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Forensic Medicine · Asphyxial deaths
Sample itemA person dies in a crowd crush. The face, neck and upper chest are deeply congested and cyanosed with numerous petechiae, sharply demarcated from the rest of the body. What is the cause of death?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Traumatic asphyxia
Traumatic asphyxia follows severe chest and abdominal compression that prevents breathing and raises venous pressure in the head and neck. This causes an ecchymotic mask with petechiae and subconjunctival haemorrhages.
Option by option
A. Traumatic asphyxia (correct)
Compression with sharply demarcated head and neck congestion is classical.
B. Drowning
Drowning involves immersion and froth at the mouth and nose.
C. Smothering
Smothering is obstruction of the nose and mouth without such a sharp demarcation.
D. Choking
Choking is obstruction inside the airway.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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