REPORT OF INVESTIGATION BY MEDICAL EXAMINER

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1 Central Office 901 N. Stonewall Oklahoma City, Oklahoma (405) Fax (405) 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 Re OFFICE USE ONLY 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 DECEDENT First-Middle-Last Names (Please avoid use of initials) Age Birth Date Race Sex ROSALIN RENEE REYNOLDS 8 1/6/2003 AmINDIAN F HOME ADDRESS - No. - Street, City, State 500 SOUTH LEACH, APT. #26, WATONGA, OK EXAMINER NOTIFIED BY - NAME - TITLE (AGENCY, INSTITUTION, OR ADDRESS) DATE TIME OSBI AGENT DAVID SAULS - (580) /23/2011 8:10 INJURED OR BECAME ILL AT (ADDRESS) 500 SOUTH LEACH, APT. #26 CITY WATONGA COUNTY BLAINE TYPE OF PREMISES RESIDENCE DATE 3/23/2011 TIME Unknown LOCATION OF DEATH 500 SOUTH LEACH, APT. #26 CITY WATONGA COUNTY BLAINE TYPE OF PREMISES RESIDENCE DATE 3/23/2011 TIME 5:00 BODY VIEWED BY MEDICAL EXAMINER CITY COUNTY TYPE OF PREMISES DATE TIME 901 NORTH STONEWALL OKLAHOMA CITY OKLAHOMA MORGUE 3/24/2011 9:30 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 Lateral Posterior Anterior Beard Eyes: Color Opacities Pupils: R L Hair Mustache BLOOD OTHER Decomposed Regional Body Length Body Weight Significant observations and injury documentations - (Please use space below) SEE AUTOPSY PROTOCOL. Probable Cause of Death: STAB WOUND TO CHEST Other Significant Medical Conditions: MULTIPLE INCISED WOUNDS Manner of Death: Natural Accident Suicide Homicide Unknown Pending Case disposition: Autopsy Yes No Authorized by Pathologist MEDICAL EXAMINER MARC HARRISON M.D. Not a medical examiner case MEDICAL EXAMINER: Name, Address and Telephone No. MARC HARRISON M.D. 901 N. STONEWALL OKLAHOMA CITY, OK 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. 6/21/2011 Date Signed Signature of Medical Examiner Computer generated report MARC HARRISON M.D /24/2011 Date Generated CME-1 (REV 7-98)

2 Board of Medicolegal Investigations Office of the Chief Medical Examiner 901 N. Stonewall Oklahoma City, Oklahoma (405) Voice (405) Fax CERTIFICATION 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 ROSALIN RENEE REYNOLDS 8 1/6/2003 AM F Type of Death Means ID By Authority for Autopsy Violent, unusual or unnatural MARC HARRISON, M.D. Present at Autopsy FINDINGS I. Stab wound, central chest: penetrating left 10 th rib cartilage, through the pericardial sac, through the right ventricle of the heart (apex, near the septum), through the diaphragm, and through the superior aspect of the left lobe of the liver to a depth of approximately 10 cm (4 in) A. Stab wound, vertical orientation B. Direction: downward, to the left, and backward C. Hemopericardium (approximately 15 cc of blood) II. Multiple incised wounds (7 total) involving the right lateral neck, right shoulder region, left forearm and right and left hands (consistent with defensive wounds) III. Abrasion over left knee (anterior), and contusion over right lower leg (medial) Comment: This 8 year old American Indian female was found unresponsive in a field by her father. She was pronounced at the scene. She was lying in a supine position with her legs spread and wearing a nightgown (blood soaked and pulled up), panties (on one leg, blood stained), and socks (blood stained). She appeared to have a stab wound to the chest and multiple incised wounds. Findings continued on page 2 CAUSE OF DEATH: OSC: MANNER OF DEATH: STAB WOUND TO CHEST MULTIPLE INCISED WOUNDS HOMICIDE The facts stated herein are true and correct to the best of my knowledge and belief. OCME Central Division 3/24/2011 9:30 AM MARC HARRISON, M.D. Pathologist Location of Autopsy Date and Time of Autopsy CME-2 Page 1

3 CASE NO FINDINGS CONTINUED Complete autopsy showed a stab wound to the central chest region and multiple incised wounds to the right neck, right shoulder, left forearm and both hands (consistent with defensive wounds). The cause of death is stab wound to chest. Other significant conditions include multiple incised wounds. The manner of death is homicide. June 21, 2011 MH/ad MARC HARRISON, M.D. 2

4 CASE NO EXTERNAL EXAMINATION DESCRIPTION Height Weight Eyes Pupils Opacities, Etc. Hair Beard Mustache Circumcised 52in. 27kg. Brown R 7 mm L 7 mm No 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 The body is clad in a nightgown (blood stained, blue with flowers), panties (blood stained, purple/white, around right upper leg), socks (blood stained, purple, cartoon characters). EVIDENCE OF MEDICAL TREATMENT No evidence of medical treatment noted. EXTERNAL EXAMINATION The body is that of an unembalmed, well developed, well nourished American Indian female appearing consistent with the reported age of 8 years. The scalp appears unremarkable. The conjunctivae are clear with no petechial hemorrhages. The sclerae are white. The ears are normal. The patent ear canals contain no blood or fluid. The nose is intact with no hemorrhage or foreign material in the external nares. The teeth are natural and in good condition. The lips and oral mucosa are intact with no evidence of injury. There is no foreign material in the oral cavity. There is a stab wound over the central chest as well as incised wounds over the right lateral neck, right shoulder, left posterior forearm region, left and right hands (which are received bagged), which will be described below. There is a 0.5 x 0.2 cm abrasion over the left knee, anterior. There is a 2 x 1 cm contusion over the right lower leg, medial. There is a 1 x 0.2 cm scar over the right medial ankle and a 1 x 0.2 cm scar over the left medial ankle. The remainder of the neck, chest, abdomen, back, pelvis, and anogenital regions are intact and atraumatic. The remainder of the upper and lower extremities is unremarkable. 3

5 CASE NO EVIDENCE OF INJURY 1. Stab wound to central chest: Vertically oriented, 2.9 x 1.1 cm, 14 ¾ inches from top of head, ½ inch left of midline, approximately 10 cm (4 in) deep. The superior end appears blunt and the inferior end appears sharp. The direction of stab wound is downward, to the left, backward. Wound tract extends through the 10 th rib cartilage (left side), through the pericardial sac, through the right ventricle of the heart (apex, near the septum), through the diaphragm, through the superior aspect of the left lobe of the liver, perforating the liver. The wound tract is downward, to the left, and backward. 2. Incised wound: 4.4 x 1.4 cm, approximately horizontal orientation over the right lateral neck, 7 in from top of the head, 6 in right of midline. Depth of wound is approximately 1 cm (3/8 inch). 3. Incised wound: 5.2 x 2.2 cm, over the right shoulder. Depth of wound is approximately 2 cm (3/4 in). 4. Incised wound: 1.5 x 0.5 cm, over the left forearm, posterior, midportion. Depth of wound is approximately 0.5 cm (1/4 in). 5. Horizontal incised wound: 0.5 x 0.2 cm, over right ring finger, anterior. Depth of wound is approximately 0.3 cm (1/8 in). 6. Horizontal incised wound: 0.6 x 0.2 cm over right little finger, anterior. Depth of wound is approximately 0.3 cm (1/8 in). 7. Horizontal incised wound: 0.5 x 0.3 cm, over left middle finger, anterior. Depth of wound is approximately 0.3 cm (1/8 in). 8. Diagonal incised wound: 1.5 x 0.3 cm over left ring finger, anterior. Dept of wound is approximately 0.3 cm (1/8 in). 9. A 0.5 x 0.2 cm abrasion over left knee, anterior, and 2 x 1 cm contusion over right lower leg, medial. 4

6 CASE NO GROSS EXAMINATION The body is opened through the customary Y shaped incision. The subcutaneous fat is moist and bright yellow. The musculature through the chest and abdomen is rubbery, maroon, and shows no gross abnormality. The sternum is removed in the customary fashion. The organs of the chest and abdomen are in their normal position and relationship. The liver edge extends to approximately the right costal margin at the midclavicular line. Except for a central defect along the stab wound track, the diaphragms are intact bilaterally. PARIETAL PLEURA: Smooth, glistening membrane with approximately 500 cc of blood (with blood clot) within left pleural cavity. The right pleural cavity shows no significant fluid. There are no adhesions noted within either pleural cavity. PERICARDIUM: Is a smooth, glistening membrane with an approximate 2 x 0.5 cm defect within the anterior pericardial sac. The sac contains approximately 15 cc of blood. PERITONEUM: Smooth, glistening membrane with approximately 20 cc of blood located within the lower abdominal region. The peritoneal cavity contains no abnormal adhesions. HEART: Weighs 140 g. It has a normal configuration and location. There is an incised wound (approximately 0.6 x 0.4 cm) involving the right ventriculoseptal region, at the apex, anterior. This incision tangentially penetrates into the right ventricular lumen. There are no adhesions between the parietal and visceral pericardium, and the latter is a smooth, glistening, fat laden characteristic membrane. The coronary arteries arise and distribute normally with no significant atherosclerosis. The coronary ostia are normally located and widely patent. The atrial appendages are unremarkable. The valves are normally formed and measure as follows: tricuspid 8.5 cm, pulmonic 6.0 cm, mitral 7.0 cm, and aortic 5.0 cm. The endocardium is a smooth, gray, glistening, translucent membrane uniformly. Apart from the stab wound, the myocardium is intact, rubbery, and red-tan. The left ventricle measures 1.3 cm, the septum measures 1.3 cm, and the right ventricle measures 0.3 cm. The papillary muscles and chordae tendineae are intact and unremarkable. The arch of the aorta is classically formed with no atherosclerosis. Other great vessels also arise and distribute normally and are widely patent. 5

7 CASE NO NECK ORGANS: Musculature is normal, rubbery, and maroon and the organs are freely movable in a midline position. The tongue is intact and normally papillated, without evidence of tumor or hemorrhage. The hyoid bone is intact. The thyroid cartilage is intact and without abnormality. The thyroid gland is symmetric, rubbery, light tan to maroon, and in its normal position without evidence of neoplasm. The epiglottis is a characteristic plate-like structure which shows no evidence of edema, trauma, or other gross pathology. The larynx is comprised of unremarkable vocal cords and folds, is widely patent without foreign material, and is lined by a smooth, glistening membrane. There are no petechiae of the epiglottis, laryngeal mucosa, or thyroid capsule. THYMUS: Weighs 30 g. It is of normal configuration, soft, and intact. The cut surface shows no pathology. LUNGS: The right lung weighs 180 g, and the left weighs 100 g. The left lung is collapsed. Visceral pleurae are smooth, glistening, and intact with no significant anthracosis and no bleb formation. The overall configuration is normal. The trachea is widely patent and lined by a characteristic pink membrane. Likewise, the major bronchi and bronchioles bilaterally are patent, normally formed, and contain no significant occlusive material. The pulmonary arterial tree is free of emboli or thrombi. The parenchyma of both lungs is pale, pink-tan and exudes a slight amount of blood and clear frothy edema fluid from its cut surfaces. There is no evidence of consolidation, granulomatous, or neoplastic disease. Hilar lymph nodes are within normal limits with relation to size, color, and consistency. G.I. TRACT: The esophagus shows an unremarkable mucosa, a patent lumen, and no evidence of gross pathology. The esophagogastric junction is unremarkable. The stomach is of normal configuration, is lined by a smooth, glistening, intact mucosa, has an unremarkable wall and serosa, and contains approximately 10 cc of tan/brown semi-solid food material. The duodenum is patent, shows an unremarkable mucosa and no evidence of acute or chronic ulceration. Jejunum and ileum are unremarkable and contain soft brown fecal material. There is no Meckel s diverticulum. The ileocecal valve is intact and unremarkable. The appendix is present. The colon is examined segmentally and shows no evidence of neoplasm or trauma. There are no diverticula. Anus and rectum are unremarkable. LIVER: Weighs 600 g. It is of normal configuration, rubbery, tan, and intact. Apart from the stab wound defect, the cut surface shows no pathology. GALLBLADDER: Lies in its usual position, contains liquid bile, no calculi, and shows a normal mucosa. The biliary tree is intact and patent without evidence of neoplasm or calculi. 6

8 CASE NO PANCREAS: Lies in its normal position, shows a normal configuration, is pink-tan and characteristically lobulated with no apparent gross pathology. SPLEEN: Weighs 60 g. The capsule is intact. The organ is rubbery, maroon, and shows a characteristic follicular pattern. ADRENALS: Lie in their usual location, show yellow cortices and tan to gray medullae. KIDNEYS: The right kidney weighs 60 g and the left weighs 60 g. Both kidneys are pale, configured normally. Sections show the organs to have unremarkable cortices, medullae and pelves. Ureters and blood vessels are patent and unremarkable. URINARY BLADDER: Contains approximately 4 cc of cloudy, yellow urine. Its serosa and mucosa are unremarkable. FEMALE GENITALIA: The vagina is intact with an apparent perforated hymen. The cervical os is free of erosion. The endocervical canal is within normal limits. The uterus has a symmetrical overall unremarkable configuration and is nongravid. The myometrium is light tan and rubbery. The endometrium is unremarkable. Bilateral adnexa are unremarkable. BRAIN AND MENINGES: The scalp is opened through the customary intermastoid incision and shows no trauma. The calvarium is removed through the use of an oscillating saw and is intact without evidence of osseous disease. The brain weighs 1220 g. Dura and leptomeninges are smooth, glistening, translucent, and unremarkable without evidence of trauma. Cranial nerves and circle of Willis arise and distribute normally and show no significant pathology. Externally the brain is normally configured and symmetric, and multiple serial sections of cerebral hemispheres, pons, medulla, and cerebellum show no gross pathological change apart from moderate congestion. The ventricular system is also symmetric and unremarkable. The base of the skull is intact without osseous abnormality. 7

9 CASE NO RIBS: Apart from the stab wound defect (left 10 th rib), the ribs are intact. PELVIS: Intact. VERTEBRAE: Intact. BONE MARROW: Moist and dark red. Unremarkable. 8

10 CASE NO MICROSCOPIC EXAMINATION Representative sections of heart, lungs, kidneys, liver and pancreas show no significant histopathology. June 21, 2011 MH/ad MARC HARRISON, M.D. 9

11 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: ROSALIN RENEE REYNOLDS DATE RECEIVED: 3/25/2011 MATERIAL SUBMITTED: BLOOD, VITREOUS, URINE, LIVER, BRAIN, GASTRIC HOLD STATUS: 5 YEARS SUBMITTED BY: STEVE MULLINS MEDICAL EXAMINER: MARC HARRISON M.D. NOTES: ETHYL ALCOHOL: Blood: NEGATIVE (CAVITY) Vitreous: Other: CARBON MONOXIDE Blood: TESTS PERFORMED: BLOOD ALKALINE DRUG SCREEN BLOOD EIA - Amphetamine, Methamphetamine, Fentanyl, Cocaine, Opiates, PCP, Barbiturates, Benzodiazepines (The EIA panel does not detect Oxycodone, Methadone, Lorazepam, or Clonazepam) RESULTS: NONE DETECTED 04/19/2011 DATE BYRON CURTIS, Ph.D., Chief Forensic Toxicologist

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