Download KUHS MBBS 2nd Year Forensic Medicine and Toxicology

? Practicals I& II-(20+20) =40 marks(University)
? Internal assessment - 20 marks
Aggregate : 200 marks
Internal Assessment
Based on day to day performance assessed by daily evaluation, short

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examinations, tutorials, seminars, sessional examinations etc.
Theory ? Pattern of Question paper - Two papers of three hours duration (50 marks
each)
OBJECTIVE STRUCTURED PRACTICAL EXAMINATION (OSPE)
SPOTTERS : 10 Numbers-Based on calculations, ,instruments,charts, microscopic

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slides ofblood cells, graphs,(including graphs from systems,amphibian expts-skeletal
muscle/cardiac muscle) clinical history,clinical skill)
Seminars :
Guide lines:
Allot 8 topics for a day.

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Assign a single topic per student for presentation that lasts 10 minutes
All the students should learn all the 8 topics to participate in the post test
session (10 questions) after the presentation session
Marks: 10 marks for presentation & 10 marks for post test
Consider 10 % of this mark for internal assessment

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List of Assignment topics and Seminar topics can be prepared by the department.
Records should be maintained with marks assigned during internal assessment
FORENSIC MEDICINE AND TOXICOLOGY
GOAL
The broad goal of the teaching of undergraduate students in Forensic

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medicine is to produce a physician who is well informed about medico legal
responsibilities in practice of medicine. He/she acquire knowledge of law in
relation to medical practice, medical negligence and respect for codes of medical
ethics.
Learning objectives-

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1. Be conversant with medical ethics, etiquette, duties rights and legal
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responsibilities of the physician towards patients, profession, society, state and
humanity at large and implications of medical negligence.
2. Be aware of relevant existing laws and procedures including the recent

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developments applicable to medical practice.
3. Identify, examine, document and prepare report/certificate in medico legal
cases/situations in accordance with the law of the land.
4. Recognize and manage common medico legal problems including cases of
poisoning in conformity with the medical procedure.

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5. Perform medico legal postmortem examination and interpret the findings and
results of other relevant investigations to logically conclude the cause, manner
and time since death.
6. Preserve and dispatch specimens in medico legal/postmortem cases and other
concerned materials to the appropriate government agencies for necessary

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examination.
7. Be aware of the general principles of environmental, occupational and
preventive aspects of toxicology.
Period of study
- III, IV and V Semester.

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Duration of training
- 18 months.
Methods of
instructions
-

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Lecture
- 30 hrs.
Practicals and
Innovative
70 hrs.

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sessions
-
Total no of hours
-
100Hrs.

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TOPIC
Method of
Hours
teaching
Forensic medicine

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Lecture
1
1
Definition of forensic medicine,
Forensic pathology and medical

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jurisprudence
2
Introduction to the subject,
historical aspects of forensic
medicine.

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3
Inquest procedures
Lecture
3
64

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Courts in India and their
4
powers.
Innovative
2

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Supreme court, High court,
Sessions
session
court, Assistant sessions court
and

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(Moot
Magistrate courts.
court)
Practical
Court procedures. Summons,

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5
warrant,
2
Conduct money,
Oath/affirmation,

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Types of witnesses, Recording
of
evidence, Conduct of doctor in
witness
box,

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Perjury, Hostile witness.
Medical certificates and Medico
6
legal
Lecture

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1
reports. Birth, death, wound,
drunkenness, potency, Sexual
offence
cases, intimation, notification.

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7
Death and Causes
Lecture
4
Definition, diagnosis and

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8
certification
Practical
4
(as per MCCD rules), somatic,

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molecular
demo.
and brain death. Sudden
natural
deaths, suspended

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animation.Changes
after death.
A) Algor mortis, Livor mortis,
Rigor
mortis, cadaveric spasm, cold

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stiffening, heat stiffening.
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B) Decomposition, modified
forms of
decomposition, estimation of

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time
since death.
C) Common post mortem
artifacts.
Identification

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Lecture
1
A Definition.
Practical
2

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B) Identification of
demo.
persons, dead
bodies and remains of
Group

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a person
by
sex, age, biometry, dental
discussion
features,

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.
scars, moles, tattoos,
dactylography, personal
belongings
2

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photography, super imposition,
DNA.
10
Medico legal autopsy and
Lecture

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1
exhumation.
A) Definition of medico legal
Practical
6

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and
clinical/pathological autopsy.
B) Objectives, procedures and
formalities of medico legal
autopsy.

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C) Preservation of articles and
tissues of importance during
autopsy.
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Mechanical injuries or

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11
wounds.
Innovative
6
A)Definition

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of wound,
injury, (Gp.discn.)
hurt, assault, battery.
B)
Classification

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of
injuries,
description of blunt force and sharp
force injuries
C)Fire arms-principles,types.

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Examination and interpretation of
fire
arm
wounds.
Comparison

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microscopy.
D) Medico legal aspects of
injuries: Difference between ante
mortem and postmortem injuries,
determination of different

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types of injuries,defense
wounds, hesitation cuts, fabricated
wounds,
simple and grievous
hurt, suicidal, accidental and

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Practical
6
homicidal injuries, causes of death
by mechanical injuries, legal
classification of fatal injuries.

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E) Regional injuries:
Injuries
to
head, neck,
thorax,

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abdomen,
pelvis,
genitalia,
vertebral column and bones.
F) Injuries due to traffic

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occurrences.
Innovative
4
G) Injuries due to physical agents
and their medico legal importance:

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(Project)
Heat, cold electricity
and
lightning.
Explosion injuries.

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12.
Lecture
4
Asphyxial deaths: Definition,

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causes, types, postmortem
appearances
and medico legal
significance of violent-asphyxial
deaths

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like
hanging,
Innovative
2
strangulation,suffocation,smotheri

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ng,
choking,drowning,traumatic
(Gp.discn)
asphyxia.
13

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medico legal aspects of Deaths due
Practical
4
to starvation-forced feeding.
Lecture

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2
Human sexual functions:
14
A). Potency, sterility, virginity, Lecture
3

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pregnancy, delivery.
B)
Abortion,
MTP, sterilization,
2

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artificial insemination and
Innovative
their legal aspects.
(Gp.discn)
C) Sexual offences and abnormal

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1
sexual practices.
Lecture
D) Legal aspects of the
2

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above.
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15
Infant and childhood deaths: Viability
and determination of

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intrauterine
age of the foetus, live birth,
still
birth, dead born. Sudden
infant

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death syndrome, child abuse.
Biological
16.
fluids:
Lecture

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1
A) Blood-preservation and dispatch
of samples, importance of blood
groups in disputed paternity, hazards
of blood transfusion.

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B)Semina
l
and
salivary stains-
preservation, dispatch and

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importance of grouping.
C)
Principles of laboratory tests for
identification of the above
and

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3
interpretation of the results
Practical
17
Forensic

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psychiatry:
Definitio
A) n
and brief
overview

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of common mental
illnesses.
B)
True and feigned
mental

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illnesses
Lecture
3
.
and

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C) Civil criminal
responsibilities
of mentally ill
persons.
D) Indian mental health act

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with
specia
l
reference to
admission,care

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18.
Medical jurisprudence:
Lecture

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2
A) Indian
medical council and Innovative
state medical councils, their functions
2

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and disciplinary control.
2
B)
Duties
and rights and privileges of a (Gp.discn)

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2
registered medical practitioner.
Innovative
C) Professional
conduct, etiquette

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and
ethics
in
medical
Innovative

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pratice.
(Seminar)
- Ethics underlying human
interactions - Respect, Trust,
confidentiality in doctor ? patient

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relationship
- Cardinal Principles of medical ethics-
Autonomy, Beneficence, Non-
Maleficence, Justice
Seminar ? with case examples

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D) Professional secrecy and
privileged communication.
E)
Medical
negligence: Civil,

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criminal, contributory negligence,
vicarious
responsibility, res-ipsa-loquitor
medica
prevention

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of l
negligence
and defence in medical negligence
suits.
F) Consent; Types, age in relation to

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consent, consent in relation to
mental illness and alcohol intoxication,
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consent in emergency situations.

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Informed Consent as a bond of trust
between patient and the doctor.
Empowering Autonomy through
information sharing
19.

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Forensic toxicology:
Lecture
2
Definition and general principles
A) of

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Innovatie
5
management of a case
of
4

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poisoning.
(Seminar)
B) Medico legal duties of a doctor in Innovatie
poisoning
a case of ,

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preservation
and dispatch of viscera for chemical
analysis. Role
of
chemical examiner's

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laborator
y
and forensic
science
laboratory in brief.

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C) Diagnosis and principles of
therapy and medico legal aspects of
the following poisons, giving special Integration
thos
emphasis to e

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of regional
importance
Pharmacol
-a) Corrosive
poisons:

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strong o gy
mineral acids, alkalies and organic
acids-(carbolic, formic and oxalic
acid).
b)Metallic poisons: Lead, Arsenic,

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Mercury
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c) Animal poisons-snake and
scorpion bites.

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d) Deliriants: Dhatura, Cannabis and
Cocaine.
e)Inebriants: Methyl and Ethyl
alcohol.
f)

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Asphyxiants: Carbon monoxide,
carbon dioxide, Hydrogen sulphide
and Cyanides.
g)Cardiac poisons: Cerbera odollam,
Cerbera thevitia, Nerium odorum.

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Practical
h)
Innovative
Insecticides:
Organophosphorous

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compounds,Carbamates and
Organocholoro compounds,
Aluminium phosphide and Zinc
(Gp.discn)
phosphide.

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D) Drug abuse and
dependence.
E) Inorganic non metallic poisons:
Phosphorous.
F) Organic vegetable irritants: Abrus

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precatorius,capsicum, calotropis,
Semicarpus anacardium,Croton.
G) Convulsants: Strychnine.
H) Paralytic agents: Curare.
I) War gases and industrial gases.

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J) Chloral hydrate.
K)Mechanical poisons.
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SKILLS Level of achievement

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Able to
Able to
Assist
Observe
perform

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perform
independent under
guidance
1. Prepare certificates of birth and
1

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death.
Prepare death verification
Differenciating Death verification
and death certification
2. Prepare dying declaration.

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2
3. Give evidence in court of
3
law as expert witness.
4. Collect, preserve and properly label

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4
and dispatch specimens of medico
legal importance.
5. Diagnose and manage common
5

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acute and chronic poisoning.
6. Perform medico legal duties in
6
case of poisoning.
7. Observe ten medico legal

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7
autopsies and enter in practical
record.
8. Age estimation from bones,
8

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skiagrams and dentition
9. Examination of injuries and
9
weapons and report writing.
10. Examination of an alcohol

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10
intoxicated person and report
writing.
11. Examination of victim and accused
11

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in sexual offence cases.
12. Study of specimens of poisons.
12
13. Study of wet and models, charts
13

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etc.dry specimens,
Suggested topics for integrated teaching
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1. Examination of injured person and report writing. Integration with surgery casualty

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posting.
2. Examination of victim of sexual assault cases and report writing. Integration with
casualty management posting.
3. Forensic psychiatry. Integration with psychiatry posting.
4. Management of cases of poisoning. Integration with medicine.

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5. Drug abuse and drug dependence. Integration with pharmacology.
6. Integrated learning of common ethical issues in clinical practice--eg informed
consent, end of life,patient autonomy, distibutive justice,non maleficence .
7. Medico legal issues in Clinical practice including casualty
8. Medical documentation and Medical records

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9. Death due to anaphylaxis
10. Death in Hospitals(Anaesthetic/Surgical/Alleged negligence)
Suggested topics for e-learning
1. Ethical and medico legal issues in clinical practice. Examples for this topic in real life
situations - Integrated learning with invited clinical faculty- giving actual patient examples

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of medico-legal dilemas.
2. Child abuse.
3. POCSO Act
4. HIV/AIDS.
5. Torture medicine.

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6. Lie detection.
7. Narco analysis.
8. Brain finger printing
Prescribed books
1. Practical Forensic medicine. B.Umadethan, CBS publishers &distributers.

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2. Forensic Medicine and Toxicology, Dr.P.C. Ignatius.
3. Forensic medicine, P.V. Guharaj, 2nd Edition, University press.
4. Text book of Forensic medicine and Toxicology-principles and Practice, Krishan Vij,
4th Edition, Elsevier
Reference books

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1 . Essentials of Forensic medicine and toxicology. K.S. Narayana Reddy, 29th Edition.
2 . Modis text book of Medical Jurisprudence and Toxicology, 23rd Edition,Lexis Nexis.
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3. Text Book of Forensic medicine and Toxicology by Nagesh Kumar G.Rao, 2nd
Edition. Jaypee brothers Medical Publishers

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4. Principles and practice of Forensic medicine.Dr.B. Umadethan 2008, Swami Law
Publishers.
5. Parikhs Text Book of Medical Jurisprudence, forensic medicine and Toxicology, 6th
edition, CBS Publishers and Distributors.
7 .J.B. Mukherjee's forensic medicine and Toxicology. R.N. Karmakar 2007.

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Evaluation
Internal assessment examinations may be conducted as per the discretion. examination per
semester, without violating MCI norms. : Minimum one
Theory
40

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Internal assessment
10
Viva
10
Total

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60
Practicals
30
Intrenal Assessment
10

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Total
40
Grand Total
100
Topics and mark allotment

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Medical jurisprudence
20%
(Ethics to be given due importance)
Court and legal procedures
10%

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Thanatology, M/L autopsy
8%
Asphyxial deaths
10%
Traumatology

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10%
Sexual jurisprudence
20%
Infanticide
10%

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Trace evidences
5%
Forensic psychiatry
2%
Toxicology

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5%
MICROBIOLOGY
A. GOAL
The broad goal of the teaching of undergraduate students in Microbiology is to
provide an understanding of the natural history of infectious diseases in order to deal with

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the etiology, pathogenesis, laboratory diagnosis, treatment and control of infections in the
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