from the Lisa Files: Autopsy Report, 1995-12-06
Kristi Wachter
From the Lisa McPherson files - view it on the web at
http://www.lisafiles.com/medical/autopsy/4687.html
or in chronological order at
http://www.lisafiles.com/chron/1995/index.html
_________________________________________________________________
Autopsy Report
1995-12-06
MEDICAL EXAMINER
District SIX
Joan E. Wood, M.D.
10850 Ulmerton Road
Largo, Florida 34648
813-XXX-XXXX (FAX XXX-XXXX)
Edward R. Corcoran, M.D.
Associate Medical Examiner
Marie H. Hansen, M.D.
Associate Medical Examiner
Robert D. Davis, M.D.
Associate Medical Examiner Larry R. Bedore, M.S.
Director of Operations
Ronald R. Bell, B.S.
Chief Toxicologist
Joel Scot Cary, A.S.
Chief Investigator
REPORT OF AUTOPSY
Name: MC PHERSON, Lisa Case # 1951474 Age: 36 yrs Race:
White Sex: Female
Date of Death: Dec. 5, 1995 Body Identified by: Jeff
Schaffner & David Slaughter
Date of Autopsy: Dec. 6, 1995 at: 11:00 hrs Authorized by:
Joan E. Wood M.D., D.M.E
Investigative Agency: Clearwater Police Department Agency Case #
95-29158
Manner of Death: Undetermined
Immediate Cause of Death: Thrombo-embolism left pulmonary artery
due to: Thrombosis of left popliteal
vein
due to: Bed rest and severe dehydration
FINAL ANATOMIC DIAGNOSES
Thromboembolus-left main pulmonary artery
Thrombosis of left popliteal vein
Severe dehydration
Multiple old and recent hematomas-extremities
Abrasion of nose
JW:md
(signed)
Joan E. Wood, M.D.
District Medical Examiner
for
Robert D. Davis, M.D. Associate Medical Examiner
_________________________________________________________________
OFFICE OF THE MEDICAL EXAMINER - DISTRICT SIX
REPORT OF AUTOPSY
NAME- MC PHERSON, Lisa CASE NO.-1951474 PAGE 1
PROTOCOL
EXTERNAL EXAMINATION: The autopsy is begun at 11 AM on December 6,
1995. Present at the time of the autopsy is ID technician John Grubb
of the Sheriff's Office. When first viewed the deceased is clothed in
one multicolored T-shirt, one pair of black pants, two white socks,
two white shoes, one gray sweater. Specifically absent is cash or
jewelry. The body is that of a normally developed white female who
appears 32 years of age and is of average nutritional status measuring
69 inches and weighing 108 pounds. Preservation is fair on the
unembalmed body. The body is cold to the touch following
refrigeration. Lividity is fixed on the back. There is a moderate
amount of dark brown hair with terminal frosting with a maximal length
of 8 inches. A Hippocratic facies is present. The eyes are open. The
irides are brown. The sclerae are clear. The pupils measure 0.4 cm.
The scalp is remarkable for showing "hooded" congestion. Brown
eyebrows are present. Except for evidence of injury, the nose is
unremarkable. The earlobes are pierced one time on each side. Teeth
are natural and in fair repair. The neck is unremarkable. The chest is
unremarkable as are the breasts. The abdomen is unremarkable. There is
mild greenish discoloration of the lower abdominal quadrants
bilaterally. Limbs are equal and symmetrically developed and the
fingernail beds are blue. The back is unremarkable. The deceased is
incontinent of feces. The medical record is present. Specifically
absent are medications accompanying the body. Multiple photographs are
obtained and considered a part of the protocol.
EVIDENCE OF TREATMENT: An orotracheal tube is in place. Intravenous
puncture sites are present in the right antecubital fossa and an
intravenous line is present in the left antecubital fossa. EKG pasties
are present on the right and left wrists. On the dorsal aspect of the
left wrist an intravenous line is present.
EVIDENCE OF INJURY:
HEAD AND NECK: "Mirror image" 1/4 inch drying abrasions are present at
the tip of the nose. The nasal bone is intact. Crusted blood is
present at the nares. Crusted brown dried material is present within
the mouth, on the lips; crusted (dried) material is present on the
eyelids. At the point of the chin there are adjacent abrasions; one of
which, measures 0.3, the other 0.4 cm. Hooded congestion is present on
the left side of the face.
EXTREMITIES: The dorsal aspect of the right lower arm just above the
wrist is remarkable for showing several crusted confluent dark brown
lesions consistent with "insect/animal bites." A hematoma is present
over the proximal portion of the right third proximal metacarpal.
Mixed contusions and insect-appearing bites vary in greatest dimension
from 0.2 to 0.6 cm are present over the dorsal aspect of the right
hand. On the volar aspect of the right third digit (distant phalanx)
there is a 0.4 cm drying abrasion. The dorsal aspect of the left arm
has crusted drying areas that vary from 0.1 up to 1.4 cm. Old
(blue-green/brown) areas of discoloration consistent with old
hematomas are present on the medial aspect of the left thigh over a
_________________________________________________________________
REPORT OF AUTOPSY
NAME- MC PHERSON, Lisa CASE NO.-1951474 PAGE 2
greatest area measuring 2-1/2 inches and to a lesser extent over areas
measuring 1/2 and 3/4 inch. Over the medial aspect of the right knee
there is a reddish-brown area with sharp margins. On the medial aspect
of the left lower leg there are confluent old (green-brown) hematoma
with indefinite peripheral ages. The dorsal aspect of both feet
contain multiple drying scaling lesions that vary from 0.3 to 1.2 cm.
On section these lesions in common lack an underlying hemorrhagic base
even centrally and the margins are peripheral and sharp. Sections are
obtained from such areas of the right foot. An abrasion is present
above the lateral aspect of the right lower leg adjacent to Achilles
tendon. Parallel to this there are superficial abrasions medial to it
numbering two and averaging 1/4 inch. On the medial aspect of the
right lower leg there are scattered old (green-brown with indefinite
margins) hematomas that vary in greatest dimension from 0.3 to 1.0 cm.
An old (yellow-green indefinite margins) 4 inch hematoma is present
over the left posterior iliac crest. On the point of the right elbow
posteriorly there is a healing laceration measuring 1/8 inch. Adjacent
to this there is an "old" hematoma with a greatest dimension of 2 1/2
inches. Photographs are obtained of old bruises from the right flank
posteriorly and from the left lower leg. Additionally bruises of the
scaling-appearing lesions are present on the dorsum of the hands and
feet also are submitted
TRUNCAL: At the point of the right shoulder there is a 3/4 inch drying
abrasion. In the right suprailiac area there is an 6.5 cm. green brown
(old) hematoma. In the left lower flank there is a green brown (old) 9
cm.(horizontal) by 4 cm. vertical hematoma.
INTERNAL EXAMINATION:
CAVITIES: Right and left pleural cavities are free of fluid and
adhesions. The pericardial cavity has 2 cc of pale clear fluid. No
adhesions are present. The peritoneal cavity is free of fluid or
adhesions.
CARDIOVASCULAR SYSTEM: The 230 gram heart has a dominant right
coronary artery. The coronary vessels show focal mild atherosclerosis.
Specifically absent are areas of discoloration with softening and
fibrosis.
RESPIRATORY SYSTEM; The 210 gram left lung is remarkable for showing a
partially occlusive well-established thrombus which is multifocal.
This is not associated with an infarct. The visceral pleura is
unremarkable. The bronchial tree contains small amounts of
blood-stained fluid. The parenchyma on section is dry, pink-gray and
doughy. The main branch to the left pulmonary artery is occluded by
well-established thrombus. The 210 gram right lung has an unremarkable
visceral pleura. The opened arterial tree is free of antemortem
thrombi. The bronchial tree contains moderate amounts of faintly
blood-stained mucus. The tissue on section is doughy and gray-pink.
Laryngeal and tracheal cartilages are intact and their mucosae is
unremarkable.
_________________________________________________________________
REPORT OF AUTOPSY
NAME- MC PHERSON, Lisa CASE NO.-1951474 PAGE 3
CENTRAL NERVOUS SYSTEM: The 1390 gram brain has unremarkable meninges.
The vasculature of the basilar and cerebral arterial circulatory
systems are unremarkable. Gyri and sulci are unremarkable.
Specifically absent is opacification of the meninges at the base of
the brain. Bilateral tonsilar grooving without apposition is present.
The brain is fixed for sectioning at a later date. With the dura
removed, the base of the skull is free of fractures. Specifically
absent are subscalpular hematoma.
URINARY SYSTEM: The 120 gram left kidney and 120 gram right kidney are
similar. The renal arteries are patent. The external surface is
smooth. The parenchyma on section is uniform and dark brown. The
cortex averages 1.0 cm. Corti comedull ary junctions are well
maintained. The pelvic calyceal system and ureters are unremarkable.
The bladder contains 15 cc of urine. With this removed the bladder
wall is unremarkable.
GENITAL SYSTEM: Uterus, tubes and ovaries are unremarkable and
specifically absent is uterine enlargement.
HEPATOBILIARY SYSTEM: The 1270 gram liver has an unremarkable capsule.
The liver on section is uniform and dark brown. No masses are
identified. The gallbladder contains 10 cc of thick green viscid bile.
The extrahepatic biliary system is unremarkable.
GASTROINTESTINAL TRACT: The esophagus is unremarkable.The stomach
contains 30 cc of thick green viscid bile. The pancreas on section is
uniform, gray-pink and moderately firm. The opened duodenum has
neither food, ulcers nor masses. Externally the small intestine,
appendix and coloware unremarkable.
LYMPHOPROLIFERATIVE SYSTEM: The 60 gram spleen has an unremarkable
capsule. The parenchyma is moderately softened and dark red-brown.
Abdominal and thoracic lymph nodes are unremarkable.
MUSCULOSKELETAL SYSTEM: See also EVIDENCE OF INJURY. It is otherwise
unremarkable.
MISCELLANEOUS: Dissection of the left popliteal fossa reveals a
thrombus. The right popliteal fossa is also examined and is free of
thrombi.
RDD:jan/dlc
BRAIN AFTER FIXATION: The now fixed brain is examined on January 26,
1996 at 1440 hours. It weighs 1380 grams. The gyri are sulci are
unremarkable. The vasculature of the basilar and cerebral arterial
circular systems are unremarkable. Specifically at the base of the
brain there is no opacification of the meninges. Representative
sections of pons, medulla and cerebellum adjacent to the upper spinal
cord are submitted including their meninges. The serially sectioned
pons,
_________________________________________________________________
REPORT OF AUTOPSY
NAME- MC PHERSON, Lisa CASE NO.-1951474 PAGE 4
medulla and cerebellum are grossly unremarkable. The serially
sectioned cerebrum has unremarkable gray and white matter. The lateral
ventricles are unremarkable as is the basal ganglia. Scattered
prominent vascular markings resembling petechia are present within the
white matter of the left parietal lobe.
The upper spinal cord is unremarkable. The brain is retained.
RDD:me
MICROSCOPIC DESCRIPTION
LUNG: Sections of major pulmonary artery are remarkable for showing
loosely adherent blood to the endothelim of the underlying vessel.
Focally a layer of fibrin is present at the endothelium blood
interface.
RDD:dlc
LABORATORY DATA
Cerebrospinal fluid culture and sensitivity:
Gram stain: Rare white blood cells seen
Culture: No growth after 72 hours
Cerebrospinal fluid bacterial antigens:
Hemophilus influenza B: Negative
Streptococcus pneumoniae: Negative
N. Meningitidis groups A, C, Y and W135: Negative
Neiserria meningitidis B/E. Coli K1: Negative
WMH:md
Vitreous sodium: 180 mmol/l
Vitreous potassium: 13.9 mmol/1
WMH:md
Vitreous urea nitrogen: 300 mg/dl
Vitreous creatinine: 2.6 mg/dl
Vitreous glucose: 15 mg/dl
Vitreous chloride: 161 mmol/l
Vitreous specific gravity: 1.337
WMH:md
_________________________________________________________________
OFFICE OF THE MEDICAL EXAMINER DISTRICT SIX
Pinellas & Pasco
Counties
10850 Ulmerton Road
Largo, FL 34648
813-[DEL: XXX-XXXX :DEL]
REPORT OF AUTOPSY
Toxicology Findings
Drug Screen Results:
Urine screen {TLC-Basic} was POSITIVE* for diphenhydramine.
Urine screen {Immunoassay} was NEGATIVE.
[* Confirmed by GCMS]
Drug Quantitation Results:
Ethanol: 0 gm/dl, Blood (Heart)
Ethanol: 0 gm/dl, Vitreous
(signed)
Ronald R. Bell, B.S.
Chief Toxicologist
Dec 15,1995
_________________________________________________________________
OFFICE OF THE MEDICAL EXAMINER
DISTRICT SIX
Identification of Deceased Person
Case# 1951474 Name of Deceased: Lisa Mc Pherson
Date of Death: Dec 5, 1995 Invest. Agency
Person to whom the deceased was identified : Robert D. Davis, M.D.,
Assoc. Med. Exam.
Others Present: Julia Tyndall, Investigator
Date and Time of Identification Thursday Dec 7, 1995 14:40
Identification Made By:
Name: Jeff Schaffner Relationship:Not Related
Address:XXXXX XXXXXXXXXX XX Clearwater, FL 34630
Duration of Acquaintanceship with Deceased Fifteen Years Phone:
XXX-XXXX
Comments:
Person to whom the deceased was identified : Robert D. Davis, M.D.,
Assoc. Med. Exam.
Others Present: Julia Tyndall, Investigator
Date and Time of Identification Thursday Dec 7, 1995 14:40
Identification Made By:
Name: David Slaughter Relationship:Not Related
Address: XXXXX XXXXXXXXXX XX Clearwater, FL 34630
Duration of Acquaintanceship with Deceased Ten Years Phone:
XXX-XXXX
Comments:
_________________________________________________________________
roger gonnet
www.antisectes.net/autopsie.htm
r
"Kristi Wachter" <human...@racerrecords.com> a écrit dans le message de
news:4089...@news2.lightlink.com...