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The documentation of the presence of petechiae on a victim can help police investigators prove the case. [11] Petechiae resulting from strangulation can be relatively tiny and light in color to very bright and pronounced. Petechiae may be seen on the face, in the whites of the eyes or on the inside of the eyelids.
They measure 3–10 mm, [3] whereas petechiae measure less than 3 mm, and ecchymoses greater than 1 cm. [4] Purpura is common with typhus and can be present with meningitis caused by meningococci or septicaemia. In particular, meningococcus (Neisseria meningitidis), a Gram-negative diplococcus organism, releases endotoxin when it lyses.
It is characterized by progressive lower extremity edema distal to the thigh, tight shiny skin, cyanosis (inadequate blood oxygenation), petechiae or purpura, and sudden severe pain of the affected limb in proportion to the level of venous blockage. Patients often have difficulty walking.
Petechiae are often also present, but do not always occur; their absence does not negate a diagnosis of meningococcal disease. Anyone with symptoms of meningococcal meningitis should receive intravenous antibiotics prior to the results of lumbar puncture being known, as delay in treatment can greatly worsen the prognosis.
“First you say ‘comma’ like the comma in a sentence,” Amara said. “Then you say ‘la’ like la-la-la-la-la,” added Leela. “OK, let’s practice,” Washington said. Recommended Stories
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