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 The autopsy is begun at 8:30 a.m. on August 1, 2024. The body is presented in a black body bag. The victim is wearing a white cardigan sweater, black shirt, black pants, black underwear, black bra, black shoes, two diamond hoop earrings, one diamond cocktail ring on left index finger, and one diamond choker-style necklace. A brown extension cord is wrapped twice around the victim's neck. A dark brown hair measuring 52 cm is recovered from inside the cardigan. The body is that of a normally developed Caucasian female measuring 65 inches and weighing 126 pounds, and appearing generally consistent with the stated age of 40 years. The body is cold following refrigeration and preservation is good on the unembalmed body. Lividity is well-set along the posterior of the torso, arms, upper legs, and in the feet. Rigor is fully established. The scalp is unremarkable and covered in blonde hair with a maximal length of 34 cm. The body hair is female and average. The irides are blue, and the eyes are closed. The pupils measure 3 mm. The nose and ears are unremarkable. The teeth are natural with some amalgam restorations. With the extension cord removed, superficial contusions consistent with the ligature are observed. The chest and abdomen are normally formed, symmetrical, and without palpable masses. The back is straight and symmetrical. The upper and lower extremities are symmetric and normally developed. The anus is atraumatic. The external genitalia are those of an adult female, and there is no evidence of injury. There are no residual scars, markings, or tattoos. INTERNAL EXAMINATION HEAD--CENTRAL NERVOUS SYSTEM: The brain weighs 1,430 grams and is within normal limits. The calvarium and base of the skull are normally configured and have no fractures. The dura is intact, and there is no epidural or subdural hemorrhage. MUSCULOSKELETAL SYSTEM: The musculoskeletal system is intact, unremarkable, and within normal limits. RESPIRATORY SYSTEM: The oral cavity shows no lesions. The mucosa is intact, and there are no injuries to the lips, teeth, or gums. The larynx and tracheobronchial tree show a slight amount of foamy fluid. The mucosa of the epiglottis, glottis, piriform sinuses, trachea, and major bronchi are anatomic. The hyoid bone, the thyroid, and the cricoid cartilages are intact. The lungs weigh: right, 363 grams; left 359 grams. Cut surfaces show moderate congestion and edema bilaterally. The pulmonary vessels are grossly normal. CARDIOVASCULAR SYSTEM: The heart weighs 330 grams and has a normal size and configuration. No evidence of atherosclerosis or gross ischemic changes of recent or remote origin is present. GASTROINTESTINAL SYSTEM: The mucosa and wall of the esophagus are intact and gray-pink, without lesions or injuries. The gastric mucosa is intact and pink with no injury. The stomach contains 21 cc of brownish fluid. The mucosa of the duodenum, jejunum, ileum, colon, and rectum are intact with no injury. The small intestine, appendix, and colon are unremarkable. HEPATOBILIARY SYSTEM: The liver weighs 1,311 grams. Moderate liver injury consistent with acetaminophen toxicity is observed. The gallbladder contains 25 ml of dark green bile, no stones, and is grossly normal. The extrahepatic biliary system and pancreas are unremarkable. URINARY SYSTEM: The kidneys weigh: left, 150 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 urinary bladder contains 15 ml of clear yellow urine. FEMALE GENITAL SYSTEM: The structures are within normal limits. Examination of the pelvic area indicates the victim had not given birth and was not pregnant at the time of death. Vaginal fluid samples are removed for analysis. TOXICOLOGY: Samples of central and peripheral blood, vitreous humor, gastric contents, urine, liver, and bile are submitted for toxicologic analysis. SEROLOGY: A sample of right pleural blood is submitted in the EDTA tube. Routine toxicologic studies were ordered. DESCRIPTION OF INJURIES - SUMMARY (1) Superficial ligature marks consistent with the extension cord removed from the body are observed on the victim's neck. 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 Drug Screen Results: Urine screen {Immunoassay}:
Urine screen {TLC-Basic} was positive for oxycodone, which was later confirmed using GC-MS Ethanol: 0.04 gm/dl, Blood (Heart) Millicent Schmid, Ph.D. EVIDENCE COLLECTED 1. One (1) white cardigan sweater 2. One (1) black shirt 3. One (1) pair black pants 4. One (1) black bra 5. One (1) pair black women's underwear 6. One (1) pair black women's shoes 7. Two (2) diamond hoop earrings 8. One (1) diamond band-style cocktail ring 9. One (1) diamond choker-style necklace 10. One (1) 6-foot brown extension cord 11. One (1) 52 cm brown hair 12. Samples of Blood (type AB+), Bile, Tissue (heart, lung, brain, kidney, liver, spleen) 13. Four (4) autopsy photographs 14. One (1) postmortem x-ray 15. One (1) postmortem CT scan OPINION Time of Death: Body temperature, rigor, and livor mortis, and stomach contents approximate the time of death between 4:00 p.m. and 8:00 p.m. on July 31, 2024. Immediate Cause of Death: Respiratory arrest due to opiate overdose Manner of Death: Undetermined
//Manish Agarwal, M.D. |
|||||||||||||||||||||||||||||||||||||||||||||||||||
