FORENSIC

MEDICINE/TOXICOLOGY

STUDY GUIDE

This Study guide of the module/course outlines the key components and areas for the facilitation of the students.

Department of Medical Education

Contents

Vision and Mission of KGMC ...... Khyber Medical University: Vision ...... Khyber Girls Medical College: Vision ...... Khyber Girls Medical College: Mission ...... Curriculum Committee KGMC ...... Module committee ...... Outcomes of the curriculum: ...... KNOWLEDGE ...... PSYCHOMOTOR ...... AFFECTIVE ...... Introduction to the Course/Module ...... General Learning Outcomes of the Module/Course ...... Specific learning objectives of the forensic ...... Teaching and learning strategies: ...... Learning opportunities ...... Time tables: ...... Assessment tools: ...... Internal Evaluation: ...... Attendance Requirement: ......

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Vision and Mission of KGMC

Khyber Medical University: Vision Khyber Medical University will be the global leader in health sciences academics and research for efficient and compassionate health care.

Khyber Girls Medical College: Vision

Khyber Girls Medical College will promote health care leaders that are critical thinker, ethical, research oriented, culturally and professionally competent

Khyber Girls Medical College: Mission

To develop competent health care leaders by ensuring appropriate policies, procedures which reflect ethical, cultural, community orientated and based practices to achieve best possible health outcomes for society at large.

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Curriculum Committee KGMC

Chair: Professor Dr.Zahid Aman , Dean KGMC. Co-Chair: Dr. Sabina Aziz, Associate Dean KGMC.

Clinical Sciences:  Dr Mohammad Noor Wazir ,Department of Medicine KGMC/HMC  Dr. Said Amin Department of Medicine KGMC/HMC.  Dr. Sofia Iqbal, Department of Ophthalmology KGMC/HMC.  Dr. Ghareeb Nawaz Department of ENT KGMC/HMC.  Dr. Bushra Rauf Department of Gynae KGMC/HMC.  Dr. Jamshed Alam Department of Surgery KGMC/HMC.  Dr. Ambreen Ahmad, Department of Pediatrics KGMC/HMC.  Dr. Ain-ul-Hadi Department of Surgery KGMC/HMC.  Dr. Fawad Rahim Department of Medicine KGMC/HMC. Behavioral Sciences:  Dr. Ameer Abbas Department of Psychiatry KGMC/HMC. Medical Education  Dr. Naheed Mahsood, Department of Medical Education, KGMC.

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 Dr. Naveed Afzal Khan, Department of Medical Education, KGMC.  Dr Onaiza Nasim , Department of Medical Education, KGMC

Basic Sciences:  Dr. Khalid Javed Department of Pathology, KGMC.  Dr. Zubia Shah Department of Physiology, KGMC.  Dr. Amin-ul-Haq Department of Biochemistry, KGMC.  Dr. Naheed Siddique Department of Forensic Medicine, KGMC.  Dr. Shams Suleman Department of Pharmacology, KGMC.  Dr. Raheela Amin Department of Community Medicine, KGMC.  Dr. Shahab-ud-Din, Department of Anatomy, KGMC.

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Outcomes of the curriculum: The outcomes of the curriculum of MBBS According to the PMDC are as follows

 Knowledgeable

 Skilful

 Community Heath Promoter

 Problem-solver

 Professional

 Researcher

 Leader and Role Model

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KNOWLEDGE By the end of five year MBBS program the KGMC student should be able to;

1. Acquire a high level of clinical proficiency in history taking, physical examination, differential diagnosis, and the effective use of

medicine’s evolving diagnostic and procedural capabilities including therapeutic and palliative modalities

2. Manage the common prevalent diseases in community

3. Identify the common medical emergencies

4. Develop plan for prevention of common community diseases

5. Formulate a referral plan

6. Compose a prescription plan

PSYCHOMOTOR By the end of five year MBBS program the KGMC student should be able to;

1. Demonstrate the ability to perform the disease specific relevant examination

2. Respond to common medical emergencies

3. Master the skill of first aid

4. Perform BLS

5. Apply the best evidenced practices for local health problems

AFFECTIVE By the end of five year MBBS program the KGMC student should be able to

1. Relate to patient and careers vulnerability

2. Demonstrate ethical self-management

3. Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-

making.

4. Display compassion with patient and colleagues

5. Demonstrate in clinical care an understanding of the impact of psychological, social, and economic factors on human health

and disease

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Introduction to the Forensic medicine and Toxicology Forensic medicine is branch of medicine which deals with the application of the principals of medical knowledge to the purpose of and to furthering of justice

Toxicology is the science which deals with poisons with reference to their sources ,properties, mode of action ,symptoms which they produce, lethal dose, nature of the fatal results, treatment ,methods of their detection and estimation, and findings.

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General Learning Outcomes of Course By the end of this module the students should be able to;

Knowledge Describe the stages and medico legal aspects of Discuss mode, manner, cause and mechanism of death Explain sudden death, its various causes and medico legal significance Describe and post-mortem artefacts Discuss medical certification of the Identify the medico legal systems of the world Describe mechanical injuries and their medico legal aspects. Discuss organization of law courts and their functions Explain rules for doctors attending the courts Identify the features of International Code of Medical Ethics Define professional misconduct Discuss food poisoning and chemical poisoning

Skills

Identify blood stain examinations

Compare differences between human and animal blood under microscope

Illustrate collection and preservation and sampling of blood stains

Examination of Semen, saliva & urinary stains

Examination of Hair

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Medico legal examination of rape, sodomy victim, injured person

Finger printing

Gastric lavage

Examination of injuries and fire arm patients Perform autopsy /post mortem

Attitude

Demonstrate compassion and care for patients while performing the medico legal examination Demonstrate the team work while working in the hospital environment. Show good communication skills while performing tasks Show respect by exposure of only necessary body part during autopsy

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Table of specification SUBJECT: FORENSIC MEDICINE AND TOXICOLOGY # TOPIC LEARNING OBJECTIVES DOMAIN TEACHING TEACHER TIM VENUE ASSESSME Reference *1 STRATEGY E NT STRATEGY 1 Death -Define and C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s death Haq lecture SEQs, OSPE textbook of theatre Medical -Describe the stages and Jurisprudence medico legal aspects of and death Toxicology.

-Discuss mode, manner, Principles and cause and mechanism of Practice of death Forensic Medicine by -Explain sudden death, its Nasib R Awan various causes and medico legal significance

-Discuss and its causes

2 Signs of -Identify Immediate, early C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s death and late signs of death Haq lecture SEQs, OSPE textbook of theatre Medical -Discuss cooling of the body Jurisprudence

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after death and Toxicology. -Describe postmortem lividity with reference to its Principles and usefulness in medico legal Practice of . work Forensic Medicine by Nasib R Awan 3 Early -Define C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s changes Haq lecture SEQs, OSPE textbook of after death -Explain the circumstances theatre Medical which modify its onset and Jurisprudence duration and Toxicology. -Identify the conditions which simulate rigor mortis Principles and Practice of -Describe the changes in Forensic the eyes after death Medicine by Nasib R Awan 4 Late Define C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s changes Haq lecture SEQs, OSPE textbook of after death Explain the mechanism of theatre Medical its development Jurisprudence and Describe in sequence the Toxicology. changes that occur in a dead body undergoing Principles and putrefaction Practice of Forensic Discuss putrefaction in Medicine by

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water Nasib R Awan 5 Modified Explain the process of C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s late adipocere formation Haq lecture SEQs, OSPE textbook of changes theatre Medical after death Describe the development Jurisprudence and medico legal and significance of Toxicology. mummification Identify postmortem Principles and chemical changes in blood, Practice of vitreous humor and Forensic cerebrospinal fluid Medicine by Nasib R Awan 6 Medico- Describe maceration and C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s legal post-mortem artefacts Haq lecture SEQs, OSPE textbook of systems of theatre Medical the world Discuss medical certification Jurisprudence of the cause of death and Toxicology. Identify the medico legal systems of the world Principles and Practice of Forensic Medicine by Nasib R Awan 7 Mechanical Differentiate between hurt, C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s injuries 1 injury and wound Haq lecture SEQs, OSPE textbook of abrasions theatre Medical Classify injuries Jurisprudence and Define abrasions Toxicology.

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Describe various types of Principles and abrasions and its medico Practice of legal significance Forensic Medicine by Determine the age of Nasib R Awan abrasion

Differentiate between antemortem and postmortem abrasions

8 Mechanical Define and classify bruise C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s injuries 2 Haq lecture SEQs, OSPE textbook of bruise Describe the characteristics theatre Medical and factors modifying the Jurisprudence appearance of bruise and Toxicology. Determine the age of bruise Principles and Differentiate between Practice of Forensic 1) antemortem and Medicine by postmortem bruise and, Nasib R Awan 2) bruise and postmortem lividity

Explain the medicolegal aspects of bruise

9 Mechanical Define and classify C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s

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injuries 3 lacerations Haq lecture SEQs, OSPE textbook of lacerations theatre Medical Describe their Jurisprudence characteristics and Toxicology. Explain the medicolegal aspects of lacerations Principles and Practice of Define incised wound Forensic Medicine by Describe its characteristics Nasib R Awan and medicolegal aspects

10 Mechanical Explain hesitation cuts and C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s injuries 4 chop wounds Haq lecture SEQs, OSPE textbook of stab wound theatre Medical Define stab wound Jurisprudence Describe its characteristics and and medicolegal Toxicology. significance Principles and Discuss defense wounds, Practice of self-inflicted wounds and Forensic injury patterns Medicine by Nasib R Awan 11 Cause of Explain assault, offence, C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s death in and Haq lecture SEQs, OSPE textbook of wounding theatre Medical Enumerate the immediate Jurisprudence and delayed causes of and death in wounds of varied Toxicology.

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nature and Principles and Discuss their medicolegal Practice of implications Forensic Medicine by Nasib R Awan 12 Age of Determine the age of scar C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s wound and fractured bone Haq lecture SEQs, OSPE textbook of theatre Medical Describe the histochemical Jurisprudence timing of the wounds and Toxicology. Differentiate between ante mortem and post mortem Principles and wounds Practice of Forensic Medicine by Nasib R Awan 13 Law & law Define law C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s courts Haq lecture SEQs, OSPE textbook of Describe its types theatre Medical Jurisprudence Discuss organization of law and courts and their functions Toxicology.

Explain rules for doctors Principles and attending the courts Practice of Forensic Medicine by Nasib R Awan 14 Medical Define evidence C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s

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evidence Haq lecture SEQs, OSPE textbook of Describe its types theatre Medical Jurisprudence Identify the stages of and evidence in court Toxicology.

Discuss principles of Principles and evidence Practice of Forensic Explain dying deposition Medicine by and dying declaration Nasib R Awan

15 Legal Describe criminal justice C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s procedures Haq lecture SEQs, OSPE textbook of Explain general theatre Medical presumptions in law Jurisprudence and Identify general exceptions Toxicology. in the law Principles and Explain elements of Practice of Forensic Medicine by Define zina, zina bil jabr, Nasib R Awan sodomy & general legal definitions

16 Legal aspect Recognize the systems of C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s of medicine medical practice Haq lecture SEQs, OSPE textbook of theatre Medical Identify the statute of Jurisprudence

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allopathic system and Toxicology. Describe dangerous drug rules Principles and Practice of Forensic Medicine by Nasib R Awan 17 PM&DC Explain the constitution of C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s PM&DC Haq lecture SEQs, OSPE textbook of theatre Medical Describe functions of Jurisprudence PM&DC and Toxicology. Identify the privileges and obligations of registered Principles and medical practitioner Practice of Forensic Medicine by Nasib R Awan 18 Professional Identify the features of C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s misconduct International Code of Haq lecture SEQs, OSPE textbook of Medical Ethics theatre Medical Jurisprudence Define professional and misconduct Toxicology.

Describe the situations in Principles and which doctor may fall prey Practice of to professional misconduct Forensic Explain patient’s and Medicine by

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medical practitioner’s Nasib R Awan obligations in relation to medical treatment

Discuss the conditions necessary for valid 19 Medical Describe medical treatment C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s treatment of mental illness Haq lecture SEQs, OSPE textbook of of mental theatre Medical illness Identify the procedure for Jurisprudence voluntary & and temporary reception of Toxicology. mentally ill person Principles and Explain reception order & Practice of discharge of mentally sick Forensic Medicine by Nasib R Awan 20 Consent Determined the role of C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s and consent Haq lecture SEQs, OSPE textbook of negligence theatre Medical Describe various types of Jurisprudence consent and Toxicology. Explain the procedure of taking consent Principles and Practice of Define medical negligence Forensic & Res Ipsa Loquitur Medicine by Nasib R Awan Identify its various types

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Discuss the scope of medical negligence

21 Professional Explain professional secrecy C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s secrecy & Haq lecture SEQs, OSPE textbook of medical Describe theatre Medical documentatio communication Jurisprudence n and Identify different types of Toxicology. medical documents Principles and Practice of Forensic Medicine by Nasib R Awan 22 Hurt Define injury, wound and C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s hurt Haq lecture SEQs, OSPE textbook of theatre Medical Classify hurt according to Jurisprudence body part involved & and manner of infliction of hurt Toxicology.

Classify criminal abortion Principles and Practice of Identify various types of Forensic suicide Medicine by Nasib R Awan 23 Classify culpable homicide C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s Haq lecture SEQs, OSPE textbook of Describe euthanasia and its theatre Medical

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types Jurisprudence and Identify various types of Toxicology. sexual indulgence Principles and Enlist the grounds for Practice of dissolution of marriage Forensic Medicine by Nasib R Awan 24 Define inquest C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s procedures Haq lecture SEQs, OSPE textbook of Describe its types theatre Medical Jurisprudence Explain the procedure of and police inquest Toxicology.

Tabulate the differences Principles and between ’s, police Practice of and magistrate inquest Forensic Medicine by Nasib R Awan 25 Medical Define summon, conduct C LGF Dr Anwar Ul 1 hr. 3rd year MCQs, Parikh’s money, perjury Haq lecture SEQs, OSPE textbook of theatre Medical Describe witness Jurisprudence and Explain different kinds of Toxicology. and their functions Principles and Practice of Discuss novus actus Forensic

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interveniens, therapeutic Medicine by misadventure and vicarious Nasib R Awan responsibility 26 Personal -Define identification C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s Identity Nadeem lecture SEQs, OSPE textbook of -Describe partial and theatre Medical complete identification Jurisprudence and -Appraise different methods Toxicology. of establishing personal identity Principles and Practice of -Describe medico legal Forensic significance of personal Medicine by identity Nasib R Awan

-Enumerate parameters of identification

27 Age -Describe determination of C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s assessment age for the purpose of Nadeem lecture SEQs, OSPE textbook of identification theatre Medical Jurisprudence -Describe/ assess the role of and teeth and ossification Toxicology. centers in determining different ages Principles and Practice of -Describe medico legal Forensic importance of different Medicine by ages Nasib R Awan

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28 Sex -Describe methods of C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s determination determining sex in normal Nadeem lecture SEQs, OSPE textbook of and in doubtful cases theatre Medical Jurisprudence -Describe/ assess M/L and Importance in determining Toxicology. sex for establishing identity Principles and -Enumerate intersex states Practice of Forensic - Differentiate between Medicine by male and female skeleton Nasib R Awan

29 Races in the Enumerate different races C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s world and in the world and discuss Nadeem lecture SEQs, OSPE textbook of dactylography their salient features theatre Medical Jurisprudence Describe racial indices of and different races Toxicology.

Identify role of Principles and dactylography in Practice of establishing personal Forensic identity Medicine by Nasib R Awan Describe different types of finger prints 30 Identificatio Discuss the role of DNA C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s n in mass fingerprinting in Nadeem lecture SEQs, OSPE textbook of disaster establishing personal theatre Medical

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identity Jurisprudence and Identify role of foot prints, Toxicology. tattoo marks and scars in identification Principles and Practice of Describe identification in Forensic mass disaster Medicine by Nasib R Awan Describe role of x-ray in identification 31 Examinatio Describe and classify blood p SGD Dr Faiza 2 Demonst MCQs, Parikh’s n of Blood group systems Nadeem hrs. ration SEQs, OSPE textbook of stains room Medical Appraise M/L importance Jurisprudence and application of blood and group systems Toxicology.

Identify blood stain Principles and examinations Practice of  Physical Forensic  Chemical Medicine by  Physio-chemical Nasib R Awan  Microscopic  Spectroscopic  Immunological  Enzymatic

Compare differences between human and animal

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blood under microscope

Illustrate collection and preservation and sampling of blood stains 32 Examinatio Describe composition and p SGD Dr Faiza 2 Demonst MCQs, Parikh’s n of Semen, properties of seminal fluid Nadeem hrs. ration SEQs, OSPE textbook of saliva & room Medical urinary Jurisprudence stains Illustrate collection, and preservation and sampling Toxicology. of seminal, salivary, urine, fecal and milk stains Principles and Practice of Identify seminal, salivary, Forensic urine, fecal and milk stains Medicine by examination: Nasib R Awan  Physical  Chemical  Microscopic  Electrophoretic  Species origin

33 Examinatio Discuss M/L examination of p SGD Dr Faiza 2 3rd year MCQs, Parikh’s n of Hair hair Nadeem hrs. demonst SEQs, OSPE textbook of ration Medical Illustrate following room Jurisprudence examination of hair under and microscope: Toxicology.  Nature  Source Principles and

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 Identification Practice of  Human / animal Forensic Medicine by Illustrate collection and Nasib R Awan preservation of hair sample

34 Somniferou Explain opioids c LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s s poisons Nadeem lecture SEQs, OSPE textbook of (opioids) Describe their general theatre Medical characteristics Jurisprudence and Enumerate different forms Toxicology. of opioids Principles and Identify signs, symptoms, Practice of fatal dose, fatal period in Forensic case of poisoning Medicine by Nasib R Awan Describe differential diagnosis of opium poisoning

Explain opium addiction

Describe treatment

Identify postmortem findings and medico legal aspects of poisoning

Discuss heroin poisoning

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35 Drug Define and explain C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s dependenc  Addictive drugs Nadeem lecture SEQs, OSPE textbook of e  Drug theatre Medical  Drug abuse Jurisprudence  Habituation and  Hypnotics Toxicology.  Narcotics  Physical Principles and dependence Practice of  Psychological Forensic dependence Medicine by  Psychotropic drugs Nasib R Awan  Sedatives  Stimulants  Tolerance  Drug abuse death

36 CNS Define stimulants C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s stimulants Nadeem lecture SEQs, OSPE textbook of (amphetamin Classify stimulants theatre Medical e and Jurisprudence cocaine) Discuss mechanism of and action of stimulants Toxicology.

Discuss signs, symptoms Principles and fatal dose and fatal period Practice of of amphetamine poisoning Forensic Medicine by Explain treatment of Nasib R Awan

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amphetamine poisoning

Illustrate treatment and M/L importance of amphetamine poisoning

Discuss signs, symptoms, fatal dose and fatal period of cocaine poisoning

Illustrate treatment and M/L importance of cocaine poisoning

Explain chronic cocaine poisoning

37 Inebriant Describe different types of C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s poisons 1 alcohol Nadeem lecture SEQs, OSPE textbook of theatre Medical Describe salient features of Jurisprudence ethyl alcohol poisoning and Toxicology. Illustrate treatment and postmortem appearance in Principles and case of death from ethanol Practice of poisoning Forensic Medicine by Explain its M/L significance Nasib R Awan

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38 Inebriant Describe chronic alcohol C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s poisons 2 poisoning (addiction) Nadeem lecture SEQs, OSPE textbook of theatre Medical Define drunkenness Jurisprudence and Illustrate lab tests for Toxicology. diagnosis of alcohol poisoning Principles and Practice of Forensic Medicine by Nasib R Awan 39 Agrichemica Identify organophosphorus C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s l poisons compounds Nadeem lecture SEQs, OSPE textbook of theatre Medical Describe their mechanism Jurisprudence of action and Toxicology. Illustrate poisoning by these compounds Principles and Practice of Discuss its fatal dose and Forensic fatal period Medicine by Nasib R Awan Illustrate medical treatment

Describe postmortem appearance in case of death by these compounds

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Describe M/L significance 40 Sexual Define C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s jurisprudenc  Impotence Nadeem lecture SEQs, OSPE textbook of e- impotence  Sterility theatre Medical and sterility  Fertility Jurisprudence  Frigidity and Toxicology. Evaluate procedure of examining and certifying Principles and cases of impotence and Practice of sterility Forensic Medicine by Discuss causes of Nasib R Awan impotence and sterility in male

Discuss causes of impotence and sterility in females

Define and Discuss  sterilization  artificial insemination  test – tube baby  surrogate mother

41 Sexual Describe signs of virginity C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s jurisprudenc Nadeem lecture SEQs, OSPE textbook of e- virginity, Identify different types of theatre Medical pregnancy hymen Jurisprudence

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and delivery and Categorize true and false Toxicology. virgins Principles and Define pregnancy Practice of Forensic Illustrate presumptive, Medicine by probable and conclusive Nasib R Awan signs of pregnancy

Identify signs of pregnancy in dead

Explain its M/L imp

Define delivery

Identify signs of recent delivery in living and dead

Identify signs of remote delivery in living and dead

Explain M/L importance of delivery 42 Sexual Define legitimacy C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s jurisprudenc Nadeem lecture SEQs, OSPE textbook of e - legitimacy Describe super fecundation theatre Medical and superfoetation Jurisprudence and Identify the privileges and Toxicology.

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obligations of registered medical practitioner Principles and Practice of Illustrate M/L imp of Forensic legitimacy Medicine by Nasib R Awan 43 Infanticide Define foeticide & C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s Nadeem lecture SEQs, OSPE textbook of theatre Medical Illustrate procedure of Jurisprudence autopsy on infants and still and born Toxicology.

Describe its M/L imp Principles and Practice of Compare between dead Forensic born child and still born Medicine by child Nasib R Awan

Reframe the criteria to establish viability of the child at postmortem

Conclude length of survival of a child after birth 44 Delivery Describe C LGF Dr Faiza 1 hr. 3rd year MCQs, Parikh’s medicolegal  Precipitate delivery Nadeem lecture SEQs, OSPE textbook of aspects and  Pseudo precipitate theatre Medical cot delivery Jurisprudence  Unconscious delivery and  Abandoning of children Toxicology.

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 Concealment of birth Principles and Explain sudden infant death Practice of syndrome Forensic Medicine by Illustrate diagnosis of SIDS Nasib R Awan

45 General Define Toxicology & C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Toxicology Forensic Toxicology hour Lecture OSPE Textbook of 1 Define poison on medical theatre Medical and legal basis Jurisprudence Describe human and cattle and Toxicology poisoning Identify routes of Principles and administration of poisons Practice of Explain actions of poison Forensic and factors modifying Medicine by actions of poisons Naseeb R. Awan 46 General Describe fate of poisons in C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Toxicology the body hour Lecture OSPE Textbook of 2 Explain diagnosis of theatre Medical poisoning in living and dead Jurisprudence Discuss duties of a doctor in and Toxicology a case of acute poisoning Principles and Practice of Forensic Medicine by Naseeb R. Awan

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47 Manageme Enlist the steps in the C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s nt of Acute management of a case hour Lecture OSPE Textbook of Poisoning acute poisoning theatre Medical Describe methods for Jurisprudence removal of unabsorbed and Toxicology poisons Identify different types of Principles and emetics Practice of Explain the procedure of Forensic gastric lavage Medicine by Describe the mechanism of Naseeb R. action of different types of Awan antidotes Discuss elimination of absorbed poison Explain treatment of general symptoms

48 Corrosive Classify corrosives C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisoning Define corrosive hour Lecture OSPE Textbook of Mineral Describe mechanism of theatre Medical acid and action of mineral acids Jurisprudence caustic Explain signs and alkalis and Toxicology Alkalis symptoms and treatment of corrosive poisoning Principles and Discuss postmortem Practice of appearance and Forensic Medicolegal importance of Medicine by mineral acid poisoning Naseeb R. Describe vitriolage Awan 49 Organic Enumerate different C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s

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acids organic acids hour Lecture OSPE Textbook of poisoning Describe the general theatre Medical characteristics, symptoms Jurisprudence and signs of oxalic acid and Toxicology poisoning Discuss treatment, Principles and postmortem appearances Practice of and Medicolegal aspects of Forensic oxalic acid poisoning Medicine by Explain Christenson’s saying Naseeb R. Awan 50 Carbolic Explain general C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s acid characteristics symptoms hour Lecture OSPE Textbook of poisoning and signs and treatment of theatre Medical carbolic acid poisoning Jurisprudence Describe post mortem and Toxicology appearance and Medicolegal aspects of Principles and carbolic and poisoning Practice of Forensic Medicine by Naseeb R. Awan 51 Vegetable Describe general characters C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s acid poisons symptoms and signs and hour Lecture OSPE Textbook of treatment of hydrocyanic theatre Medical acid and cyanides Jurisprudence Discuss the postmortem and Toxicology appearance and Medicolegal aspects of Principles and poisoning by hydrocyanic Practice of

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acid and cyanides Forensic Medicine by Naseeb R. Awan 52 Irritant Define irritant poisons C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s poisons Classify irritant poisons hour Lecture OSPE Textbook of Phosphorus Describe general symptoms theatre Medical Poisoning and signs and postmortem Jurisprudence appearance of irritant and Toxicology poisons Discuss characteristics, Principles and symptoms, signs and Practice of treatment of phosphorus Forensic poisoning Medicine by Describe post mortem Naseeb R. appearances and Awan Medicolegal aspects of phosphorus poisoning Explain necrobiosis of liver Discuss chronic phosphorus poisoning 53 Iodine Describe symptoms, signs C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisoning and treatment of iodine hour Lecture OSPE Textbook of poisoning theatre Medical Discuss Medicolegal aspects Jurisprudence and postmortem and Toxicology appearances of iodine poisoning Principles and Practice of Forensic Medicine by

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Naseeb R. Awan 54 Metallic Enumerate metallic poisons C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisons Discuss sources and various hour Lecture OSPE Textbook of Arsenic forms of arsenic theatre Medical Poisoning Describe symptoms, signs Jurisprudence and treatment of acute and Toxicology arsenic poisoning Discuss postmortem Principles and appearances of acute Practice of arsenic poisoning Forensic Medicine by Naseeb R. Awan 55 Chronic Describe the symptoms and C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s arsenic signs of various stages of hour Lecture OSPE Textbook of poisoning chronic arsenic poisoning theatre Medical Discuss treatment and Jurisprudence postmortem appearance of and Toxicology chronic arsenic poisoning Principles and Practice of Forensic Medicine by Naseeb R. Awan 56 Mercury Describe general C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisoning characteristic of mercury hour Lecture OSPE Textbook of and its sources theatre Medical Identify the symptoms, Jurisprudence signs and post mortem and Toxicology

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appearances of acute mercury poisoning Principles and Explain chronic mercury Practice of poisoning Forensic Describe Medicolegal Medicine by aspects of mercury Naseeb R. poisoning Awan 57 Lead Describe general C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisoning characteristic of lead hour Lecture OSPE Textbook of Enlist sources of lead theatre Medical Describe the symptoms, Jurisprudence signs, treatment and and Toxicology postmortem appearance of acute lead poisoning Principles and Explain chronic lead Practice of poisoning Forensic Discuss Medicolegal aspects Medicine by of lead poisoning Naseeb R. Awan 58 Thallium Describe symptoms, signs C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisoning and treatment of thallium hour Lecture OSPE Textbook of poisoning theatre Medical Explain Medicolegal aspects Jurisprudence of thallium poisoning and Toxicology

Principles and Practice of Forensic Medicine by Naseeb R. Awan

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59 Zinc Describe Medicolegal C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisoning aspects of zinc poisoning hour Lecture OSPE Textbook of theatre Medical Jurisprudence and Toxicology

Principles and Practice of Forensic Medicine by Naseeb R. Awan 60 Vegetable Enlist vegetable poisons C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s irritants Describe symptoms, signs, hour Lecture OSPE Textbook of Poisoning treatment and postmortem theatre Medical appearance of Ricinus Jurisprudence communis and Toxicology Explain symptoms, signs, treatment and postmortem, Principles and appearance of poisoning by Practice of croton tiglium Forensic Explain Medicolegal aspects Medicine by of croton tiglium poisoning Naseeb R. Awan 61 Abrus Describe symptoms, signs, C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s precatorius treatment of abrus hour Lecture OSPE Textbook of Poisoning precatorius poisoning theatre Medical Medicolegal importance of Jurisprudence abrus precatorius poisoning and Toxicology

Principles and

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Practice of Forensic Medicine by Naseeb R. Awan 62 Colocynth & Describe symptoms, signs, C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s ergot treatment and Medicolegal hour Lecture OSPE Textbook of poisoning importance of poisoning by theatre Medical colocynth and ergot Jurisprudence and Toxicology

Principles and Practice of Forensic Medicine by Naseeb R. Awan 63 Capsicum Describe symptoms, signs C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s poisoning and treatment and hour Lecture OSPE Textbook of Medicolegal importance of theatre Medical capsicum poisoning Jurisprudence Enlist difference between and Toxicology capsicum and dhatura seeds Principles and Practice of Forensic Medicine by Naseeb R. Awan 64 Semecarpus Describe symptoms, sign, C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s anacardium treatment and Medicolegal hour Lecture OSPE Textbook of

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and aspects of semecarpus theatre Medical Calotropis anacardium and Calotropis Jurisprudence and Toxicology

Principles and Practice of Forensic Medicine by Naseeb R. Awan 65 Animal Describe symptoms, signs & C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisons treatment of poisoning by hour Lecture OSPE Textbook of Spanish fly theatre Medical Discuss postmortem Jurisprudence appearance and and Toxicology Medicolegal aspects of poisoning by Spanish fly Principles and Practice of Forensic Medicine by Naseeb R. Awan 66 Snake bite Classify snakes according to C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Medicolegal aspects hour Lecture OSPE Textbook of Tabulate differences theatre Medical between Jurisprudence poisonous and non and Toxicology poisonous snakes Discuss the characteristics Principles and of snake venom Practice of Discuss in detail the hall Forensic

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marks of a venomous snake Medicine by bite Naseeb R. Describe the principles of Awan treatment of venomous snake bite 67 Mechanical Describe symptoms, signs, C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s poisons treatment of mechanical hour lecture OSPE Textbook of poisons theatre Medical Discuss Medicolegal aspects Jurisprudence and postmortem and Toxicology appearances of poisoning by powdered glass, Principles and diamond dust and chopped Practice of hair. Forensic Medicine by Naseeb R. Awan 68 Food Define food poisoning & C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s poisoning 1 poisonous foods hour Lecture OSPE Textbook of Enumerate different types theatre Medical of bacterial food poisoning Jurisprudence Discuss food poisoning by and Toxicology toxins Principles and Practice of Forensic Medicine by Naseeb R. Awan 69 Food Describe symptoms, signs C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s poisoning 2 and treatment of botulism hour Lecture OSPE Textbook of

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Discuss postmortem theatre Medical appearances of botulism Jurisprudence Describe different and Toxicology poisonous foods and food allergy. Principles and Practice of Forensic Medicine by Naseeb R. Awan 70 Deliriant Define delirium C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Poisons Enlist deliriant poisons hour Lecture OSPE Textbook of Describe symptoms, signs & theatre Medical treatment of dhatura Jurisprudence poisoning discuss and Toxicology postmortem appearances & medicolegal aspects of Principles and dhatura poisoning Practice of Forensic Medicine by Naseeb R. Awan 71 Cannabis Describe the preparation of C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Indica cannabis hour Lecture OSPE Textbook of poisoning Discuss Cannabis Indica theatre Medical poisoning and its Jurisprudence Medicolegal significance and Toxicology Principles and Practice of Forensic Medicine by

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Naseeb R. Awan 72 Spinal Discuss various spinal C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s poisons poisons in relation to their hour Lecture OSPE Textbook of sources and mechanism of theatre Medical actions Jurisprudence Describe symptoms, signs and Toxicology and differential diagnosis of spinal poisons Principles and Discuss treatment and Practice of autopsy appearances of a Forensic case of strychnine Medicine by poisoning Naseeb R. Awan 73 Peripheral Discuss symptoms, signs of C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s nerve peripheral nerve poisons hour Lecture OSPE Textbook of poisons theatre Medical Jurisprudence and Toxicology

Principles and Practice of Forensic Medicine by Naseeb R. Awan 74 Cardiac Enumerate cardiac poisons C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s poisons Describe symptoms, signs hour Lecture OSPE Textbook of and treatment of cardiac theatre Medical poisons Jurisprudence and Toxicology

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Identify post mortem appearance and Principles and Medicolegal aspects of Practice of cardiac poisons Forensic Medicine by Naseeb R. Awan 75 Forensic Enlist commonly abused C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Pharmacolog drugs hour Lecture OSPE Textbook of y 1 Define street drugs and theatre Medical designer drugs Jurisprudence Describe symptoms, signs & and Toxicology treatment of aspirin poisoning Principles and Discuss postmortem Practice of appearance and Forensic Medicolegal aspects of Medicine by aspirin poisoning Naseeb R. Awan 76 Forensic Describe symptoms, signs & C LGF Naheed Siddiqui 1 3rd Year MCQ/SEQ/ Parikh’s Pharmacolog treatment of paracetamol hour Lecture OSPE Textbook of y 2 poisoning theatre Medical Identify postmortem Jurisprudence appearance and and Toxicology Medicolegal aspects of paracetamol poisoning Principles and Discuss anti histamine, Practice of tranquillizers and anti- Forensic depressants poisoning Medicine by Naseeb R. Awan

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77 Asphyxia By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s the students shall be able Khurshid hour lecture / OSPE textbook of to: theatre Medical Define asphyxia Jurisprudence and Describe the mechanism of Toxicology. death in asphyxia Enumerate different types Principles and of asphyxia Practice of Forensic Enlist specific and non- Medicine by specific signs of asphyxia Nasib R Awan Describe the internal and external autopsy findings in case of asphyxia Define traumatic asphyxia Describe the autopsy findings in case of traumatic asphyxia Enumerate the medico legal aspects in case of traumatic asphyxia

78 Hanging By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s the students shall be able Khurshid hour lecture / OSPE textbook of to: theatre Medical KGMC Jurisprudence Define hanging and

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Enumerate causes of death Toxicology. in hanging Describe internal and Principles and external autopsy findings in Practice of case of hanging Forensic Describe medico legal Medicine by aspects of hanging Nasib R Awan Enumerate different types of hanging and describe their mechanism

79 Ligature By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s Strangulatio the students shall be able Khurshid hour lecture / OSPE textbook of n to: theatre Medical Define strangulation Jurisprudence Describe its types and Explain the internal and Toxicology. external post mortem findings in case of Principles and strangulation Practice of Describe the medico legal Forensic aspects of strangulation Medicine by Define mugging, garroting Nasib R Awan and bansdola Enumerate differences between hanging and strangulation

80 Manual By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s Strangulatio the students shall be able Khurshid hour lecture / OSPE textbook of n to: theatre Medical

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Define throttling Jurisprudence Describe the post mortem and findings in a case of Toxicology. throttling Explain the medicolegal Principles and aspects of throttling Practice of Define suffocation Forensic Describe the post mortem Medicine by findings in suffocation Nasib R Awan Explain the medico legal aspects of suffocation

81 Drowning 1 By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s the students shall be able Khurshid hour lecture / OSPE textbook of to: theatre Medical Define drowning Jurisprudence Classify drowning and Describe typical and Toxicology. atypical drowning Explain the mechanism of Principles and death in drowning Practice of Enumerate the causes of Forensic death in drowning Medicine by Nasib R Awan 82 Drowning 2 By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s the students shall be able Khurshid hour lecture / OSPE textbook of to: theatre Medical Describe the internal and Jurisprudence external autopsy findings in and case of drowning Toxicology. Explain the medico legal

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aspects of drowning Principles and Explain the differences Practice of between sea water and Forensic fresh water drowning Medicine by Describe the role of Nasib R Awan diatoms in drowning

83 Regional By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s Injuries the students shall be able Khurshid hour lecture / OSPE textbook of to: theatre Medical Describe head injury and its Jurisprudence types and Enumerate and describe Toxicology. different types of skull fracture Principles and Describe coup and contre Practice of coup injuries Forensic Explain cerebral contusions. Medicine by Cerebral lacerations and Nasib R Awan cerebral edema Describe different types of cerebral hemorrhages Enumerate the differences between epidural, subdural and subarachnoid hemorrhages Describe intra cerebral hemorrhage Explain concussion and compression injuries of spinal cord

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84 Transportatio By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s n Injuries 1 the students shall be able Khurshid hour lecture / OSPE textbook of to: theatre Medical Describe the motor vehicle Jurisprudence ordinance and Explain the mechanism of Toxicology. road traffic accidents Enumerate the different Principles and medical conditions in which Practice of driving is prohibited Forensic Classify transportation Medicine by injuries Nasib R Awan Classify motor vehicle injuries Describe different types and features of pedestrian injuries

85 Transportatio By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s n Injuries 2 the students shall be able Khurshid hour lecture / OSPE textbook of to: theatre Medical Describe different types Jurisprudence and features of passenger and injuries Toxicology. Explain the role of seatbelts in motor vehicle accidents Principles and Describe the autopsy Practice of findings in case of motor Forensic vehicle accidents Medicine by Explain different types of Nasib R Awan motorcycle and bicycle

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injuries Explain the medico legal aspects of railway injuries Describe the medico legal aspects of aircraft injuries

86 Natural By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s Sexual the students shall be able Khurshid hour lecture / OSPE textbook of Offences to: theatre Medical Jurisprudence Define and classify natural and sexual offences Toxicology.

Define rape Principles and Practice of Forensic Describe the procedure of Medicine by medico legal examination of Nasib R Awan a rape victim

Explain the procedure of medico legal examination of a person accused of rape

Define incest

87 Unnatural By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s Sexual the students shall be able Khurshid hour lecture / OSPE textbook of Offences to: theatre Medical & Jurisprudence Sexual Define and classify and

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Perversions unnatural sexual offences Toxicology.

Define sodomy Principles and Explain the procedure of Practice of medico legal examination of Forensic the passive and active agent Medicine by in case of sodomy Nasib R Awan

Define buccal coitus

Define tribadism

Define bestiality

Discuss the steps of medico legal examination in case of bestiality

88 Abortion By the end of this lesson, C LGF Dr. Hira 1 3rd year MCQs/SEQs Parikh’s the students shall be able Khurshid hour lecture / OSPE textbook of to: Medical Jurisprudence Define and classify abortion and Toxicology. Define and classify artificial abortion Principles and Practice of Explain the grounds for Forensic legal/justifiable abortion Medicine by Nasib R Awan Define criminal abortion

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Discuss the various methods used to procure criminal abortion

Explain the steps of medico legal examination of criminal abortion in case of living and dead

Discuss the complications of criminal abortion

Describe the procedure of examining the aborted material

Discuss the various stages of fetal development in the intra uterine life

Enumerate the differences between natural and criminal abortion from medico legal point of view

89 Medico By the end of discussion, P SGF/ Dr Hira Khurshid 1 Tutorial MCQs/ Parikh’s legal students shall be able to Practical Hour Room SEQs/ OSPE textbook of examinatio Enumerate pre requisites of Forensic Medical

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n of rape examination Medicine Jurisprudence victim/ Describe the steps of taking Deptt and Toxicology assailant & history from the victim sodomy Discuss the steps of Principles and victim examination Practice of Explain the steps of local Forensic examination Medicine by Enlist the samples to be Nasib R Awan collected during examination Identify the components required for the formulation of opinion

90 Medico By the end of discussion P SGF/ Dr Hira Khurshid 1 Tutorial MCQs/ Parikh’s legal students shall be able to Practical Hour Room SEQs/ OSPE textbook of examinatio Enumerate the pre Forensic Medical n of injured requisites of medico legal Medicine Jurisprudence person examination of injured Deptt and Toxicology person Describe the steps of taking Principles and history from the injured Practice of person Forensic Discuss the steps of Medicine by examination Nasib R Awan Describe the local examination of the wound Enlist the components required for the formulation of opinion Write the injury report

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91 Medico By the end of the discussion P SGF/ Dr Hira Khurshid 1 Tutorial MCQs/ Parikh’s legal students shall be able to Practical Hour Room SEQs/ OSPE textbook of examinatio Enlist the pre requisites for Forensic Medical Table of specification for traditional curriculum SGF n of a medico legal examination of Medicine Jurisprudence drunken a drunken person Deptt and Toxicology person Discuss the steps of taking history from the drunken Principles and person Practice of Discuss the steps of Forensic examination Medicine by Enlist the tests and Nasib R Awan investigations conducted during the examination Enumerate the different pathological states simulating alcohol intoxication 92 Age By the end of discussion P SGF/ Dr Hira Khurshid 1 Tutorial MCQs/ Parikh’s estimation students shall be able to Practical Hour Room SEQs/ OSPE textbook of Enlist the pre requisites of Forensic Medical the examination Medicine Jurisprudence Describe the steps of Deptt and Toxicology examination Discuss the importance of Principles and secondary sexual characters Practice of Explain the importance of Forensic radiological data in age Medicine by estimation Nasib R Awan Enlist the steps of formulating the medico legal opinion

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93 Medico By the end of discussion, P SGF/ Dr Hira Khurshid 1 Tutorial MCQs/ Parikh’s legal the students shall be able to Practical Hour Room SEQs/ OSPE textbook of examinatio Enlist the pre requisites of Forensic Medical n of examination Medicine Jurisprudence criminal Discuss the steps of taking Deptt and Toxicology abortion history in case of living Discuss the steps of Principles and examination Practice of Describe the steps of Forensic local/specific examination Medicine by in the living and dead Nasib R Awan Explain the steps of examination of aborted fetus 94 Lecture 1 Define the following terms C LGF Dr Ihsan Ullah 1 3RD YEAR MCQS/SEQS Principle and Introductio 1.Action, ballistics, hour lecture /OSPE practice of n Firearm 2. Bore, buck shot, theatre forensic injuries 3.Tattooing , Yaw, medicine by 4. Firearm, Tattooing, Nasib R. Awan Yaw Parikh’s Discuss the following terms textbook of 1.Bullet, caliber, medical 2.Cartridge, Cocking, jurisprudence 3.Musket, Primer and toxicology

95 Lecture 2 Describe different parts and C LGF Dr Ihsan Ullah 1 3RD YEAR MCQS/SEQS Principle and Mechanism operating principals of hour lecture /OSPE practice of of firearm firearm theatre forensic injuries Describe various parts of medicine by cartridge Nasib R. Awan

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Describe 1 blank cartridge Parikh’s 2 baton round textbook of Classify firearm, medical Discuss smooth bore jurisprudence firearm and toxicology Explain rifled firearm

96 Determinati Discuss the Medicolegal C LGF Dr Ihsan Ullah 1 3RD YEAR MCQS/SEQS Principle and on of fire importance of fire arm hour lecture /OSPE practice of arm injuries injuries theatre forensic 1 Describe characteristic of medicine by shotgun injuries at varying Nasib R. Awan ranges Explain characteristic of Parikh’s rifled firearm injuries at textbook of varying ranges medical jurisprudence and toxicology 97 Determinati Differentiates between the C LGF Dr Ihsan Ullah 1 3RD YEAR MCQS/SEQS Principle and on of fire entry and exit wounds hour lecture /OSPE practice of arm injuries Discuss the condition which theatre forensic 2 affect the appearance of medicine by firearm wounds Nasib R. Awan Explain the differentiating features of suicidal , Parikh’s homicidal and accidental textbook of firearm injuries medical Describe the autopsy jurisprudence procedure in a case of and toxicology death from firearm injuries

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98 Death due Define starvation C LGF Dr Ihsan Ullah 1 3RD YEAR MCQS/SEQS Principle and to Enlist the sign and symptom hour lecture /OSPE practice of starvation of starvation theatre forensic Discuss its cause of death & medicine by fatal period Nasib R. Awan Identify the postmortem findings in case of death Parikh’s due to starvation textbook of medical jurisprudence and toxicology 99 Thermal Describe the effect of cold C LGF Dr Ihsan Ullah 1 3RD YEAR MCQS/SEQS Principle and deaths on human bod hour lecture /OSPE practice of Explain hypothermic deaths theatre forensic and paradoxical undressing medicine by Discuss the manifestation of Nasib R. Awan exposure of human body to high temperature Parikh’s Identify the postmortem textbook of finding in case of heat stock medical death and its Medicolegal jurisprudence implication and toxicology

10 Medicolegal Define autopsy P SGF Dr Ihsan Ullah 1 Tutorial MCQS/SEQS Principle and 0 Autopsy 1 Discuss Objectives of hour Room /OSPE practice of autopsy Forensic forensic Identify hazards of autopsy departm medicine by Enlist the autopsy ent room Nasib R. Awan instrument Describe incision of autopsy Parikh’s Discuss types of autopsy textbook of

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medical jurisprudence and toxicology PARIKH 10 Medicolegal Discuss autopsy protocol P SGF Dr Ihsan Ullah 1 Tutorial MCQS/SEQS Principle and 1 Autopsy 2 with opening of cavities Hour Room /OSPE practice of Explain Autopsy techniques Forensic forensic and Sample collection departm medicine by Define negative autopsy ent Nasib R. Awan Discuss causes of negative autopsy Parikh’s Define exhumation with textbook of protocol medical Enlist Objective of jurisprudence exhumation and toxicology 10 Gastric By the end of this lesson, P Practical/ Dr. IFTIKHAR 1 Dept. of MCQs/OSCE Principle and 2 Lavage the student will be able to: SGD AHMAD hour Forensic /SEQs practice of Define and understand medicine forensic Gastric Lavage/Stomach & medicine by Wash/Gastric Suction Toxicolog Nasib R. Awan Discuss Goals/Purpose of y KGMC Gastric Lavage Parikh’s Describe Indications of textbook of Gastric Lavage medical Identify the jurisprudence contraindications of Gastric and toxicology Lavage Illustrate the right way to perform Gastric Lavage in adults as well as in children Explain the complications of

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Gastric Lavage

10 Consent By the end of this lesson, P Practical/ Dr. IFTIKHAR 1 Dept. of MCQS/OSC Principle and 3 Form the student will be able to SGD AHMAD hour Forensic E practice of Define Consent medicine forensic Describe various types of KGMC medicine by consent Nasib R. Awan Explain informed & Blanket consent Parikh’s Recognize the Age for textbook of consent medical Discuss standard consent jurisprudence procedure and toxicology Describe the situations where consent may not be obtained Identify the conditions where consent is not valid

10 Finger By the end of this lesson, P Practical/ Dr. IFTIKHAR 1 Dept. of MCQS/OSC Principle and 4 Printing the student will be able to: SGD AHMAD hour Forensic E practice of Define finger printing medicine forensic Explain the Principles on KGMC medicine by which finger printing Nasib R. Awan system is based Explain Important features Parikh’s of finger prints textbook of Discuss Advantages of medical finger prints jurisprudence Identify various types of and toxicology finger prints

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Discuss importance of POROSCOPY/ Locard’s Method Explain the medicolegal significance of finger prints

10 Death By the end of this lesson, P Practical/ Dr. IFTIKHAR 1 Dept. of MCQS/OSC Principle and 5 Certification the student will be able to: SGD AHMAD hour Forensic E practice of Define Death and Death medicine forensic Certification KGMC medicine by Discuss cause of death and Nasib R. Awan the underlying cause of death Parikh’s Explain Design and textbook of structure of Death medical Certification jurisprudence Describe the Importance of and toxicology Practice to fill the form of the medical certificate of the cause of death Determine the role/Duty of a Doctor Discuss MC in death due to Old age Describe the conditions When not to issue Death Certificate

*1 put (C) for COGNITIVE/ (P) for PYCHOMOTOR/ (A) for AFFECTIVE

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Teaching and learning strategies:

The following teaching / learning methods are used to promote better understanding:

 Interactive Lectures

 Hospital / Clinic visits

 Small Group Discussion

 Skills session

 Self-Directed Study

Interactive lectures:

An interactive lecture is an easy way for instructors to intellectually engage and involve students as active participants in a lecture-

based class of any size. Interactive lectures are classes in which the instructor breaks the lecture at least once per class to have students

participate in an activity that lets them work directly with the material.

 The instructor might begin the interactive segment with an engagement trigger that captures and maintains student attention.

 Then the instructor incorporates an activity that allows students to apply what they have learned or give them a context for

upcoming lecture material.

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 As the instructor feels more comfortable using interactive techniques he or she might begin to call upon a blend of various

interactive techniques all in one class period.

Hospital / Clinic visits:

In small groups, students observe patients with signs and symptoms in hospital or clinical settings. This helps students to relate

knowledge of basic and clinical sciences of the relevant module.

Small group discussion (SGD):

The shy and less articulate are more able to contribute. Students learn from each other. Everyone gets more practice at

expressing their ideas. A two way discussion is almost always more creative than individual thoughts. Social skills are practiced in a

'safe' environment e.g. tolerance, cooperation. This format helps students to clarify concepts acquire skills or attitudes. Students

exchange opinions and apply knowledge gained from lectures, tutorials and self-study. The facilitator role is to ask probing questions,

summarize, or rephrase to help clarify concepts.

Skills/Practical session:

Skills relevant to respective module are observed and practiced where applicable in skills laboratory or Laboratories of various

departments.

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Self-Directed learning (SDL):

Self-directed learning, which involves studying without direct supervision in a classroom/Library, is a valuable way to learn and is quickly growing in popularity among parents and students. Students’ assume responsibilities of their own learning through individual study, sharing and discussing with peers, seeking information from Learning Resource Centre, teachers and resource persons within and outside the college. Students can utilize the time within the college scheduled hours of self-study.

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Time tables:

The timetables for the module will be shared via Edmodo and the notice boards in advance.

Assessment tools:

Theoretical knowledge is tested by a written examination system constituted by multiple choice questions (MCQs). The assessment of practical knowledge involves oral, spot, or objective structured practical examinations (OSPE).

Multiple Choice Questions (MCQs):

 Multiple choice questions (MCQs) are a form of assessment for which students are asked to select the best choice from a list of

answers.

 MCQ consists of a stem and a set of options. The stem is usually the first part of the assessment that presents the question as a

problem to be solved; the question can be an incomplete statement which requires to be completed and can include a graph, a

picture or any other relevant information. The options are the possible answers that the student can choose from, with the

correct answer called the key and the incorrect answers called distractors.

 Correct answer carries one mark, and incorrect ‘zero mark’. There is NO negative marking.

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 Students mark their responses on specified computer-based sheet designed for the college.

 The block exam will comprise of 120 MCQs and will be compiled according to the shared blueprint.

Short Essay Questions (SEQ)

Short answer questions generally ask for brief, text-based responses and may also be referred to as fill-in-the-blank; or completion questions.

Variations of the short answer question may request a list of terms or rules in which the order is not important, or may require a numerical or formula response.

Here is some general information about short answer questions:

 Does not measure interpretation.  Can be used to check for preciseness such as correct spelling (good when using computer grading), proper or specific names of things, especially factual knowledge, and proper creation of formulas.  Requires specific, definite, exact information.  Can be used to discriminate whether errors can be detected in a diagram, for example.

Advantages of Short Answer Questions

 Easy to write.  Reduces possibility of guessing.  Can have a lengthy stem such as a paragraph. (Caution: You generally should not expect an exact answer character-by- character.)  May be easy to score if the required answer is short.

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Disadvantages of Short Answer Questions

 It can take time to create items with complex formulas.  Can be turned into a measure of memorization ability.  Grading can be subjective.  Correct responses may appear incorrect due to minor errors such as misspellings, order of words, etc.  Difficult to machine score. Much work is being conducted in this area, but it is still in early stages of development.

Objective Structured Practical Examination (OSPE)

 The content may assess application of knowledge, or practical skills.

 Student will complete task in define time at one given station.

 All the students are assessed on the same content by the same examiner in the same allocated time.

 A structured examination will have observed, unobserved, interactive and rest stations.

 Observed and interactive stations will be assessed by internal or external examiners.

 Unobserved will be static stations in which students will have to answer the questions related to the given pictures, models or

specimens the provided response sheet.

 Rest station is a station where there is no task given, and in this time student can organize his/her thoughts.

 The Block OSPE will be comprise of 18 examined station and 7 rest stations. The stations will be assigned according to the shred

blueprint.

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Internal Evaluation:

Internal evaluation is a process of quality review undertaken within an institution for its own ends. 10% marks of internal evaluation will be added to final marks. This 10% will be based on

Distribution of Marks for paper Kmu (final Examination) 90 internal evaluation 10

Total 100

Distribution of Marks for practical Practical plus Notebook 70 Viva plus practical(internal evaluation) 20 + 10

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Attendance Requirement:

More than 75% attendance is mandatory to sit for the examinations.

Learning Resources for Students Parikh’s textbook of Medical Jurisprudence and Toxicology.

Principles and Practice of Forensic Medicine by Nasir R Awan

Forensic medicine and toxicology principals and practice by Krishan Vij

Knights by Bernard knight, Pekka saukko

Forensic medicine and toxicology Nagesh Kumar G rao

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