RESUMO
In forensic medical practice, venous thromboembolic complications (VTEC) are relatively rare, due to hereditary and acquired factors. The issue of expert evaluation of the VTEC after the performed surgical intervention as an alleged defect in medical care causes discussion. The purpose of this publication is to demonstrate an expert case in the assessment of VTEC mechanical injury of the lower limb after surgery. The above case with the development of PATE after surgery clearly demonstrates the possibility of the appearance of a «medical case¼. The key to the correct expert assessment of the alleged defect of medical care during the forensic medical examination is not only a thorough and scrupulous study of medical documentation, but also a qualitatively performed forensic medical examination of the corpse.
Assuntos
Medicina Legal , Extremidade InferiorRESUMO
The aim of study was to develop a comprehensive assessment of the central and peripheral parts of the nervous system with a determination of degree of severity of alterative changes in comparison with the condition of myocardial contractile apparatus. Own observations on modern methods of morphological study of the cardiac conduction system in the sudden death of young people are presented. Particular attention is paid to the technique of isolating and coloring the nervous structures of sympathetic and parasympathetic parts of the autonomic nervous system, including the medulla oblongata, sinus-atrial and atrial-ventricular nodes, atrioventricular bundle (the His bundle), Purkinje fibers. The features of morphological changes in the nerve structures of the heart, due to various etiological factors are highlighted.
Assuntos
Morte Súbita , Adolescente , Fascículo Atrioventricular , Morte Súbita/etiologia , Humanos , Ramos SubendocárdicosRESUMO
The aim of work is to study dynamics of frequency of alcohol intoxications incidence revealed at forensic examination of corpses in Moscow. Frequency of intoxications incidence was determined as index making a share part of cases where ethyl alcohol was found in blood of corpses, comparing to total number of forensic autopsies. For every calendar year of the five-year period from 2014 till 2018 the comparative analysis of frequency of incidence of alcohol intoxications at concrete types of death was carried out. We defined the trend and the rate of changes of alcohol intoxications frequency. During the period from 2014 to 2017 we discovered the strong tendency to reduction of number of alcohol intoxications at violent death. In 2018 the rate of reduction decreased.