Forensic Medicine · Mechanical Injuries (Blunt, Sharp, Regional Injuries)

A penetrating stab wound to the chest is examined at autopsy. The wound track is triangular with one sharp angle and one V-shaped squared-off angle. This wound morphology is MOST consistent with a stab from:

  • A A single-edged knife, with the triangular end from the sharp edge and the squared end from the back (blunt spine)
  • B A double-edged stiletto blade
  • C A serrated kitchen knife with an irregular cutting edge
  • D A circular punch or spike producing a symmetrical wound
Correct answer: A. A single-edged knife, with the triangular end from the sharp edge and the squared end from the back (blunt spine)

Explanation

Stab wounds from single-edged knives produce a wound with one acute (pointed) angle from the cutting edge and one squared or fishtail-shaped angle from the blunt spine of the blade. Double-edged weapons (stiletto, bayonet) produce wounds with two acute angles. Serrated knives may show tissue tags or irregular wound margins. This distinction between single and double-edged weapons is of fundamental medicolegal importance in weapon identification.

Reference: The Essentials of Forensic Medicine and Toxicology (Narayan Reddy), 34th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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