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Sudden Deaths
Written by Dr. D. Rao
Death is said to be sudden or unexpected when a person not known to have been suffering
from any dangerous disease, injury or poisoning is found dead or dies within 24 hours after
the onset of signs and symptoms. Some authors limit sudden deaths as those occurring
instantaneously or within one hour of onset of symptoms. The incidence is approximately 10%
of all deaths. No period in life is exempt.
Natural death means that the death was caused entirely by the disease, and the trauma or
poison did not play any part in bringing it about.
1. Determination of whether violence in any form played any part in the death.
2. Insurance claim of civil suits based on allegation that death resulted from accidental
injury may arise.
3. The question of workmen compensation may be raised if death occur at work of if there
is possibility of industrial disease or accident.
4. The possibility of death from poisoning may exists.
5. The investigation may save public health interest if a communicable of epidemic disease
is detected.
In all cases of Sudden Deaths before concluding the Natural Causes of Death it is very
important to rule out the History of Trauma and Poisoning, apart from the Medical history and
History of Mental Illness.
1. Lobar pneumonia
2. Bronchitis and bronchopneumonia.
3. Rupture of blood vessel in pulmonary tuberculosis with cavitation.
4. Pulmonary embolism and infarction.
5. Air embolism.
6. Influenza.
7. Diphtheria.
8. Acute oedema of the glottis.
9. Acute oedema of the lungs.
10. Lung abscess.
11. Massive collapse of the lung.
12. Pleural effusion.
1. Cerebral haemorrhage
2. Cerebellar haemorrhage.
3. Pontine haemorrhage
4. Subarachnoid haemorrhage
5. Cerebral thrombosis and embolism
6. Caritud artery throbosis
7. Brain abscess
8. Brain tumour
9. Meningitis
10. Acute polioencephalitis
11. Cysts of third or fourth ventricle.
12. Epilepsy
1. Haemorrhage into the gastrointestinal tract from peptic ulcer, oesophageal varices,
cancer oesophagus, etc.
2. Perforation of ulcers, e.g., petic, typhoid, amoebic or malignant.
3. Acute haemorrhagic pancreatitis.
4. Strangulated hernia.
5. Twisting and intussusception of the bowel.
6. Paralytic ileus.
7. Appendicitis.
8. Bursting of the liver abscess.
9. Rupture of enlarged spleen.
10. Intestinal obstruction
11. Obstructive cholecystitis.
1. Chronic nephritis.
2. Nephrolithiasis.
3. Obstructive hydronephrosis and pyonephrosis.
4. Tuberculosis of the kidney.
5. Tumours of the kidney or bladder.
6. Rupture of ectopic pregnancy.
7. Toxaemia of pregnancy.
8. Uterine haemorrhage due to fibroids.
9. Cancer vulva eroding femoral vessels.
10. Twisting of ovary, ovarian cyst or fibroid tumour.
Miscellaneous [5 to 10%]:
1. Addisons disease.
2. Diabetes mellitus.
3. Haemochromatosis.
4. Hyperthyroidism
5. Blood dyscrasias.
6. Cerebral malaria.
7. Shock due to emotional excitement.
8. Reflex vagal inhibition.
9. Anaphylaxis due to drugs.
10. Mismatched blood transfusion.