Vous êtes sur la page 1sur 4

LAPORAN POST MORTEM

HOSPITAL TAWAU
TARIKH POSTMORTEM : 16 OCTOBER 2016

REPORT OF POSTMORTEM EXAMINATION ( CONFIDENTIAL)


Post mortem report number

Police report number

Name of deceased

: HAIMI B MUKTADIL

Identity card number

: NIL

Age

: 33 YEARS OLD

Sex

: MALE

Race

: SULUK

Date and time of death

: 15/10/2016 @ 10.25 PM (BID)

Date and time of autopsy

: 16/10/2016 @ 9AM

Place of autopsy

: HOSPITAL TAWAU

Police officer in charge


Medical officer

: INSP MOHD RIDUAN B ABDULLAH


: DR. DZUREENA BT ABDUL MUTALIB

HISTORY (from police):


The deceased involved with motor vehicle accident at KM 72, Jalan Tawau- Semporna,Tawau on 15
October 2016 around 6.55pm.
CLOTHING AND PERSONAL EFFECTS
1. Cover with pink blanket and pink sarong
2. Blue color collar t-shirt Delemet with front area torn
3. Blue color long pants with brown color belt

4. Blue color boxer


5. 1 pair sock at right foot- black color
6. Silver necklace

Height
Build
Chest
Hygiene
Tattoos
Scar
Hair
Eyes
Face
Neck
Mouth
Nose
Teeth
Ears
Hands
Feet
External genitalia
Anus
Rigor mortis

: 157cm
: small
: intact
: fair
: right arm sunaro-PG31
: nil
: short, black color hair
: intact, conjunctiva pallor
: intact
: intact
: intact, no bleeding
: intact, no bleeding
: natural dentition
: intact, no bleeding
: intact
: intact
: intact
: present
: present

MARKS OF INJURY

INTERNAL EXAMINATIONS
Scalp
Skull
Meninges
Brain

:
: intact, no injury
: intact
: intact, contusion at right frontal (wt :1330gr)

MOUTH, THROAT & NECK STRUCTURES


Tongue
Thyroid
Larynx
Carotids
Cervical muscle

: intact
: intact
: intact
: intact
: intact
2

Cervical spine
Hyoid bone

: intact
: intact

THORAX
Rib cage
Pleural cavities
Trachea
Lungs
Pericardium
Heart
Aorta
Pulmonary artery
Coronary artery
Oesophagus

: left ribs fracture (5th,6th ), right 6th rib fracture


: intact
: intact
: right lung (wt:375gr) ; laceration at left lower lobe ( wt:375gr)
: intact
: intact, no injury (210gr)
: laceration at descending thoracic aorta
: patent
: patent
: intact

ABDOMEN
Peritoneum
Stomach
Intestine
Colon
Rectum
Liver
Pancreas
Spleen
Kidneys

: blood (450cc)
: intact
: laceration at jejunum
: intact
: intact
: laceration at right lobe with left lobe macerated (wt: 1000gr)
: intact
: intact ( 60 gr)
: intact , rt kidney : stone present .pale ( wt :115 gr) ,
lt kidney : laceration . pale (wt: 95gr)
Ureters
: intact
Bladder
: intact
Reproductive system : intact
Scrotum & Penis
: intact
Musculoskeletal
:intact
LABARATORY INVESTIGATION
Blood for toxicology
SUMMARY AND CONCLUSIONS

The body was not decomposed. Post mortem findings are multiple laceration and abrasion wounds at
chest,abdomen, head,and limbs as mentioned above. Ribs fracture at 5th ,6th left rib and 6th right rib with
laceration at lower left lobe. Laceration at descending thoracic aorta. Haemoperitoneum (450cc) with
ruptured liver, laceration at left kidney and laceration at jejunum.Laceration at testicles with both testicles
exposed. Blood for toxicology pending
CAUSE OF DEATH

Nama (Name):
No K/P ( I/C No ) :

Jawatan (Designation) :

Kelulusan (Qualification) : M.D

Jabatan (Department): FORENSIC

Tandatangan (Signature):

Tarikh ( Date ) : 21/10/2016

Cop Rasmi Hospital ( Official Hospital Stamp )

Masa ( Time ) :10 AM