| Case |
ME-329-93 |
ME-331-93 |
ME-332-93 |
| Name |
James Michael Moore |
Christopher Mark Byers |
Steve Edward Branch |
| Cause of Death |
Multiple injuries with
drowning |
Multiple injuries (bled to
death) |
Multiple injuries with
drowning |
| Drugs in blood |
Alcohol <0.01g% |
Carbamazepine 5.737 ug/ml |
None detected. |
| Height |
49 1/2" |
48" |
50" |
| Weight |
55 lbs. |
52 lbs. |
65 lbs. |
| Old scars |
none mentioned |
3/4" forehead; 1/4" bridge of
nose; one front of chest; a
"few" healed scars present
on lower extremities. |
none mentioned |
| Hydration |
Washerwoman wrinkling |
Washerwoman wrinkling |
Washerwoman
wrinkling |
| Lower face,
below nose, lips,
chin. |
Lips were abraded. |
Between nose and upper lip
a 1/8" semi-lunar abrasion, a
1/4" abrasion on lateral
lower lip, a 1/8" abrasion on
midline of lips. A 3/16"
laceration on left upper lip. |
Lips were abraded with
superficial lacerations. |
| Upper face,
forehead, nose
and eyes |
Multiple punctate
scratches over bridge of
nose. Abraded left ala
[nasi?]. Left forehead 1
5/8 x 1 1/8" abraded
laceration with a 1/2"
abrasion on its superior
margin. Two contusions
on right forehead, 1/4 x
1/2" and 1/2 x 1/2". |
A 3/16" abrasion on superior
aspect of bridge of nose.
Two abrasions above left
eyebrow, 1" and 3/4". 1/2 x
1/2" contusion on right
eyelid. 1/8" abrasion
adjacent to medial aspect of
left eye. 1/8" abrasion
adjacent to lateral aspect of
left eyebrow. 3/4" old scar
on right forehead. 1/4 inch
old scar adjacent to the
bridge of the nose. |
1/2" contusion in right
medial periorbital
region. 2" scratch
below right eye. Above
and below left eyebrow
a bell shaped patterned
abrasion with a base of
3/4" and 1 1/4" between
base and dome. 1/4"
laceration adjacent to
superior medial margin. |
| Exterior cheeks,
mandibles. |
Left side of cheek
contused and edematous
with overlying 1 1/2"
contusion. Linear
scratches on left mandible
along with 3 x 3 3/4" area
of abrasion. 4 x 3/4"
contusion on right
zygomatic region with
overlying punctate
abrasions and a 3/16 by
1/2" abrasion. |
Two 3/16" circular
abrasions on left zygomatic
region and 1/4 by 1/8
abrasion below. |
Multiple scratches over
right mandible. Bell-shaped abrasion on
right mandible with
central area of pallor
and abrasion. Area
measuring 5 1/2 x 5" on
left side of face
including left ear had
multiple gouging type
irregular cutting
wounds from 1/8" to 1
3/4" with many
terminating in the oral
cavity. |
| Interior of
mouth |
Contused mucosal
surfaces of lips and
slightly edematous, with
multiple superficial
lacerations. Multiple bite
marks on lateral margins
and tip of tongue. |
Multiple superficial
bitemarks on inside of
cheeks. Mucosal surface of
lower lip showed a 5/16"
laceration. Frenulum
contused and surrounded by
a 1/2" contusion. |
Multple contusions,
lacerations, and
hemorrhage on mucosal
surfaces. Gums
hemorrhagic. |
| Right ear |
Contused anterior and
posterior surfaces with
overlaying linear
scratches. Helix abraded.
1 3/4 x 3/4" ovoid
contusion with edema
behind ear. Multiple
semilunar scratches
behind ear. |
Abraded and contused,
multiple linear abrasions on
inferior aspect, 1/2" to 1
1/4". |
Confluent contusions
and abrasions. |
| Left ear |
No injuries, contusions or
abrasions mentioned. |
Contused, five linear
abrasions behind it, 2 were
1/2", 2 were 7/16", and one
3/4". In front of left ear, five
haphazardly oriented
abrasions from 5/16" to 1
3/4". |
Entire ear contused
with overlying finely
linear abrasions. |
| Scalp |
Right frontal scalp, 2 1/2
x 1/2" area of edema and
ovoid contusion with
multiple overlying
superficial lacerations
and a 1/8" depressed
abraded laceration. 2 3/4
x 1 1/2" ovoid contusion
on right parietal scalp.
3/4 x 1/8" dove-tail
laceration on left parietal
scalp with a patterned
contusion in the form of
an upside down "L" at its
inferior margin with the
dimensions of 1/2"
vertical and 1/4"
horizontal. 1 1/8 x 1/4"
abraded contusion on left
temporal scalp.
Multifocal extensive
subgaleal contusions and
edema. |
1 1/4" laceration on left
parietal scalp. Reflection of
scalp showed hemorrhage in
soft tissues underlying the
laceration. Multifocal
subgaleal contusion with
edema. |
Multiple superficial
cuts and abrasions to
the left parietal scalp.
Left occipital scalp
edematous with
contusion and overlying
abrasions measuring 4"
in greatest dimension.
Reflection of scalp
showed multifocal
subgaleal contusions. |
| Skull |
1 1/4" semi-lunar fracture
on right posterior frontal
skull bone. Immediately
below a 2" similar semi-lunar fracture. Below
and lateral to this a 1"
fracture. Extending
over the temporal scalp
were two contiguous
fractures; the superior
one measured 1 3/4"
and the intersecting
semi-lunar inferior one
measured 1" in length.
Three semilunar fractures
one which became
contiguous with the
second, overall dimension
2". Inferior to this was a
similiar semi-lunar
fracture measuring 1
3/4". A 3/4" fracture
involving the right
anterior cranial fossae. |
Multiple fractures, base of
skull. Left posterior cranial
fossae 3 1/2" fracture with
radiating fractures. Left
posterior medial cranial
fossa 1/4" ovoid punched out
fracture. Left middle cranial
fossa 1" fracture. |
3 1/2" fracture at base
of skull with multiple
extension fractures
terminating at the
foramen magnum. |
| Brain |
Edematous with
subarachnoid hemorrhage
involving right cerebellar
hemisphere. Fracture
contusions involving right
posterior cerebellar
hemisphere. |
Multifocal subarachnoid
hemorrhage involving left
posterior and cerebellar
hemispheres. Associated
fracture contusions. |
Multifocal
subarachnoid
hemorrhages to left
posterior cerebral
hemisphere. |
| Neck |
Right side, scapula
region, contusion area
with overlying 1 1/4 x
1/2" abrasion. Medial to
this, extending to left side
of neck, 1 x 3/4"
contusion. |
Few scattered abrasions, left
side. |
Extravasated
hemorrage in posterior
neck muscles. |
| Chest,
shoulders,
abdomen |
Right shoulder three
scattered contusions 1/4
to 1/2" with an adjacent
area of focal red-purple
contusion. Below this
contusion an area, 2 1/4 x
1/4", were multiple linear,
diagonally oriented
abrasions surrounded by
contusions. These
abrasions were
interspaced by 1/8 to
1/4". Lower right chest
were two 3/4" contusions.
Below this contusion
were two parallel oriented
abrasions 3/4" each and
interspaced by 1/8".
Over left side of
abdomen, a group of
linear abrasions
interspaced 1/16 x 1/8". |
Old hypopigmented scar,
front of chest. |
Multiple scattered
abrasions, front of
chest. |
| Genitals |
No injuries. |
Skin of penis, scrotal sac and
testes missing with gaping
defect of 2 3/4 x 1 1/2".
Shaft of penis present.
Gaping defect surrounded by
multiple and extensive
irregular punctate gouging
type injuries, 1/8 to 3/4"
with depth of 1/4 to 1/2".
Some of these wounds
showed hemorrhage in
underlying soft tissue, others
did not. In between the
thighs were multiple areas of
yellow abrasions with skin
slippage. Medial aspect of
left thigh showed a yellow
abrasion. Microscopic exam
of penis revealed bacterial
colonies. |
Midshaft of penis
including glans
diffusely red-purple
with overlying very fine
superficial scratches
with clear band of
demarcation showing
proximal portion
uninvolved. Blood
vessel engorgement of
head and shaft under
microscopic analysis. |
| Anus, rectum
and buttocks |
Over right buttocks were
multiple linear scratches
measuring from 1/2 to
3/8". On inferior aspect
of left buttocks, punctate
linear scratches. Anus
dilated, no external
evidence of injury. Mud
and debris was present in
the anal orifice. Mucosal
surfaces of rectum were
slightly hyperemic and
showed no evidence of
injury. Microscopic
examination revealed no
hemorrhage. |
Left buttocks, 1/2 x 1/4"
contusion and 1 3/4" linear
abrasion and five superficial
cutting wounds measuring
1/2 to 2 1/8". Right
buttocks, two faint
contusions, each 1/2 x 1/2".
Also right buttocks, multiple
linear superficial interrupted
cuts 3/16 to 1/2", intespaced
by 1/8". Scattered linear
abrasions about the anus.
Anal and rectal mucosae
were hyperemic and injected.
Anus dilated. Abundant
feces found about the anus.
No semen or spermatozoa
found or blood found in
swabs. No hemorrhage
under microscopic analysis. |
Anus dilated. Anal and
rectal mucosa showed
mild hyperemia, no
evidence of injury. No
abrasions, contusions
or lacerations. No
hemorrhage or
spermatozoa under
microscopic analysis. |
| Lower
extremities |
A 1/4" ovoid contusion
over left knee. |
A 1 x 1 3/8" reddish
contusion, right anterior
thigh. Below this, patterned
contusion consisting of two
ovoid red-purple contusion,
the superior one 3/4 x 7/16"
and the inferior one 3/4 x 1
1/8". Extending from both
of these were linear
contusions, the superior one
5 3/16", the inferior one 4
1/2". The interspace
between these was 3/4". A
1/4" abrasion on anterior
surface of right leg. Over
posterior right thigh and leg
were multiple scattered
abrasions and contusions.
(Listed under injuries to left
leg: A 1/4" abrasion on right
knee. Below right knee three
red contusions, 3/4, 1/4, and
1/2".) The posterior left leg
and ankle showed confluent
contusions. On left ankle,
below binding abrasion, a
3/4 x 1/2" abrasion. On left
ankle, a 3/4 x 1" abrasion.
Above ligature binding site
on right ankle a 2 1/2 x 2
3/4" contusion. A few old
healed scars. |
Multiple scratches and
contusions. Left thigh
1" yellow scratch. Also,
left thigh, patterned
grid-like impression
with margins diagonally
oriented, 3" lateral x 3
1/2" medial. |
| Binding
abrasions |
Removing of binding
showed abraded and
contused furrows present
on both right and left
ankles and wrists.
Lower: binding abrasions
on both ankles with faint
red-purple contusions
above and below. Upper:
contusions around
binding abrasions on
wrists. |
Lower: yellow-red abrasions
on ankles. Upper: Yellow
binding abrasion not
surrounded by contusion was
present on right wrist.
Binding abrasion on left
wrist with a faint red-purple
contusion at superior
margin. |
Lower: Abrasions and
contusions involving
the ankles. Abrasion
yellow ten with abraded
margins. Upper:
Abrasion surrounded
by red contusions on
wrists. |
| Upper
extremities |
1" contusion back of
forearm. 1/8" abrasion
on left antecubital fossa.
Below this linear
abrasions measuring from
1/16 to 1/2". 1" cut on
right thenar eminence.
1/8" superficial laceration
on left thenar eminence.
3/4" scratch back of left
hand. 1/16" abrasion on
anterior surface of left
thumb. |
Scattered abrasions right
arm and forearm. Multiple
scattered abrasions
anteroposterior surfaces of
left arm. |
Back of hands and
thenar eminences,
multiple scattered
contusions. |
| Back |
Upper right back, two
diagonally oriented
interrupted abrasions,
each measuring 4 1/2",
interspaced each 1/2".
Below this abrasion on
left side was a 4 x 2"
contusion. Below this
contusion were two linear
oriented abrasions which
were interspaced by 1/8". |
Multiple scattered abrasions,
upper back. |
Two contusions upper
left back 2 x 1 1/2" and
2 x 1". |
| Internal,
respiratory |
Sphenoid sinus contained
2 ml of bloody fluid.
Lungs were edematous
and extruded abundant
amounts of frothy
material. Upper and
lower airways contained
bloody frothy material
mixed with brown
vomitus. |
No abnormal collections of
fluid were present in any of
the body cavities. Upper and
lower airways contained
slight amount of vomitus.
Mucosal respiratory surfaces
were hyperemic. Pulmonary
parenchyma exuded slight
amounts of blood and frothy
fluid. |
Pulmonary edema with
congestion with bloody
frothy fluid in airways.
Slight amount of
vomitus. Bloody
watery fluid in sphenoid
sinus. |
| Internal,
alimentary |
Stomach lumen contained
2 ounces of brown fluid.
Small and large bowels
unremarkable. |
Stomach lumen contained 1
ounce red-tan fluid with
piece of chewing gum.
Small and large bowels
unremarkable. |
Stomach. Lumen
contained 2 ounces of
partially digested
fluid and remnants of
green vegetable-like
material. Small and
large bowels
unremarkable. |
