Coroner's report
Office of the Yoknapatawpha County Coroner |
|
|
DATE and HOUR AUTOPSY PERFORMED: Manish Agarwal, M.D.
|
Assistant: Victoria Witte, M.D.
Full Autopsy Performed |
SUMMARY PRELIMINARY REPORT OF AUTOPSY |
|
|
Name: |
Coroner's Case #: |
|
Date of Birth: |
Age: |
|
Race: |
Sex: |
|
Date of Death: |
Body Identified by: |
|
Case # |
Investigative Agency: |
|
EVIDENCE OF TREATMENT N/A EXTERNAL EXAMINATION – SUMMARY The autopsy is begun at 8:00 A.M. on May 22, 2018. The body is presented in a black body bag. At the time of examination, the body is not clothed. The body is that of a normally developed, well nourished Caucasian male measuring 69 inches in length, weighing 180 pounds, and appearing generally consistent with the stated age of forty-two years. The body is cold and unembalmed. Rigor mortis is present and equal in all joints. Fixed lividity is evident on the anterior and right sides of the body. The scalp is covered by straight, dark brown hair with a maximal length of 5 cm. The body hair is male and average. The head is asymmetric, and there is evidence of blunt force trauma wounds to be described below. The eyes are open, and the irises are brown. The left eyeball has been displaced. The nose and ears are severely damaged. The teeth are natural and well maintained and show injuries to be described below. The anterior chest and abdomen are symmetric and intact. The external genitalia is male and unremarkable. The back is symmetrical and intact, with a tattoo of a nude woman on the lower back. The lower extremities are symmetric, normally developed, and intact. The upper extremities are normally developed and show injuries to be described below. There are no other residual scars, markings, or tattoos. INTERNAL EXAMINATION – SUMMARY CARDIOVASCULAR SYSTEM: The heart weighs 278 grams and has a standard size and configuration. Minor aortic atherosclerosis observed, but unremarkable. RESPIRATORY SYSTEM: The airway is free of obstructions. The mucosa of the epiglottis, glottis, piriform sinuses, trachea and major bronchi are anatomic. No mucosal lesions are present. The visceral pleura is unremarkable. The lungs weigh: right 421 grams, left 388 grams. GASTROINTESTINAL SYSTEM: The mucosa and wall of the esophagus are intact and gray-pink, free from lesions or any type of injury. The gastric mucosa is intact and pink with the absence of injury. Approximately 47 ml of partially digested semisolid food is found in the stomach. The pancreas on section is uniform, gray-pink, and moderately firm. The mucosa of the duodenum, jejunum, ileum, colon, and rectum are intact and free from injury. Externally the small intestine, appendix, and colon are unremarkable. URINARY SYSTEM: The kidneys weigh: left 139 grams, right 151 grams. The kidneys are anatomic in size, shape, and location and are without lesions. The pelvic calyceal system and ureters are unremarkable. The bladder contained 2cc of urine. With this removed, the bladder wall is unremarkable. MALE GENITAL SYSTEM: The testes, the penis, and the prostate gland are anatomic to dissection. There are no indications of recent sexual activity. TOXICOLOGY: A sample of the right pleural blood and bile are submitted for toxicologic analysis. Stomach contents are saved. SEROLOGY: A sample of the right pleural blood is submitted in the EDTA tube. Routine toxicologic studies were ordered. DESCRIPTION OF INJURIES - SUMMARY INJURIES OF THE HEAD AND NECK (1) Multiple occurrences of blunt force trauma to the head resulting in extensive craniocerebral injuries. The initial blow was administered to the left side of the head at the temple. Ensuing blows were delivered in quick succession to the front and sides of the head. It cannot be determined which was the fatal blow, though several of the estimated seven strikes were potentially lethal. The instrument used to deliver these blows is approximately 6 cm in diameter with rounded edges and a smooth face. Opinion: These are fatal injuries. (2) The nose is broken, and the left cheekbone is fractured. Several teeth are avulsed. The left eyeball is displaced. There are multiple lacerations inside the mouth. These injuries can be attributed to multiple severe blows to the skull with a blunt instrument. Opinion: These are non-fatal perimortem injuries. (3) There are oblique and transverse fractures with varying displacements of the distal, middle and proximal phalanges on the left hand. The right ulna has a nightstick fracture with 60% displacement. These injuries are consistent with defensive wounds. Opinion: These are non-fatal perimortem injuries. LABORATORY DATA Cerebrospinal fluid culture and sensitivity: Gram stain: Unremarkable Cerebrospinal fluid bacterial antigens: Hemophilus influenza B: Negative PRELIMINARY TOXICOLOGIC STUDIES Urine screen {Immunoassay} was NEGATIVE Blood (Heart) Ethanol: 0.03g/dL Vitreous Ethanol: 0.03g/dL Additional analyses pending. Millicent Schmid, Ph.D. EVIDENCE COLLECTED 1. Samples of Blood (type O+), Vitreous Fluid, Bile, and Tissue (heart, lung, brain, kidney, liver, spleen) 2. Stomach contents 3. Samples collected from under the deceased's fingernails 4. Six (6) autopsy photographs 5. One (1) postmortem CT scan 6. One (1) postmortem MRI OPINION Time of Death: Body and environmental temperatures, rigor and livor mortis, stomach contents, and other factors approximate the time of death between 10:00 P.M. on 05/20/2023 and 2:00 A.M. 05/21/2023. Cause of Death: Cerebral hemorrhaging and exsanguination due to blunt force trauma. Manner of Death: Homicide
//Manish Agarwal, M.D. |
|
