Jun 9, 2014 - DATE d--. OC~JiE. Medical ExamIner Authorlzatlon: ANURADHA N. ARCOT, MD. Coont~ Received From: NEW HANOVER
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9, 2014
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No, 9232
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Coastal Pathology Associates, P.A.
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2'12014
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A2014- 01061
IJacksonville, NC 28546 Tel. 910.353.3498 Fax 910-577-2242
AUTOPSY REPORT
Decedent: DENK,GRACE Age:22
L
Autopsy Number: ME14-27 Dale Performed:01/26/14 Time:1300
Gender: F Race: CA Medical ExamIner Authorlzatlon: Coont~ Received From: Body Identified
By:
Present At Autopsy;
Prosector:
ANURADHA
N. ARCOT, MD
d--
OC~JiE
NEW HANOVER
~.). /I':L
DATE
TAG - "DOEN LEFT GREAT TOE AND RIGHT WRIST. THE BODY IS CONFIRMED AS "GRACE DENK" BY DETECTIVES AND BY DMV I.D. MATCH. OLIVER ROBERTS AND J. R. SHANNON, DIENERS; STRATTON STOKES, JASON OAKES AND PHILLIP BURLINGAME OF THE NCSBI AND WILMINGTON POLICE DEPARTMENT.
ANURADHA N. ARCOT, MD
FINAL PATHOLOGIC DIAGNOSIS 1. HISTORY OF SUICIDAL ATTEMPTS
IN THE PAST.
2.
SINGLE, CONTACT GUN SHOT WOUND TO CHEST, SEE SUMMARY.
3.
FOUR, DISTANT GUNSHOT WOUNDS TO THE CHEST AND UPPER ARM.
4.
ORGANS INJURED: PULMONARY ARTERY, RIGHT ATRIUM, BOTH LUNGS AND LEFT ARM BONES AND SOFT TISSUE.
5.
LUNGS -ATELECTASIS
AND HEMORRHAGE.
6.
SPLEEN - FOLLICULAR
HYPERPLASIA.
7.
KIDNEY~ FOCAL GLOMERULOSCLEROSIS.
CAUSE OF DEATH MULTIPLE GUNSHOT WOUNDS WITH EXSANGUINATION.
EXTERNAL
DESCRIPTION
The facls slaled herein are corroct to the besl of my knowledge and belief.
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DENK;GRACE
L AUTOPSY REPORT(Continued)
BODY CONDITION;
ME14-27
INTACT WITH MULTIPLE GUNSHOT WOUNDS
LENGTH; (INCHES) 65 WEIGHT; (POUNDS) ESTIMATED BODY HEAT:
130
COOL
RIGOR:
L1VOR:
POSTERIOR
HAIR:
BLACK
EYES:
BROWN
TEETH:
NATURAL
FACIAL HAIR: NOT APPLICABLE EXTERNAL GENITALIA:
INTACT
TATTOOS:
RIGHT UPPER ARM; RIGHT UPPER CHEST; RIGHT FLANK; RIGHT LATERAL ASPECT OF ANKLE; LEFT LATERAL FLANK.
SCARS:
HEALED LINEAR SCARS ARE NOTED ON THE VENTRAL ASPECT OF BOTH RIGHT AND LEFT WRISTS.
JEWELRYNALUABLES; CLOTHING:
RING, LEFT FINGER
NONE
MISCELLANEOUS:
THIS IS A 22-YEAR-OLD WITH A HISTORY OF DEPRESSION AND PSYCHIATRIC PROBLEMS WHO WAS RECENTLY RELEASED FROM THE ARMED FORCES. SHE HAD A HISTORY OF PREVIOUS SUICIDAL ATTEMPTS AND HER BOYFRIEND CALLED 911 REQUESTING HELP WHEN SHE STATED "SHE WANTED TO KILL HERSELF". WHEN DETECTIVES ARRIVED THEY HEARD A GUNSHOT AND IN THE DARK COULD NOT SEE IF IT WAS BEING FIRED AT THEM AND THEY OPENED FIRE. FOUR ROUNDS WERE POSSIBLY FIRED BY THE DETECTIVES AND POSSIBLY ONE BY HER. SHE WAS USING A .380 AND THE OFFICERS WERE USING A .45 CALIBER WEAPON.
EVIDENCE OF INJURY THERE ARE MULTIPLE GUNSHOT WOUNDS. SEE GUNSHOT WOUNDS. GUNSHOT WOUNDS GUNSHOT WOUND #1: THIS IS AN ENTRANCE WOUND WITH AN IRREGULAR ABRADED AREA EXTENDING FOR OVER A DISTANCE OF 0.4 MM AROUND THE WOUND AND ALSO AN ADJACENT ABRASION MEASURING UP TO 1 INCH. THIS WOUND IS LOCATED ON THE LEFT UPPER CHEST. THE WOUND ITSELF MEASURES 1 X X INCH AND IS LOCATED % INCH TO THE LEFT OF MIDLINE AND 16 INCHES FROM TOP OF HEAD. THE BULLET PATH ON THIS ENTRANCE CORRESPONDS TO THE BASE OF THE PULMONARY VESSEL, THROUGH THE RIGHT ATRIUM, PASSED THE MEDIAL ASPECT OF THE RIGHT UPPER LOBE, THROUGH THE RIGHT LOWER LOBE, 8TH RIB AND EXITING FROM THE SINGLE WOUND ON THE BACK LABELED #11. The facls slated hereIn are correct to the besl of
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AUTOPSY REPORT(Continued) EXIT WOUND #11: THIS IS LOCATED ON THE RIGHT UPPER BACK. IT MEASURES Y4INCH IN DIAMETER AND IS LOCATED 6 INCHES TO RIGHT OF MIDLINE AND 28 INCHES FROM TOP OF HEAD. NO BULLETS ARE RETRIEVED FOR THIS WOUND, THIS IS A CONTACT GUNSHOT WOUND THAT HAS A PATH FROM FRONT TO BACK IN A DOWNWARD ANGLE. WOUNDS # 2 to 10 ARE RELATED TO THE FOUR, DISTANT, ROUNDS FIRE BY LAW ENFORCEMENT. GUNSHOT WOUND #2: THIS WOUND IS LOCATED ON THE RIGHT UPPER CHEST. THIS WOUND IS AN ENTRANCE WOUND THAT MEASURES 1 X 'Xl INCH. IT IS LOCATED 2 ~ INCHES TO THE RIGHT OF MIDLINE AND 18 'liz INCHES FROM THE TOP OF HEAD. THIS WOUND IS SUPERFICIAL AND PASSES OUTSIDE OF THE RIB CAGE THROUGH THE SOFT TISSUE OF THE BREAST AND SUBCUTANEOUS TJSSUE AND A DEFORMED BULLET IS RETRIEVED AND TURNED OVER TO DETECTIVES. GUNSHOT WOUNDS #3 THROUGH #10 ARE LOCATED ON THE LEFT ARM AND THEY CORRESPOND TO ENTRANCE AND EXIT WOUNDS OF THREE BULLET PA THWA YS. GUNSHOT WOUND #3: THIS IS AN ENTRANCE WOUND LOCATED ON THE LATERAL ASPECT OF THE UPPER ARM. THIS MEASURES 1 INCH IN DIAMETER AND IS LOCATED 17 INCHES FROM TOP OF HEAD. GUNSHOT WOUND #4: THIS IS AN EXIT WOUND LOCATED ON THE MEDIAL ASPECT OF THE LEFT UPPER ARM. THIS WOUND MEASURES 1 X 'Xl INCH AND IT IS LOCATED 18 Y:i INCHES FROM TOP OF HEAD. GUNSHOT WOUND #5: THIS WOUND IS LOCATED ON THE LATERAL ASPECT OF THE UPPER ARM. THIS WOUND MEASURES X X ~ INCH AND IS LOCATED 21 INCHES FROM TOP OF HEAD. THE CORRESPONDING EXIT WOUND IS WOUND #0. GUNSHOT WOUND #6: THIS IS LOCATED ON THE MEDIAL ASPECT. IT MEASURES 1 Y. X ~ INCH AND IS LOCATED 23 INCHES FROM TOP OF HEAD. GUNSHOT WOUND #7: THIS IS AN ENTRANCE WOUND LOCATED ON THE LATERAL ASPECT OF THE FOREARM. THIS WOUND MEASURES 'liz INCH IN DIAMETER AND IS LOCATED 26 INCHES FROM TOP OF HEAD. GUNSHOT WOUND #8: THIS IS A CORRESPONDING EXIT WOUND FOR #7. THIS WOUND IS LOCATED ON THE MEDIAL ASPECT OF THE LEFT FOREARM. IT MEASURES 1 X Y4INCH AND IS LOCATED 26 INCHES FROM TOP OF HEAD. GUNSHOT WOUND #9: THERE IS A LARGER WOUND PROBABLY CORRESPONDING TO BROKEN BONES PROTRUDING. THIS WOUND IS A LOCATED ON THE MEDIAL ASPECT OF THE LEFT FOREARM. IT MEASURES 2 X 1 INCH AND [T IS LOCATED 28 INCHES FROM TOP OF HEAD. GUNSHOt WOUND #10: THIS IS AN AREA OF ABRASION NOTED ON THE VENTRAL ASPECT OF LEFT FOREARM. THIS AREA MEASURES 1 X X 'Xl. INCH AND IS LOCATED 29 INCHES FROM TOP OF HEAD. THERE IS AN AREA OF STIPPLED ABRASION ON THE FOREHEAD NEAR THE HAIRLINE MEASURING OVER AN AREA OF 3.X 2 INCHES. THIS IS UNRELATED TO THE BULLET WOUNDS. EVIDENCE OF MEDICAL ATTENTION EKG PADS, ENDOTRACHEAL TUBE, CENTRAL LINE IN RIGHT UPPER CHEST, IV IN THE RIGHT GROIN AND LEFT TIBIA, PULSE OXIMETER LEFT INDEX FINGER.
PHOTOGRAPHS:
ADDITIONAL PROCEDURES TAKEN BY THE PATHOLOGIST AND DETECTIVE
RADIOGRAPHS:
YES
MICROBIOLOGY:
' NONE The facts stated herein are correct to the best of my knowledge and belief.
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AUTOPSY REPORT(Conlinued)
KIDNEYS:
THE KIDNEYS WEIGH 100 GRAMS EACH AND HAVE A SMOOTH CORTEX WITH NO SIGNIFICANT ADHESIONS. UPON SECTIONING, THE' CORTICOMEDULLARY JUNCTJON IS DISTINCT.
BLADDER:
THE BLADDER IS DISTENDED WITH PALE URINE.
INTERNAL GENITALIA:
THE UTERUS IS PRESENT AND GROSSLY UNREMARKABLE. NO GESTATIONAL SAC OR UTERINE MASSES ARE SEEN. THE OVARIES ARE PRESENT AND GROSSLY UNREMARKABLE WITH SMALL CYSTS LESS THAN 0.5 CM NOTED IN THE CORTEX. THE TUBES ARE ALSO GROSSLY UNREMARKABLE.
NECK ORGANS:
THE UPPER AIRWAY IS UNOBSTRUCTED. UNREMARKABLE.
BRAIN AND MENINGES:
THE THYROID IS GROSSLY
SKUll:
INTACT
VERTEBRAE:
INTACT
RIBS;
THE RIGHT 8
THE BRAIN WEIGHS 1500 GRAMS AND IS INTACT AND WITHOUT INTRACRANIAL HEMORRHAGE OR MASSES.
TH
RIB SHOWS FRACTURES FROM A BULLET EXIT WOUND.
PELVIS: INTACT ANA:MG 2/04/14 MICROSCOPIC EXAMINATION CORONARY ARTERIES:
NO SIGNIFICANT ATHEROSCLEROSIS.
HEART:
NO SIGNIFICANT
LUNGS;
ATELECTASIS
LIVER:
MILD PORTAL INFLAMMATION.
SPLEEN:
FOLLICULAR
PANCREAS:
AUTOLYZED.
ADRENAL
GLANDS:
KIDNEYS:
OF FOCI OF HEMORRHAGE ALONG THE BULLET PATH.
HYPERPLASIA
IS NOTED.
NOT SUBMITTED. FOCAL GLOMERULOSCLEROSIS.
BRAIN AND MENINGES: THYROID GLAND:
HISTOPATHOLOGY.
NO SIGNIFICANT HISTOPATHOLOGY.
NOT SUBMITTED. SUMMARY AND INTERPRETATION
THIS IS A 22 YEAR OLD FEMALE WITH A HISTORY OF SUICIDAL ATTEMPTS IN THE PAST WHO THREATENED TO KILL HERSELF. HER BOYFRIEND CALLED 911 TO ASK FOR HELP AS SHE STATED 'THAT SHE WAS GOING TO KILL HERSELF" THAT DAY. WHEN LAW ENFORCEMENT The fa CIs slaled herein are correct to Ihe besl of
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AUTOPSY REPORT(Continued) ARRIVED, THEY HEARD GUNSHOTS AND FOUR ROUNDS WERE FIRED AND THEY WERE NOT SURE WHAT WAS HAPPENING IN THE DARK. . SHE SUSTAINED A TOTAL OF FIVE 8ULLETWOUNDS. THE FIRST 'IS COMPATIBLE WITH A SELF INFLICTED GUN SHOT WOUND TO THE CHEST. THIS WAS ASSOCAITED WITH INJURIES TO PULMONARY ARTERY, RIGHT ATRIUM AND RIGHT LUNG WITH SIGNIFICANT EXSANGUINATION. THERE WERE FOUR OTHER BULLET PATHS, ONE TO THE SOFT TISSUE OF THE CHEST OUTSIDE THE RIB CAGE. THE OTHER THREE BULLET PATHS ARE LOCATED ON THE LEFT ARM WITH INJURIES TO BONE AND SOFT TISSUE. THESE FOUR WOUNDS ARE NOT ASSOCIATED WITH INJURIES TO MAJOR ORGANS. AT AUTOPSY, MINOR FINDINGS INCLUDE LUNGS WITH ATELECTASIS AND HEMORRHAGE, SPLEEN WITH FOLLICULAR HYPERPLASIA AND KIDNEY WITH FOC~L GLOMERULOSCLEROSIS. TOXICOLOGY REVEALS AN ETHANOL LEVEL OF 220 mg/dL IN CHEST CAVITY BLOOD AND A LEVEL OF 250 mgldL IN URINARY BLADDER. IN MY OPINION, HER DEMISE WAS SECONDARY TO GUNSHOT WOUNDS WITH EXSANGUI NATION. ANA:MF 4"3-14 Signed By: ANURADHA
ARCOT 04/11/140911
The facls slaled herein are correct to the best of my knowledge and belief.
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OFFICE OF THE CIDEF MEDICAL EXAMINER CHAPEL HILL. NORTH CAROLINA 27514
DIAGRAM
AUTOPSY
NUMBER:
EXAMINED BY:
OF FEMALE BODY ~ ERONT & BACK
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DECEDENT:
61~ DATE:
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