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OFFICE OF THE CORONER OF TANGIPAHOA COUNTY POST-MORTEM EXAMINATION REPORT NAME: Phelps, Anthony DATE RECEIVED: Saturday, Sept. 27, at 2 p.m. GENERAL INFORMATION A 21 year old, white male reportedly fled from a sheriff's transport van that was involved in an accident. The decedent apparently sustained injuries in that accident and succumbed to these injuries approximately one week later. The decedent is received in a black disaster bag, clothed in blue jeans, an orange football-type jersey, no shoes and lying supine. A contact lens case, empty, is found in the front, right pocket of the jeans. A duffel bag is submitted with the body which contains a light blue, short sleeved shirt with the insignia of the Yoknapatawpha County Sheriff's Department, three pairs of men's jockey underwear, 5 pairs of white crew socks, a pair of size 10 black, mens ankle boots, and two pairs of "Levi's" jeans. A Yoknapatawpha County Library lending card bearing the signature of M. Lamar is also in the duffel bag. GENERAL DESCRIPTORS Rigor mortis is generalized and full. Fixed, pink-purple Livor Mortis is appreciated to the posterior side of the body and is appropriate to the body's position. The corneas are markedly opaque. The body is cool to the touch. This is the body of a well-nourished, well-developed white male who measures 71" in length, weighs 190 pounds and appears compatible with the stated age of 21 years. The scalp hair is brown, straight and greater than 7cm in length over the crown. The irides are dark brown, the pupils are asymmetrical with the left measuring 0.8cm and the right measuring 0.5cm. The conjunctivae are modestly congested and exhibit fine petechial hemorrhages: the sclerae are unremarkable. The mucous membranes are dry and pale. The oral cavity is stained with a red-brown discoloration. The abdomen is slightly protruberant, tympanitic, and free of masses. The upper and lower extremities are well-formed, and symmetrical. The fingernails are 0.2 to 0.3 cm distal to the fingernail bed and are encrusted with black, greasy dirt. Red-brown, easily removed stains are observed covering the hands. EVIDENCE OF INJURY *Blunt-force injuries of the head:* The scalp is reflected revealing scalp contusions with associated subgaleal hemorrhage over the left occipital region. The calvarium and basilar skull are free of fractures. A thin, sub-acute subdural hematoma encompasses the left temporal lobe with associated flattening of the sulci noted. Microscope inspection shows the hematoma is organized and exhibits signs early liquefaction. The brain is moderately swollen. The spinal cord is intact. A layer by layer dissection of the neck is performed. The cervical spine,larynx and hyoid bone are intact. *Blunt-force injuries of the torso:* The left pectoral region exhibits a 15.0 x 10..5 cm patterned, purple healing contusion. The pattern is oval to rectangular in shape with an area of sparing measuring 12.0 x 8.0 cm noted below this injury and a subsequent patterned injury below the first measuring 20.5 x 10.5 cm; this injury appears to fade toward the bottom. Diffuse hemorrhage, red-brown in nature permeates the left costal soft tissues. A contusion over ribs #4 through #11 is identified. The superior mediastinal soft tissues exhibit a large hematoma. The left chest cavity contains 2.5 liters of clotted blood. The thoracic aorta displays a contusion at the origin of the left subclavian artery measuring 3.0 x 4.5 cm with an area of pseudo-aneurysm formation. The more distal portion of the pseudo-aneurysm demonstrates evidence of surrounding hematoma lysis. EVIDENCE OF THERAPEUTIC INTERVENTION None. SUMMARY OF AUTOPSY FINDINGS I. Blunt-force injuries: Head; a. Scalp contusion with associated subgaleal contusion. b. Left temporal subdural hematoma in early stages of breakdown. Torso; a. Multiple chest wall contusions of the left side. b. Laceration of the thoracic aorta. c. Hemothorax of the left chest cavity 2500 cc's. The findings are indicative of an acceleration-deceleration type injury. The injuries sustained at the time of the motor vehicle accident required medical intervention. Without such intervention. post-traumatic thrombolysis of the aortic laceration tampanode resulted in fatal exsanguination. TIME OF DEATH From 10 p.m. on Friday, 09/26 to 12 a.m. Saturday, 09/27. CAUSE OF DEATH Exsanguination due to injury to the thoracic aorta due to motor vehicle accident. MANNER OF DEATH Motor vehicle accident. |
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