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Evidence: Coroner's Summary Report

Office of the Yoknapatawpha County Coroner

DATE and HOUR AUTOPSY PERFORMED:
09/26/2011 8:30 A.M. by

Manish Agarwal, M.D.
555 Jackson Avenue
Oxford, MS 38655
662-234-XXXX (FAX 662-234-XXXX)

Assistant:
Victoria Witte, M.D.

Full Autopsy Performed

SUMMARY REPORT OF AUTOPSY

Name: PACE, Kimberly

Coroner's Case #: 2011-165

Date of Birth: 6/24/1976

Age: 35

Race: White

Sex: Female

Date of Death: 09/24/2011 (estimated)

Body Identified by: Rebecca Pace, sister of the deceased

Case # 002267-25I-2011

Investigative Agency: Yoknapatawpha County Sheriff's Department

EVIDENCE OF TREATMENT

N/A

EXTERNAL EXAMINATION - SUMMARY


The autopsy is begun at 8:30 A.M. on September 26, 2011. The body is presented in a black body bag. At the time of examination, the body is clothed in a long-sleeved red cotton thermal shirt, khaki twill cargo pants, and one black shoe.

The body is that of a normally developed, well nourished Caucasian female measuring 63 inches in length, weighing 114 pounds, and appearing generally consistent with the stated age of thirty-five years. The body is cold and unembalmed with declining rigor. Pronounced unblanching lividity is present on the posterior of the body in the regions of the feet; the upper thighs, particularly on the right side; the lower back, particularly on the right side; the right arm; and the neck.

The scalp is covered by long (16 inches) brown hair. The body hair is female and average. The skull is symmetric and evidences extensive trauma in the occipital region. The eyes are open and the irises are blue. Pupils are asymmetrically dilated. The teeth are natural and well maintained. The anterior chest is of normal contour and is intact. The breasts are female and contain no palpable masses. The abdomen is flat and the pelvis is intact. The external genitalia are female and unremarkable. The back is symmetrical and intact. The upper and lower extremities are symmetric, normally developed and intact. The hands and nails are clean and evidence no injury.

There are no residual scars, markings or tattoos.

INTERNAL EXAMINATION - SUMMARY

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All organs are within normal limits. No underlying pathological disease conditions or congenital anomalies were observed. Examination of the pelvic area indicates the subject had not given birth. Subject was not pregnant at the time of death. There is no evidence of recent sexual activity.

DESCRIPTION OF INJURIES - SUMMARY

Blunt force traumatic injury with multiple cranial fractures resulting in craniocerebral injury. Wound measures approximately 4 inches high x 5 1/2 inches wide. Subdural hematoma and comminuted fractures of the occipital bone are observed. Numerous bone fragments from the fractures penetrated the brain tissue. Depths of penetration range from ½-inch to 3 inches. Injury appears to have resulted from a single blow administered to the posterior of the head, delivered at an approximate 90º angle to the occipital bone.

Opinion: This is a fatal injury.

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 INCONCLUSIVE
Ethanol: 0 gm/dl, Blood (Heart)
Ethanol: 0 gm/dl, Vitreous

Toxicologist's Note: Initial urine immunoassay results were inconclusive. Further tests pending.

Millicent Schmid, Ph.D.
Chief Toxicologist
October 11, 2011

EVIDENCE COLLECTED

1. Samples of hair, blood (type O+), urine, bile, and tissue (heart, lung, brain, kidney, liver, spleen)

2. Thirteen (13) autopsy photographs

3. Two (2) postmortem x-rays

4. Two (2) standard fingerprint cards

5. One (1) pair women's pants, khaki

6. One (1) women's shirt, long-sleeved, red

7. One (1) pair women's thong underwear, black

8. One (1) brassiere, black

9. One (1) women's mule-style shoe, black

Clothing, hair sample, blood sample, urine sample and one of the fingerprint cards transferred to Crime Lab for further analysis and comparison.

OPINION

Time of Death: Rigor and livor mortis, in addition to body temperature and other factors, indicate an estimated time of death of between 9:30 p.m. on 9/24/2011 and 12:00 a.m. on 9/25/2011.

Immediate Cause of Death: Blunt force cranial trauma

Manner of Death: Homicide

//Manish Agarwal, M.D.
Yoknapatawpha County Coroner's Office
October 12, 2011

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