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    Subjects/Forensic Medicine/Stab and Incised Wounds
    Stab and Incised Wounds
    medium
    shield Forensic Medicine

    In a stab wound caused by a double-edged knife, what is the characteristic appearance of the wound margins?

    A. One margin is clean and sharp; the other is irregular and bruised
    B. Both margins are irregular with tissue bruising and crushing
    C. Both margins are clean and sharp with equal bevelling
    D. Margins show tissue eversion with prominent tissue bridging

    Explanation

    ## Stab Wound Characteristics with Double-Edged Weapons **Key Point:** A **double-edged knife** produces a stab wound with **both margins clean and sharp**, reflecting the symmetrical cutting edges of the weapon. ### Wound Margin Patterns by Weapon Type | Weapon Type | Wound Margin Appearance | Characteristics | |-------------|------------------------|------------------| | **Double-edged knife** | Both margins clean and sharp | Symmetrical, equal bevelling on both sides | | **Single-edged knife** | One margin clean (sharp edge), one irregular (blunt edge) | Asymmetrical appearance | | **Pointed instrument (spike/awl)** | Margins may be irregular or clean depending on angle | Minimal tissue damage at margins | | **Blunt instrument** | Both margins irregular, bruised, crushed | Tissue damage beyond wound edges | **High-Yield:** The **margin pattern of a stab wound can help identify the weapon type**—a critical forensic principle. Double-edged weapons create symmetrical clean margins; single-edged weapons create asymmetrical margins with one clean and one irregular edge. **Mnemonic:** **DEBS** — Double-Edged, Both Sharp; Single-Edged, Staggered (one sharp, one bruised). ### Forensic Significance - Double-edged knife wounds show **equal bevelling** on both margins - Single-edged knife wounds show **asymmetrical bevelling**—the sharp edge produces a clean margin, the blunt edge produces an irregular/bruised margin - The **angle of entry** also affects margin appearance; perpendicular entry produces sharper margins than oblique entry - Examination of margin characteristics can help reconstruct the weapon and manner of injury

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