Roteiro - Laudo de Necropsia Médico-Legal “Dr.

Marcelo Ayan”
1-N°:________________ 2-Data/hora: ___________/_______ 3-Aux.-Necropsia: _____________________
4-Nome/Cadáver: _________________________________________________________ 5-Idade: ________
6-DN: ________ 7- Sexo: ( ) M ( ) F 8- Cor: ( ) Pardo ( ) Branco ( ) Negro ( ) ____________________
9-E. Civil: ( ) Solteiro ( ) Casado ( ) ____________ 10-Profissão/Ocup.: ____________________________
11-Escolaridade: ( ) Ensino Fundamental I / II ( ) Ensino Médio C / I ( ) Superior C / I ( ) Não alfabetizado
12- Naturalidade: ___________________ 13-Nacionalidade: _________ 14- N°DO _____________________
15- Documento/Identificação: ________________________________________________________________
16- Residência: ____________________________________________________________________________
17-Filiação: _______________________________________________________________________________
18. Histórico: Data / Hora / Local
Fato: ____________________________________________________________________________________
Óbito: ___________________________________________________________________________________
Decorrência: ______________________________________________________________________________
19. EXAME EXTERNO:
Trajando: _________________________________________________________________________________
Pertences: ________________________________________________________________________________
Altura: _______ m. Peso: _______ Kg. Temperatura: ________ °C
Est. Nutricional /Compleição: ( ) Normolíneo ( ) Brevilíneo ( ) Longilíneo ( ) _______________________
Cabelos/Tipo: ( ) Lisos ( ) Ondulados ( ) Crespos ( ) Encarapinhados ( ) ___________________________
Cabelos/Cor: ( ) Preto ( ) Castanho-C / E ( ) Loiro ( ) Tingido ( ) Grisalho ( ) ______________________
Barba: ( ) Cheia ( ) Rala ( ) Raspada ( ) ___________________ Bigode: ( ) Cheio ( ) Ralo ( ) Raspado
Olhos/Cor/Íris: ( ) Pretos ( ) Castanhos-C / E ( ) V / A Córneas: ( ) Transp. ( ) Opacificadas ( ) semi-op.
Presença de ____________________________________________________ ( ) ouvidos ( ) narinas ( ) boca
Rigidez cadavérica: ( ) Generalizada ( ) Parcial: _________________________________________________
Livores Cadavéricos: ( ) Averm. ( ) Vinhosos ( ) Arroxeados ( ) ___________ ( ) Fixados ( ) Não-fixados
Localização: ( ) Dorso ( ) Cabeça ( ) MMSS ( ) MMII ( ) _______________________________________
Cicatriz(es): (Forma/Tamanho/Localização): _____________________________________________________
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Tatuagem(ens): ____________________________________________________________________________
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Obs:_____________________________________________________________________________________
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20. LESÕES EXTERNAS: (tipo, forma, cor, aspecto, tamanho, localização, etc.)
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21. EXAME INTERNO:
Método: ( ) Rokitanski ( ) Virchow ( ) Outro:__________________________________________________
Incisão/Tipo: ( ) Bimastoidea no couro cabeludo ( ) Mento-pubiana ( ) Fúrculo-pubiana ( ) Xifo-pubiana
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22. EXAMES COMPLEMENTARES:
( ) Tipagem sanguínea ( ) Identificação odonto-legal ( ) Dosagem alcoólica-sangue ( ) Toxicológico-urina
( ) Residuográfico-mãos ( ) Balística: ______ peças metálicas ( ) Vestes: ___________________________
( ) Outro: ________________________________________________________________________________
23. Causa da morte:
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24. Instrumento, ação ou meio que a produziu:

( ) Pérfuro-cortante ( ) Contundente ( ) Perfuro-contundente ( ) _________________________________

25. CONCLUSÃO:
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