Forensic Pathology for Police - Brainshare Public Online Library

536 20 Deaths in Infancy and Childhood
stain can indicate axonal injury after only a few hours of post-injury
survival.
Disc Image 20.18 Perioptic nerve hemorrhage immediately behind the eyeball
(arrow). Note that the front (anterior) portion of the eye has been previously
removed.
Disc Image 20.19 Retinal hemorrhages (arrows) as visualized by “backlighting.”
Disc Image 20.20 A small retinal hemorrhage visualized under the microscope.
Disc Image 20.21 Lack of scalp trauma.
Disc Image 20.22 Two small intestine contusions (arrows), with associated injuries
of the mesentery.
Disc Image 20.23 Two sections of an injured adrenal gland, compared to a section
of a non-injured adrenal gland (below).
Disc Image 20.24 Contusions of the pancreas.
Disc Image 20.25 Dissection of the back showing absence of major injuries. There
is a small contusion of the upper right back (arrow).
Disc Image 20.26 A bite mark on the arm.
Disc Image 20.27 A rib cut in half lengthwise, showing a fracture with early healing
(arrows).
Disc Image 20.28 Another rib cut in half lengthwise, showing a different rib fracture
(arrows), with more healing than in Disc Image 20.27.
Disc Image 20.29 Another example of a “bucket-handle” fracture (arrow). (courtesy
of Department of Radiology, Indiana University School of Medicine)
Disc Image 20.30 A “corner” fracture (arrow). (courtesy of Department of
Radiology, Indiana University School of Medicine)
Disc Image 20.31 A fractured humerus (upper arm bone) in a child abuse victim.
Disc Image 20.32 A femur (thigh bone) fracture that has healed inappropriately.
Note how the bone is bent.
Disc Image 20.33 Multiple healing fractures in a child abuse victim, including a
spiral fracture of the humerus (upper arm), a fracture of a forearm bone, and
multiple rib fractures. (courtesy of Department of Radiology, Indiana University
School of Medicine)
Disc Image 20.34 Multiple injuries on the upper extremity of a “battered child.”
Disc Image 20.35 An umbilical hernia.
Disc Image 20.36 Diaper rash can sometimes be misinterpreted as inflicted injury.
Disc Image 20.37 Postmortem dilation of the vagina. There are no injuries. The
finding in this case is meaningless.
Disc Image 20.38 An intramedullary (IM) line used to provide fluids to the child.
Disc Image 20.39 Removal of organs en bloc. The tongue is on the left and the
pelvic organs are on the right.
Disc Image 20.40 The “rose-petal” method of skull bone reflection (after the brain
has been removed) utilized in young infants for brain removal.
Disc Image 20.41 Eye removal via removal of the base of the skull overlying the
eyeballs.