Injuries & Mechanical Asphyxia · NEET PG Preparation Forensic Medicine

A dead body is recovered from a deep lake. Autopsy findings include fine, white, persistent foam (lather) around the nostrils and mouth, hyperinflate…

Practice question from Injuries & Mechanical Asphyxia (NEET PG Preparation Forensic Medicine), with the correct answer and a step-by-step solution.

hard · MCQ · Q-79B6DC

A dead body is recovered from a deep lake. Autopsy findings include fine, white, persistent foam (lather) around the nostrils and mouth, hyperinflated and soggy lungs that pit on pressure (emphysema aquosum), and water in the sphenoid sinus. Which finding is the most reliable pathological indicator of death by drowning in water?

  1. A.Paltauf's spots on the pleura
  2. B.Presence of diatoms in the femoral bone marrowCorrect answer
  3. C.Fluid in the middle ear cavity
  4. D.Full stomach containing large volumes of water

Solution

The recovery of diatoms (unicellular algae with silica cell walls) from closed vascular beds or dense bone marrow (like the femur) after acid digestion is considered the gold-standard forensic proof that the individual was alive and breathing when submerged, as circulation is required to transport diatoms from the lungs to systemic organs.

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