Autopsy Report Sample

AUTOPSY REPORT

 Autopsy: BPD11094-69D Description: Autopsy - Homicide - evidence of exsanguination - multiple sta !ounds" #$edical %&ansc&iption 'ample (epo&t) DECEDENT: Ale&t *o+n Be&nalde, 'alada

 Autopsy Aut+o&i,ed Aut+o&i,ed y: D&" Donnaelle la&io-.api&ig fo& t+e /ity of %agila&an dentified y: /+&istine Be&nalde, 'alada  $ot+e& of Decedent (igo&: p&esent 2ive&: pu&ple Dist&iution: poste&io&   Age: 36 'ex: $ale 2engt+: 6 inc+es 5eig+t: 14 pounds 7yes: Blac8 Hai&: Blac8 /i&cumcised: o Body Heat: (ef&ige&ated MANNER OF DEA DE ATH: Homicide" CAUSE OF DEATH:  7xsanguination due to multiple sta and incised !ounds #+ead

ec8 t&un8 uppe& ext&emities)" FINDINGS:

1" ;ene&ali,ed pallo& and evidence of exsanguination" 3" $ultiple sta and incised !ounds of +ead nec8 t&un8 and uppe& ext&emities !it+ one #1) sta !ound penet&ating left s8ull into &ain< t+&ee #=) sta !ounds penet&ating &ig+t ac8 ac8 into into c+est c+est cavi cavity ty and and &ig+t &ig+t lung lung<< anot anot+e +e&& sta sta !oun !ound d at late late&a &all &ig+t &ig+t c+est c+est penet&ating into &ig+t lung< and multiple !ounds of uppe& ext&emities consistent !it+ defensive in>u&ies" =" 2eft lo!e& late&al c+est-!all c+est-!all a&asions and contusions contusions !it+ ove&lying ove&lying &i f&actu&es f&actu&es of  left &is ?6 ? and ?@" 4" 'ua&ac+noid +emo&&+age of &ig+t ce&e&um unde&lying one of t+e la&ge unde&mined &ig+t scalp incised !ounds" " A fe! ot+e& mino& lunt-fo&ce in>u&ies of +ead and t&un8" 6" $ode&ate emp+ysematous c+anges of lungs" LABORAT LABOR ATORY ORY RESULTS: TOXICOLOGY:

1" Blood: a" 7t+anol: 0"16 gm" " D&ugs: /ocaine p&esent at less t+an 0"1 ugml< cocaet+ylene p&esent at 0"3 ugml< Cuantity not sufficient fo& fu&t+e& examination"

3" &ine: Positive fo& cocaine cocaine metaolite #ecgonine met+yl este&) and cocaet+ylene !it+ negative 7$% a&itu&ates sc&een" =" cula& fluid: 7t+anol 0"16 gm" INTRODUCTION GENERAL APPEARANCE: %+e ody is t+at of a !ell-developed !ell-nou&is+ed adult

!+ite man !+o appea&s t+e stated age of 4= yea&s" Body +eig+t is 69 inc+es and ody !eig+t is 169 l" At autopsy &igo& mo&tis is gene&ali,ed to late< livo& mo&tis is poste&io&  and slig+tly lanc+ing< t+e ody is cool to touc+" A&tifacts of decomposition a&e asent and evidence of medical and postmo&tem ca&e is asent" %+e&e is ovious evidence of  multiple s+a&p-fo&ce in>u&y" IDENTIFICATION: %+e identity of decedent !as estalis+ed y ci&cumstances of deat+

and discove&y of t+e ody" ROUTINE EXTERNAL EXAMINATION CLOTHING AND ALUABLES:  %+e ody is admitted to t+e mo&gue d&essed and !it+in

a s+eet and s+&oud and t+en !it+in a ody ag and !it+ t+e +ands agged" /lot+ing is ve&y loody and +as in>u&ies matc+ing t+ose at t+e t&un8 #see elo!)" n addition p&io& to &emoval of clot+ing t+e ody !as examined concu&&ently y me and y t+e c&ime scene tec+nician f&om t+e #edited) Police Depa&tment and t&ace evidence !as collected f&om t+e ody and clot+ing" 'ee E%(A/7 7FD7/7E section at end of  &epo&t" %+e clot+ing consists of a lue-and-!+ite !este&n-style s+i&t a pai& of lue >eans a &o!n elt a pai& of !+ite soc8s and a pai& of &o!n co!oy-style oots" Faluales on o& !it+ t+e ody include a ciga&ette lig+te& a 8ey &ing !it+ five #) 8eys a poc8et 8nife and G16"4= in cas+" %+e valuales a&e &eleased to t+e mot+e& of t+e decedent !+ile t+e clot+ing is &etained fo& t+e la! enfo&cement agency" Please also see EA(%A/%'E and E*(7'E sections elo!" HEAD AND NEC!:  %+e +ead is no&mally s+aped" 'calp +ai& is s+o&t &o!n and

st&aig+t !it+ t+e f&ontal po&tion alding" %+e +ead face nec8 and uppe& s+oulde&s s+o! no suffusion" %+e i&ides a&e g&een< t+e pupils a&e eCual and &ound< t+e scle&ae a&e !+ite< t+e con>unctivae +ave no petec+iae and t+e pe&io&ital a&eas +ave no ecc+ymosis" acial +ai& is clean s+aven" A slig+t amount of loody mucus is p&esent inn t+e nasal and o&al cavities" %+e teet+ a&e natu&al and o&al +ygiene is good" nt&ao&al petec+iae a&e not p&esent" %+e nec8 +as no defo&mities and +as t+e usual &ange of motion !it+out c&epitus" TRUN!: %+e c+est is not inc&eased in t+e ante&oposte&io& dimension ut +as +eavy

d&ied lood ove& t+e xip+oid and lo!e& ste&nal &egions" %+e &easts a&e masculine and +ave no palpale masses o& nipple disc+a&ge" %+e adomen is soft !it+ a modest panniculus adiposus and t+e&e is no venous discolo&ation of t+e exte&nal !all" %+e ac8 and uttoc8s +ave no natu&al ano&malities" %+e anus is mode&ately dilated !it+ some &eddis+ pu&ple ci&cumfe&ential ecc+ymosis ut t+e&e a&e no lace&ations and no visile sca&s" %+e exte&nal genitalia a&e app&op&iate fo& age and +ave no in>u&ies" EXTREMITIES: %+e ext&emities a&e symmet&ical and !it+out natu&al defo&mities" %+e

legs +ave no significant pe&ip+e&al edema and no s8in at&op+y" %+e finge&nails a&e all of  medium lengt+ except t+e &ing finge&s !+ic+ a&e s+o&t and even" %+e &ig+t &ing finge&nail appea&s acutely missing ut in a smoot+ loodless fas+ion"

SCARS" TATTOOS" NEI" INCIDENTAL FINDINGS: %+e lo! midclavicula& left c+est

+as t!o #3) old sca&s possily s8in g&afting" An old sca& is at t+e lo! left pa&ave&te&al ac8" A s+o&t sca& is at t+e ac8 of t+e !e space of t+e left t+um" ld sca&s a&e also at t+e left 8nee !it+ one #1) eing su&gical" %+e ac8 of t+e left !&ist +as a tattoo of t+e lette&s EP2%E" ARTIFACTS OF MEDICAL OR POSTMORTEM CARE

%+e&e a&e no acute o& &ecent medical a&tifacts" %+e ody +as no emalming o& ot+e&  mo&ticianIs a&tifacts" ARTIFACTS OF THE POSTMORTEM INTERAL

'ee E;77(A2 APP7A(A/7E aove fo& signs of deat+" Decomposition is minimal ut p&og&essing inte&nally !it+ some autolysis" %+e&e is no significant put&efaction" IN#URIES

$ultiple incised and sta !ounds a&e p&esent on t+e +ead nec8 c+est ac8 and uppe&  ext&emities" %+ese a&e enti&ely too nume&ous to count and detail" Ho!eve& in gene&al t+e&e a&e =0 o& mo&e on t+e +ead 1 o& mo&e on t+e c+est and ac8 and aout 40 defensive incised !ounds at t+e &ig+t and left +ands and fo&ea&ms" $ost of t+e s+a&pfo&ce in>u&ies p&esent a&e incised !ounds and most of t+e sta !ounds a&e actually non-penet&ating of t+e ody cavities except as detailed elo! and except fo& t+e deepe& ones at t+e uppe& ext&emities" %+e&e a&e also some lunt-fo&ce in>u&ies and some ove&lying &i f&actu&es as elo!" $any of t+e +ead !ounds a&e ve&y i&&egula& and +ave slig+tly scalloped o& cu&ving o&de&s as discussed elo!" %+e fo&e+ead t+e &ig+t face eside t+e nose t+e &ig+t lips t+e left side of t+e +ead and ea& and t+e &ig+t side of t+e +ead +ave multiple incised !ounds" At t+e fo&e+ead t+e la&gest is  cm long and is i&&egula& and mostly ve&tical !+ile most of t+e incised !ounds a&e diagonal slanting f&om uppe& left to lo!e& &ig+t and eing aout 1" cm long eac+" %+e longest at t+e &ig+t face is " cm long" %+ose at t+e lips a&e supe&ficial" At t+e left side of t+e +ead a&e seve&al ma&8s mostly diagonal do!n!a&d and to t+e f&ont and also passing along t+e left side of t+e fo&e+ead and t+e left side of t+e face" At t+e f&ontopa&ietal a&ea is a F-s+aped incision !+ic+ appea&s to e t!o incisions c&ossing" %+e&e a&e also five #) s+o&t >a-type incisions at t+e late&almost lo! left fo&e+ead" %+ese >ust penet&ate t+e oute& tale of t+e s8ull eneat+ t+is a&ea t+e la&gest eing 0"3 x 0"1 cm" *ust infe&io& and poste&io& to t+ese >a !ounds is a definite penet&ating sta !ound of t+e s8ull" At t+e s8in t+is is diagonal !it+ t+e lunt end 0"1-0"3 cm in t+ic8ness and eing at t+e ante&oinfe&io& aspect of t+e diagonal sta !ound and t+e acute angle at t+e supe&oposte&io& aspect t+e !ound eing 1"6 cm long" At t+e s8ull t+is ma8es a simila& t&iangula&- s+aped !ound mo&e +o&i,ontal ove&  t+e left sp+enoid one !it+ a ase t+ic8ness of 0"1-0"3 cm and lengt+ of 1"6 cm" %+e ante&io&-most 1"0 cm of t+is sta is t+e actual penet&ation of t+e s8ull" t passes =" cm total #app&oximately) t+&oug+ t+e s8in and &ain passing into t+e &ain aout 3"0 cm at t+e infe&olate&al left f&ontal loe" t c&eates a 1-cm-!ide x 3-cm-deep pe&manent sta cavity at t+at a&ea" t >ust ente&s t+e tip of t+e left late&al vent&icle and is accompanied y a slig+t int&avent&icula& +emo&&+age and also y a slig+t !+ite-matte& contusion su&&ounding t+e in>u&y" %+e infe&io& o&de& of t+e left ea& +as a p&ominent &ed and of a&asion and an upsidedo!n F-s+ape !it+ a 6-cm-long ve&tical incision passing t+&oug+ t+e cente& of t+e a&asion and onto t+e uppe& late&al left nec8" %+e longest incision of t+e left face is  cm long"

 At t+e &ig+t side of t+e +ead a&e multiple sta !ounds va&ying f&om 1" to " cm long and including a cu&ving sta 6" cm long !it+ unde&mining in t+e poste&io& di&ection" n f&ont of t+e &ig+t ea& is a 9"-cm-long cu&ving incision also"  At t+e top of t+e +ead located mostly on t+e &ig+t f&ont side a&e anot+e& g&oup of incised !ounds t+e most p&ominent +aving slig+tly scalloped edges and eing 3"3 cm long" At t+e uppe& late&al left side of t+e +ead a&e t!o #3) !ounds 0"9 cm et!een eac+ ot+e&  and pa&allel eac+ cu&ving slig+tly and +aving slig+tly scalloped edges !it+ t+e scalloping especially at t+e left and !it+ ove&lying pe&pendicula& pa&allel pale &eddis+ pu&ple a&asion and contusion lines ove& a total a&ea of 3 x = cm" Beginning at t+e middle of t+e uppe& &ig+t ste&nocleidomastoid muscle t+e &ig+t poste&olate&al and poste&io& nec8 +ave deep muscula& incised !ounds actually &ep&esenting aout t!o o& t+&ee total cuts" %+e left-most aspect +as a 1 cm supe&ficial cut !+ile t+e ma>o& cut passing ove& to t+e &ig+t poste&olate&al &egion is 1=" cm long" A sepa&ate 3-cm-long incision ove&lies t+e &ig+t poste&olate&al aspect of t+is incision and comines !it+ t+e incision fo& an additional 9 cm to te&minate at t+e &ig+t ste&nocleidomastoid muscle !+e&e t+is discussion egan" $o&e infe&io&ly t+e &ig+t ste&nocleidomastoid muscle also +as a smalle& incision" %+e +ead also +as some lunt-fo&ce in>u&ies alt+oug+ t+ese may e &agged incised !ounds f&om a dull o>ect" %+e ac8 of t+e +ead +as fou& #4) pa&allel diagonal #uppe&  left to lo!e& &ig+t) lace&ations !it+ visile tissue &idging" %+e uppe&most t!o #3) a&e t+e most supe&ficial and may actually e incisions t+ese eing 1" cm long and 4"0 cm long &espectively" %+e lo!e&most t!o a&e mostly on t+e left side and a&e 3" and 1" cm long &espectively and t+ey +ave p&ominent a&asion and contusion a&ound t+e edges" %+e ac8 of t+e &ig+t ea& also +as some &eddis+ pu&ple and &eddis+ lac8 a&asion and contusion< t+e nasal &idge and tip of t+e nose +ave some a&asions and contusions< t+e left scalp aove t+e ea& +as a linea& ve&tical a&asion< and t+e ve&tex of t+e +ead +as a 3"=- x 0"6-cm i&&egula& a&asion" nside t+e +ead t+e &ig+t pa&ietotempo&al &egion of t+e ce&e&um +as a focal a&ea of  inc&eased sua&ac+noid +emo&&+age< ut ot+e& t+an t+e sta !ound at t+e left f&ontal loe t+e &ain +as no contusion lace&ations sudu&al +ematoma o& ot+e& in>u&ies" %+is does unde&lie t+e la&ge& cu&ving 6"-cm-long incised !ound discussed ea&lie&" %+e spinal co&d is not examined"  At t+e left midclavicula& &egion of t+e uppe& left c+est a&e some small s8ip- li8e a&asions" %+e mid&ig+t clavicula& &egion of t+e uppe& c+est also +as a small a&ea of  a&asion" At t+e &ig+t pa&aste&nal c+est is a -cm-tall sta !ound" %+e infe&io& o&de& is slig+tly &ounded o& acute and +as some slig+t contusion !it+ slig+tly undulating edges at t+e infe&io& t+i&d of t+e sta !ound" %+e uppe& edge of t+e sta !ound at t+e s8in is sCua&ed off 0"= cm !ide" %+e sta passes t+&oug+ t+e ste&num in a &oug+ly diagonal fas+ion !it+ lunt uppe& &ig+t edge and acute lo!e& left edge passing into t+e c+est at t+e &ig+t t+i&d inte&costal space ante&io&ly" t passes poste&io&ly slig+tly do!n!a&d and to t+e &ig+t and it >ust catc+es t+e oute& edge of t+e &ig+t lung at t+e >unction of t+e &ig+t uppe& and &ig+t middle loes" %+e sta stops in t+e lung fo& a total of aout 6 cm" t+e&!ise t+e ante&io& c+est +as no sta !ounds" 2ate&ally t+e &ig+t uppe& c+est +as a 1"6-cm-long sta &oug+ly +o&i,ontally o&iented !it+ t+e poste&io& aspect acute and t+e ante&io& aspect lunt" %+is passes into t+e &ig+t poste&olate&al c+est via t+e t+i&d &ig+t inte&costal space !it+ no visile ent&y into t+e lung and !it+ a dept+ of t+e sta totalling g&eate& t+an o& eCual to 6 cm" %+e late&al left c+est at t+e lo!e& +alf +as an i&&egula& a&ea of mottled a&asions and contusions !it+out patte&n t+e la&gest t!o #3) a&eas eing ="0 x 0"= cm and 1 x 1 cm" %+ese ove&lie t+e f&actu&es of t+e &is !it+ accompanying slig+t inte&costal-space

contusion mainly at t+e left late&al sixt+ &i t+e left poste&olate&al sevent+ &i and t+e left poste&olate&al eig+t+ &i" %+e sevent+ &i +as a pa&ietal pleu&al pe&fo&ation and t+e g&eatest amount of contusional +emo&&+age" %+ese a&e lunt-fo&ce in>u&ies"  At t+e ac8 t+e&e a&e multiple s+allo! stas and >a-type !ounds along !it+ some tiny supe&ficial a&asions o& incisions all less t+an o& eCual to 0"= cm" At t+e left uppe&  s+oulde& poste&io&ly a&e t!o #3) of t+e mo&e p&ominent supe&ficial sta !ounds not passing into t+e c+est t+e uppe& &ig+t late&al one eing diagonally o&iented and 3"3 cm long and t+e mo&e medial one eing 1"4 cm long and o&iented +o&i,ontally" At t+e midcente& of t+e ac8 slig+tly mo&e on t+e &ig+t side of t+e spine t+an t+e left a&e seven #) pa&allel diagonal stas" %+ese all +ave &oug+ly t+e same appea&ance at t+e s8in alt+oug+ t+ei& uppe& and lo!e& edges a&e less distinct t+an ot+e& sta !ounds on t+e ody" %+&ee #=) of t+ese a&e c+osen fo& &ep&esentative measu&ements" %+e uppe&most &ig+t sta of t+is g&oup is 1"@ cm long and appea&s to +ave t+e lunt edge do!n!a&d !it+ a F-s+aped acute edge supe&io&ly" B&inging t+e t!o edges of t+e !ound toget+e& c&eates almost a doule EFE alt+oug+ t+e infe&io& aspect is mo&e of a s+allo! EFE t+an t+e uppe& EFE is" %+e infe&io&-most &ig+t !ound in t+is g&oup is 1" cm long and +as a p&ominent infe&io&  EFE !it+ an acute supe&io& edge" B&inging t+e t!o sides toget+e& c&eates no EFE at t+e top at all ut ma8es t+e infe&io& EFE mo&e p&ominent" %+e uppe&most left !ound of t+is g&oup is 1"6 cm long and +as a p&ominent uppe& lunt edge and an infe&io& acute edge" %+is !ound !+en t+e edges a&e &oug+t toget+e& is a simple slit" %+&ee of t+e fou&  stas at t+e &ig+t side of t+is g&oup penet&ate t+e c+est one going t+&oug+ t+e sixt+ poste&io& &ig+t inte&costal space one going t+&oug+ t+e sevent+ and one going t+&oug+ t+e nint+" %+ese go into t+e &ig+t c+est cavity !it+ one in>u&y only penet&ating t+e &ig+t lung fo& a total dept+ of g&eate& t+an o& eCual to  cm" %+is is p&oaly !ound EBE !it+ t+e dept+ into t+e lo!e& loe of t+e &ig+t lung of aout 1" cm !it+ a +eig+t of 1 cm giving t+e total penet&ation as mentioned aove of g&eate& t+an o& eCual to  cm" %+e t!o #3) sta !ounds to t+e left of t+e spine pass do!n!a&d medially and to t+e f&ont ut t+ey stop at t+e left lamina and left late&al side of t+e spinous p&ocesses of t+e ac8 one !it+ a s+o&t ove&all distance fo& t+e sta of aout 3 cm !it+out penet&ation of t+e c+est cavity"  As mentioned ea&lie& t+e uppe& ext&emities +ave multiple s+a&p-fo&ce in>u&ies" At t+e ante&io& distal &ig+t !&ist a&e seve&al a&asions and lace&ations !it+ slig+t &eddis+ pu&ple contusions t+e longest 4" x 0"3 cm and t+e most p&ominent 0"@ x 1"6 cm" %+ese a&e less clea&ly defined as incised !ounds alt+oug+ t+ey may e f&om an i&&egula& o>ect"  At t+e ac8 of t+e &ig+t t&iceps a&ea almost exposing t+e one is a loodless 19"-cmlong gaping deep incised !ound" %+e late&al p&oximal &ig+t s+oulde& and p&oximal a&m +ave t+&ee #=) incisions t+e longest mo&e distal and is 1"6 cm long !it+ an i&&egula&  distal o&de& suggestive of an acute angle and !it+ a p&oximal o&de& sCua&ed off and 0"3-0"= cm !ide" %+e ac8 of t+e &ig+t fo&ea&m +as some small a&asions and some small incised !ounds to!a&d t+e !&ist" %+e distal &ig+t iceps a&ea >ust aove t+e antecuital fossa +as one #1) small incised !ound" %+e left distal fo&ea&m +as a la&ge gaping incised !ound of = x  cm su&face a&ea passing t+&oug+ t+e tendons" *ust p&oximal to t+is is a 6- x 4-cm a&ea of d&ied lood !it+ a&asions and supe&ficial incisions" *ust p&oximal to t+at and mo&e medial a&e t!o #3) pa&allel linea& t+in a&asions" %+e ac8s of t+e +ands +ave multiple avulsed and oliCue incisions and lace&ations mostly incisions &anging f&om 1"-="3 cm long" n addition t+e ac8 of t+e &ig+t +and +as a la&ge& gaping !ound " x ="0 cm long and t+e &ig+t !ounds and t+e left do&sal !&ist !ounds +ave supe&imposed pu&ple contusions" n t+e medial edge of t+e &ig+t t+um is a 1"=-cm-long incised !ound !+ic+ continues onto t+e t+um pad itself" At t+e palma& su&face of t+e left +and a&e app&oximately eig+t #@) oliCue incised !ounds one

eing 3" cm long and +aving scalloped edges and anot+e& eing = cm long !it+ t+e ot+e&s va&ying" %+e +ands do +ave clumps of st&aig+t long possily lond +ai&s ad+e&ent especially at t+e left palm" %+ese a&e collected" ve&all most of t+e incised !ounds of t+e t&un8 suggest a single-edged t+in lade alt+oug+ a doule-edged lade cannot e excluded" $any of t+e +ead !ounds and also t+e +and and fo&ea&m in>u&ies suggest a scalloped edge o& scalloped o>ect and t+e multiple in>u&ies of t+e +ands and fo&ea&ms a&e consistent !it+ defensive in>u&ies" nte&nally t+e&e is almost no lood p&esent in t+e +ea&t and g&eat vessels and tissues due to exsanguination f&om all of t+ese multiple !ounds" J-&ays of t+e +ead and nec8 and also t+e c+est and uppe& adomen s+o! no ovious f&actu&es o& fo&eign odies" %+e inte&nal st&uctu&es of t+e nec8 including t+e ca&otid a&te&ies s+o! no in>u&ies except fo& t+e la&ge nec8 in>u&y passing into t+e muscle only as mentioned aove" %+e +ea&t live& etc" +ave no in>u&ies" 'ee aove fo& stas of &ig+t lung sta of &ain left &i f&actu&es and &ig+t &ain sua&ac+noid +emo&&+age" ROUTINE INTERNAL EXAMINATION

n gene&al inte&nal a&tifacts and in>u&ies +ave een desc&ied aove and !ill not e fu&t+e& detailed in t+is section" %+e ody cavities a&e opened in t+e standa&d autopsy fas+ion" %+e o&gans a&e p&esent in t+ei& usual anatomic locations and &elations+ips" 2ittle lood is p&esent in t+e pleu&al cavities and t+e&e a&e some slig+t ad+esions at t+e &ig+t uppe& loe of t+e lungs" %+e&e is no evidence of empyema pu&ulent exudate o& acute inflammation of t+e se&ous cavities" %+e&e is no tissue discolo&ation suggestive fo& ca&on monoxide intoxication o&   >aundice" %+e&e is a slig+t smell suggestive of alco+olic eve&ages !it+in t+e ody" %+e gallladde& contains t+e usual ile" %+e stomac+ contains 30 ml of g&ayis+ mucoid fluid !it+ cu&dled-li8e small soft !+itis+ lumps of mostly digested un&ecogni,ale food< ut t+e&e is no evidence of d&ug &esidue" %+e ve&mifo&m appendix is p&esent" %+e u&ina&y ladde& contains clea& u&ine" n gene&al at+e&oscle&osis is ve&y mild" %+e +ea&t +as no evidence of infa&ction o& sca&&ing" %+e lungs +ave ullous emp+ysematous c+anges to a slig+t deg&ee mostly at t+e uppe& loes" %+e &ig+t lung also +as t+e t!o #3) sta !ounds mentioned ea&lie&" %+e live& appea&s pale ut not fatty" %+e spleen panc&eas 8idneys +ea&t ad&enals t+y&oid pituita&y p&ostate and ladde& a&e not ot+e&!ise &ema&8ale" %+e testes s+o! no contusions" %+e penis does not appea& to e ci&cumcised" (outine o&gan !eig+ts a&e as follo!s: +ea&t =0 gm< &ig+t lung =0 gm< left lung @0 gm< live& 16=0 gm< spleen @0 gm< panc&eas 160 gm< &ig+t 8idney 140 gm< left 8idney 10 gm< and &ain 140 gm" PROCEDURES AND SPECIMENS TOXICOLOGY: Blood ile u&ine ocula& fluid nasal s!as" PHOTOGRAPHY: nstant p&int and =-mm slide identification pictu&es" nstant-p&int

p+otos a&e also ta8en of t+e scene and of many of t+e in>u&ies" TRACE EIDENCE: %&ace mate&ials on tape f&om &ig+t s+oulde&c+est< possily small

glass f&agment f&om left uppe& c+est< t&ace mate&ials on tape f&om left s+oulde&nec8c+est< t&ace mate&ials on tape f&om c+est< glass f&agments f&om ac8< possile glass f&agments f&om c+est< +ai&s ad+e&ent to &ig+t and left sleeves of s+i&t< +ai&s ad+e&ent to left +and< one #1) +ai& f&om inside t+e mout+< &ig+t finge&nail clippings<

left finge&nail clippings< and ad+e&ent +ai&s f&om &ig+t +and" Pu&ple- and &ed-topped tues of lood a&e also collected and sent to t+e la" CHEMISTRIES OR CULTURES: one" FIREARMS EXAMINATION: one" X$RAYS: 'ee E*(7'"E MICROSCOPIC EXAMINATION: (ep&esentative sections of ma>o& o&gan systems +ave

een otained and &outinely p&ocessed onto glass slides fo& +istologic examination" %+ese +ave een &evie!ed" %+e live& +ea&t and 8idney a&e not &ema&8ale aside f&om some mode&ately advanced autolysis especially at t+e 8idney" %+e lungs s+o! diffuse mode&ate emp+ysematous c+anges including septal fi&osis and an inc&eased nume& of mac&op+ages along !it+ congestion" %+e ce&e&um s+o!s acute petec+ial +emo&&+ages at t+e di&ected section f&om t+e sta-!ound a&ea ut ot+e&!ise t+e ce&e&um is not &ema&8ale" %+e anode&m s+o!s no contusion ut it does +ave dilated sumucosal vessels !it+out significant inflammation o& sca&&ing" %+e&e a&e no additional significant findings"  //Donabelle Olario-Kapirig, MD Ramiro Community Hospital  September 20, 2015