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Office of the Yoknapatawpha County Coroner

DATE and HOUR AUTOPSY PERFORMED:
10/31/2013, 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 PRELIMINARY REPORT OF AUTOPSY

Name:
 MORAN, Kelly Schrader

Coroner's Case #:
 2014-235

Date of Birth:
 05/29/1974

Age:
 40

Race:
 White

Sex:
 Female

Date of Death:
 10/30/2014

Body Identified by:
 Russell Moran, husband

Case #
 003599-30J-2014

Investigative Agency:
 Yoknapatawpha County Sheriff's Department

EVIDENCE OF TREATMENT

 N/A

EXTERNAL EXAMINATION

The autopsy is begun at 8:30 a.m. on October 31, 2014. The body is presented in a black body bag. The victim is wearing a white cardigan sweater, black shirt, black pants, black underwear, black bra, black shoes, two diamond hoop earrings, one diamond cocktail ring on left index finger, and one diamond choker-style necklace. A brown extension cord is wrapped twice around the victim's neck. A dark brown hair measuring 52 cm is recovered from inside the cardigan.

The body is that of a normally developed Caucasian female measuring 65 inches and weighing 126 pounds, and appearing generally consistent with the stated age of 40 years. The body is cold following refrigeration and preservation is good on the unembalmed body. Lividity is well-set along the posterior of the torso, arms, upper legs and in the feet. Rigor is fully established.

The scalp is unremarkable and covered in blonde hair with a maximal length of 34 cm. The body hair is female and average.

The irides are blue, and the eyes are closed. The pupils measure 3 mm. The nose and ears are unremarkable. The teeth are natural with some amalgam restorations. With the extension cord removed, superficial contusions consistent with the ligature are observed.

The chest and abdomen are normally formed, symmetrical and without palpable masses. The back is straight and symmetrical.  The upper and lower extremities are symmetric and normally developed.

The anus is atraumatic. The external genitalia are those of an adult female and there is no evidence of injury.

There are no residual scars, markings or tattoos.

INTERNAL EXAMINATION

HEAD--CENTRAL NERVOUS SYSTEM: The brain weighs 1,430 grams and is within normal limits. The calvarium and base of the skull are normally configured and have no fractures. The dura is intact, and there is no epidural or subdural hemorrhage.

MUSCULOSKELETAL SYSTEM: The musculoskeletal system is intact, unremarkable and within normal limits.

RESPIRATORY SYSTEM: The oral cavity shows no lesions. The mucosa is intact and there are no injuries to the lips, teeth or gums. The larynx and tracheobronchial tree show a slight amount of foamy fluid. The mucosa of the epiglottis, glottis, piriform sinuses, trachea and major bronchi are anatomic. The hyoid bone, the thyroid, and the cricoid cartilages are intact. The lungs weigh: right, 363 grams; left 359 grams. Cut surfaces show moderate congestion and edema bilaterally. The pulmonary vessels are grossly normal.

CARDIOVASCULAR SYSTEM: The heart weighs 330 grams, and has a normal size and configuration. No evidence of atherosclerosis or gross ischemic changes of recent or remote origin are 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 with no injury. The stomach contains 21 cc of brownish fluid. The mucosa of the duodenum, jejunum, ileum, colon and rectum are intact with no injury. The small intestine, appendix and colon are unremarkable.

HEPATOBILIARY SYSTEM: The liver weighs 1,311 grams. Moderate liver injury consistent with acetaminophen toxicity is observed. The gallbladder contains 25 ml of dark green bile, no stones and is grossly normal. The extrahepatic biliary system and pancreas are unremarkable.

URINARY SYSTEM: The kidneys weigh: left, 150 grams; right, 151 grams. The kidneys are anatomic in size, shape and location and are without lesions. The pelvic calyceal system and ureters are unremarkable. The urinary bladder contains 15 ml of clear yellow urine.

FEMALE GENITAL SYSTEM: The structures are within normal limits. Examination of the pelvic area indicates the victim had not given birth and was not pregnant at the time of death. Vaginal fluid samples are removed for analysis.

TOXICOLOGY: Samples of central and peripheral blood, vitreous humor, gastric contents, urine, liver and bile are submitted for toxicologic analysis.

SEROLOGY: A sample of right pleural blood is submitted in the EDTA tube. Routine toxicologic studies were ordered.

DESCRIPTION OF INJURIES - SUMMARY

(1) Superficial ligature marks consistent with the extension cord removed from the body are observed on the victim's neck.

Opinion: These are non-fatal perimortem injuries.

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}:

BLOOD   ETHANOL   POS
BLOOD   CANNABINOIDS-ETS   NEG
BLOOD   COCAINE-ETS   NEG
BLOOD   OPIATES-ETS   POS
BLOOD   AMPHETAMINE-ETS   NEG
BLOOD   BARBITURATE -ETS   NEG
BLOOD   BENZODIAZEPINE-ETS   NEG
BLOOD   METHADONE-ETS   NEG
BLOOD   PCP-ETS   NEG
BLOOD   CARBON MONOXIDE   NEG

Urine screen {TLC-Basic} was positive for oxycodone, which was later confirmed using GC-MS

Ethanol: 0.04 gm/dl, Blood (Heart)
Ethanol: 0.04 gm/dl, Vitreous
Ooxycodone: 13 mcg/mL (Blood)

Millicent Schmid, Ph.D.
Chief Toxicologist
November 14, 2014

EVIDENCE COLLECTED

1. One (1) white cardigan sweater

2. One (1) black shirt

3. One (1) pair black pants

4. One (1) black bra

5. One (1) pair black women's underwear

6. One (1) pair black women's shoes

7. Two (2) diamond hoop earrings

8. One (1) diamond band-style cocktail ring

9. One (1) diamond choker-style necklace

10. One (1) 6-foot brown extension cord

11. One (1) 52 cm brown hair

12. Samples of Blood (type AB+), Bile, Tissue (heart, lung, brain, kidney, liver, spleen)

13. Four (4) autopsy photographs

14. One (1) postmortem x-ray

15. One (1) postmortem CT scan

OPINION

Time of Death: Body temperature, rigor and livor mortis, and stomach contents approximate the time of death between 4:00 p.m. and 8:00 p.m. on October 30, 2014.

Immediate Cause of Death: Respiratory arrest due to opiate overdose

Manner of Death: Undetermined

 

//Manish Agarwal, M.D.
Yoknapatawpha County Coroner's Office
November 14, 2014

  • Well, my, my, my. Now we have an interesting situation here. Bottom line:
    COD: OPIATE OD. Not strangled, hyoid bone inact, ligature marks superficial. Also of note,, liver shows evidence of Tylenol Toxicity. Opiates +, Alcohol + on toxicology. However, stomach contents only show

  • Sorry. Continuing my summary from below. (Notes are for myself, mostly. I'm not insinuating that any of you can't read an autopsy report & come to the same conclusions. Of course all of you can. ت)
    Anyway, her stomach contents only show No large amount of alcohol or any undigested pills.? So....? I don't think it takes very long to digest just pills & alcohol. She would probably passed out before her respirations stopped. Also, there is No evidence of injury to her mouth, lips, etc. so it seems less likely that she was physically forced to take them while conscious, anyway. Also hard to get an unconscious person to swallow.
    Hmmm. I guess the obvious question is did she take them herself, on purpose (suicide)? Or accidentally? Was she coerced or threatened by knife, gunpoint? Threatened to be strangled?
    Who put the cord around her neck? & Why? To cover up the OD? By herself, or by someone else? To create the superficial bruises, when would the cord have to be tightened & could she do that to herself. I think she could, if she did. Which came first? A failed attempt to strangulation?
    I quess that's why we're here.ツ
    But the biggest RED FLAG to me is the Long Brown Hair recovered from UNDER her cardigan!
    What do you all think??

  • A lot of evidence points to Karen (the hair etc.) but that seems too easy (nod to Scarlett) Whether it was accidental, suicide or a spiked murder drink (another nod to Scarlett!) why cover it up? If the object was to get rid of her, why misdirect? Motive is going to be playing a big part here....

  • Was Kelly expecting somebody.?
    Or was the dog put down in the basement by somebody who was a regular visitor.
    Is it possible that Kelly was immobilised first by the cord put around her neck.?
    And is it possible that the drug had been administered to Kelly by needle.?

  • brown extension cord - that extension is the source for the table lamp .

  • (coroners report) brown extension cord - that extension is the source for the table lamp or attention : that is what kenny ross said on the interview (1st), could it be the brown extension cord used in the killing ? on the updated finger prints it shows that the fingerprint recovered from the table lamp north of the sofa where the victim was found - Identified as consistent with Karen West .

  • Detemilykaicsi: try not to take offense from this but... You are wrong on several key notes. First of all you missed the fact that signs of forced entry were found so she obviously didn't just fake that to make it look like a murder so someone did commit the burglary. Secondly of course she had alcohol and pills inside of her stomach she frequents bars and might have had an addiction to painkillers as said in her bio. And as for the brown hair she frequents bars with friends and because of that the hair could be from dozens of sources making it practically useless. You did however address some good points such as how the cause of death may have not been strangulation. Before you die from strangulation you pass out so it's possible that the cause of death is of a different nature. Even so more evidence would be needed for a suicide claim.
    -Mr.Q

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