بيانات بيانات ::المتوفىالمتوفى

الكامل - - الكامل ااالسم ااالسم

النوعالنوع - -

الديانةالديانة - -

الجنسيةالجنسية - -

السنالسن - -

العائلية - - العائلية الحالة الحالة

العنوانالعنوان - -

البطاقةالبطاقة - -

محل -- و محل تاريخ و تاريخاالقامةاالقامة

القيد - - القيد محل محلبالسجل بالسجل المدنىالمدنى

الوفاة - - الوفاة جهة جهة

الوفاة - - الوفاة مكان مكان

الوفاة - - الوفاة تاريخ تاريخ

بيانات بيانات :: المبلغالمبلغ

االسماالسم - -

البطاقةالبطاقة - -

عالقته عالقته - -بالمتوفىبالمتوفى

محل - - محل عنوان عنواناالقامةاالقامة

الطبية الوفاة الطبية شهادة الوفاة ::شهادة(I ):السبب المباشر للوفاة : أ:أ

إن وجدت نشأ عنها أو إصابيةأحوال مرضية ب:ب: :السبب المباشر للوفاة

المرض أو اإلصابة األصلية ج:ج: :

(II ) أحوال مرضية إن وجدت ساعدت على حدوث: لها عالقة بالمرض األصلى و ليسالوفاة

الطبيب إإ الطبيب سم سم

التوقيعالتوقيع

التاريخالتاريخ

pulmonary embolism:

sever chest pain

hemoptysis

tachycardia

tachypnea

hypotension

and cyanosis.

An elderly pedestrian was hit from the back by a car, she sustained bruises of Rt. Leg .she confined to bed and died after 10 days. Autopsy showed a massive pulmonary embolism with thrombosis of the veins of Rt. Leg.

رئوي- )1( انحذاف أ

الساق- بأوردة جلطة ب

بالفراش- طويل رقاد ج

يوجد( 2) ال

During a quarrel a man has received a strong blow on the lower part of the abdomen, he was carried home, next day he died. on examination the urinary bladder was found ruptured , inflamed , there was general peritonitis.

حاد- )1( بريتوني التهاب أ

البولية- المثانة انفجار ب

البطن- أسفل ضربة ج

يوجد( 2) ال

When an old man who has been depressed, was not seen for a few days, his neighbors call for the police. On breaking his apartment door, he was found lying on bed and a revolver was clenched in his Rt. hand .On examination a gunshot wound was found on his Rt. Temple.

بالرأس- )1( انتحاري ناري طلق أ

يوجد- ال ب

يوجد- ال ج

يوجد( 2) ال

A middle-aged woman, who was suffering from bronchial asthma, was found dead at home dressed in underclothes. On examination there were discoid bruises about 1 Cm in diameter and semilunar abrasions on the front & sides of the neck, internal examination showed massive contusions of the neck soft tissue and a fracture of the hyoid bone.

باليد- )1( الخنق اسفكسيا أ

يوجد- ال ب

يوجد- ال ج

الشعبي( 2) الربو

A pregnant female tried to end her pregnancy. She introduced a douching nozzle and gushed a large amount of soap into the uterus. She died suddenly after she felt a sever chest pain, hemoptysis, tachycardia, tachypnea, hypotension and cyanosis.

رئوي- )1( انحذاف أ

اجهاض- محاولة ب

يوجد- ال ج

يوجد( 2) ال

A haemophilic child was playing with fellows when he was struck on the Lt. temple by a stick ,he staggered and fell momentarily concussed , but got to his feet. Next morning, he was found unconscious, feverish, there was rigidity on the muscles of the back of the neck, signs of lateralization .on his way to hospital he died.

بالمخ- )1( انضغاط أ

بالمخ- نزيف ب

بالرأس- اصابة ج

هيموفيليا )2(

During playing of one baby by a belt he tied it around his neck .He became cyanosed, unconscious, his mother tried to save him by removing the belt but she failed, and the baby died.

بالحبل- )1( الخنق اسفكسيا أ

يوجد- ال ب

يوجد- ال ج

يوجد )2( ال

During a war an alarm was sounded, people hurried to the ground floor. a woman fell on the stairway and people ran over her crushing her chest & abdomen. On examination, face & neck were deeply cyanosed with numerous petechiae over head, neck and shoulders.

اصابية- )1( اسفكسيا أ

يوجد- ال ب

يوجد- ال ج

يوجد( 2) ال

During playing of one baby by a coin, he aspirated it on his trachea, he become cyanosed, unconscious. He received treatment in emergency room but he died. during autopsy, we found deep blue hypostasis , the right side of the heart , great vessels were congested, also, the lung was congested.

الشرق- )1( اسفكسيا أ

يوجد- ال ب

يوجد- ال ج

يوجد( 2) ال

A 20 year old man collapsed during football practice on a hot humid day (atmospheric temp. 45) on admission to hospital, he was comatose, B/P=70/20, body temperature was 42⁰c with mild sweating, he developed seizures, died.

شمس- )1( ضربة أ

يوجد- ال ب

يوجد- ال ج

يوجد( 2) ال

An alcoholic fell on a bare electric wire and died. No external signs were found.

كهربي- )1( صعق أ

يوجد- ال ب

يوجد- ال ج

الكحول( 2) تعاطي

A 30 year farmer with bilharzial splenomegaly & chronic anaemia was severely shocked after a severe attack of haematemesis & melena & died on arrival to hospital.

دموي- )1( قيئ أ

المرئ- • دوالي انفجار ب

بلهارسي- • كبدي تليف ج

انيميا( 2)•

A diabetic man who had been on a therapy for angina suddenly suffered from chest pain radiating to the left arm, dyspnea & sweating. He died on his way to the hospital

القلب- )1( بعضلة احتشاء أ

التاجية- • الشرايين في قصور ب

الشرايين- • تصلب ج

السكري( 2)• البول مرض

An alcohol addict man was found dead in a smoke filled room. He had sustained moderate burns on his right hand. On examination, skin was red in color, alcohol level was 100 mg %, and carboxyhemoglobin level was 80%.

الكربون- )1( أكسيد أول بغاز تسمم أ

يوجد- • ال ب

يوجد- • ال ج

الكحول( 2)• تعاطي

An eight years old boy was knocked down the road by a speeding motor vehicle and died on the spot. On examination bleeding from the ears was observed.

الجمجمة- )1( بقاع كسر أ

بالرأس- اصابة ب

يوجد- ال ج

يوجد( 2) ال

1(A middle aged man was driving along a road , where the car curved and crashed into a tree, he was found dead at the wheel , autopsy revealed fracture ribs , hemothorax, rupture of the thoracic aorta ,also coronary arteries were moderately atherosclerotic.

بالصدر- )1( اصابة أ

القيادة- بعجلة ارتطام ب

سيارة- حادث ج

التاجية( 2) الشرايين تصلب