A 30-year-old female presents with a gunshot wound to the head. The wound has seared edges and a deep penetration of smoke and gunpowder fragments. This wound would be documented as a(n):
a. exit.
b. intermediate range entrance.
c. contact range entrance.
d. indeterminate range entrance.
ANS: C
A contact range entrance wound is a distinctive type of wound that happens when a gun is held so the muzzle rests on or presses into the skin surface; in addition to the hole, there is searing of the edges of the wound from flame and soot or smoke on the edges of the wound. It is unlikely it is an exit wound since there is only one wound and it has seared edges and gunpowder frag-ments. An intermediate range entrance wound is surrounded by gunpowder tattooing or stip-pling. An indeterminate range entrance wound occurs when flame, soot, or gunpowder does not reach the skin surface but the bullet does.
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