Review of Forensic Medicine and Toxicology Gautam Biswas
INDEX
×
Chapter Notes

Save Clear


1Review of Forensic Medicine and Toxicology2
3Review of Forensic Medicine and Toxicology
Includes MCQs and Answers from PG Entrance Examination
Gautam Biswas MD (UCMS) Associate Professor and Head Department of Forensic Medicine and Toxicology Dayanand Medical College and Hospital Ludhiana, Punjab India
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India, Phone: +91-11-43574357
Fax: +91-11-43574314
Registered Office
B-3, EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002, India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672
Rel: +91-11-32558559, Fax: +91-11-23276490, +91-11-23245683
Branches
North America Office
1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA Ph: 001-636-6279734
Central America Office
Jaypee-Highlights Medical Publishers Inc., City of Knowledge, Bld. 237, Clayton, Panama City, Panama Ph: 507-317-0160
Review of Forensic Medicine and Toxicology
© 2010, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2010
9788184487176
Typeset at JPBMP typesetting unit
Printed at
5Dedicated
to
My Parents, Teachers and My Students
6
7Foreword
It is almost nine years when Dr Gautam Biswas came to meet me with recommendation from Dr BBL Aggarwal, Principal (now retired), University College of Medical Sciences and GTB Hospital, Delhi.
He joined as Lecturer at Dayanand Medical College and in no time I found out that he is an asset to the Department due to his updated knowledge in the subject. About three years ago he sought my advice about writing a Textbook of Forensic Medicine and Toxicology for MBBS students. The result is before us in the form of “Review of Forensic Medicine and Toxicology.”
All the chapters are well written, easy to read and in simple English. Definitions are easily understood and wherever required examples have been given.
Chapter on Medico-legal Autopsy is also useful for all those Medical Officers who have to perform medico-legal autopsies and PG students of Forensic Medicine and Pathology. Chapters on “Injuries, Regional Injuries and Forensic Psychiatry” have been written in a very systematic manner and due consideration has been given to Medico-legal aspects of injuries. Forensic Psychiatry is totally updated as per the modern classification of mental illnesses. Subject of “Thanatology” has been dealt with as per latest trends giving examples. Latest status of unnatural sexual offences in other countries is quite relevant in modern times. Chapter on “Sexual Perversion” gives useful information. “DNA finger printing” —a highly technical subject will be useful for the students and forensic scientists. Detailed discussion in the Identification, Odontology and “Recent Advances” like Polygraph, Brain fingerprinting and narcoanalysis are quite informative for the undergraduate students of forensic and other specialties.
Chapters on Autopsy room infections, Postmortem Artefacts, Torture and Custodial Deaths and Asphyxial deaths are very apt and have made the book quite useful even for PG students of other subjects.
The chapters on toxicology are totally updated as per the current protocol and guidelines. Signs & symptoms and treatment have been given systematically which will be quite useful for the emergency medical practitioners also.
Lastly, the concept of MCQs from different PG entrance examinations given at the end of each chapter is quite innovative. This will be useful for the 2nd Professional students to grasp the subject better as well as for the students who are preparing for various PG entrance examinations.
I have every confidence that this book will receive warm welcome from the students especially the undergraduates. I wish this book every success which it admirably deserves.
Maj. Gen. (Dr.) Ajit Singh (Retd)
MBBS, DCP, MD (Pathology), MD (Forensic Medicine), fiafm
Ex-Professor & Head
Department of Forensic Medicine & Toxicology
AFMC Pune & DMC & Hospital, Ludhiana
Residence:
288 Model Town, Ludhiana
8
9Preface
During my undergraduate days, I felt that textbooks should contain necessary information, not have too many details and should be understood easily, i.e. they should be comprehensive, clear and concise. Keeping this in mind, this book is written, especially for undergraduates and for those preparing for the PG entrance test. The entire concept of this book is to give information in as few words as possible without omitting necessary details.
Some topics (Identification, Injuries, Sexual Offences, Forensic Psychiatry and Toxicology) which are important from PG entrance point of view, are in more details. All topics are updated and recent advances/changes have been incorporated wherever needed.
Concise and lucid text (bullet's format), line-diagrams, boxes, tables, differentiations and flow charts given at appropriate places, are designed to make the book interesting to read, easy to comprehend, recollect and reproduce.
The information given in boxes is ‘desirable to know’, that a student may skip if there is shortage of time or if preparing for the professional examination. Rest of the information is ‘must know’, i.e. one should go through it definitely.
In (Toxicology), all the poisons are given in the same format throughout so that the student is able to understand and reproduce them during the examination. The section is up-to-date and some additional topics have been added for the PG entrance test.
Topic-wise MCQs are given at the end of most of the chapters. They are based on the recall of students who appeared in these exams, and will help the reader to get insight of that topic and prepare for the PG entrance. It will also make preparation for viva-voce easy and interesting for the student.
Appendices I and II give a list of important questions which the students should prepare for the Professional examination and are based on the latest MBBS curriculum prepared by Directorate General of Health Services and MCI. There are two categories—must know and desirable to know, the student may prepare according to the time he/she can devote to the subject.
It is my hope that this new book will find favorable response from medical students and also offer significant help to medical practitioners, in-service doctors and forensic scientists.
It has been my endeavor to keep the book error free; however there may be some typographical errors. If the reader comes across any such error, or wants to send any comment/suggestion, please do write or send an e-mail at the address given below. It will be duly acknowledged in the subsequent edition.
Gautam Biswas
10
11Reviews  
International Review
I would like to congratulate Dr Gautam for his wonderful work. This book ‘Review of Forensic Medicine and Toxicology’ is worth to be published as it is covered widely in different areas of use for students, lawyers, forensic pathologists and judges. It provides comprehensive and up-to-date information on forensic issues in day-to-day practice. The author has assembled an impressive array of topics, deserves the highest praise. This book will probably fill the gap of information on forensic issues in India.
Prof. BL Meel
Dept. of Forensic Medicine
Walter Sisulu University
Unitra, Mthatha, Republic of South Africa
 
National Reviews
‘Review of Forensic Medicine and Toxicology’ by Dr Gautam Biswas, an alumni of UCMS, is a wonderful attempt by the author wherein the text is presented in a simplified manner to cover the vast subject that make the student understand and learn comprehensively. Every chapter is covered adequately and in depth including the recent developments. The uniqueness of the book lies with the tables, differentiations and flow charts and line diagrams which make it easier to the student to grasp the subject well. It is a reader friendly book and covers basic concepts of Forensic Medicine.
Incorporation of MCQs and expected long questions, short notes coupled with references in the text fulfils a long felt need of students preparing for undergraduate and various PG entrance examinations.
I recommend this book for all undergraduate and PG students and all those involved in medico-legal work for whom it will serve as ready reference.
Prof. NK Aggarwal
Head, Forensic Medicine and Toxicology
UCMS and GTB Hospital and Faculty of Medical Sciences
University of Delhi
It gives me extreme pleasure to give my opinion of the book ‘Review of Forensic Medicine and Toxicology’ by Dr Gautam Biswas. I have found it as an excellent book for the undergraduates due to very simple format of the book. It is easy for the students to grasp what the examiners want the students to know. Definitions are good and at the very beginning which the student is expected to be familiar with the terms. I find it will be easy for the students to reproduce in examinations from this book and get a good score after spending an optimal time for this subject.
This book covers briefly the important aspects of forensic medicine. Toxicology has been covered keeping in view the changed syllabus. I like the way it has been covered briefly for the benefits of the students. This book covers almost everything which undergraduate students should need to know.
It is easy for the students to understand from the suitably labeled diagrams. Frequent flow charts are another useful feature of this book which I think will help the students to grasp important information which is sometimes lost otherwise in the text.12
At the end of the chapters MCQs are given which gives this book an additional favorable feature for the students who wish to appear in the PG entrance examinations.
I think this book will be very valuable and handy to the undergraduate students of MBBS. As this book has avoided complex technicalities the book by Dr Biswas is likely to be useful to the advocates as well.
Prof. RK Gorea
Head, Forensic Medicine & Toxicology
Gian Sagar Medical College, Patiala
President: Indo-Pacific Academy of Forensic Odontology
Editor, Journal of PAFMAT
I feel privileged in reviewing a book written by one of my best students. The book ‘Review of Forensic Medicine and Toxicology’ is written in simple, easy to understand language even by an average student. The contents of each chapter are crisp and to the point along with required flow charts. Important points are put up in boxes. The line diagrams are the added attraction of the book that makes the understanding of a fact shown very simple.
The only limitation of the book is absence of natural pictures and references at end of each chapter, but this is a common practice among majority of Indian writers.
However, Dr Gautam Biswas deserves all praise and congratulations for his maiden effort that will be useful not only to the 2nd professional students but also for all those appearing for PG entrance examinations and PG students in the specialty of Forensic Medicine.
Prof. SK Verma
Forensic Medicine & Toxicology
UCMS & GTB Hospital, Delhi
Editor, Indian Internet Journal of Forensic Medicine & Toxicology
The book, ‘Review of Forensic Medicine and Toxicology’ is not merely a review, but a valuable masterpiece in the subject of Forensic Medicine and Toxicology. The maiden venture of Dr Gautam Biswas, on the vast and a subject of paramount importance, reflects the eminence and the competence of the author.
Well begun is half done. The book although neither too exhaustive nor too concise is spread over sixty-three chapters exhibiting excellent writing skill. Written in a lucid style, using simple language, MCQ's and earmarking questions of importance is an additional feature of the manuscript brought forth by the young and dynamic medical teacher. I am sure the book shall become a textbook of choice for the medicos.
Prof. AU Sheikh
Head, Forensic Medicine & Toxicology
ASCOMS & Hospital, Sidhra, Jammu
Formerly, Head, Forensic Medicine & Toxicology
Govt. Medical College & Hospital, Jammu
‘Review of Forensic Medicine and Toxicology’ by Dr Gautam Biswas fills a much needed void in medical education in forensic medicine. The text is concise, well-written and presented in a manner which is easy to read and comprehend.
The subject matter is set out in chapters in a manner the student would like to go through even multiple times, if desired during preparation for professional examination. The information is up-to-date and is extensively illustrated along with tables, differentiations and flow charts making it a unique book in this category.
The special feature of this book are the MCQs along with answers put together from various PG entrance examinations which are given at the end of most of the chapters. It prepares the student for the forthcoming competitive examinations as well as helps him/her in viva-voce.13
I highly recommend this book for undergraduate students and those preparing for the PG entrance examinations. It will also serve a valuable resource for physicians needing a good working/functional knowledge in Forensic Medicine and Toxicology.
Prof. Jagjiv Sharma
Head, Forensic Medicine & Toxicology
CMC & Brown Hospital, Ludhiana
‘Review of Forensic Medicine and Toxicology’ by Dr Gautam Biswas is an authentic textbook which is certain to draw interest of the medical students and also those who are professionally linked with medico-legal services.
The book will not only serve the purpose of undergraduate medical students to the fullest extent but also be of great help to the postgraduate students of the subject. It will also act as a good referral book for those who practice medicine, law and are engaged in crucial investigation of criminal cases.
Prof. BR Sharma
Head, Forensic Medicine & Toxicology
Govt. Medical College & Hospital, Chandigarh
I have gone through some of the chapters of the book ‘Review of Forensic Medicine and Toxicology’ and I must congratulate Dr Gautam Biswas for the well written, systematic and easily digestible book for MBBS students and for those preparing for MD entrance examination.
Since long, students needed a book which is simple, easy to read and retain, and at the same time, the course could be finished in a shortest possible time without confusing them. I found all these qualities in this book. MCQs after most of the chapters are like gems of chapter. Simple, sure and easy. A great initiative!
Dr. Alexander F Khakha
Head, Forensic Medicine & Toxicology
Vardhman Mahavir Medical College and
Safdarjung Hospital, New Delhi
The book ‘Review of Forensic Medicine and Toxicology’ by Dr Gautam Biswas is a good piece of work, well illustrated and to the point. The idea of MCQs inclusion is good, beneficial for students preparing for PG entrance examination. I would certainly like to recommend this book to my students.
Prof. Mukesh Yadav
Head, Forensic Medicine & Toxicology
Muzaffarnagar Medical College, Muzaffarnagar, UP
14
15Acknowledgements
I am deeply obliged to my teachers Dr BBL Agarwal, former Principal & Head, Prof. NK Aggarwal, present Head, Prof. SK Verma, Prof. KK Bannerjee, Prof. AK Tyagi and Dr Anil Kohli of Forensic Medicine, UCMS & GTB Hospital, Delhi who taught me the art of Forensic Medicine and Toxicology.
I am grateful to Maj. Gen. (Dr) Ajit Singh, former Head of Forensic Medicine, AFMC, Pune and DMCH for painstakingly proof-reading the manuscript, suggesting changes and writing the foreword.
I am highly grateful to Prof. Praveen C Sobti of Pediatrics, DMCH for proof-reading the whole text, fixing all the grammatical errors and advising sections that needed re-writing for clarity, despite having a very busy schedule and in a different specialty. Thank you madam, this book never would have been realized without your continuous support and encouragement.
Prof. Daljit Singh, Principal, DMCH, deserves special mention for his continuous encouragement and invaluable suggestions.
I am thankful to Prof. Jagjiv Sharma, Head of Forensic Medicine, CMC & Brown Hospital, Ludhiana and Prof. BR Sharma, Head of Forensic Medicine, GMC, Chandigarh for helping me with preparation of the manuscript and for their expert opinion.
I express my thanks to Dr Virender Pal Singh, Assistant Professor, Forensic Medicine, DMCH for proof-reading the manuscript and valuable suggestions. I also express my thanks to Dr Pardeep Singh, Assistant Professor, People Medical College, Bhopal and Dr Narinder Singh Bhatti, for their valuable suggestions.
I am indebted to Prof. BS Aulakh, Head, Transplant Unit, for the chapter on ‘Thanatology’, Prof. GS Bajwa, Head, Ophthalmology and Prof. Hemant Chopra, Head, Otolaryngology, DMCH, for the chapter on ‘Medico-legal aspects of injury’ and Dr. Rupesh Chowdhury, Assistant Professor, Psychiatry, DMCH for the chapter on ‘Forensic Psychiatry’.
It will be an injustice if I do not thank all my students, especially Dr Sahil Gupta for their innovative ideas on how to enhance the book. I am grateful to Mr Ramesh Kumar for typing part of the manuscript.
I am especially grateful to all those working for Jaypee Brothers, in particular Shri Jitendar P Vij (Chairman and Managing Director) and Mr Tarun Duneja (Director-Publishing) for believing in this project, Mr KK Raman (Production Manager) for shaping up of this book. Mr Rakesh Verma (Graphic Designer) for making such beautiful line diagrams, Ms Seema Dogra for cover design and Mr Upinder Singh for typing this manuscript and making all the changes whenever I suggested, without any complaints.
I express my gratitude to my parents and in-laws for their constant encouragement, support and blessings. Above all, I acknowledge with gratitude the support of my wife Anupama and son to bear with me with patience and calm encouragement during the long hours of my involvement with the manuscript. I want to thank Anupama for her untiring support in writing this book.
Last but not the least, I wish to offer my apologies to all my colleagues and friends whose name has been omitted inadvertently, for without their constant support, encouragement and well wishes the book would not have been completed.
19History
Forensic Medicine has humble and ancient origins