The pattern of injury in deaths from falls from heights is described. The mechanisms of injury are compared with the primary site of impact and the heights from which the victims fell.
A post-mortem study of two series, a consecutive series of 513 cases and a retrospective study of 65 cases of peptic ulceration, was carried out to ascertain the relationship of atheroma, calcification and aneurysm of the abdominal aorta, severe atheroma of the coronary arteries and aortic stenosis to peptic ulceration. In the retrospective series, 41 cases had peptic ulceration or atrophic gastric mucosa. There was a high incidence of peptic ulceration associated with severe aortic stenosis, severe atheroma and calcification of the abdominal aorta and severe atteroma of the coronary arteries. In this study, there was no increased incidence of peptic ulceration with aneurysm of the abdominal aorta. It was concluded that in the elderly, giant, silent peptic ulcers were associated with pathological changes in the cardiovascular system resulting in a decrease in blood supply to the gastric and duodenal mucosa.
A case of fatal cartridge gun injury is reported. These guns are increasingly used in the building trade and their misuse by inexperienced persons may lead to fatalities. The possibility of their use in homicide must be borne in mind.
A case is reported of long term survival following extensive frontal lobe damage caused by firearm injury in 1941. The deceased lived until December 1975 with only epileptic-type fits involving the right upper arm only and no recorded personality changes. Sudden death in 1975 and autopsy examination revealed that she had died of myocardial infarction caused by coronary arterial thrombosis. In the brain there was a large cylindrical defect involving both frontal lobes.
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