REPORT OF INVESTIGATION BY MEDICAL EXAMINER

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1 Central Office 901 N. Stonewall Oklahoma City, Oklahoma (405) Fax (405) DECEDENT First-Middle-Last Names (Please avoid use of initials) CASEY LAUREN COOKE HOME ADDRESS - No. - Street, City, State WOODY CREEK DR, EDMOND, OK BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE OF THE CHIEF MEDICAL EXAMINER Eastern Division 1115 West 17th Tulsa, Oklahoma (918) Fax (918) REPORT OF INVESTIGATION BY MEDICAL EXAMINER Age 22 Birth Date 03/12/1990 Re OFFICE USE ONLY Race WHITE Co I hereby certify that this is a true and correct copy of the original document. Valid only when copy bears imprint of the office seal. By Date Sex F EXAMINER NOTIFIED BY - NAME - TITLE (AGENCY, INSTITUTION, OR ADDRESS) OU CAMPUS POLICE 06/03/2012 TIME 03:23 INJURED OR BECAME ILL AT (ADDRESS) UNIVERSITY OF OKLAHOMA CAMPUS LOCATION OF DEATH UNIVERSITY OF OKLAHOMA CAMPUS CITY NORMAN CITY NORMAN COUNTY CLEVELAND COUNTY CLEVELAND TYPE OF PREMISES CAMPUS TYPE OF PREMISES CAMPUS 06/03/ /03/2012 FOUND TIME Unknown TIME 02:25 FOUND BODY VIEWED BY MEDICAL EXAMINER 901 N. STONEWALL CITY OKLAHOMA CITY COUNTY OKLAHOMA TYPE OF PREMISES MORGUE 06/04/2012 TIME 14:15 IF MOTOR VEHICLE ACCIDENT: DRIVER PASSENGER PEDESTRIAN TYPE OF VEHICLE: AUTOMOBILE LIGHT TRUCK HEAVY TRUCK BICYCLE MOTORCYCLE OTHER: DESCRIPTION OF BODY RIGOR LIVOR EXTERNAL OBSERVATION NOSE MOUTH EARS EXTERNAL PHYSICAL EXAMINATION Jaw Neck Arms Legs Complete Absent Passing Passed Color PURPLE Lateral Posterior Anterior Beard Hair BROWN Eyes: Color BROWN Mustache Opacities CLEAR Pupils: R 5 MM L 5 MM BLOOD OTHER LEFT EAR Decomposed Regional Body Length 62 INCHES Body Weight 51 KG Significant observations and injury documentations - (Please use space below) SEE AUTOPSY PROTOCOL. Probable Cause of Death: BLUNT FORCE TRAUMA OF HEAD AND CHEST Other Significant Medical Conditions: ACUTE ETHANOL INTOXICATION Manner of Death: Natural Accident Suicide Homicide Unknown Pending Case disposition: Autopsy Yes No Authorized by Pathologist MEDICAL EXAMINER CHAI S. CHOI M.D. Not a medical examiner case MEDICAL EXAMINER: Name, Address and Telephone No. CHAI S. CHOI M.D. 901 N. STONEWALL OKLAHOMA CITY, OK CME-1 (REV 7-98) I hereby state that, after receiving notice of the death described herein, I conducted an investigation as to the cause and manner of death, as required by law, and that the facts contained herein regarding such death are true and correct to the best of my knowledge. Signature of Medical Examiner Computer generated report CHAI S. CHOI M.D /26/2012 Date Signed 06/04/2012 Date Generated

Board of Medicolegal Investigations Office of the Chief Medical Examiner 901 N. Stonewall Oklahoma City, Oklahoma 73117 (405) 239-7141 Voice (405) 239-2430 Fax CASE CERTIFICATION NO.

$CHAI S. CHOI, M.D. Present at Autopsy Jason Parks FINDINGS I. Head, blunt force injuries A. Extensive subscalpular and subgaleal hemorrhages along the fractures of left parietotemporal bone B.$

2 Board of Medicolegal Investigations Office of the Chief Medical Examiner 901 N. Stonewall Oklahoma City, Oklahoma (405) Voice (405) Fax CASE CERTIFICATION NO I hereby certify that this document is a true and correct copy of the original document. Valid only when copy bears imprint of the office seal. By Date REPORT OF AUTOPSY Decedent Age Birth Date Race Sex Case No CASEY LAUREN COOKE 22 3/12/1990 WH F Type of Death Means ID By Authority for Autopsy Violent, unusual or unnatural Toe Tag CHAI S. CHOI, M.D. Present at Autopsy Jason Parks FINDINGS I. Head, blunt force injuries A. Extensive subscalpular and subgaleal hemorrhages along the fractures of left parietotemporal bone B. Compound fracture of left parietal bone with radiating fracture lines running toward the left and right C. Thin layer of subdural hemorrhages with multifocal subarachnoid hemorrhages, mainly left parietotemporal lobe D. Diffuse cerebral edema with uncal herniation (weight 1240 gm) with multiple cortical contusions mainly left temporal lobe and contusive laceration of right hemisphere of the cerebellum E. Hemocephalus with focal periventricular hemorrhages F. Compound fracture of the posterior cranial fossa extending to the foramen magnum, left and petrosal bone fracture Findings continued on page 2 CAUSE OF DEATH: DUE TO: OSC: MANNER OF DEATH: BLUNT FORCE TRAUMA OF HEAD AND CHEST ACUTE ETHANOL INTOXICATION ACCIDENT The facts stated herein are true and correct to the best of my knowledge and belief. OCME Central Division 6/4/2012 2:15 PM CHAI S. CHOI, M.D. Pathologist Location of Autopsy Date and Time of Autopsy CME-2 1

3 FINDINGS CONTINUED II. Multiple cutaneous abrasions and contusions, back of left shoulder, lower mainly left including buttock, back of thighs right hand, left wrist A. Palpable fracture of ribs, left where hemothorax was Comment: The decedent is a 22 year old white female. The campus security found the decedent supine on the sidewalk on the east side of Evans Hall was called, EMS arrived and attempted to work the decedent and pronounced at the scene. The building is four stories tall and students are known for climbing the building. The decedent s shoes were in her purse and the purse was still in her hand. The police went up on the fire escape and stated that the decedent was lined up with the fire escape. There is no foul play suspected. At autopsy the decedent shows extensive blunt force trauma to the head and chest that are apparently fatal injuries. Postmortem toxicological studies show a level of 0.19% w/v of ethyl alcohol from heart blood and a level of 0.20% w/v of ethyl alcohol from vitreous humor. The cause of death is regarded to be BLUNT FORCE TRAUMA TO THE HEAD AND CHEST. The manner of death is said to be an ACCIDENT. July 2, 2012 CSC/ad CHAI S. CHOI, M.D. 2

4 EXTERNAL EXAMINATION DESCRIPTION Height Weight Eyes Pupils Opacities, Etc. Hair Beard Mustache Circumcised 62in. 51kg. Brown R5 mm L5 mm Clear Brown RIGOR (jaw, neck, back, legs, arm, chest, abd., complete) LIVOR (color, anterior, posterior, lateral, regional) Body Heat Complete Purple-Posterior COOL DESCRIPTION OF CLOTHING: Green shirt with short sleeves Short pants, white with brown weavy leathery belt Underwear, black with orange and blue with a tampon in place showing small dark blood stains Green and blue paper bands around right wrist Black brassiere MEDICAL APPLICATION: Airway through mouth Four monitor pads over the arms and abdomen BODY MARKS AND SCARS: Not found. INJURIES: Back of left shoulder: diagonal, blanched pattern measuring approximately 6 x 1.5 cm surrounded by reddishpurple abraded contusions measuring 6 x 5 cm and 8 x 4 cm. There are also focal red-brown abrasions below it. There are red-brown abrasions over the lower back, near the midline on the left, measuring 5 x 1 cm, and on the right, measuring overall 9 x 3 cm. At the left buttock, near the back, there is a somewhat patterned dumbbell-shaped, red abrasion, measuring 6 x 2 cm. Over the back of the thighs there is a curvilinear, red, superficial abrasion on the right measuring 19 x up to 1.5 cm and on the left measuring 10 x up to 1.5 cm at the level of 21 ½ inches and 18 inches above the heel, respectively. The right hand shows multiple red abrasions with a purple contusion of the 1 st through 4 th fingers at the dorsum, and a red abrasion with a purple contusion over the palm side of the base of the thumb and 4 th web of the right hand, with 2 cm vertical lacerations. 3

5 INJURIES CONTINUED The left hand shows small gray abrasion at the palm side of the hand near the base of the 5th finger area, and there are two small red-brown abrasions at the dorsum of the left wrist. There is a small brown scab on the dorsum of the 4 th finger of the left hand. There is a 1 cm recent brown contusion over the left thigh. EXTERNAL: The body is that of a well developed, well nourished, white adult female. The scalp hair is curled and long. The conjunctivae are white and show no petechiae. There is blood in the nose and the left ear canal. The inside of mouth is in fair condition. The neck is unremarkable. The chest is of normal contour with unremarkable breasts. The abdomen is flat and is unremarkable. The genitalia are those of s normal adult female and show the pubic hair to be shaved. The extremities are symmetric and otherwise unremarkable. The back is otherwise unremarkable. 4

6 GROSS EXAMINATION The gross examination portion of the autopsy is limited to the head only. BRAIN AND MENINGES: The scalp is opened through the customary intermastoid incision and shows extensive subscalpulr and subgaleal hemorrhages along the fracture lines over the left parietotemporal region. The calvarium is removed through the use of an oscillating saw and show a compound fracture over the left parietal bone with radiating fracture lines running toward the left and the right parietotemporal bone. The brain weighs 1240 gm. Dura and leptomeninges show laceration of the dura membrane corresponding the compound fracture of the left parietal bone with a thin layer of subdural hemorrhages and multifocal subarachnoid hemorrhages, mainly left parietotemporal lobe. Cranial nerves and circle of Willis arise and distribute normally and show no significant pathology. Externally the brain is diffusely congested with edema with a left uncal herniation, and multiple serial sections of cerebral hemispheres, pons, medulla, and cerebellum show contusive laceration of left parietal lobe corresponding to the compound fracture site, approximately 2 cm in greatest dimension, and cortical contusions, mainly in the left temporal lobe at the lateral end, inferior surface and a contusive laceration of the right hemisphere of the cerebellum. The ventricular system show liquid blood in the ventricular cavity and focal periventricular hemorrhages. The base of the skull shows a compound fracture of the posterior cranial fossa extending to the foramen magnum on the left and fracture of the petrosal bone. NECK AND CHEST X-RAYS: Fracture of ribs, left with hemothorax, left (tapping excessive blood). 5

7 MICROSCOPIC EXAMINATION Representative sections of brain matter show contusive laceration with regional subarachnoid hemorrhages. July 26, 2012 CSC/ad CHAI S. CHOI, M.D. 6

8 BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE OF THE CHIEF MEDICAL EXAMINER 901 N.Stonewall Oklahoma City, Oklahoma REPORT OF LABORATORY ANALYSIS OFFICE USE ONLY Re. Co. I hereby certify that this is a true and correct copy of the original document. Valid only when copy bear im-print by the office seal. By Date ME CASE NUMBER: LABORATORY NUMBER: DECEDENT'S NAME: CASEY LAUREN COOKE RECEIVED: 06/05/2012 MATERIAL SUBMITTED: BLOOD, VITREOUS, URINE HOLD STATUS: 30 DAYS SUBMITTED BY: JASON ROBERT PARKS MEDICAL EXAMINER: CHAI S. CHOI M.D. NOTES: ETHYL ALCOHOL: Blood: Vitreous: 0.19 % W/V (Heart) 0.20 % W/V Other: CARBON MONOXIDE Blood: TESTS PERFORMED: NO OTHER TESTS PERFORMED RESULTS: 06/12/2012 Byron Curtis, Ph.D., DABFT, Chief Forensic Toxicologist

REPORT OF INVESTIGATION BY MEDICAL EXAMINER

REPORT OF INVESTIGATION BY MEDICAL EXAMINER Central Office 901 N. Stonewall Oklahoma City, Oklahoma 73117 (405) 239-7141 Fax (405) 239-2430 BOARD OF MEDICOLEGAL INVESTIGATIONS OFFICE OF THE CHIEF MEDICAL EXAMINER Eastern Division 1115 West 17th