VII. Annex 4
Annex 4. Stab Wound/Laceration Chart
Name .................................................................................. Case No......................................................
WOUND NO.
1
2
3
4
5
6
7
8
9
10
1. Location of the wound
Head
Neck
Chest
Abdomen
Back
Arm: Right
Arm: Left
Leg: Right
Leg: Left
2. The skin wound is:
Horizontal
Vertical
Oblique
3. Centimetres from wound to:
Top of head
Right of midline
Left of midline
4. Wound size in centimetres
Width
Length
5. Course of stab wound
Backward
Forward
Upward
Downward
Medially
Laterally
Photographs taken of all wounds:
YES ………….
NO ………….
REMARKS: ......................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
Examined by: .................................................... Date: .....................................................................
85
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