Sudden Infant Death Syndrome Crib Death

A diagnosis of SIDS requires a complete autopsy and scene investigation. The diagnosis can only be made if both the scene and the autopsy are negative or unremarkable. There is no probable cause of death. There may be minor injuries to the external body by CPR and insects (anthropophagia); these must not be confused with injuries.

Raccoon Eyes Trauma
figure 14.1 These spectacle hemorrhages (raccoon's eyes) were caused by blows to the side of the head. There do not have to be fractures of the skull to have spectacle hemorrhages.
Raccoon Eyes Head Injury Picture
figure 14.2 Injuries must be explained. Not all injuries are due to abuse, but the examiner must be suspicious. This contusion was caused by a belt.
Gunshot Deaths
figure 14.3 The lesions on this infant girl suggest abuse; however, there is no injury, only a rash. See next photo.
Raccoon Eyes Head Injury Picture
figure 14.4 There was also a rash and infection of the neck. The child died of the infection. The parents did not give the child medicine as prescribed by the physician. This may have been neglect, but not abuse.
Gunshot Wound Child
figure 14.5 Notice the lesions on this child's head are similar to the lesions on the father's arm and body (arrows). They are caused by infections. See next photo.
Death Gunshot
figure 14.6 There were also infected areas on the back and neck.
Autopsy Photo Neck Wounds
figure 14.7 This child died of an infection. The marks were caused by coin rubbing and not abuse.
Child Abuse Markings
figure 14.8 Bite marks. These should be recognized and measured, as well as swabbed for DNA testing.
Gunshot Wound Deaths

figure 14.9 The buttocks and upper legs of this young boy are extensively contused. These injuries could not have occurred accidentally.

Gunshot Wounds The Buttocks

figure 14.11 The buttocks were incised and blood in the soft tissues revealed. Microscopic sections may be helpful in determining the age of the trauma.

figure 14.10 Blunt trauma to the buttocks may not be easily detected. Incisions into the buttocks should be performed to adequately evaluate the degree of trauma. See next photo.

figure 14.11 The buttocks were incised and blood in the soft tissues revealed. Microscopic sections may be helpful in determining the age of the trauma.

Traumatic Gunshot Wounds

figure 14.13 This belt made the marks on the body. The width and thread marks from the belt match the pattern on the skin (arrows).

Chest Contusion Child
figure 14.12 This live child was struck multiple times over the chest and abdomen. There is a pattern of a shoe print on her left chest.

figure 14.13 This belt made the marks on the body. The width and thread marks from the belt match the pattern on the skin (arrows).

Chest Contusion Child

figure 14.14 This child came in with an unusual abraded contusion on his chest. See next photo. © 2000 CRC Press LLC

Chest Contusion Child

figure 14.15 This silver pendant caused the bruises.

figure 14.14 This child came in with an unusual abraded contusion on his chest. See next photo. © 2000 CRC Press LLC

figure 14.15 This silver pendant caused the bruises.

Wounds Buttocks
figure 14.16 The burn on this girl's buttock was caused by placing her on a stove as punishment for a minor offense.
Arm With Cig Burns
figure 14.18 These are cigarette burns of the arm.
Gunshot Wound The PenisGunshot Wound The Penis
figure 14.21 Multiple recent bruises at or near the genitalia are considered sexual abuse unless there is a compelling story to account for these injuries.
Gunshot Wound The Penis
figure 14.23 The firmness of the skin and the lack of folds around the anal opening is a sign of repeated sexual abuse.
Gunshot Penis
figure 14.22 The scarring and resultant abnormal positioning of the penis is a sign of sexual abuse.
Repeated Sodomy
figure 14.24 The rectum has a reddened and reactive surface caused by sodomy.
Gunshot Wound The Penis

figure 14.25 Bruises on the genitalia of a very young child suggest child abuse.

Gunshot Wound The Penis
figure 14.26 This laceration of the liver was caused by a blow to the abdomen. There were no external signs of injury.
Leg Fractures With Bruises
figure 14.28 A fracture in a young child who cannot walk is suggestive of abuse, especially if the fracture is a spiral one as in this case. This type of fracture suggests the leg was twisted.
Leg Fractures With Bruises

figure 14.29 The arrows point to "puff ball" type lesions of healing rib fractures. Posterior rib fractures are almost always the result of abuse.

Pictures Kids Gunshot Wounds
figure 14.27 Children learning to walk may have bruises on their lower legs. The child in this photograph was too young to walk. A bruise on his leg must be viewed with suspicion. An X-ray of the extremity is necessary to rule out a fracture.
figure 14.30 The fracture site is easier to locate after one week of healing.

figure 14.29 The arrows point to "puff ball" type lesions of healing rib fractures. Posterior rib fractures are almost always the result of abuse.

Sudden Infant Death Syndrome Xray

figure 14.31 This tibia has recent fractures on the end of the bone. The fracture sites are difficult to see. See next photo.

The Mother Boyfriend
figure 14.32 This child had no external injuries. The mother's boyfriend said the child fell off a table. See next photo.

figure 14.31 This tibia has recent fractures on the end of the bone. The fracture sites are difficult to see. See next photo.

Cradle Death SyndromeShaken Baby Syndrome Retinal Hemorrhage
figure 14.33 There was a superficial unilateral subdural hemorrhage over the right side of the brain. This finding and the discovery of retinal hemorrhages confirmed the diagnosis of shaken baby. See next photo.
figure 14.34 A normal brain. Compare to previous photo. © 2000 CRC Press LLC

figure 14.35 There were retinal hemorrhages and hemorrhages around the otic nerves (arrow).

figure 14.35 There were retinal hemorrhages and hemorrhages around the otic nerves (arrow).

Fatal Gunshot Wound
figure 14.36 There were no external injuries in this child, who reportedly fell off the washing machine and struck her head on the floor. External injuries may not be apparent in cases of fatal head trauma. See next photo.

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Responses

  • Primula Diggle
    What causes a coin like wound on a head?
    2 years ago
  • semolina
    What causes crib death?
    2 years ago

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