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HomeMy WebLinkAboutSamuel- Autopsy Report_REDACTEDORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT SAMUEL, Darryle Marcell 21-03893-BK Page 2 2021-07-07 KC This is Yong-son Kim, M.D., dictating on June 29, 2021, case #21-03893-BK; decedent, SAMUEL, Darryle. EXTERNAL EXAMINATION The body is identified by toe tags and is that of an unembalmed, refrigerated adult Black male, who appears about the reported age of 28 years. The body weighs 200 pounds, measures 72 inches in height, and appears well built and well nourished. External examination reveals the body is without rigor. Livor mortis is fixed and present over the back. Tattoos are seen over the upper middle back, the dorsal surfaces and inner surfaces of both arms, the upper chest, the middle abdominal area, and the lateral and anterior aspect of the neck. There are additional tattoos below both eyes and above the left eyebrow. The tattoos also extend toward the dorsal surfaces of both hands. Old scars are noted above the right knee as well as at the level of the right knee which range in size between 1 to 2 inches. There is also a 1/2-inch linear horizontal scar of the nape of the neck. Old, ill-defined scars are also noted of the bilateral posterior hips. There is a 1/4-inch scar of the left shin. Otherwise there is otherwise no evidence of any additional scars on the bo dy, nor is there any evidence of any fresh trauma like contusions, lacerations, or abrasions of the skin. Middle sternal abrasions are noted which are fresh appearing and are most likely related to resuscitative efforts. In addition, there is a very weak puncture site of the left peripheral second phalanx which is most likely related to therapeutic intervention as well. In addition, there are changes of acne vulgaris of the back as well. The head is normocephalic and covered by brown curly short hair without balding. It is partially braided on the side and in the back. Examination of the eyes reveals irides that appear to be brown in color and sclerae that are congested. There are no petechial hemorrhages of the conjunctivae of the lids or the sclerae. The earlobes show one piercing on each side. The oronasal passages are unobstructed. The teeth are the decedent’s own and in relatively good condition with partially crooked teeth and also partially missing upper teeth. The neck appears supple and unremarkable. The face shows a mustache and a beard. ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT SAMUEL, Darryle Marcell 21-03893-BK Page 3 2021-07-07 KC There is no chest deformity or any increased antero posterior diameter of the chest. The abdomen is relatively flat and does not appear unusual. The external genitalia are those of an adult male. The penis is uncircumcised. There is no evidence of any trauma or lesions of the external genitalia. The extremities show no evidence of any edema, needle tracks, deformity, or abnormal mobility. EVIDENCE OF THERAPEUTIC INTERVENTION: Defibrillator pads have been placed over the anterior torso. In addition, there is an intraosseous line that is attached to a saline bag of the left shin. There is also a laryngeal mask airway (LMA) attached to a bag. Chest abrasions are seen as described before, which are consistent the therapeutic intervention. DESCRIPTION OF LIGATURE FURROW: The furrow is located around the neck and it appears that there is a gap in the nape of the neck of approximately 3 -4 inches in width. The furrow itself is very shallow and flat and is only dem arcated by a band of erythematous congestion which measures 1 inch in width. It follows a slightly upwards course, most likely ends behind both ears. The right and the left lateral aspects of the furrow have a very faint and focal abrasion in their center of which are very ill defined and small in size. The furrow is also located 9 inches below the top of the head anteriorly and is located at and slightly above the thyroid incisure. No evidence is seen of any associated trauma with the furrow mark. Photographs are taken. INTERNAL EXAMINATION NECK: The neck organs are removed en bloc with the tongue. No lesions or contusions of the lips, gingiva, or oral mucosa are seen. There is no laryngeal edema. Both hyoid bone and larynx are intact, without evidence of fractures. The tongue, upon sectioning, shows no trauma. There is no evidence of hemorrhage seen of the adjacent throat organs, investing fascia, strap muscles, visceral fascia, or thyroid. CHEST/ABDOMINAL CAVITY: Both pleural cavities contain minimal serous fluids on each side and there is no evidence of any pleural adhesions. The lungs are well expanded. The visceral as well as the parietal pleurae are smooth and intact. The anterior mediastinum as well as the diaphragm are symmetrical and free of any trauma or lesions. The neck is straight. The soft tissues of the thoracic and ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT SAMUEL, Darryle Marcell 21-03893-BK Page 4 2021-07-07 KC abdominal walls are well preserved. The subcutaneous fat of the abdominal wall measures 2.5 cm. The organs of the abdominal cavity have a normal arrangement and none are absent. There is no evidence of any peritonitis, abdominal adhesions, or peritoneal fluid collection. CARDIOVASCULAR SYSTEM: The aorta is elastic and of even caliber throughout with vessels distributed normally from it. There is no tortuosity or widening of the thoracic segment. The abdominal aorta as well as the thoracic segment show hardly any evidence of any atherosclerosis with only very faint, focal areas of lipid streaking. There is no evidence seen of any plaque formation, dilatation, calcification or aneurysms of the abdominal segment. The major branches of the aorta show no gross abnormality. Within the pericardial sac there is a minimal amount of serous fluid of approximately 30 cc. The heart weighs 370 grams and shows a normal configuration. The right ventricle measures 0.3 cm in thickness, the left ventricle measures 1.3 cm in thickness, and the interventricular septum measures 1.2 cm in thickness. The chambers are otherwise normally developed and are without mural thrombosis. The great vessels enter and leave in a normal fashion. The blood within the heart and large vessels is still of mild to moderate amount and mostly liquid. The heart valves are thin, leafy, and competent. The circumferences of the valve rings are: aortic – 7.5 cm, mitral – 10.2 cm, pulmonic – 8.1 cm, and tricuspid – 12.0 cm. There is no evidence of any endocardial discoloration, myocardial lesions, or any abnormalities of the apices of the papillary musculature. The coronary ostia are widely patent. There is a normal pattern of coronary artery distribution, right dominant pattern. There is hardly any evidence of any coronary artery disease with an overall wide and patent lumen throughout the major coronary arteries. RESPIRATORY SYSTEM: There are scant secretions seen in the lower bronchial and upper respiratory passages. The mucosa of the trachea is otherwise intact and pale. The left lung weighs 760 grams. The right lung weighs 900 grams. The lungs are otherwise boggy in consistency and demonstrate hardly any evidence of any remaining crepitus. The cut surfaces show at least moderate to partially oozing ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT SAMUEL, Darryle Marcell 21-03893-BK Page 5 2021-07-07 KC edema throughout without any evidence of any other parenchymal lesions and generalized congestion. The pulmonary vasculature is without thromboembolism. GASTROINTESTINAL SYSTEM: The esophagus is intact throughout. The stomach is not distended. It contains 20 cc of brown to light brown fluid. No portions of tablets or capsules can be discerned in the stomach. The mucosa otherwise shows the usual rugal folds without any additional mucosal lesions. The small intestines, large intestines, and pancreas are otherwise grossly unremarkable. HEPATOBILIARY SYSTEM: The liver weighs 1210 grams and the capsule is intact. The parenchyma is dark red to brown in color and cuts with firm resistance. The cut surfaces are smooth with a normal lobular arrangement. The gallbladder is present. It contains 5-10 cc of bile without calculi. The gallbladder wall is thin and pliable. The periportal lymph nodes are not enlarged. HEMATOPOIETIC SYSTEM: The spleen weighs 120 grams. The capsule is intact. The parenchyma is dark red and soft. There is no increased follicular pattern. Lymph nodes throughout the body are small and inconspicuous. The bone and bone marrow of the ribs appear grossly unremarkable. URINARY SYSTEM: The left kidney weighs 130 grams and the right kidney weighs 130 grams. The kidneys are normally situated and the capsules strip easily, revealing surfaces that are overall smooth and congested. The perirenal fat is not significantly increased in mass. The corticomedullary demarcations are still well preserved. The pyramids are unremarkable. The ureters are without obstruction and pursue their normal course. The urinary bladder is unremarkable. It contains 90 cc of urine. GENITAL SYSTEM: The prostate gland as well as the testicles are found within their proper locations and are without any evidence of trauma or lesions. ENDOCRINE SYSTEM: The thyroid gland, the parathyroid glands and the adrenal glands are all grossly unremarkable. ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT SAMUEL, Darryle Marcell 21-03893-BK Page 6 2021-07-07 KC MUSCULOSKELETAL SYSTEM: There is no evidence of fractures, joint deformities, or abnormal mobility in the spine, ribs, or pelvic bones. The muscular development is consistent with the age. HEAD AND CENTRAL NERVOUS SYSTEM: There is no evidence of subcutaneous or subgaleal hemorrhage in the scalp. The external periosteum and dura mater are stripped, showing no fractures of the calvarium or base of the skull. There are no tears of the dura mater. There are no epidural, subdural, or subarachnoid hemorrhages. The brain weighs 1250 grams. The leptomeninges are thin and transparent. There is a normal convolutionary pattern. The cerebral hemispheres are symmetrical. There is no evidence of cerebral atrophy or cerebral swelling. C oronal sectioning demonstrates a uniformity of cortical gray thickness. There is no evidence of any cerebral contusions. The ventricular system is unremarkable, without dilatation or distortion. The white matter is free of any softening, discoloration, or hemorrhage. The basal ganglia are intact. Anatomic landmarks are preserved. Pons, medulla, and cerebellum are unremarkable. There is no evidence of uncal or cerebellar herniation. Vessels at the base of the brain have a normal pattern of distribution. There is no evidence of cerebral arteriosclerosis or any cerebral aneurysms. The cranial nerves are intact, symmetrical, and are normal in size, location, and course. ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT SAMUEL, Darryle Marcell 21-03893-BK Page 7 2021-07-07 KC ANATOMIC SUMMARY I. No trauma or hemorrhages II. Very shallow/flat ligature furrow A. Most likely near circumferential (gap at nape of neck) B. Upwards course C. At level of thyroid incisure D. No evidence of any associated trauma or hemorrhages around neck, focal abrasions in center of furrow on each side III. Toxicology and vitreous fluid collected at autopsy IV. Photographs taken during autopsy V. X-rays reviewed prior to autopsy VI. Tissues preserved in formalin jar VII. Scene photos reviewed prior to autopsy SAMUEL, Darryle Marcell 21-03893-BK SAMUEL, Darryle Marcell 21-03893-BK