The diatom test is used to confirm death by drowning.
Step 1: Understand the mechanism. When a person drowns, they inhale water. If they are alive, their heart is still beating. The inhaled water, containing microscopic algae called diatoms, enters the lungs.
Step 2: Diatom circulation. From the lungs, the diatoms pass through the damaged alveolar-capillary walls into the bloodstream. The circulatory system then distributes them throughout the body.
Step 3: Deposition. The diatoms are filtered out and deposited in various organs, particularly the bone marrow, which is well-protected from contamination. The femur (thigh bone) is a large bone with abundant marrow, making it an ideal sample site.
Step 4: Analyze other options. Nails and hair are external and can be easily contaminated by the water the body is found in. Fingerprints are skin patterns and not a site for diatom deposition. Therefore, the presence of diatoms deep inside the femur marrow is strong evidence of ante-mortem drowning.