Office of the Yoknapatawpha County Coroner

DATE and HOUR AUTOPSY PERFORMED:
04/21/2018, 8:00 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:
 BYRNS, Alyx

Coroner's Case #:
 2018-061

Date of Birth:
 08/16/2000

Age:
 17

Race:
 White

Sex:
 Female

Date of Death:
 04/20/2018

Body Identified by:
 Paul Byrns, father

Case #
 001981-20D-2018

Investigative Agency:
 Yoknapatawpha County Sheriff's Department

EVIDENCE OF TREATMENT

 N/A

EXTERNAL EXAMINATION

The autopsy is begun at 8:00 A.M. on April 21, 2018. The body is presented in a black body bag. When first viewed, the deceased is clothed in a blue and yellow, two-piece, string bikini-style swimsuit. The hands are bagged to preserve possible evidence. No jewelry was included.

The body is that of a normally developed white female measuring 61.5 inches, weighing 123 pounds and appearing generally consistent with the stated age of 17 years. The body is cold following refrigeration and preservation is good on the unembalmed body. Lividity is fixed and unblanching on the posterior surface of the body.

The scalp is unremarkable and covered in straight, blonde hair with a maximal length of 40 cm.

The eyes are closed. The irides are blue. The corneas are cloudy. The sclerae are clear. The pupils measure 0.3 cm. The nose and ears are unremarkable. The teeth are natural with some amalgam restorations.

The chest, abdomen and back are symmetrical and intact. The external genitalia are that of an adult female and there is no evidence of injury. The anus is atraumatic.

Limbs are equal, symmetrically developed and intact other than injuries to the left arm detailed below.

There are no residual scars, markings or tattoos.

INTERNAL EXAMINATION

HEAD--CENTRAL NERVOUS SYSTEM: The head and central nervous system are intact and unremarkable. The brain weighs 1,232 grams and is within normal limits.

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. There is no obstruction of the airway.

The mucosa of the epiglottis, glottis, piriform sinuses, trachea and major bronchi are anatomic. No injuries are seen and there are no mucosal lesions. The hyoid bone, the thyroid, and the cricoid cartilages are intact.

The lungs weigh: right, 341 grams; left 352 grams. The lungs are unremarkable. The pulmonary vessels are grossly normal.

CARDIOVASCULAR SYSTEM: The heart weighs 239 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 without injury. The stomach contains 385 cc of reddish 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 1,117 grams. The gallbladder contains 21 cc of dark green bile, no stones and is grossly normal. The extrahepatic biliary system is unremarkable. The pancreas shows the usual lobular architecture, mild autolysis, and is otherwise normal.

URINARY SYSTEM: The kidneys weigh: left, 118 grams; right, 111 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 120 cc of clear yellow urine.

FEMALE GENITAL SYSTEM: The structures are within normal limits. Examination of the pelvic area indicates the deceased had never birth and was not pregnant at the time of death. There are signs of sexual activity within the previous 24-48 hours. 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) An incised wound is present on the anterior of the left forearm, perpendicular to the wrist. The wound path is approximately 10 cm in length and 1 cm in depth.

Opinion: This is a non-fatal perimortem injury.

(2) An incised wound is present on the anterior of the left forearm, parallel to the wrist. The wound path is approximately 4 cm in length and .6 cm in depth.

Opinion: This is a non-fatal perimortem 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}:

Ethanol: 327 gm/dl, Blood (Heart)
Ethanol: 389 gm/dl, Vitreous

Millicent Schmid, Ph.D.
Chief Toxicologist
April 25, 2018

EVIDENCE COLLECTED

1. One (1) blue and yellow bikini swimsuit top

2. One (1) blue and yellow bikini swimsuit bottom

3. One (1) samples collected from under the deceased's fingernails

4. Samples of Blood (type A+), Bile, and Tissue (heart, lung, brain, kidney, liver, spleen)

5. Three (3) autopsy photographs

6. One (1) postmortem CT scan

7. One (1) postmortem MRI

OPINION

Time of Death: Body temperature, rigor and livor mortis, and stomach contents approximate the time of death between 1:00 P.M. and 4:00 P.M. 04/20/2018.

Immediate Cause of Death: Acute alcohol intoxication

Contributing Conditions: Moderate blood loss due to Injuries 1 and 2 above

Manner of Death: Undetermined

//Manish Agarwal, M.D.
Yoknapatawpha County Coroner's Office
April 25, 2018