Forensic Medicine and Toxicology Guide

FORENSIC MEDICINE AND TOXICOLOGY

GENERAL GUIDANCE:

FORENSIC IS A SUBJECT THAT CAN  BE PREPARED IN A RELATIVELY LESS TIME AND NEEDS A LOT LESS CONCEPTS AS COMPARED TO PATHOLOGY AND PHARMACOLOGY. BUT HERE COMES THE SAD PART ,SOME CRAMMING IS ALSO REQUIRED. 

TOXICOLOGY IS THE PART THAT NEEDS THE MOST CRAMMING. THE BEST WAY TO PREPARE IT FOR PROF IS TO LEARN ONE OR TWO POISONS DAILY DURING YOUR PREP LEAVE.  DOING THIS WILL SAVE YOU BELIEVE ME.

disclaimer: 

Red text means v imp, Green text means imp and Black means average

FORENSIC MEDICINE

NRA IS THE MAIN BOOK, TABLES AND FLOW CHARTS ARE VERY IMPORTANT ,you can use terse if you want to look kin to detail of some imp topic

🔺🔺🔺FIRST FOUR CHAPTERS OF NRA (1 SEQ+3 MCQS)

⧭FORENSIC MEDICINE

definition of forensic medicine(pg2)

table 1.1

full and partial laboratory system 

fig 1.3

⧭LAW,COURTS OF LAW AND COURT EVIDENCE(prepare complete chapter)

definition of law(common law statute law civil law criminal law

act/ordinance

courts of first,second,third instance

table 2.1

court evidence(prepare complete topic)

dying deposition/dying declaration (vvv imp)

presumption 

exception

durham rule 

mcnaughtons rules

mens rea

actus rea

table 2.5

⧭LEGAL ASPECTS OF MEDICAL PRACTICE

allopathic system of medicine statue law

fig 3.1, 3.2

table 3.2, 3.3 

consent and its types, consent form,

mentallly sick's admission procedure(just read)

burden of proof

negligence and its types

previleged communication

⧭MEDICAL ASPECTS OF LAW

qisas and diyat ordinance

hadood ordinance

classification of hurt(learn PPC of every type)

definition of hurt

qatl and its types

fig 4.3

table 4.7 (for mcqs)

table4.8

read rest of the chapter

🔺🔺🔺PERSONAL IDENTITY+TRACE EVIDENCE(1 SEQ + 3 MCQS)

objective method /subjective method

objective method=anthropometry,dactylography,sex determination,age changes in mandible ,hess rule,dentition ,skeletal data

subjective method =anatomy,physiology,pathology,genetcs

prepare whole chapter of personal identity , age determination by dentition and skeletal data is imp for mcqs and spotting

difference of male and female pelvis,mandible and skull

trace evidence from chapter 17

locards exchange principle

read the laboratory tests for blood semen

🔺🔺🔺SEXUAL INTERCOURSE AND RELATED ISSUES(1 seq)

definitions of sterility, impotence 

pregnancy (complete topic)

abortion (complete topic)

death of pregnant women(rapid death ,intermediate ,delayed death)

still birth/live birth

read table 9.8 (clinicals based on it appear sometimes)

table 9.9 

flotation test

medicolegal examination of sexual offence case (prepare complete and learn it summarized)
🔺🔺🔺FORENSIC AUTOPSY AND AUTOPSY SUITE (1 seq 3 mcqs)
definition of autopsy
types(medical autopsy ka concept)
major points of autopsy suite(details  of light,ventilation,lamps)
autopsy room hazards (table 11.2)
table 11.4
procedure of autopsy upto pg 120(is se aage shoq ha to prhen)
primary,secondary,tertiary incisions
organ by organ method
evisceration method
causes of negative autopsy
exhumation( fun fact not so fun actually you can request sir arif if you want to go to exhumation

🔺🔺🔺THANATOLOGY (1 seq 2 mcqs)
def
table 12.1
table 12.2
brain death ( criterion of brain  death)
postmortem phenomenon(make your sticky notes to list them according to the time period eg immediate changes late changes)in men se mcqs aur seqs aate hen,saara imp ha pg 141 pe sudden death se pehle pehle
table 12.7
certification of cause of death and its pattern
medicolegal system
classification of postmortem artifacts(learn one or two examples)
🔺🔺ASPHYXIAL DEATH
definition of asphyxia
physiology,pathology and biochemistry of asphyxia
tardieu's spots
general pathological changes in asphyxia (dilatation of heart is also a feature)
types of asphyxia(mechanical,pathological,toxic,environmental,iatrogenic)
mechanical asphyxia(level of obstruction,autopsy findings)
smothering/gagging
hanging(autopsy findings)
strangulation(autopsy findings)
HANGING/STRANGULATION
throttling,mugging
autoerotic asphyxial death(for mcq)
burking phbenomenon

🔺🔺🔺TRAUMATOLOGY (3 SEQ 5MCQS)
this is a lengthy and important topic. can be done from notes or NRA,
definition of wound
classification of wounding
coup/counter coup injury
abrasion and types of abrasion(make a good concept to identify the type of abrasion)
hypostasis/bruise
battering
drowning (freshwater/sea water drowning)
laceration and its types
incised wound /lacerated wound
penetrating/puncturing wound
battered baby syndrome
flame/hot liquid burn
antemortem/postmortem wounds
electrical lesion
autopsy findings of lightening(from terse)
ballistics definition
ENTRY /EXIT WOUND AND THEIR CHARACTERISTICS
SUICIDAL AND HOMICIDAL CUT THROAT
ewing's postulate,koch postulate
whiplash injury ,birdclaw injury
RTA(primary impact,secondary impact)
extradural/subdural hemorrhage

⧭⧭⧭⧭⧭⧭⧭TOXICOLGY
🔺🔺general toxicology(1 seq 3 mcq) ( from notes available at piccadilly)
gastric lavage v imp ( from terse also)
antidotes
classification of toxins
🔺🔺🔺🔺special toxicology (1 seq 8 mcqs) ( from terse)
you should know the mechanism of action , active principle, clinical features, autopsy finding, and management of every poison. doses of specific antidotes to be learnt, in cinical case if you are confused between more than one poison , reach your answer by excluding one by one ,even if you cant guess the poison ,write the general management of poisoning case i.e
1-removal of poison
2-dec absorption
3-increase excretion
4-symptomatic treatment
5-antidote

preservation of viscera and preservatives used terse pg number41,it often pops up in mcqs following are the imp toxins to be prepared in order of decreasing importance
mineral acids,organic acids , vegetable acids ,alkali
phosphorus,arsenic,mercury,lead,copper,thalium,
vegetable poisons except lal chitra and aloes
snakes(difference of poisonous and non poisonous snake)
opium pethidine
alcohol(ethanol,methanol) methanol is toxic to eyes, stages of intoxication
deliriants(preparation of cannabis),strytchnine
sedative hypnotic
organophosphate(super imp) and carbamate

cardiac poisons,asphyxiants,acetaminophen poisoning
war gases,hallucinogens ,environmental poisoning,antimony,food poisoning

human error is possible though i tried to guide you guys in the best possible way, feel free to ask anything.