Kursk regional Bureau of Medico-legal

examinations
Forensic medicine department of the Kursk
State Medical University
Kursk town, Salovaja street 42-a

REPORT ________
of the medico-legal autopsy
Autopsy date: ______ ________________ 200____ year from _________ till ________ hrs
According to decree of ___________________________________________________________
____________________________________ from ______ ________________ 200____ year
at the morgue of Kursk regional Bureau of Medico-legal examinations
Forensic medical examiner:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
are performed the Medic-legal autopsy of:
Name:_______________________________________________________________________
_____________________________________________________________________________
Sex: male/female
Date of born_____________________ Age: _________ years old.
The students of group _____ medical faculty of the KSMU were attended during the
autopsy
The known plot of case___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
After autopsy we must answer on following questions:
1. What is a cause of death?
2. Are any injuries present?
3. What is a time of death?

Autopsy record _______________

DATA OF EXTERNAL EXAMINATION:
Dress and other wearing apparels: __________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Bodys length ___________ cm.;
Build, constitution_______________________________________________________________
Scalp hair (color, length) _________________________________________________________
Condition of the eyes: closed / opened; Corneas: hazy / clear
Iris _____________________________ (color);
Condition of the pupils: shape:__________________ size _____________________cm.
Conjunctivas: __________________________________________________________________
_____________________________________________________________________________
Nose ________________________________________________________________________
Mouth: closed / opened; Teeth: ___________________________________________________
Right

Left

8 7 6 5 4 3 2 1 | 1 2 3 4 5 6 7 8
________________________________________

upper jaw

8 7 6 5 4 3 2 1

lower jaw

1 2 3 4 5 6 7 8

Position of the tongue: ___________________________________________________________

Neck: ________________________________________________________________________
Thorax: _______________________________________________________________________
_____________________________________________________________________________
2

Autopsy record _______________

Female breasts: ________________________________________________________________
Abdomen:
_____________________________________________________________________
_____________________________________________________________________________
Genitalia: _____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Extremities: __________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Post mortem changes:
Time of the reaction of the pupil to atropine (pilocarpine) ________________________ min/sec.
Reaction of the muscles to mechanical stimuli ________________________________________
Cooling of the body: on the surface of skin __________________________________________
Temperature in rectum: ___________________________ C.
State and distribution of the rigor mortis: ____________________________________________
_____________________________________________________________________________
State and distribution of the livores mortis: situated at__________________________________
_____________________________________________________________________________
colour:________________________________________________________________________
Changes after pressure:__________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
State and distribution of the putrefaction: ____________________________________________
_____________________________________________________________________________
3

Autopsy record _______________

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Blood, mud or other stains on the surface of body: _____________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
External injuries (site, type, shape, size and peculiar properties): __________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Additional notes: _______________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
4

Autopsy record _______________

DATA OF INTERNAL EXAMINATION:
Thoracic cavity_________________________________________________________________
_____________________________________________________________________________
Tongue: ______________________________________________________________________
_____________________________________________________________________________
Larynx: Mucosa membrane ______________________________________________________
Cartilages _____________________________________________________________
Hyoide bone ___________________________________________________________
Trachea _______________________________________________________________________
Major bronchi _________________________________________________________________
Oesophagus ___________________________________________________________________
_____________________________________________________________________________
Lungs: _______________________________________________________________________
Left: ___________________________________________________________________
_____________________________________________________________________________
_______________________________________________________Weight ______________g.
Right: __________________________________________________________________
_____________________________________________________________________________
_______________________________________________________Weight ______________g.
Heart
_________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Size: ______ ________________ cm;

Weight ______________g.
5

Autopsy record _______________

Thickness of the wall of left ventricle ______cm;

of right ventricle ______cm

Coronary arteries _______________________________________________________________

_____________________________________________________________________________
Aorta: ________________________________________________________________________
_____________________________________________________________________________
Ribs: _________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Abdominal cavity _______________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Stomach ______________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Small intestine _________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Large intestine _________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Liver _________________________________________________________________________
_____________________________________________________________________________
Size: _______ ______________________ cm;
6

Weight: ______________g.

Autopsy record _______________

Gall bladder ___________________________________________________________________
Spleen: _______________________________________________________________________
_____________________________________________________________________________
Size: ______ ________________ cm;

Weight ______________g.

Pancreas: _____________________________________________________________________
_____________________________________________________________________________
Size: ______ ________________ cm;

Weight ______________g.

Kidneys: ______________________________________________________________________
Left: ___________________________________________________________________
_____________________________________________________________________________
Size: ______ ________________ cm;

Weight ______________g.

Right: __________________________________________________________________
_____________________________________________________________________________
Size: ______ ________________ cm;

Weight ______________g.

Urinary bladder: ________________________________________________________________

_____________________________________________________________________________
The head:
Scalp: __________________________________________________________________
_____________________________________________________________________________
Skull: __________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
7

Autopsy record _______________

_____________________________________________________________________________
Brain: __________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Brain vessels: ___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Additional notes: _______________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Autopsy record _______________

Forensic medical examiner:
_____________________________________
DATA OF LABORATORY EXAMINATIONS:
1. Chemical examination: ________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
2. Microscopic examination _______________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Biological examination __________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
9

Autopsy record _______________

_____________________________________________________________________________
CONCLUSION:
Cause of death: _________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Injuries: ______________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Time of death: _________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Forensic medical examiner:
10

Autopsy record _______________

_____________________________________

11

Appendix 1
SCHEMATIC PICTURE OF INJURIES, WHICH ARE FOUNDED ON THE BODY

- abrasions
- bruises
- wounds
Forensic medical examiner:
_____________________________________

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