Congestion signs

If the veins returning blood from the brain have been as forcefully compressed as the arteries carrying the blood supply to the brain, there can be clearly visible signs of congestion for the examiner. They appear first as pinpoint sized hemorrhages resulting from tiny ruptured capillaries in the lower eyelids and conjunctiva, the upper eyelids, the soft tissue of the oral vestibule, around the ear muscles and finally in the skin of the face. In the case of more intensive congestion the skin of the face becomes red or violet tinged. There may also be bleeding from the nose. In the most intensive form of congestion there may be transpiration around the face; hemorrhaging may exceed the usual petechial size. Transpiration is not typical after a hanging and is then only noticeable if a suicide has used thick padding round the ligature so that the compression on the throat was relatively light.