American Board of Medicolegal Death Investigators (ABMDI) Practice Exam

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During what time frame does skin blebs, hair sloughing, and skin slippage typically occur?

  1. 1-2 days

  2. 3-4 days

  3. 4-7 days

  4. 7-10 days

The correct answer is: 4-7 days

Skin blebs, hair sloughing, and skin slippage are phenomena associated with the processes of decomposition following death. Typically, these changes begin to manifest within the first week post-mortem due to the breakdown of cellular structures and the effects of microbial activity. During the 4-7 day time frame, the body’s tissues lose their integrity, resulting in the observed symptoms. Skin blebs, which are fluid-filled blisters, can develop as the tissues undergo putrefaction. Hair sloughing occurs as the associated tissues weaken and the bonds holding hair follicles become compromised. Skin slippage also becomes prominent at this stage as the outer layers of the skin detach from the underlying layers, exacerbated by the increased moisture and bacterial activity inherent in the decomposition process. Understanding this time frame is critical for death investigators as it helps to establish an accurate post-mortem interval and assess the circumstances surrounding a death.