Coronary artery disease (atherosclerotic heart disease) is due to accumulation of atheromatous plaques in the coronary vessel walls. The authors report a case of sudden death in 17 year old male due to coronary artery disease. The deceased had a fall from scooter due to disbalancing. The boy had regular complaint of acidity and heart burn. The autopsy revealed Left anterior descending artery was 50% blocked, left circumflex coronary artery was 80% blocked. It may also suggest requirement of careful examination of patients with heart burn and acidity. This report is being published for awareness that now CAD can occur in younger age group.
Accurate estimation of the post-mortem interval is an important research topic in Forensic Medicine. But unfortunately all methods till now in use to determine the time of death are to a degree unreliable. A vitreous Biochemical change, in the post-mortem period has been researched for many years, but till date it has not been practically used. Various authors have found the co- relation of vitreous humour Na+, K+ & Ca2+ concentration, with increasing post-mortem interval. Some authors have used flame photometry method, while others have used Beckman coulter analyser method. Some authors have found changes in Vitreous Na+, K+ & Ca2+ concentration, between the two eyes of the study subjects and gender variation was also noticed. But still various lacunae exist in the present knowledge because of which estimation of post-mortem interval from vitreous biochemistry is not being practically used till date. So this topic needs further research to bring it in to routine use.
Hydrocarbompoisoning is common in children especially in rural areas. Accidental ingestion ofdiesel andkerosene is very commonI. The following is a case report ofa two year old child, who ingesteddieselfrom a container and also soiled the body surface. The parents panicked and induced vomiting. They took the childto aprivate hospital where gastric lavage was done. The child died due to aspiration pneumonitis possibly as a result ofinduced vomiting and gastric lavage.