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EVIDENCE OF TREATMENT:
N/A
EXTERNAL EXAMINATION:
Clothing
is a pair of size L Hanes boxer shorts.
The autopsy is begun at 8:30 A.M. on August 16,
2004. The body is presented in a black body bag. The victim is
wearing blue boxer-style men's underwear, size L.
The body is that of a normally developed white
male measuring 72 inches and weighing 164 pounds, and appearing
generally consistent with the stated age of twenty-eight years. The
body is cold and unembalmed. Lividity is fixed in the distal
portions of the limbs. The eyes are open. The irises are brown and the pupils measure 0.4 cm. The
hair is brown
and approximately 7 inches in length. The nose and ears are unremarkable,
except that the lower part of the right ear is
missing. The teeth are natural. The chest is symmetrical, and the
abdomen is flat. The upper and lower extremities show no
deformities. There are abrasions and contusions to the right cheek
area. The hands and the nails are clean and evidence no injury.
INTERNAL EXAMINATION:
HEAD--CENTRAL NERVOUS SYSTEM: The brain weighs 1,360 grams and
is within
normal limits.
RESPIRATORY SYSTEM--THROAT STRUCTURES: The
oral cavity shows no lesions. The
mucosa is intact and there are no injuries to the lips, teeth or
gums. There is no obstruction of the airway. The
mucosa of the epiglottis, glottis, piriform sinuses, trachea and
major bronchi are anatomic. No injuries are seen and there are no
mucosal lesions. The hyoid bone, the thyroid,
and the cricoid cartilages are intact. The lungs weigh: right, 409 grams; left
397
grams. The lungs are unremarkable.
CARDIOVASCULAR SYSTEM: The heart weighs 281
grams, and has a normal size and configuration. No evidence of
atherosclerosis 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 without injury.
Approximately 110 ml of partially digested semisolid food is found
in the stomach. The mucosa of the duodenum, jejunum, ileum, colon
and rectum are intact.
URINARY SYSTEM: The kidneys weigh: left, 128
grams; right, 133 grams. The kidneys are anatomic in size, shape and
location and are without lesions.
MALE GENITAL SYSTEM: The penis and the
prostate gland are anatomic to dissection and their structures are
within normal limits. Only one testicle is present, possibly a
genetic trait as there is no evidence of surgery, radiation or
accident. The extant testicle is anatomic to dissection and within
normal structural limits.
TOXICOLOGY: Sample of right pleural blood and
bile are submitted for toxicologic analysis. Stomach contents are
saved.
SEROLOGY: A sample of right pleural blood is
submitted in the EDTA tube. Routine toxicologic studies were
ordered.
EVIDENCE OF INJURY
(1) Short range gunshot wound (Wound A) of the parietal area of the head with
extensive Craniocerebral injuries. Exit wound 2.5 cm above right eye.
Entrance point measures 8 cm from the top and 8 cm from the right
ear. The entrance wound measures 1.2 cm in diameter surrounded by
a 1 cm abrasion. Bullet exit is through a 1.6 cm lacerated exit wound .
This is a fatal wound.
(2) Short range gunshot wound (Wound B) of the parietal area of the head with
extensive Craniocerebral injuries. Exit through right eye. Entrance
point measures 10 cm from the top and 9 cm from the right ear. The
entrance wound measures 1.1 cm in diameter surrounded by a 1 cm abrasion.
Bullet exit is through the right occular socket, with a 2.0 cm lacerated
exit wound. This is a fatal wound.
(3) Short to close range gunshot wound (Wound
C) to the lower occipital area
of the head at a point approximately 1 cm above the base of the neck.
The wound track in the head continues downward causing tissue damage
to the brain stem and exiting through the mandible. There is also
a defect in the tissues of the soft palate and some of these fragments
contain probable powder debris. Bullet exit is through a 1.6 cm lacerated
exit wound. This is a fatal wound.
(4) Abrasion/contusion (Wound D), right cheek area and bottom right ear with
evidence of sharp force trauma. Right ear lobe is partially divorced
from ear. The cut is vertically oriented, and after approximation
of the edges measures 11.0 cm in length. Subsequent dissection discloses
that the wound path is from right to left, in the horizontal plane
for approximately 2.75 cm; there is fresh hemorrhage along the wound
path; the wound path terminates in the left temporal bone and does
not penetrate the cranial cavity. This is a perimortem, non-fatal
wound.
(5) Incised or cutting wound (Wound E) on right shoulder. This is a diagonally
oriented wound measuring 20 cm in length and involves the skin and
subcutaneous tissue without penetrating the chest wall or abdominal
wall. No square or dull edges are evident. Both ends are rounded or
tapered. This is a perimortem, non-fatal wound.
(6) Incised or cutting wound (Wound F), 10 cm in length, 2 cm deep on abdomen.
This is a perimortem, non-fatal wound.
LABORATORY DATA
Cerebrospinal fluid culture and sensitivity:
Gram stain: Unremarkable
Culture: No growth after 72 hours
Cerebrospinal fluid bacterial antigens:
Hemophilus influenza B: Negative
Streptococcus pneumoniae: Negative
N. Meningitidis: Negative
Neiserria meningitidis B/E. Coli K1: Negative
Drug Screen Results:
Urine screen {Immunoassay} was positive for
Cocaine, Marijuana, Caffeine, Prozac.
Ethanol: 0 gm/dl, Blood (Heart)
Ethanol: 0 gm/dl, Vitreous
CLINICOPATHOLOGIC CORRELATION: None.
Millicent Schmid, Ph.D.
Chief Toxicologist
September 2, 2004
EVIDENCE COLLECTED:
1. One (1) pair blue men's boxer-style
underwear, size Large.
2. Samples of Blood (type
B+), Bile, and
Tissue (heart, lung, brain, kidney, liver, spleen).
3. Fourteen (14) autopsy photographs.
8. One postmortem CT scan.
9. One postmortem MRI.
OPINION
Time of Death: Body temperature, rigor
and livor mortis, and stomach contents approximate the time of death
between 4:00 and 6:00 A.M. on 8/15/2004.
Immediate Cause of Death: Multiple
gunshot wounds to the head.
Manner of Death: Homicide
//Manish Agarwal, M.D.
Yoknapatawpha County Coroner's Office
September 3, 2004
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