Forensic Medicine · Medico-Legal Autopsy and Postmortem Changes (Thanatology)

A body found indoors 10 hours after death shows small, brownish-black, triangular patches on the exposed portion of the sclera on both sides of the cornea. The conjunctiva over these areas is dried and slightly shrunken. This finding represents:

  • A Petechial haemorrhage of asphyxia
  • B Early corneal opacification from autolysis
  • C Tache noire due to postmortem drying of exposed sclera
  • D Subconjunctival ecchymosis from strangulation
Correct answer: C. Tache noire due to postmortem drying of exposed sclera

Explanation

Tache noire consists of brownish-black, triangular patches of dried, discoloured sclera adjacent to the cornea, appearing within a few hours when the eyelids remain incompletely closed and the exposed sclera dries. It is a normal postmortem change caused by evaporation and has no pathological significance. Petechiae of asphyxia are discrete, reddish-purple and located in the conjunctivae rather than as dried scleral patches, and they would be accompanied by other signs of asphyxia. Corneal opacity is a diffuse haziness, not a triangular scleral patch.

Reference: Parikh's Textbook of Medical Jurisprudence, Forensic Medicine and Toxicology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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