Anatomical Summary:
I. Incised wound of neck:
A. Transection of left and right common carotid arteries.
B. Incisions, left and right internal jugular veins
C. Transection of thyrohyoid membrane, epiglottis, and hypopharynx.
D. Incision into cervical spine, C3.
II. Multiple stab wound of neck and scalp (total of seven).
III. Multiple injuries of hands, including incised wound, ring finger of right hand (defense wound).
IV. Scalp bruise, right parietal.
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DESCRIPTION OF MULTIPLE STAB WOUNDS
There are four stab wounds on the left side of the neck over the left sternocledomastoid muscle; they extend to 3 inches below the external auditory canal.
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INJURIES TO HANDS:
Right hand: There is a 5/8 incised wound of the volar surface of the right index finger at the distal knuckle. This 5/8 inch incised wound is tangentially oriented or cut through the skin and dermis with the avulsed skin inferiorly indicating that the direction is from distal to proximal.
Further examination discloses that there is a split or forked end on the ulnar aspect and pointed end on the radial aspect. There is a small amount of dermal hemorrhage.
On the dorsal surface of the right hand, at the base of the ring finger, there is a 1/16 inch punctate abrasion.
Left hand: On the dorsal surface of the left hand, there is a punctate abrasion, red-brown in color at the base of the ring finger.
There is a 1/2 inch superficial incised skin cut, 1/2 inch in length, diagonally oriented, on the top of the left hand, midportion.
