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Gun Shot Wound
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Gun Shot Wound

The black arrow points to the traumatic injury caused by the entrance of a bullet through the liver.
(Description By:T.V.Rajan, M.D. )
(Image Contrib. by:Melinda Sanders, M.D. UCHC )
Bullet
Etiology

Bullets
Pathogenesis

Transmission of kinetic energy to tissue; force equals 1/2 the product of mass and velocity squared.
Injury depends on how much force is applied over how much area to what kind of tissue.
Energy from the bullet will be spread along its path, not just at the entry point,
Epidemiology

Epidemic problem in the U.S. with >30,000 deaths/annum
Particular problem in children (accidental deaths) and young adults (homicide)
General Gross Description

Bullet wounds cause entrance and exit wounds.
The entrance wound is usually smaller than the exit wound, and smaller than the caliber of the bullet.
General Microscopic Description

Histologically, the wounds are characterized by laceration and destruction of tissue and significant hemorrhage.
Clinical Correlation

Can be lethal.
References

Cotran RS, Kumar V, Robbins SL. Robbins Pathologic Basis of Disease. 5th edition. W.B. Saunders; Philadelphia. 1994. p. 399.
Pathology, 2nd edition: Rubin E, Farber JL (eds). Philadelphia, J.B. Lippincott, 1994, pp. 318-319.
Bullet
Synopsis by: T.V.Rajan, M.D., Ph.D. (T56000E94710)[506]
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