Forensic Toxicology: DR Sagal Omar Anatomical Pathologist
Forensic Toxicology: DR Sagal Omar Anatomical Pathologist
Forensic Toxicology: DR Sagal Omar Anatomical Pathologist
Dr Sagal Omar
Anatomical pathologist
Forensic Toxicology
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Forensic Toxicology
• Analytical chemistry
• Pharmacology
• Clinical chemistry
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Forensic Toxicology
• Focus of a FTI will be based on the fact that there have not been
previous history of illness prior to the sickness or death.
• Homicidal deaths have the greatest medico-legal significance
although more and more cases of chemical administration are as
a result of suicides or accidents.
1 CI: self, attempted homicide, accidental, or environmental?
2. FTI: suicide, homicide, therapeutic misadventure ( allergy,
operative/ anesthetic, accidental overdose), environmental or
lastly, disease/natural causes
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Forensic Toxicology
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Forensic and Clinical Toxicology
Classification of poisons
1. Agricultural
• Insecticides e.g. OP’s (malathion)
• Herbicides e.g. paraquat (gramoxone, weedol) & diquat
• Rodenticides (e.g. thallium, phosphorous etc)
2. Industrial
• Hydrocarbons e.g. paraffin, benzene
• Corrosives (acids & alkalis) e.g. methanol, ethanol
• Heavy metals e.g. mercury, arsenic, lead
• Gases e.g. CO, cyanide
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Forensic and Clinical Toxicology
3. Household poisons
• Cosmetics
• Insecticides
• Medicine & prescribed drugs e.g. Aspirin
• Food poisons
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Forensic and Clinical Toxicology
5. Plant poisons
• Certain mushrooms
• Herbal toxins
6. Animal poisons
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Routes
• Ingestion (oral)
• Injection
• Inhalation
• Dermal exposure (skin)
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Specimens to collect
1. Clinical toxicology
blood
vomit
gastric lavage /wash
urine
fecal matter
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Specimens to collect
2. Forensic toxicology
blood
whole stomach and contents
liver
urine
intestinal contents (duodenum or small intestines)
fecal matter
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• Depending on the history of the case other specimens of relevance
may include:
kidney
lungs, pancreas, bile
injection site, saliva
nails
hair
brain
Vitreous humour
cerebrospinal fluid
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Other relevant submissions
Toxicological investigations will also consider other relevant
information or samples
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Analytical process
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Challenges
1. Identification of ingested material
2. Digestion or metabolism products (byproducts)
3. Reclaimability of substance from injection site
4. Dilution of substance by dispersal through the body
5. Determination of route of administration
6. Quantity and quality of specimens
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THE END
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