2024 - 2025 Gerechtelijke
geneeskunde
Prof. Dr. Evy De Boosere
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ALGEMENE INFORMATIE
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INHOUD
Algemene informatie ..................................................................................................................................... 2
1 Inleiding - Basisprincipes .............................................................................................................. 12
1.1 Gerechtelijke of forensische geneeskunde .......................................................................................... 12
1.2 Gerechtelijke geneeskunde: vroeger en nu ......................................................................................... 13
1.3 Medicolegale opdrachten van de arts.................................................................................................. 14
1.3.1 Aangifte besmettelijke ziekten...................................................................................................... 14
1.3.2 Aangifte bevalling en geboorte ..................................................................................................... 14
1.3.3 Afname van bloedproef ................................................................................................................ 14
1.3.4 Gedwongen opname (collocatie) .................................................................................................. 15
1.3.5 Arts als deskundige ....................................................................................................................... 15
1.4 Overlijden ............................................................................................................................................. 16
1.4.1 Definitie dood................................................................................................................................ 16
1.4.2 Doodsoorzaak................................................................................................................................ 18
1.4.3 Tekortkomingen Belgisch systeem ................................................................................................ 18
1.4.4 Wettelijke context ......................................................................................................................... 19
1.4.5 Aard van overlijden ....................................................................................................................... 19
1.4.6 Basisprincipes van onderzoek gewoon overlijden ........................................................................ 19
1.5 Onderzoek plaats delict – afstapping ter plaatse ................................................................................. 19
1.6 Praktische uitvoering van de uitwendige lijkschouwing ...................................................................... 20
1.6.1 Uitwendige lijkschouwing ............................................................................................................. 20
1.7 Autopsie ............................................................................................................................................... 21
1.7.1 Postmortem beeldvorming ........................................................................................................... 21
1.8 Postmortem onderzoek ....................................................................................................................... 21
2 Postmortale veranderingen ......................................................................................................... 22
2.1 Postmortale veranderingen (foto’s ter verduidelijking in ppt) ............................................................ 22
2.1.1 Vroegtijdige lijkverschijnselen:...................................................................................................... 22
2.1.2 Laattijdige lijkverschijnselen ......................................................................................................... 27
2.1.3 Nieuwe methoden om PMI te schatten ........................................................................................ 33
3 Plotse dood ................................................................................................................................. 34
3.1 Terminologie ........................................................................................................................................ 34
3.2 Aard van overlijden .............................................................................................................................. 34
3.2.1 Ongewoon sterfgeval .................................................................................................................... 34
3.2.2 Plots/onverwacht overlijden door niet-traumatische oorzaak ..................................................... 35
3.2.3 Oorzaken plotse dood ................................................................................................................... 35
3.2.4 Mechanisme van plots overlijden ................................................................................................. 36
Pagina 3 van 162
geneeskunde
Prof. Dr. Evy De Boosere
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ALGEMENE INFORMATIE
Pagina 2 van 162
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INHOUD
Algemene informatie ..................................................................................................................................... 2
1 Inleiding - Basisprincipes .............................................................................................................. 12
1.1 Gerechtelijke of forensische geneeskunde .......................................................................................... 12
1.2 Gerechtelijke geneeskunde: vroeger en nu ......................................................................................... 13
1.3 Medicolegale opdrachten van de arts.................................................................................................. 14
1.3.1 Aangifte besmettelijke ziekten...................................................................................................... 14
1.3.2 Aangifte bevalling en geboorte ..................................................................................................... 14
1.3.3 Afname van bloedproef ................................................................................................................ 14
1.3.4 Gedwongen opname (collocatie) .................................................................................................. 15
1.3.5 Arts als deskundige ....................................................................................................................... 15
1.4 Overlijden ............................................................................................................................................. 16
1.4.1 Definitie dood................................................................................................................................ 16
1.4.2 Doodsoorzaak................................................................................................................................ 18
1.4.3 Tekortkomingen Belgisch systeem ................................................................................................ 18
1.4.4 Wettelijke context ......................................................................................................................... 19
1.4.5 Aard van overlijden ....................................................................................................................... 19
1.4.6 Basisprincipes van onderzoek gewoon overlijden ........................................................................ 19
1.5 Onderzoek plaats delict – afstapping ter plaatse ................................................................................. 19
1.6 Praktische uitvoering van de uitwendige lijkschouwing ...................................................................... 20
1.6.1 Uitwendige lijkschouwing ............................................................................................................. 20
1.7 Autopsie ............................................................................................................................................... 21
1.7.1 Postmortem beeldvorming ........................................................................................................... 21
1.8 Postmortem onderzoek ....................................................................................................................... 21
2 Postmortale veranderingen ......................................................................................................... 22
2.1 Postmortale veranderingen (foto’s ter verduidelijking in ppt) ............................................................ 22
2.1.1 Vroegtijdige lijkverschijnselen:...................................................................................................... 22
2.1.2 Laattijdige lijkverschijnselen ......................................................................................................... 27
2.1.3 Nieuwe methoden om PMI te schatten ........................................................................................ 33
3 Plotse dood ................................................................................................................................. 34
3.1 Terminologie ........................................................................................................................................ 34
3.2 Aard van overlijden .............................................................................................................................. 34
3.2.1 Ongewoon sterfgeval .................................................................................................................... 34
3.2.2 Plots/onverwacht overlijden door niet-traumatische oorzaak ..................................................... 35
3.2.3 Oorzaken plotse dood ................................................................................................................... 35
3.2.4 Mechanisme van plots overlijden ................................................................................................. 36
Pagina 3 van 162
