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MEDICINA LEGAL 2013

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M ed icin a Leg a l F EM M
A n o 201 3 1
M ED ICINA LEGA L
Segundo Hé lio Go mes, a med ic ina le ga l é O co nj unto de co nhec ime ntos méd icos
e para méd icos dest inados a ser vir ao D ire ito, coopera ndo na e labo ração, a uxilia ndo na
interp retaç ão e co labora ndo na e xec ução dos d ispos itivos le ga is, no s e u ca mp o de ação
de med ic ina ap licada .
Aplica ção
Como ap licaçõ es d iretas, pod e mos c ita r :
1) D ire ito co nst it do - o nde na ap licação da le i, o j ud ic r io, b usc a infor mes de
na t ure za méd ic a. E x: o fe nsa à inte gr idade s ica o u sa úde de o utre m par a dete r minar o
tipo de pe na.
2) D ir e ito co nst itue ndo - ao re for ma r o u e labora r no va le i, o j ur ista te de recor rer aos
conhec ime ntos méd icos. E x: infa nt ic íd io, d irão per igo sa etc..
3) Fisca lização do e xerc íc io p ro fiss io na l. E x: co nse lho re gio na l e federa l de med ic ina
(no r mas éticas e laboradas po r ad vo gados), etc..
O que r ea lme nte no s propo mos e o q ue ire mo s b usca r d ura nte todo o c ur so é a
interp retaç ão e o e nte nd ime nto de doc ume ntos méd ico le ga is.
É at ra vés de les q ue você s te rão se u ma io r co nta to co m a med ic ina le ga l d ura nte s ua vida
co mo ad vo gado.
Sabendo ser e stes doc ume ntos p rod uzido s por méd icos, de ve mos pa ra e nte n -
lo s, nos fa mil iar izar mo s co m o vocab ulá r io usado por este s, te r mos uma noção do corpo
huma no para sabe r mos loca lizar me lhor uma lesão de scr ita e co nhe ce r um po uco sobre
o se u func io na me nto par a co mp ree nder co mo e ste pode ser a fet ado e co mo rea girá
fre nte à s o fe nsa s a e le d ir igidas.
Sabendo- se da esca sse z de te mpo pa ra ta ma nho apr e nd izado, me is e nta ndo da
prete nsão de te ntar e m um a no e ns ina r o que os méd icos apre ndera m e m se is e
cont inua m apr e nde ndo a ho je, e por s uges tão dos próp r ios a lunos é q ue co ns tr mos
esta apos t ila para me lho r or ie ntá - los e p ara se r vir d e co ns ultas futura s, q ua ndo as
dúvid as lhe s cobrar e m es te t ipo de co nhec ime nto.

M ed icin a Leg a l F EM M
A n o 201 3 2
ÍND ICE
ANATO M IA- - -- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- 03
DOC UMEN TO MÉDICO - LE GAL- - - --- --- ---- --- --- --- --- --- --- --- --- --- --- --- --- - 04
TR A UMA TO LO GIA M ÉDICO - LEG AL- - - --- --- --- --- --- --- --- --- --- --- --- --- --- - 06
INSTR UM ENTOS PER FURAN TES - --- --- --- --- --- --- --- --- --- --- --- --- --- -- --07
INSTR UM ENTOS C ORT AN TES --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- -- -08
INSTR UM ENTOS C ONT UN D EN TES --- --- --- --- --- --- --- --- --- --- --- --- --- --- 10
INSTR UM ENTOS PÉR FUR O CORT ANT ES - --- --- --- ---- --- --- --- --- --- --- --13
INSTR UM ENTOS C ORT OCONTUN D ENT ES - --- --- --- --- --- --- --- --- --- ---14
INSTR UM ENTOS PÉR FUR O CONT UND EN TES -- --- --- --- --- --- --- --- --- --15
LES ÕES COR PORAIS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- -- 19
EN E RG IAS DE O RD EM F ÍSICA- - -- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- -- 24
TEMPER AT URA- - - --- --- --- --- --- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- --- --- -- 24
ELETRICI DA D E- - --- --- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- --- --- --- --- ---- -- 27
EN E RG IAS DE O RD EM QU ÍMIC A- - --- --- --- --- --- --- ---- --- --- --- --- --- --- --- -- 29
VI TR IOL AG EM- - -- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- - 29
ASFI XI AS/ EN ER GI AS D E ÓR D EM FÍS ICO-Q UÍM ICA-- --- --- -- - --- --- -30
EN FOR CAM EN TO-- --- --- --- --- --- --- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- - --34
ES TR AN G U LAM ENT O-- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- - 36
ES G ANADUR A- --- --- --- --- --- --- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- --- --- --- 38
SUFO CAÇÃO - --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- ---- ------ --- --- --- --- --- --- 39
AFOG AM EN TO ------ --- --- ------ --- --- --- --- --- --- --- ---- --- --- --- --- --- --- --- --- --- 41
ASFIX IA POR GAS ES- - -- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- 44
TANA TO GNOS E-- --- --- ---- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- 47
IN UMAÇ ÃO - - -- --- --- --- --- --- --- --- --- --- --- --- --- --- --- ------ --- --- ------ --- --- --- --- 52
EM BA LSA MAMEN TO - -- --- --- ---- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- -- 53
ANTRO PO LO GIA F OR EN S E- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- - 54
SEXO LO GI A FOR ENSE- - --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- 58
GRAVID EZ- - --- --- --- --- --- --- ------ --- --- --- --- --- --- --- --- --- --- --- --- --- - -- --- --- --- - 58
ABOR TO --- --- --- --- --- --- --- ------ --- --- --- --- --- --- --- - -- --- --- --- --- --- --- --- --- --- -62
IN FANTI DIO - -- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- 65
VIO N CI A SEXUAL --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- ---68
PER ICLI TAÇÃO D A V ID A E DA SAÚDE- - -- --- --- --- --- --- --- --- --- --- --- --- -- 71
ES TU PR O-- --- --- --- --- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- --- --- --- --- --- --- --- --75
VIOL AÇÃO SE XUA L M ED IAN TE F RAU DE------ --- --- --- --- --- --- --- --- --- --- 79
DIS TÚ RBIOS DO INSTIN TO SEX U AL- - - --- --- --- --- --- --- --- --- --- --- --- --- --- -- 89

M ed icin a Leg a l F EM M
A n o 201 3 3
INVES TIG AÇÃO D E PA TER N IDADE- --- --- --- --- --- --- --- --- --- --- --- --- --- - 88
ALCO O LISMO - - -- --- --- --- --- --- --- --- --- --- --- --- --- ---- --- --- --- --- --- --- --- - -- --- - 96
N O VA N O MEN C LA TUR A AN A TÔMICA- - - --- --- --- --- --- --- --- --- --- --- --- -- 99
ANATOM IA
Para ente nder mos as lesõ es e co mo est as o c las s ificadas é neces sár io que se
te nha uma noção b ás ica d e a nato mia huma na.
Por uma q ues tão d i t ica, d ivid ire mo s o corpo e m cabeça, tóra x, abdo me e me mbros e
seus p la nos de fora pa ra de nt ro.
Cabe ça
(re gião ce fálica)
1) Couro c abe ludo
2) Tec ido s ubc utâ neo ( gord ura)
3) M úsc ulo s
4) O ssos
5) En fa lo (céreb ro)
Tó rax
1) Pe le (ep ider me e der me)
2) Tec ido s ubc utâ neo
3) M úsc ulo s e ossos
4) P le ura pa r ie ta l (e nvo lve o tóra x)
5) P le ura viscer a l (e nvo lve o p ulmão) / Per icárd io (e nvo lve o corão )
6) Pulmão / Coração
Abdo me
1) Pe le (ep iderme e der me)
2) Subc utâ neo
3) Apo ne vro se
4) M úsc ulo s
5) Per itô nio par iet a l (e nvo lve a ca vidade abdo mina l)
6) Per itô nio viscera l (e nvo lve as scera s)
7) V ísceras
Me mbros
1) Pe le (ep ider me e der me)