Magistrate Court Case No B 8573 - State v R.P. Kavinda
Registrar,
Magistrates Court
Avissawella
Magistrate Court Case No B 8573
Accused R.P. Kavinda
Rajapaksa Pathirage Kavinda was produced before me at the office of the MO Base Hospital, Avissawella from the remand prison, Avissawella on 01-02-2001 Around 9.15 am for wxamination and report.
A) History
He was arrested by an officer of the Padukka police around 11.30 am on 30-01-2001 at Padukka for travelling on a motorcyle without a helmet. He had an argument with the police officer as he was rushing to get a loan from government office. The patient said he is at present on a special category of duty in the Sri Lankan Army as a disabled army soldier. The Police officer had called other officers via the radio set. Four police officers vame and assaulted with clubs. Then the patient was taken to the police station where he was assaulted with hands, slapped to both ears, kicked to lower abdomen verbally humiliated. The patient felt sick and was taken to Padukka hospital where he was given outdoor treatment. On 31-1-2001 the patient was produced before courts and remanded.
B) General Examination
1)Averagely built, well nourished, and averagely dressed.
2)Conscious rational, talks freely but emotionally unstable.
3)Complained of
-impaired hearing in both ears
-Pain and blocked feeling of both ears
-Faintishness, body ache, headache, and pain in left hip and lower abdomen.
C)Examination of injuries
1)Head
a)Contusion purple colour and irregular shape measuring 20 by 10 cm in the left lower eyelid.
b)Swollen area with slight redness irregular shape over the left cheek.
c)Swollen area with tenderness over palpation over the back of the right ear.
d)Both eardrums showed fresh perforations
2)Left upper limb
e)Linear abrasion 30 cm long obliquely places over the medial aspect of the left forearm.
f)Linear abrasion 10 cm long on the medial aspect of the left forearm about 10 cm below the injury No. (d).
g)?
3)Right upper limb
h)Abrasion 2mm over ?aspect of the right hand on the fifth ??
4)Abdomen
i)Area with tenderness on palpation over the left iliac fossa (left lower region of the abdomen.
5)Left lower limb
j)Contusion purple colour measuring 5 by 4 cm irregular shaped over the front of the left upper thigh.
k)Abrasion irregular 1 by 1 cm over the back of the left upper leg.
D)Conclusions and opinions
1.All the injuries found on the body were in healing process and aged more that twenty-four hours old.
2.Medical officer attached to the ENT unit has examined this patient and of the opinion that ear drum perforations are fresh and there was no evidence of previous infections. These perforations could have been occurred due to slapping.
3.The injury No (j) could have been caused by the blunt weapon. The patient said that he was kicked with the shod foot to this area.
Dr. U.A.K. Tennakoon
MD (USSR): DLM: MD (SL): Dip.For.Med.RCPA (Aus)
Consultant Judicial Medical Officer.
Base Hospital, Avissawella.
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Medical Report
Dr. T.R.C.RUBERU
M.B., M.S. (Colombo), F.R.C.S. (England)
Consultant Ear Nose and Throat Surgeon
80/20, Sattissara Mawatha
Templers Road
Mount Lavinia
Sri Lanka
Tel. 94 (74) 205 345
Fax. 94 (1) 761 270
Email: ravindra@itmin.com
Director
National Hospital of Sri Lanka
Colombo 10
Dear sir,
Medical report on R.P. Kavinda -BHT 09157
As requested by you in your letter-dated 31.3.2001 please find below my report on the above patient.
Kavinda was admitted on 28.2.2001 to ward 7 with a history of assault on 29.1.2001 (as given in the B.II.T.) and a complant of hearing impairment of both ears. At that time his tympanic membranes were intact but he also complained of tinnitus and ear ache. He had an aidiogram done on 23.2.2001 which showed a severe hearing loss on both ears.
To ascertain the hearing thresholds objectively a BERA test was done by the consultant neuro physician on 2.3.2001, which showed normal results. Based on this a repeat audigram done on 5.3.2001 showed only a 40-decibel symmetrical hearing loss.
On 8.3.2001 when I examined him he was able to hear a normal conversational voice at a 4 foot distance and he said that he could hear now. This I feel is even better than the new audiogram results would suggest. This is also a huge improvement on the first audio results, and is quite unusual, which I cannot explain with accuracy. He was kept in the ward until 14.3.2001 due to delay in the legal formalities and sent home once they were attended to.
He is to come for a repeat audiogram 1 month after discharge.
Dr. T.R.C. Ruberu MS, FRCS (Eng)
