D. Cafe coronary.
The image shown is of a Manual Strangulation(Throttling)
Throttling is asphyxia by compression of neck by human hand.
- It is reduced air flow and/or blood flow to or from the brain via the intentional external compression of blood vessels or the airway in the neck. It is a type of Mechanical Asphyxia
- Ligature strangulation: neck constricted with a ligature
- Manual strangulation or Throttling: Neck constricted with hand
- Garroting – victim attacked from behind, throat may be grasped or ligature thrown and neck constricted
- Mugging – strangulation caused by holding the neck of the victim in the bend of the elbow.
- Bandsola – neck constricted between two bamboo sticks
Neck injuries in strangulation
- Skin – fingernail abrasions and/or fingertip bruises
- Soft tissue bruising – manual greater than ligature-especially where hands are re-applied;chokeholds; including congestive stasis in salivary glands, and the base of the tongue; soft tissue bruising/contusion of neck muscles is seen at the same level as a ligature.
- Laryngohyoid complex fracture is frequent -the most consistent morphological marker of homicidal neck compression(Most commonly seen in manual Strangulation)