bodies in 3-10 years in bodies laid in
coffins. Decomposing bones loose wt. and become fragile due to loss of organic matter
& may be totally destroyed in 10-25 years. Bodies lying exposed on the ground may be
skeletonized in
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BRAIN soft cysts appear, Swiss cheese pattern of these cavities distinguish them from
encephalomalacia.
FACTORS THAT MODIFY PUTREFACTION:
External Factors:
1. Temperature: At freezing point bacterial growth is inhibited & putrefaction will not
occur. It starts at 10 C. ideal temp. is 37 C. A t high temperature putrefaction is
retarded.
2. Clothing: It initially hastens putrefaction by maintaining body temp. At later stage
they slow down the process by protecting the body against flies and insects.
3. Moisture: It helps the multiplication of organisms. Thus bodies recovered from
water decompose early. Organs with high moisture putrefy faster. (brain)
4. Air: Presence of air promotes decomposition & its absence retards the process.
5. . Manner of Burial: In air tight coffins decomposition is retarded.
Bodies buried without coffins decompose very fast,
Bodies in deep grave putrefy slowly than those in shallow ones due to exclusion of air.
In clayey water logged soils adipocere formation may occur,
In sandy and porous soils mummification may occur.
Internal Factors
1. Age: New born or still born infants are sterile so putrefaction can occur only from
invasion of the external organisms.
In adults it starts from within outwards.
2. Condition of the body: Fat & flabby body of children contain plenty of moisture
thus putrefy rapidly. Parts of the body which are injured putrefy rapidly. Gravid &
post partum uterus putrefy early.
3. Sex: This has little influence but in females dying after child birth especially due
to septicemia decompose rapidly.
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4. Cause of death: In deaths due to septicemia organisms are in abundance thus
decomposition occurs early.
Putrefaction is retarded in wasting disease as anemia & malnutrion.
Sudden death in apparently healthy person decompose slowly.
In chronic poisoning by arsenic, antimony & other heavy metals the process of
decomposition is retarded as they destroy bacteria & preserve the body.
PUTREFACTION IN WATER
As head is heavier tends to lie lower than rest of the body and due to gravitation of
blood decomposition is more pronounced over the head.
A body completely submerged in water putrefies slowly due to exclusion of air & low
temperature.
But water animals may destroy the body in a very short time.
On removal from water such bodies putrefy rapidly due to increased moisture.
Floatation of body occurs in 1 day in summers & 2-3 days in winters. It occurs due to
accumulation of putrefactive gases. When body floats abdomen is above & spine is
downwards.
Time required for floatation depends on:
Age: New born, mature infants float early than still born or immature infants.
Sex: Females float sooner due to higher fat content.
Condition of the body: Bodies with loose clothing floats sooner as air gets trapped in
loose clothes. Obese bodies also float earlier.
Season: Body floats quicker in summers because warm water favors putrefaction.
Quality of water: Body floats earlier in sea water due to high Sp. Gravity.
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Bodies immersed in pond float sooner due to warming affect of sun rays favor
putrefaction.
ADIPOCERE OR SAPONIFICATION:
ADIPOS= Soft Fat CERA=Wax
Its properties are in between Fat & Wax.
It results from conversion of unsaturated liquid fats (Oleic Acid) to saturated solid fats
(Hydroxystearic acid & Oxostearic acid) by bacterial fat splitting enzymes like
clostridium from intestines & from environment.
Moisture, Warmth & relative diminution of air are facilitating factors.
Adipocere is yellowish white, greasy, wax-like substance with a rancid smell.
It floats on water (Specific gravity is less than water).
It cuts easily burns with a yellow flame & offensive odor due to ammonia & sulphur
compounds.
Fresh Adipocere is soft & moist but old samples are dry & brittle. The process involves
hydrogenation & hydrolysis of body fats, it forms at sites where fatty areas of cheeks,
breasts, buttocks & abdomen. The moisture required may be derived from the body
tissue which thus becomes dry & dehydrated.