Legmed
Legmed
Legmed
PHYSICAL EXAMINATIONS:
1. Solubility test:
Recent blood shed is soluble in saline solution and imparts a bright red color. Stains
which have been exposed to air become dry; hemoglobin is transformed to meth-
hemoglobin or hematin. If the stain has been kept in damp places for a long time;
hemoglobin is transformed to hematin.
2. Heat test:
Solution of the blood stain when heated will impart a muddy precipitate.
3. Luminescence test:
Stains on dark fabric mixed with mud, paint, etc. emit bluishwhite luminescence in a
dark room when sprayed with one of the two solutions:
a. 3-amino-phthalic-acid-hydrazide-HCL 1 gram Sodium peroxide 5 grams Distilled water
1,000 cc.
b. 3-amino-phthalic-acid-hydrazide-HCL 1 gram Sodium carbonate 50 grams Hydrogen
peroxide (10 Vol.) 50 grams Distilled water 1,000 cc.
The substance responsible for the reaction is hematin. Older stains therefore react
better than new ones. Although the solutions are said not to interfere with further tests,
unsprayed specimen of the material must be kept for the serologic test. (Lyon's Medical
Jurisprudence for India by S.P.S. Greval, 1953, p. 303).
CHEMICAL EXAMINATIONS:
1. Saline extract of the blood stain plus ammonia will give a brownish tinge due to the
formation of alkaline hematin.
2. Benzidine test: A piece of white filter paper is pressed firmly on the suspected stain.
Benzidine reagent is dropped on the paper, then followed by drops of active hydrogen
peroxide. A positive result will show blue color. A positive result is not conclusive,
because an oxidizing agent will give a positive blue color reaction. Benzidine test has the
sensitivity up to 1:300,000 dilution.
Benzidine reagent: Benzidine sulphate is dissolved in glacial acetic acid to form 10%
solution.
MICROSCOPIC EXAMINATIONS:
Saline extract of the stain is examined under the microscope. Note the presence of red
blood cells, leucocytes, epithelial cells and microorganisms. The presence of red blood
cells will conclusively show that the stain is blood.
By microscopic examination, we can differentiate the origin or the part of the body it
came from. Menstrual blood will show abundance of vaginal epithelial cells and
Doederlein's bacilli.
MICRO-CHEMICAL TESTS:
1. Hemochromogen crystal or Tokayama test:
2. Teichmann's blood crystals or Hemin crystals test:
3. Acetone-haemin of Wagenhaar test:
SPECTROSCOPIC EXAMINATIONS:
This examination depends on the principle that blood pigments have the power to
absorb light of certain wave length and produce certain characteristic absorption bands
on the spectrum. By means of the spectroscope we can determine the presence of the
following substances:
1. From fresh blood stains:
a. Oxyhemoglobin
b. Hemoglobin
c. Reduced hematin or hemochrogen
2. From older stains:
a. Methemoglobin
b. Alkaline hematin
c. Hematoporphyrin
d. Reduced hematin
3. Other blood preparations:
a. Acid hematin
b. Alkaline hematin
c. Carboxyhemogiobin
d. Hematin
BIOLOGIC EXAMINATIONS:
1. Precipitin test:
This test is to determine whether the blood is of human origin or not. Principle of the
test: By injecting an animal, usually, a rabbit, with defibrinated blood of unrelated
animal, an anti-serum is produced in the blood of the animal injected. The serum of this
animal injected is capable specifically of precipitating the serum of the unrelated animal
whose blood serum has been injected. However, closely related animals may also give
the same response.
Value of the precipitin test: If positive result is obtained, we can tell in a more or less
conclusive way that the blood stain is of human origin; although anthropoid ape may
give the same result. The same test and technique may be made to determine whether
muscles, secretions, bones and other body fluids are of human origin or not. Certain
materials like alcohol, formaldehyde, corrosive sublimate, lysol, creoline, carbolic acid,
acids and alkalies destroy the property of blood to react with precipitin.
2. Blood grouping:
Principle of the test: All human beings have their blood belonging to any of the four
principal blood groups. A normal suspension of human red blood cells when mixed with
its own serum or serum of a similar group will make the red blood cells suspension
remain even. But if suspended in the serum of another group, the red blood cells clump
with one another and this is called agglutination. The red blood cells contain
agglutinogens and the serum contains agglutinins.
Value of the test: It may solve disputed parentage (paternity or maternity). A positive
result is not conclusive that the one in question is the offspring, but a negative result is
conclusive that he is not the child of the alleged parents.
3. Menstrual Blood:
a. Does not clot.
b. Acidic in reaction owing to mixture with vaginal mucous.
c. On microscopic examination, there are vaginal epithelial cells.
d. Contains large number of Deoderlein's bacillus.
5. Child's Blood:
a. At birth, it is thin and soft compared with that of adult.
b. Red blood cells are nucleated and exhibit greater fragility.
c. Red blood cells count more than in adult.
Normal Anatomy
Anatomy is the identification and description of the structures of living things. It is
a branch of biology and medicine.
The word “anatomy” comes from the Greek words “ana,” meaning “up,” and “tome,”
meaning “a cutting.” Studies of anatomy have traditionally depended on cutting up, or
dissection, but now, with imaging technology, it is increasingly possible to see how a
body is made up without dissection.
There are two ways of looking at anatomy: Gross, or macroscopic, anatomy and
microscopic anatomy.
1. Gross anatomy
The study of gross anatomy may involve dissection or noninvasive methods. The aim
is to collect data about the larger structures of organs and organ systems.
In dissection, the scientist cuts open the human or animal cadaver is cut open and
examines its organs.
2. Endoscopy
Inserting a tube with a camera at the end, might be used to study structures
within living animals. Endoscopy is performed either through the mouth or
through the rectum, so the gastrointestinal tract is often the primary organ of
interest.
There are also less invasive methods. For example, to study the blood vessels of living
animals or humans, the scientist may insert an opaque dye into the animal that will
highlight the circulatory system when imaging technology, such as angiography.
Medical and dental students perform dissection as part of their practical work in gross
human anatomy during their studies. They may dissect a human corpse.
Students of gross anatomy will need to learn about the major body systems.
Human body systems
Although these systems have different names, they all work interdependently, meaning
they work together and depend on each other.
Microscopic anatomy
Microscopic anatomy, also known as histology, is the study of cells and tissues of
animals, humans and plants that are too small to been seen with the naked eye.
By looking at tissue under the microscope, we can learn about the architecture of the
cells, how they are put together, and how they relate to each other.
For example, if a person has cancer, examining the tissue under the microscope will
reveal how the cancer cells are acting and how they affect normal human tissue.
This commonly involves studying tissues and cells using histological techniques such
as sectioning and staining, and then looking at them under an electron or light
microscope.
Sectioning involves cutting tissue into very thin slices so they can be examined.
Histological stains are added to biological structures, such as tissues, to add colors or
to enhance colors so they can be more easily distinguished when they are examined,
especially if different structures are next to each other.
Forensic investigations: The microscopic study of biological tissues can help explain
why, for example, somebody unexpectedly died.
Vital Signs
There are four main vital signs: body temperature, blood pressure, pulse and breathing rate.
Normal ranges for these signs vary by age, sex, weight and other factors.
What are vital signs?
Vital signs are used to measure the body's basic functions. These measurements are taken to
help assess the general physical health of a person, give clues to possible diseases and show
progress toward recovery. The normal ranges for a person's vital signs vary with age, weight,
gender and overall health.
There are four main vital signs: body temperature, blood pressure, pulse (heart rate), and
breathing rate.
Body temperature:
Pulse: Your pulse is the number of times your heart beats per minute. Pulse
rates vary from person to person. Your pulse is lower when you are at rest and
increases when you exercise (because more oxygen-rich blood is needed by the
body when you exercise). A normal pulse rate for a healthy adult at rest ranges
from 60 to 80 beats per minute. Women tend to have faster pulse rates than
men. Your pulse can be measured by firmly but gently pressing the first and
second fingertips against certain points on the body — most commonly at the
wrist or neck (but can also be measured at the bend of the arms, in the groin,
behind the knees, inside the ankles, on the top of the feet or at the temple area of
the face) — then counting the number of heart beats over a period of 60
seconds. A faster than average pulse can indicate such health problems as
infection, dehydration, stress, anxiety, a thyroid disorder, shock, anemia or
certain heart conditions.
Respiratory rate: A person's respiratory rate is the number of breaths you take
per minute. The normal respiration rate for an adult at rest is 12 to 20 breaths per
minute. A respiration rate under 12 or over 25 breaths per minute while resting is
considered abnormal. Among the conditions that can change a normal
respiratory rate are asthma, anxiety, pneumonia, congestive heart failure, lung
disease, use of narcotics or drug overdose.