Medico-Legal Aspects of:

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PHYSICAL INJURIES

The effect of some form of stimulus

on the body from within or without

Real when the effect is visible

Apparent when stimulus is not enough

VITAL REACTIONS:

rubor

dolor

calor
functio
laizza

CLASSIFICATION OF WOUNDS
AS TO SEVERITY

mortal:
brain, heart, lungs, big vessels, upper spinal
cord, stomach, liver, spleen, intestines

nonnon mortal:
mortal
those injuries which are not capable of
producing death immediately or shortly
thereafter

AS TO KIND OF INSTRUMENT USED:

BLUNT INSTRUMENT
- contusion
hematoma
laceration

hematoma
contusion
contused-abrasions

SHARP INSTRUMENTS:

Sharp-edged
INCISED WOUND

Sharp-edged-pointed
STAB WOUND

Sharp-pointed
PUNCTURED
WOUND

Change of atmospheric pressure

(BAROTRAUMA)
Tearing force (LACERATED WOUNDS)
Heat or Cold (BURNS, SCALD, FROSTBITES)
Chemical explosion (GUNSHOT or SHRAPNEL)
Infection

AS TO THE MANNER OF INFLICTION:

HIT

GUNPOWDER
EXPLOSION

THRUST
STAB

SLIDING
RUBBING
ABRASION

AS TO THE DEPTH OF THE WOUND:

Superficial

Deep

Penetrating
PerfOrating

AS TO THE SITE OF APPLICATION OF FORCE

IN RELATION to LOCATION OF INJURY

Coup
Coup
Contre
coup
Contre
coup
Coup-contre-coup
Coup-contre-coup
Locus
minoris
Locus
minoris
resistencia
resistencia
Extensive
injuries
Extensive
injuries

MEDICAL CLASSIFICATION OF WOUNDS:

CLOSED WOUND

- with break in the

continuity of the skin
or mucous membrane.

- no breach in the
continuity of the skin
or mucous membrane

Petechiae, contusion,
hematoma
Sprain, dislocation,
fracture, strain
Internal hemorrhage

OPEN WOUND

Abrasions
scratch,
graze,
impression
mark,
friction mark
Incised, hacked, stab,
lacerated, punctured,

CLOSED WOUNDS:

OPEN WOUNDS:

OPEN WOUNDS:

SPECIAL TYPES OF WOUNDS

PATTERNED
WOUNDS

The wound assumes

the shape of the
offending instrument
ex:
belt buckles
tire marks
radiator grill

DEFENSE
WOUNDS

Wounds sustained
by the victim while
parrying the thrusts
of the assailant in
an attempt to
defend himself
Always found on
the extremities of
the victim

HESITATION CUTS
or TEST CUTS

Found commonly
among suicide
victims.
Usually found on the
area where the
mortal cut is located.

SELF-INFLICTED WOUNDS (MOTIVES):

To create or deliberately magnify an

existing injury or disease for pension or
workmens compensation.
To escape certain obligations or
punishment.
To create a new identity or destroy
existing one.
To gain attention or sympathy.
Psychotic behavior*

psychotic behaviors of self-mutilation:

Head banging
or bumping

thermophilia

Castration
Or
amputation

Onychophagia

Pricking of
acne
erruptions

Bruxism

Self
disfigurement

Trichotillomania

Subcutaneous
injection of air

legal
classification of
physical
injuries

Art. 262
Mutilation

Art. 264
Administering Injurious
Substances and
Beverages
Art. 266
Slight
Physical Injuries

Art. 263
Serious Physical Injuries

Art. 265
Less Serious
Physical Injuries

Art. 252
Physical Injuries inflicted
in a Tumultuous Affray

ART. 262 - MUTILATION

Kinds:
1. Intentionally depriving a person totally
or partially of some of the essential organs
for reproduction
2. Intentionally depriving a person of any
part
or parts of the human body other
than the
organs for reproduction

ART. 263: SERIOUS PHYSICAL INJURIES

by WOUNDING, BEATING or ASSAULTING

another, if in consequence, the injured:
A. Shall become insane, imbecile, impotent
or blind;
B. Shall have lost the use of speech, or the
power to hear or to smell, or shall have
lost an eye, a hand, a foot, an arm or a
leg or shall have lost the use of any such
member, or shall have become
incapacitated for work in which he was
theretofore habitually engaged;

C. Shall have become deformed, or shall

have
lost any other part of his body, or
shall have
lost the use thereof, or shall
have been ill or
incapacitated for the
performance of the
work in which he
was habitually engaged for
a period of
more than ninety (90) days;
D. Shall have caused the illness or
incapacity
for labor of the injured person
for more than
thirty (30) days.

ART. 264 ADMINISTERING INJURIOUS

SUBSTANCES OR BEVERAGES:
Any person who without intent to kill,
shall
inflict upon another:
- any serious physical injury
- by knowingly administering any
injurious substance or
beverage
- by taking advantage of the victims
weakness of mind or
credulity

ART. 265 LESS SERIOUS PHYSICAL

INJURIES

Shall incapacitate the offended party for

labor ten (10) days or more or shall require
medical attendance for the same period
Qualified if the injuries shall have been
inflicted with manifest intent to insult or
offend the injured person, or under
circumstances adding ignominy to the offense.
or the victim is the offenders parents,
ascendants, guardians, curators or teachers;
or a person of rank or in authority

ART. 266: SLIGHT PHYSICAL INJURIES

AND MALTREATMENT

By inflicting physical injuries which shall

incapacitate the offended party for labor
from one to nine days, or shall require
medical attendance for the same period;
by inflicting injuries which do not prevent
the offended party from work nor require
medical attendance;
by ill-treating another by deed without
causing injury

ART. 252 :

PHYSICAL INJURIES INFLICTED IN

A TUMULTUOUS AFFRAY

When serious physical injuries are

inflicted upon the participants thereof,
and the person responsible therefor
cannot be identified, all those who appear
to have used violence upon the offended
party shall suffer the penalty next lower in
degree than that for the physical injuries
so inflicted
if of less serious nature arresto from 5
to 7 days.

DOCTOR: Mrs., grabe ang

sakit mo! Magdasal na
lang kayo para mag
MILAGRO!
PATIENT: Eh Doc, hindi ho
ako naniniwala sa
MILAGRO!
DOCTOR: Aba ayos ah!
Sumama ka sa akin
mamayang gabi ha.
Gagawa tayo!!

THANK
YOU !!!